Consumer Reports rates safety at CNY hospitals

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Updated: 7/05/2012 8:56 pm
Syracuse (WSYR-TV) - When we’re sick we depend on hospitals to help us get better, but a new study shows too often the opposite happens. For the first time, Consumer Reports has ranked the safety of hospitals around the country.

Out of a possible 100 points, the highest score was just 72. So how do hospitals in Syracuse rank?

St. Joseph’s and Crouse hospitals in Syracuse each scored a 46 and Upstate Medical University scored a 39. 

Consumer Reports investigators focused on six categories to come up with their safety score, including: infections, readmissions, communication, CT scanning, complications and death.

With scores in the high 30s and mid 40s, Syracuse hospitals are in the middle when it comes to Consumer Reports’ safety ratings.

We shared the study with all three hospitals in Syracuse.

Upstate Medical University CEO Dr. John McCabe told NewsChannel 9, "My first reaction is it’s interesting. Of course, I’d always like to be higher... hospitals that see the sickest patients sometimes get adversely impacted in the scoring systems."

That’s because the bigger hospitals like Upstate often treat more complex cases and sicker patients. Upstate scored okay on CT scans, but didn’t do so well on readmission rates and communication.  The hospital says it’s actively improving those by talking to patients about their care and medications. The report uses data from 2008.

"We're frustrated with how old the data is. We don't want to minimize it, but we feel if the public is going to base decisions on data then we need to get the right, most current data to them. So, later this year we're going to start publishing our data on our website," said St. Joseph’s Hospital CEO, Kathryn Ruscitto.

St. Joseph’s says their up-to-date data reflects recent improvements. It scored the highest on CT scans, but not as well on patient complications. St. Joe’s says there has been a big focus on hand hygiene and they’re using new machines, which kill bacteria with UV-light.

About one in 20 hospital patients will develop an infection in a hospital. Crouse ranked right in the middle for infection rates, but the hospital says it’s seen a steady decrease since 2006.

"If we don’t see these as opportunities to get better, to me then we fail our community," said Crouse’s Chief Quality Officer, Derrick Suehs. "The public just needs to be aware of things. There is not a report that exists in this country that can tell you 'this is a good hospital,' 'this is a bad hospital.'"

To make bad hospitals better, the report says there should be a national system to track and publicly report medical errors, something that was recommended more than a decade ago and still hasn’t happened.

Full List: Central New York Hospital Safety Ratings

From the August 2012 issue of Consumer Reports magazine.


We [Consumer Reports] have safety Ratings for 1,159 of the 6,268 hospitals in the U.S. They’re presented to magazine readers in four regional editions. A national list of all hospitals with a safety score is available on our iPad edition and to website subscribers at ConsumerReports.org/hospitalratings. That page also gives information on more than 3,000 other hospitals that don’t have enough data for a safety score but for which we have some information. It also includes a full description of our methodology. Reporting periods vary depending on the hospital and the rating category. All data except infection information come from the Centers for Medicare and Medicaid Services. Infection data come from states and the Leapfrog Group.

Safety score combines six categories of hospital safety into a score between 1 and 100. Displayed scores are rounded, but hospitals are listed in order of their precise score. Look for large differences between hospitals; small differences are not meaningful. We also show a hospital’s rating in four of those categories: infections, readmissions, communication, and scanning. Each gets up to 20 points of the safety score. We footnote hospitals that are better or worse than the average in complications and mortality, each worth up to 10 points. Those without footnotes are average or similar.

Infections reflects a hospital’s success in avoiding infections from central-line catheters used in intensive-care units and/or infections after cesarean section, hernia repair, hip or knee replacement, hysterectomy, spinal fusion, or coronary bypass, colon, or gallbladder surgery.

Readmissions represents the chance that a patient who has had a heart attack, heart failure, or pneumonia will have to be readmitted to a hospital within 30 days of his or her initial discharge.

Communication indicates how clearly staff explain new medications and discharge planning to patients.

Scanning reflects the percentage of chest and/or abdominal CT scans that are ordered twice for the same patient, once with contrast and once without.

Complications looks at a set of eight adverse events, including bedsores, collapsed lungs, central-line-associated bloodstream infections, and accidental punctures or cuts during surgery, as well as four post-surgical complications: bloodstream infections, hip fractures, blood clots in the lungs or legs, and the reopening of wounds.

Mortality assesses a set of six causes of death in the hospital: heart attack, heart failure, stroke, stomach bleeding, hip fracture, and pneumonia.

About the Consumer Reports Hospital Safety Ratings

How safe is your hospital? Consumer Reports analyzed data from more than a thousand hospitals in 44 states and gave each hospital a safety rating in several categories, including:
- Avoiding infections
- Readmissions after discharge
- Clear communication about drugs and discharge
- The overuse of CT scans

The ratings show that even the best hospitals have room for improvement.

No hospital got a top score for preventing patients from being readmitted, or for communicating with patients about discharge instructions and new medications.

Hospitals are not required to make all their safety data available, and many don’t, so the ratings cover only about one-fifth of American hospitals. The advocacy arm of Consumer Reports has called for a nationwide system to track medical errors and report them to the public.

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