Please select the 100 Top Hospitals® Research Findings you would like to download:

HCAHPS 2008: Comparison Results for 100 Top Hospitals Winners versus Non-Winners
By David Foster, Ph.D., M.P.H., Chief Scientist, Center for Healthcare Improvement, Thomson Reuters

This research compares HCAHPS survey results for 100 Top Hospitals award winners and non-winners, and finds a number of positive correlations.

Risk-Adjusted Mortality Index Methodology
By David Foster, Ph.D., M.P.H., Chief Scientist, Center for Healthcare Improvement, Thomson Reuters

The Thomson Reuters Risk-Adjusted Mortality Index (RAMI) is a propriety method developed to compute the risk of death for hospital patients. This paper describes the theoretical and statistical development of the methodology.

Trends in Patient Safety Adverse Outcomes and 100 Top Hospitals Performance, 2000–2005
By David Foster, Ph.D., M.P.H., Chief Scientist, Center for Healthcare Improvement, Thomson Reuters

Using AHRQ’s Patient Safety Indicators (PSIs) and six years of hospital performance data, this study assesses changes in the magnitude and direction of risk-adjusted rates of PSIs for the Thomson Reuters 100 Top Hospitals National and Performance Improvement Leaders study winners and all other acute care hospitals.

Inpatient and Outpatient Growth by Service Line: 2006 Thomson 100 Top Hospitals® Performance Improvement Leaders Versus Peer Hospitals
By Julie S. Shook, MHSA, FACHE, Sr. Project Manager, Center for Healthcare Improvement, and Janet Young, M.D., MHSA, Senior Scientist, Center for Healthcare Improvement, Thomson Reuters

This study examines patterns of inpatient and outpatient service line growth in the 2006 Thomson Reuters 100 Top Hospitals: Performance Improvement Leaders study versus all other acute care hospitals. In addition to growing at a more rapid rate overall, Performance Improvement Leaders showed some interesting differences in service line growth and decline versus peer hospitals.

Variation in AMI and CHF Core Measure Performance among U.S. States
By Janet Young, M.D., M.H.S.A., Senior Scientist, Center for Healthcare Improvement, Thomson Reuters

Core measures represent a widely accepted minimum standard of care, used by CMS and JCAHO and approved by the National Quality Forum. It is commonly accepted throughout the hospital industry that these standards should be extended to all eligible patients. This study evaluates the variation that exists throughout the U.S. in applying these standards.

Comparison of 100 Top Hospitals®: Cardiovascular Benchmarks for Success Mortality Rankings in All-Payer vs. Medicare Data
By Janet Young, M.D., M.H.S.A., Senior Scientist, Center for Healthcare Improvement, Thomson Reuters

This study compares the mortality rankings used in the Thomson Reuters 100 Top Hospitals studies — compiled with Medicare data — with the rankings that would have resulted if we had used all-payer data. It finds that hospital rank in risk-adjusted mortality rate is highly correlated in all-payer and Medicare data. As such, it supports the traditional theory that Medicare data are representative of all-payer medical and surgical patient data, and validates the assertion that the 100 Top Hospitals studies provide an accurate reflection of hospital performance.

Top-Performing CEOs Differ Subtly from Peers
By Jean Chenoweth, Senior Vice President, Performance Improvement & 100 Top Hospitals programs, Center for Healthcare Improvement, Thomson Reuters

A study of hospital CEO leadership by Cejka Search and Thomson Reuters explored whether CEOs in high-performing hospitals differ significantly from those in typical hospitals. The study provided initial data behind what many boards already knew first-hand - that objectively measuring leadership and management is anything but simple. What may surprise many board members is how subtle the differences are between the leader of a top-performing hospital and one heading a more typically performing organization.

Trends in Medicare Emergency Department Utilization, 2000-2004
By Janet Young, M.D., M.H.S.A., Senior Scientist, Center for Healthcare Improvement, Thomson Reuters

Emergency departments across the country have become increasingly overcrowded over the last decade. We examined trends in emergency department visits from Medicare patients to see how changes in patient complexity or clinical diagnosis might be related to this overcrowding. We also compared changes in utilization for the Thomson Reuters 100 Top Hospitals®: Performance Improvement Leaders study award winners and non-winners.

Emergency Department Makeup: 2005 Thomson 100 Top Hospitals® versus Peers
By Janet Young, M.D., M.H.S.A., Senior Scientist, Center for Healthcare Improvement, Thomson Reuters

Overcrowding in the emergency department (ED) has become a national problem, stirring debate over causes and solutions. We found that differences in patient mix exist between 100 Top Hospitals® winners and their peers and between different types of hospitals.

AHRQ Patient Safety Measures in the Thomson 100 Top Hospitals®: National Benchmarks for Success, 2005 Study: Consequences of Adverse Outcomes
By David Foster, Ph.D., M.P.H., Chief Scientist, Center for Healthcare Improvement, Thomson Reuters

Patient safety has become an increasingly important measure of hospital quality, and one that has received much public scrutiny. This study shows the effects adverse outcomes are having on patient length of stay, hospital costs, and deaths, and compares how likely the 100 Top Hospitals and their peers were to have various adverse outcomes.

Heart Attack Treatment Varies Widely in U.S. Hospitals; Access to Care is Improving
By Janet Young, M.D., M.H.S.A., Senior Scientist, Center for Healthcare Improvement, Thomson Reuters

Treatment methods for heart attacks (acute myocardial infarctions, or AMIs) are changing at U.S. hospitals. In just six years, there was a dramatic increase in the use of percutaneous coronary interventions (PCIs)-such as angioplasties-with a corresponding decrease in medical treatment. Bypass (CABG) rates remained fairly constant.

Patient Safety Measures in the Thomson 100 Top Hospitals: Cardiovascular Benchmarks for Success, 2005 Study: Time Trends in Postoperative Sepsis and Postoperative Hemorrhage or Hematoma, 2000-2004
By David Foster, Ph.D., M.P.H., Chief Scientist, Center for Healthcare Improvement, Thomson Reuters

In cardiovascular hospitals, postoperative hemorrhage or hematoma rates declined dramatically — from 1.64 to 0.56 per 1,000 patients at risk — between 2000 and 2004. Postoperative sepsis, on the other hand, was on the rise at these hospitals. The rate for this complication grew from 6.85 to 8.06 per 1,000 patients at risk during the same time.

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