Hospital Rating Systems and Implications For Patient Travel to Better-rated Hospitals

Arun Subramanian, Joel T. Adler, Nilay D Shah, Joseph A. Hyder

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Publicly reported hospital ratings aim to encourage transparency, spur quality improvement, and empower patient choice. Travel burdens may limit patient choice, particularly for older adults (aged 65 years and more) who receive most medical care. For 3 major hospital ratings systems, we estimated travel burden as the additional 1-way travel distance to receive care at a better-rated hospital.Distances were estimated from publicly available data from the US Census, US News Top Hospitals, Society of Thoracic Surgeons composite rating for coronary artery bypass grafting (STS-CABG), and Centers for Medicare and Medicaid Services Hospital Consumer Assessment of Healthcare Providers and Services (HCAHPS).Hospitals were rated for HCAHPS (n = 4656), STS-CABG (n = 470), and US News Top Hospitals (n = 15). Older adults were commonly located within 25 miles of their closest HCAHPS hospital (89.6%), but less commonly for STS-CABG (62.9%). To receive care at a better-rated hospital, travel distances commonly exceeded 25 miles: HCAHPS (39.2%), STS-CABG (62.7%), and US News Top Hospital (85.2%). Additional 1-way travel distances exceeded 25 miles commonly: HCAHPS (23.7%), STS-CABG (36.7%), US News Top Hospitals (81.8%).Significant travel burden is common for older adults seeking “better” care and is an important limitation of current hospital ratings for empowering patient choice.

Original languageEnglish (US)
JournalAnnals of Surgery
DOIs
StateAccepted/In press - Nov 15 2016

Fingerprint

Coronary Artery Bypass
Health Personnel
Thorax
Centers for Medicare and Medicaid Services (U.S.)
Censuses
Quality Improvement
Surgeons

ASJC Scopus subject areas

  • Surgery

Cite this

Hospital Rating Systems and Implications For Patient Travel to Better-rated Hospitals. / Subramanian, Arun; Adler, Joel T.; Shah, Nilay D; Hyder, Joseph A.

In: Annals of Surgery, 15.11.2016.

Research output: Contribution to journalArticle

@article{e8a32cebd1e344eabb8be08d08fff54b,
title = "Hospital Rating Systems and Implications For Patient Travel to Better-rated Hospitals",
abstract = "Publicly reported hospital ratings aim to encourage transparency, spur quality improvement, and empower patient choice. Travel burdens may limit patient choice, particularly for older adults (aged 65 years and more) who receive most medical care. For 3 major hospital ratings systems, we estimated travel burden as the additional 1-way travel distance to receive care at a better-rated hospital.Distances were estimated from publicly available data from the US Census, US News Top Hospitals, Society of Thoracic Surgeons composite rating for coronary artery bypass grafting (STS-CABG), and Centers for Medicare and Medicaid Services Hospital Consumer Assessment of Healthcare Providers and Services (HCAHPS).Hospitals were rated for HCAHPS (n = 4656), STS-CABG (n = 470), and US News Top Hospitals (n = 15). Older adults were commonly located within 25 miles of their closest HCAHPS hospital (89.6{\%}), but less commonly for STS-CABG (62.9{\%}). To receive care at a better-rated hospital, travel distances commonly exceeded 25 miles: HCAHPS (39.2{\%}), STS-CABG (62.7{\%}), and US News Top Hospital (85.2{\%}). Additional 1-way travel distances exceeded 25 miles commonly: HCAHPS (23.7{\%}), STS-CABG (36.7{\%}), US News Top Hospitals (81.8{\%}).Significant travel burden is common for older adults seeking “better” care and is an important limitation of current hospital ratings for empowering patient choice.",
author = "Arun Subramanian and Adler, {Joel T.} and Shah, {Nilay D} and Hyder, {Joseph A.}",
year = "2016",
month = "11",
day = "15",
doi = "10.1097/SLA.0000000000002029",
language = "English (US)",
journal = "Annals of Surgery",
issn = "0003-4932",
publisher = "Lippincott Williams and Wilkins",

}

TY - JOUR

T1 - Hospital Rating Systems and Implications For Patient Travel to Better-rated Hospitals

AU - Subramanian, Arun

AU - Adler, Joel T.

AU - Shah, Nilay D

AU - Hyder, Joseph A.

PY - 2016/11/15

Y1 - 2016/11/15

N2 - Publicly reported hospital ratings aim to encourage transparency, spur quality improvement, and empower patient choice. Travel burdens may limit patient choice, particularly for older adults (aged 65 years and more) who receive most medical care. For 3 major hospital ratings systems, we estimated travel burden as the additional 1-way travel distance to receive care at a better-rated hospital.Distances were estimated from publicly available data from the US Census, US News Top Hospitals, Society of Thoracic Surgeons composite rating for coronary artery bypass grafting (STS-CABG), and Centers for Medicare and Medicaid Services Hospital Consumer Assessment of Healthcare Providers and Services (HCAHPS).Hospitals were rated for HCAHPS (n = 4656), STS-CABG (n = 470), and US News Top Hospitals (n = 15). Older adults were commonly located within 25 miles of their closest HCAHPS hospital (89.6%), but less commonly for STS-CABG (62.9%). To receive care at a better-rated hospital, travel distances commonly exceeded 25 miles: HCAHPS (39.2%), STS-CABG (62.7%), and US News Top Hospital (85.2%). Additional 1-way travel distances exceeded 25 miles commonly: HCAHPS (23.7%), STS-CABG (36.7%), US News Top Hospitals (81.8%).Significant travel burden is common for older adults seeking “better” care and is an important limitation of current hospital ratings for empowering patient choice.

AB - Publicly reported hospital ratings aim to encourage transparency, spur quality improvement, and empower patient choice. Travel burdens may limit patient choice, particularly for older adults (aged 65 years and more) who receive most medical care. For 3 major hospital ratings systems, we estimated travel burden as the additional 1-way travel distance to receive care at a better-rated hospital.Distances were estimated from publicly available data from the US Census, US News Top Hospitals, Society of Thoracic Surgeons composite rating for coronary artery bypass grafting (STS-CABG), and Centers for Medicare and Medicaid Services Hospital Consumer Assessment of Healthcare Providers and Services (HCAHPS).Hospitals were rated for HCAHPS (n = 4656), STS-CABG (n = 470), and US News Top Hospitals (n = 15). Older adults were commonly located within 25 miles of their closest HCAHPS hospital (89.6%), but less commonly for STS-CABG (62.9%). To receive care at a better-rated hospital, travel distances commonly exceeded 25 miles: HCAHPS (39.2%), STS-CABG (62.7%), and US News Top Hospital (85.2%). Additional 1-way travel distances exceeded 25 miles commonly: HCAHPS (23.7%), STS-CABG (36.7%), US News Top Hospitals (81.8%).Significant travel burden is common for older adults seeking “better” care and is an important limitation of current hospital ratings for empowering patient choice.

UR - http://www.scopus.com/inward/record.url?scp=84995414731&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84995414731&partnerID=8YFLogxK

U2 - 10.1097/SLA.0000000000002029

DO - 10.1097/SLA.0000000000002029

M3 - Article

C2 - 27849669

AN - SCOPUS:84995414731

JO - Annals of Surgery

JF - Annals of Surgery

SN - 0003-4932

ER -