New research finds significant number of Americans not getting care at right hospitals

One out of every six patients in the U.S. received care in a hospital rated 1-star,¹ according to new research released by Healthgrades, the leading online resource for comprehensive information about physicians and hospitals. Had those patients researched local doctors and hospitals to identify and select a physician practicing in a 5-star hospital for their specific procedure or condition, they would have faced a 71 percent lower risk of dying or a 65 percent lower risk of experiencing complications during their hospital stay. If all hospitals performed similarly to hospitals receiving 5-stars, 222,392 lives would have potentially been saved.²

Healthgrades 2016 Report to the Nation, which compares the patient outcomes resulting from care in hospitals rated 1-star (those with the higher risk adjusted complication rates and mortality rates) against 3-and 5-star hospitals in regions throughout the country, concludes that significant variation in health outcomes exists between hospitals throughout the U.S.

As consumers take on greater responsibility for their medical costs due to rising premiums and the increase in high-deductible plans, it is increasingly important that they do their homework and select the right doctor and hospital for their specific needs. Healthgrades provides transparent access to accurate, objective data so that consumers and physicians can make more informed decisions when it comes to finding and connecting with the right physician.

According to Healthgrades, when presented with objective information - including physician experience, patient satisfaction and hospital outcomes - 85 percent³ of patients would select a different physician than they did before doing their homework. Doing research to find the right physician, including understanding the quality of the hospitals where physicians practice, is essential to getting the right care.

"Because narrow networks are limiting many patients' access to certain physicians and hospitals, it is more important than ever that consumers recognize the symbiotic relationship between doctor and hospital, and do their research to make what may be a lifesaving decision about the care they receive," said Evan Marks, Chief Strategy Officer at Healthgrades. "Consumers need to trust that the information they're using to inform their decisions is comprehensive, accurate and - most importantly - transparent. Transparency is crucial to fostering accountability at all levels of the healthcare industry, ultimately empowering consumers to use data to improve their chances of experiencing the best outcomes possible."

Healthgrades' findings also reflect startling disparities at the local level. According to the report, hospitals within close proximity from each other can have significant differences in complication and mortality rates for the same condition or procedure. For example, in Denver, CO, when comparing patient clinical outcomes among hospitals for hip replacement surgery, complication rates varied significantly across facilities, from 3.9 percent to 13.6 percent.

Additionally, few hospitals can claim superior performance across all conditions and procedures; While hospitals may receive a 5-star rating for one condition or procedure, they may not demonstrate superior performance across all areas evaluated. In the Chicago region, of 14 hospitals that received a 5-star rating for treating heart attacks, eight received a 1-star rating when evaluated for total knee replacement surgeries.

The quantity of hospitals in a region also does not directly correlate with the quality of care available to consumers. While most major metro areas may be home to more than 30 hospitals, only a small percentage may provide better than expected outcomes for the specific procedure a patient needs. For example:

• In Chicago, of 46 hospitals that perform coronary artery bypass graft (CABG) surgery, only two have a 5-star rating for this procedure.
• In Houston, of 38 hospitals that treat chronic obstructive pulmonary disease (COPD), or emphysema, only one has a 5-star rating for this condition.
• In the greater Los Angeles area, of 41 hospitals that perform coronary artery bypass graft (CABG) surgery, only six have 5-star rating for this procedure.
• In Philadelphia, of 34 hospitals that treat heart attack, only four have a 5-star rating for this condition.
• In the greater New York area (including northern New Jersey), of 102 hospitals that perform colorectal surgeries, only two have a 5-star rating for these procedures.

"The hospital a patient selects for his or her care can significantly impact the chances of experiencing complications, or even mortality, for certain conditions or procedures," said Archelle Georgiou, M.D., Strategic Advisor, Healthgrades. "With quality of life on the line, consumers must be proactive in researching their options and leveraging all the data at their fingertips to make the best decision possible."

Healthgrades 2016 Report to the Nation not only includes more specific comparative data about hospitals throughout the U.S., but also provides consumers with guidance on ways to make the best choices to mitigate the risks of having negative outcomes. In addition, Healthgrades has created regional pocket guides - for 50 key markets in the U.S. - highlighting the top performing hospitals for specific conditions and procedures. These pocket guides complement the in-depth information available at Healthgrades.com and provide consumers with an easy to access resource to choose the right hospital for the right care.