Worksheet for Choosing a Hospital

The following questions can help you make the best choices. You may want to print a copy of this page for each hospital you are considering.

You may not have a choice of hospitals right now because of your health plan or doctor. But keep these questions in mind for when you might make a change.

Does the hospital meet national quality standards?

Yes No

Hospitals can choose to be surveyed by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) to make sure they meet certain quality standards. The standards address the quality of staff and equipment, and most recently the hospital's success in treating and curing patients. If a hospital meets those standards, it becomes accredited (gets a "seal of approval"). Reviews are done at least every 3 years. Most hospitals participate in this program.

The JCAHO prepares a performance report on each hospital that it surveys, listing:

• Accreditation status (six levels-from the lowest, "Not Accredited," to the highest, "Accredited with Commendation").
• Date of the survey.
• Evaluation of the key areas reviewed durning the survey.
• Results of any follow-up activity.
• Areas needing improvement.
• Comparison with national results

You can order JCAHO's performance reports free of charge by calling 630-792-5800. Or, check JCAHO's website for a hospital's performance report or for its accreditation status.

One important way to learn about hospital quality is to look at hospital report cards developed by States and consumer groups. A recent study about such reports found that besides helping consumers make informed choices, they also encourage hospitals to improve their quality of care. This is a very good reason to look for and use consumer information about hospitals. Here are some ways to find such information:


•Some States--for example, Pennsylvania, California, and Ohio--have laws that require hospitals to report data on the quality of their care. The information is then given to the public so consumers can compare hospitals.

•Some groups gather information on how well hospitals perform and how satisfied their patients are. An example is the Cleveland Health Quality Choice Program, which is made up of businesses, doctors, and hospitals.

•Consumer groups publish guides to hospitals and other health care choices in various cities. Find out what kind of information is available where you live by calling your State department of health, health care council, or hospital association. Also, ask your doctor what he or she thinks about the hospital.

 

Does my doctor have privileges (is permitted to admit patients) at the hospital?

Yes No

If not, you would need to be under the care of another doctor while at the hospital.

Does my health plan cover care at the hospital?

Does the hospital have experience with my condition?

Yes No

For example, "general" hospitals handle a wide range of routine conditions, such as hernias and pneumonia. "Specialty" hospitals have a lot of experience with certain conditions (such as cancer) or certain groups (such as children). You may be able to choose General Hospital "X" for gallbladder surgery, Specialty Hospital "Y" if you need care for a heart condition, and Specialty Hospital "Z" for your children.

You also may want to find out if the hospital has a special team of health professionals that works with people with your condition or treatment.

Has the hospital had success with my condition?

Yes No

Research shows that hospitals that do many of the same types of procedures tend to have better success with them. In other words, "practice makes perfect." Ask your doctor or the hospital if there is information on:

•How often the procedure is done there.

•How often the doctor does the procedure.

•The patient outcomes (how well the patients do).

Also, some health departments and others publish reports on "outcomes studies" about certain procedures. These studies show, for example, how well patients do after having heart bypass surgery. Such studies can help you compare which hospitals and surgeons have had the most success with a procedure.

How well does the hospital check and improve on its own quality of care?

More and more hospitals are trying to improve the quality of their care. One way is to keep track of patient outcomes for certain procedures. Another way is to keep track of patient injuries and infections that occur in the hospital. By finding out what works and what doesn't, the hospital can improve the way it treats patients.

Ask the hospital quality management (or assurance) department how it monitors and improves the hospital's quality of care. Also, ask for any patient satisfaction surveys the hospital has done. These will tell you how other patients have rated the quality of their care.