Hospital Rating Systems Ralitza Dekova, M.Sc. dekova.ralitza@gmail.com Hospital Rating Systems A Framework Analysis Methods What is a hospital rating system (HRS)? - Gather all HRSs from around the world that include a scientific methodology Create typology to group similar kinds of HRSs - Resultant groups analysed using a framework Method of evaluating hospitals’ performance in a given timeframe based on chosen parameters such as patient population, indicators and specified location of the hospitals. Objectives - Focus the attention of HRS consumers, notably healthcare seekers, devised by the author on important details of rankings - To create an analytical framework for HRSs Fig 1. Analytical Framework for Hospital Rating Systems Background - Hospital rating systems exist in several high- and middle-income countries - They will be emerging in other places in the near future, including in low- income settings - Information from different HRSs can be conflicting, even when analysing the same hospitals Results Conclusions - 24 HRSs analysed - 6 Types of HRSs identified - Differences explored between & within each type - Relying on one HRS is not advisable in selecting a hospital - Exploring methodology is essential in understanding the true meaning of an HRS - Consumers should take care to avoid non-scientific HRSs that are in circulation References sample: [1.] Werner, R. M. & Bradlow, E. T. Relationship Between Medicare’s Hospital Compare Performance Measures and Mortality Rates. JAMA 296, 2694–2702 (2006). [2. ]Austin, J. M. et al. National Hospital Ratings Systems Share Few Common Scores And May Generate Confusion Instead Of Clarity. Health Aff. (Millwood) 34, 423–430 (2015). [3.] Howell, M. D. A 37-Year-Old Man Trying to Choose a High-Quality Hospital: Review of Hospital Quality Indicators. JAMA 302, 2353–2360 (2009). [4.] Anderson, J., Hackman, M., Burnich, J. & Gurgiolo, T. R. Determining hospital performance based on rank ordering: is it appropriate? Am. J. Med. Qual. 22, 177 (2007).