surgery report & ratings

7/27/2019 Surgery Report & Ratings

1/25

se pte mbe r 20 13 ConsumerReports.g 31

DONt get harmeD iN the hOspitalJacqueline Birnbaums father might have lived if not for a hospital-acquired infection she feels could have been avoided.

featur

surgery is scary. I allyivlv havig y bdy c, ad i hig gwg. Y ac badly a-

hia, ff bahig ha b-l. O ayb h g ick a bldvl, lav a i iid, va h wg bdy a.

L daaic b f a i ad fa

c i wh hig g wgaf y lav h aig . U 30 c f ai ff ifci,ha aack, k, h clica-i af gy ad i v dia a l. Ta wha had MaviBiba, a id Nw Yk Ciy c, af h dvld a ifcifllwig hi lac gy, hidagh Jacqli ay.

Pha cai f all, hgh ayhial w gah daa h b-l, ai f h a ai ih dak ab gical afy. Idyiid hav acc f ha if-ai bca hial ack hw wllai d ad l a adaial fficial.

Pl, hial bi daa a-ial gii ha hy ca hwhy ack agai ah. B

ha afy ifai ai laglyhidd f ai.

C hav vy lil g wh yig lc a hial f -gy, kwig which d a gdjb a kig gy ai af adwhich d, ay Lia McGiff,dic f C Ui Saf PaiPjc. Ty igh a wll j hw acall a a dabad.

O w gy Raig a a f agig ff hd ligh hialqaliy ad h h halh ca id-y wad aacy. Bcaai ad hi faili hld hav ak ch ia dcii wih lil ifai, McGiff ay.

Shown th dtO Raig f h fi i ak blic aa ha hial w

Yo f-

vvl dOur Ratings of 2,463 U.S. hospitals can help you find the right one

Iid

ho k dp 33

Cck ono op 35

sx of p 36

W bndo rnp 37

srnp 37


2/25

32 consumer reports se pte mbe r 20 13

eaturesafer surgery

ack qaliyh cag f Mdicaai dgig gy wh di i hhial ay lg ha xcd.

W lkd a l f 27 kid fchdld gi, which w cbidi a vall gy Raig, ad aldvld Raig f fiv f h c-

d: back gy, lac f hhi k, ad cd vblckag i ai i h ha (agi-lay) ck (caid ay gy).

dvl h Raig, w wkd wihMPA, a halh ca clig fi wihxi i aalyzig dical clai adcliical cd. Ti jc billigclai ha hial bid Mdi-ca f ai 65 ad ld, f 2009hgh 2011, ad cv 2,463 hial iall 50 a l Wahig, D.C., adP Ric.

T bay f hi aach i ha -vabl clicai cla wih-aiv lgh f ay, ay AldMilli, M.D., M.P.H., dic f hCliical Excllc Rach C aSafd Uiviy. H wa ivlvdi aalyi b ha did hw hi-al a ad iv qaliy. Ti iab a gd a clicai a- ca b wh ig xiig claidaa, h ay.

S x ay ha ay b gdgh. F hig, fac h haclicai ca cib xddhial ay. I addii, w a c-cd ha h hd d gah fac aig hav bvalidad agai gld-adad a,ay David M. Shahia, M.D., vic i-d f h Lawc C f Qaliyad Safy a Maach Gal H-ial. Ty a bad clai daa ahha cliical daa f ai cd.

I addii, gy Raig a j idicai f a hial fac.T a a l f dii hialqaliy, ad igl a cavyhig, ay P Ca, M.D., di-c f gal dici a h Uiv-iy f Iwa Cav Cllg f Mdici.

B w hik Raig ff vial if-ai ai ad hial. W wihw had acc chiv,adadizd ifai, b hi i hb ha i availabl, ay Jh Saa,M.D., M.P.H., dical dic f C- R Halh. O gy Ra-ig giv ai ifai ha hy ca ak ifd chic b-f gy, h add. Ad w h ha

by highlighig fac diffc,w ca iva hial iv.

Wht w fondO aalyi ff ia ad i-ig iigh f ai ad hial:

S hial d a ch b jb hah. O Raig flc wid vaiai,i bw hial ly a fwil aa. F xal, h Ga Bal-i Mdical C ad high aki vall gy Raig, a wll a fval idividal cd. B hJh Hki Bayviw Mdical C,al i Bali, g a lw Raig. A -aiv f h hial aid, W ha-dl ay clx ca ad a alwaylkig f way add ay i-i f iv.

achig hial, hgh h ai b ad h cii f g- fdal fdig, f fll h i gy Raig. Tgh did ahigh, avag achig hial -fd b ha h hial.

Uba ad al hial ca xcl. Wfd val ba hial ha did wll

di f vig , ick a-i, icldig M Siai Hial iNw Yk ad Uiviy Hial CaMdical C i Clvlad. Ad alhial acally did b, avag,ha h hial.

Big-a hial d alway liv hi ai wh i c hgy Raig. F xal, hghval May Cliic hial did wll,h ad ly avag. Ad h MayCliic Halh Sy i Ai, Mi.,g a lw vall Raig.

Hial chic a f cd ha f h. F xal,w fd wid vaiai f val -gi, icldig hi ad k lac- ad back gy, ha f h,ch a cl gy ad hycy.

Scialy hial dd d b.F xal, ix f h f fcaid ay gy w ha hial.B ha alway h ca. F xal,Hial f Scial Sgy i Nw Yk,which cializ i hdic, adhigh ak i h Raig ha fc ifci lad gical icii.

turNarOuND Marcia Nelson, M.D., helped lead

efforts to improve a struggling California hospital.

In hi i 100h annivayya, enlo mdical Cnin Chico, Calif., ad ou liof high-foing hoial.bu vn ya ago, i wa

in oulainaifacion co had hiock oo, ky hyicianand hoial lad hadlf, and ain dahhad dawn h cuiny ofa and naional official.I wan h hoial wwand i o , ay maciaNlon, m.D., vic idnof dical affai fo hnonofi hoial. Wcoid o coinga ain-cndnvionn. sh oin

o a yaly qualiy ui,wh danhowca ul and chooiniiaiv fo h coingya. so ol hinkhi oganizaion-wid focuon qualiy i ohing allhoial do, h ay. Iin. I ohing cialw do, and w a ingh nfi.

O hopil cc o


3/25


Faly, x hav dvldway dc ay clicai. Fxal, hial hav acallyliiad ifci idcd hghiav cah by fllwig achckli. T b hial ay ai dail, ay Av Mha, M.D., a

lc a Havad Mdical Schl ad alicy aaly a h fi RAND C-ai. I f h acclai f al f lil hig iad f big higha lad a w c, h ay.

Lttl on to mpovUfaly, hial f hav liliciv iv ai afy. T

lg a ai ay i h hial adh ad a h hdg, h y h hialf ak, accdig a dy i hAil 17, 2013, i f h Jal f hAica Mdical Aciai.

Rach lkd a 12 iii i aigl hial y ad fd ha fivaly id ai, hial ad$30,000 ai wh higw wg. F Mdica ai, hyal dd ak , b i wa cl a addiial $2,000.

Ex d hik ha hial ab-ag ai afy. I all y ya f cli-ical acic, I v aw had f ayiially caig a clicai,

B i g lw ak i hi ad kgy Raig, which lk a hw gyai fa v hi i hial ay.A aiv f h hial aid, Tl a ci wih h daaf w ach wih daa fa ad fdal agci.

Wht n o wonPbl dig af gy fa all, h cala, iwih dvaaig ffc. Ca i i:Mavi Biba.

T ly hig hldig hi back fjyig i wa a aifl lf hi,hi dagh ay. S h dcidd g ilacd a S. Lk-Rvl HialC i Nw Yk. T gy ilfw wll. B wha fllwd wa h-ific, h ay, a h 85-ya-ld fahad hi a f dc bald ifci.

Af ig a igh-wk gal fa, icldig -ha gy a a ifcd ha valv, h fahbdy fially h dw. H w wk i a i vgaiv a bfh faily ad h agizig dcii v lif , ay Biba, aic hai a Nw Yk Uiviy.

S. Lk-Rvl ad a lw vallgy Raig b cd wll c-icai wih ai ad ai aag- i vi hial Raig. Aaiv ay i aliy a fji lac gi a wihih avag f Nw Yk hial.Ev d h high adad, a-i, faly, ill ca dvlclicai, h ay. I i a challgha vy hial fac.

H fah dwwad ial ad,Biba ay, wih f h c- ad i y f clicaiaifci h cacd i h hial afh cd. Sgical icii, cah,ad iav li giv bacia dicacc a ai blda.

Sgy ai a al bldcl, i a bca dcd biliyv bld f ciclaig. Cl habak ff ad avl h ha lgca b dadly. Ad h cbiai f ly-ig fla ad hallw bahig hah bdy abiliy cla h lg, lav-ig ai cibl ia.

T a h c iclicai. B f c, ay -caig i a hial af gy ivlabl a h f h iha, cha dg allgi iaci, ad fall.

W-knowno don

w v o on.

Hopil h k h gdAnn Aundl mdical Cn, Annaoli, md.

Chi Hoial, Cincinnai

enlo mdical Cn, Chico, Calif.

Ga balio mdical Cn, balio

moial Halh sy,Coloado sing, Colo.

Oklahoa Ha Hoial, Oklahoa Ciy

pno-s. Fanci Halh svic,Coloado sing, Colo.

sci Gn Hoial, La Jolla, Calif.

tiniy rock Iland, rock Iland, Ill.

Yavaai rgional mdical Cn, pco, Aiz.

We wanted to see which hospitalsdid well across a broad range of

surgeries. So we looked first at

hospitals that got our highest

overall surgery Rating, then

narrowed it down to those that

regularly did at least 10 kinds of

surgeries and got a high Rating in

at least 30 percent of those,

without earning a low Rating for

any surgery. You might be

surprised by the 10 U.S. hospitals,

listed alphabetically, that meet

that test.

ay dy ah Willia By, M.D.,M.P.H., dic f h Saf Sgy 2015iiiaiv a h Havad Schl f PblicHalh. Ad Mdica w aliz h-ial if adii a high f cdii. Ta ay cag h ay ai afy. B

hial ay ci avid dig allha hy ca iv ai afy.By ay hi ach d a wflag licy ak ab bli h c y, b i ay ay -hig ily diff ba cccd iaily wih fi.

Wht n nm?Jacqli Biba ay h fah chhi hial bca h wa failia wihi ad i had a gd ai. B a Raig hw, ha ay b gh. Ahalh ca ha gw clx, hwwll a hial i gadd i h c-iy ag dical fiald ll y all ha y d kw.

F xal, Maach GalHial ad c i U.S. Nw &Wld R 2012-2013 akig. Ad idid wll i ha bya gy aig,bad cliical daa, ha w vilyblihd. B i ad a lw ak ih vall gy Raig, a wll alw Raig f hi lac ad ca-id ay gy.

Shahia, a Maach Gal,ay h hial ha a b qaliy-a ga bad aiallyvalidad hd. H add ha h h-ial f ca f clx ca adha Consumer Reports gy Raigd acc f h icad ik fh ai.

Ev hial cgizd by x a


4/25


High- d low-d hopil o iv coo giOu ovall ugy raing, hown on ag 37, a ad on hcnag of a hoial mdica ain who di in h hoial o aylong han xcd, fo 27 kind of ugi coind. blow, w howhow hoial rad fo fiv cific ugi. W lookd a hoial hafod h o of ach of ho ugi, and idnifid hoialwih ou high o low raing in ach ocdu (lid alhaicallywihin ocdu). Onlin uci can how hoial ad in hougi a ConsumerReports.org/hospitalratings. A fw noal finding:

eaturesafer surgery

ig a ig f idy a-dad f d f b ha h-. F xal, clicai a f hilac w ly wha lw ahial digad a ji lacC f Excllc, accdig a Ja-ay 2013 dy f 120,000 ai i h

jal Mdical Ca. T ciia f hC f Excllc digai ak a lf , ad w ca i hi xcig a diffc, lad ah Mhaay. T l c i a awk-wad ii f big abl fl acfid ab hi chic.

How to hooIdally, yd b abl byd lablad bjciv cdai ad lka had b hw hial ack. Halh ca iid d hav acc f ha ifai. T AicaCllg f Sg, f xal, aalyz

higher-rateD hOspitals lOWer-rateD hOspitals

ho n rating

ho n rating

KNee replaCemeNt ratiNg

Christiana Care Health System Nwak, Dl. &Z Beaumont HospitalRoyal Oak royal Oak, mich. &B

McBride Clinic Orthopedic Hospital Oklahoa Ciy &Z Florida Hospital Olando, Fla. &B

New Hanover Regional Medical CenterWilingon, N.C. &Z Hospital for Special Surgery Nw Yok &B

Saint Francis Hospital and Medical CenterHafod, Conn. &Z Iowa Methodist Medical CenterD moin, Iowa &B

St. Vincents Medical Center RiversideJackonvill, Fla. &Z NCH Downtown Naples Hospital Nal, Fla. &B

hip replaCemeNt ratiNgOcala Regional Medical CenterOcala, Fla. &Z Hospital for Special Surgery Nw Yok &B

Saint Francis Hospital and Medical CenterHafod, Conn. &Z Inova Mount Vernon Hospital Alxandia, Va. &B

Saint Johns Health Centersana monica, Calif. &Z Massachusetts General Hospital boon &B

Swedish Medical Center-First Hill sal &Z Sentara Leigh Hospital Nofolk, Va. &B

Washington Hospital Healthcare System Fon, Calif. &Z Thomas Jefferson University Hospital philadlhia &B

BaCK surgery ratiNg(inal fuion o dic ugy in h nck o low ack)Boone Hospital CenterColuia, mo. &Z Brookwood Medical Centerbiingha, Ala. &B

Center for Spinal Surgery Nahvill, tnn. &Z Huntsville Hospital Hunvill, Ala. &B

Citrus Memorial Health System Invn, Fla. &Z The Methodist Hospital Houon &B

Kansas Spine Hospital Wichia, Kan. &Z St. Vincent Infirmary Medical CenterLil rock, Ak. &B

St. Josephs Hospital and Medical Centerphonix &Z Vidant Medical CenterGnvill, N.C. &B

COrONary aNgiOplasty ratiNg(a ocdu o ov lockag in ai ulying h ha, coind wih h inion of a n)Arkansas Heart Hospital Lil rock, Ak. &Z Kaweah Delta Medical CenterVialia, Calif. &B

Kings Daughters Medical CenterAhland, Ky. &Z MedStar Washington Hospital CenterWahingon, D.C. &BMount Sinai Hospital Nw Yok &Z Methodist Healthcare Memphis Hospitals mhi, tnn. &B

New York-Presbyterian Hospital Nw Yok &Z North Florida Regional Medical CenterGainvill , Fla. &B

St. Francis Hospital rolyn, N.Y. &Z Palm Beach Gardens Medical Centerpal bach Gadn, Fla. &B

St. Joseph Mercy Oakland poniac, mich. &B

CarOtiD artery surgeryratiNg (a ocdu o ov lockag in ai ulying h ain)

Baylor Jack and Jane Hamilton Heart and Vascular Hospital Dalla &Z Baptist Health Lexington Lxingon, Ky. &B

Kansas Heart Hospital Wichia, Kan. &Z Baptist St. Anthony Health System Aaillo, txa &B

Mother Frances HospitalTylertyl, txa &Z Cookeville Regional Medical CenterCookvill, tnn. &B

Nebraska Heart Hospital Lincoln, N. &Z Massachusetts General Hospital boon &B

Oklahoma Heart Hospital Oklahoa Ciy &Z St. Francis Hospital rolyn, N.Y. &B

St. John Medical Centertula, Okla. &B

Member of the Association of American Medical College's Council of Teaching Hospitals.Have the same surgical volumes for the listed procedure.

Btt Wo

5 4 3 2 1Btt Wo5 4 3 2 1

taching hoial w no han oh hoial fo hi,kn, and ack ugi u w fo angiolay and caoiday ugy.

scialy hoial ndd o do ovall, including fo hocdu hown low.

scoing high in on ocdu i no guaan of ucc in oh.s. Fanci Hoial, in rolyn, N.Y., fo xal, go ou high raingfo angiolay u ou low raing fo caoid ay ugy.


5/25


hial daa a a f i Naial Sgi-cal Qaliy Iv Pga (NSQIP).I allw hial gag hw hydig cad h hial, ad ag cific aa f iv,ay Cliffd K, M.D., dic f h Divi-i f Rach ad Oial Pai Ca

a h Aica Cllg f Sg.B NSQIP daa a ff-lii h blic. Wh akd hw ca d vala h qaliy fhi hial, K dd ha hally i a gd aw. I ca b a dif-ficl hig f c vala hqaliy f hi hial, h ay, b-ca h a ay ibl way lk a i ad h ifai.

A f ft?Dad alway cld Consumer Re-ports bf byig ayhig, Bi-ba ay. Sh wih h hialRaig had b availabl wh hfah had gy i 2009. Pl d kw hi ifai, h add.

Tak halh ca f, hiala cagd v lcic

cd kig, which will ak i ai ack daa. Ad fialgaizaich a h ha fc y gy, ha gy, ad jilaca aig ak if-ai availabl. T Aica Cllgf Sg, f xal, w b-lih f i NSQIP daa hgv Hial Ca wbi.Ad h Sciy f Tacic Sgw ak ifai ha byagy availabl f ay hial adgical g, which w blih aConsumerReports.org/heartratings .

B all f h ca ivlv vlayig, ad a liid aall b f hial. A By adhi Havad cllag hl hial i-i af gy acic, fhi bigg fai i gig haifai c.

If y hav v b a ai, hy hav b h wg id f hw qai, By ay. Nw i -

t fo co non

o d.

Chck p o o hopil

by tHe numbers 226 Hopitl with hiht rtin 221 Hopitl with lowt rti

photo:gettyim

ages

Chck p o o go1look cnn bod.Adiniao In mdicin ha linko a dical oad (docboard.org/docfinder.html) , which hav infoaionon licning and dicilinay acionagain hyician.1mk o doco bod

cfd. th Aican boad of mdicalsciali (CertificationMatters.org)can ll you whh you doco hacold an aovd idncyoga and ad a win and, ino ca, oal xa in on of a la24 dical cialy aa.

1u o o rn. th ugyraing on ag 37 how how hoial inyou aa coad. Fo a li of all adhoial, h ipad vion of ou oyo go o ConsumerReports.org/surgeryratings.suci o ou wi can g odaild infoaion a ConsumerReports.org/hospitalratings.Onc h, click on:

You a fo an ovviw of howhoial fod in ou safy sco,

which includ infoaion fo ugicaland nonugical ain, a wll araing on oh au, uch aadiion, looda infcion,and counicaion aou dug.

A hoial na fo vn o dail,including i raing fo fiv ugi: ackugy, hi and kn lacn, andugi o cla lockag in h aiin h ha (angiolay) o nck (caoiday ugy).

Wha bhind Ou raing fo a

1tk w o on. exw ok wih aid hy wlco hadquion cau infod ainnd do . Ak aou hcnag of ain n y hugon who uff infcion, loodclo, ha aack, o ohcolicaion; how any ain aadid o di wihin 30 day; andhow ho cnag coa wihnaional avag. Alo ak how ofnh o h fo h ocdu.many ugon know h anw;if hy won anw, look lwh.

daild dciion of ou hodology.1Cond o oc. Goodouc includ Hoial Coa(hospitalcompare.hhs.gov),a halhdan, and h Lafog Gou(leapfroggroup.org), a nonofi oganizaionha collc daa on hoial qualiy foloy and hi loy.1Know w nnc cov. Vifywhich hoial a in you lan

nwok (and awa ha vn if ahoial i in h nwok, doco whoacic h ay no ); h diffncwn in-nwok and ou-of-nwokco, uch a dducil ocoinuanc; and whh youocdu qui -auhoizaion.1g fnd xnc.

Ancdoal xinc an alwaylial, u i can hl o alk o findand faily (cially howho wok in hoial) aou hi ay.


6/25


eaturesafer surgery

six p o g

1go ds . b a aciv a oil inh wk lading u o ugy. mak ulood u and lood uga a wllconolld. If you ok, quivn if onlyoailycau oking lowcovy and inca you ik of infcion.

scd cf. Having ugy alyin h wk i . rach how hah dah a fo ain having chduldugi i high la in h wk andon wknd. saffing ay ligh onwknd, nigh, and holiday, and i canak long o g la ul. ti of dayay a, oo: eali ugi ay

nfi fo a fh ugical a.

aon n dvoc. Ak a find ofaily o hl onio you ca,y aing you nd and fnc,aking quion, aining coi ofioan dical docun, andadvocaing fo you if ol ai. Idally,you coanion hould hl you duingchck-in and dichag, and vii daily.

2avod nfconrd o bod of f bc.Cafully follow you ugon inucionfo claning you ody fo you go o h

hoial.

g o no wbbd. tha can chckfo hicillin-ian sahylococcuauu (mrsA), a had-o-a acia youigh ing ino h hoial wih you.

ak bo nboc. Fo o in-ainocdu, aniioic hould adwihin an hou of you ugy and, in oca, od 24 hou la.

s no o zo. razo nick ovidan oning fo infcion. If hai u ovd, lcic cli a af.

s w. th do in ody au

ha occu duing ugy can id lood

flow and iai iun funcion.Ak whh a ugical lank oanoh chniqu will ud ok you wa.

in on cn nd. Ak younu, doco, and anyon whoouch you o wah hi handfo xaining you if you didn h do o.

ak v d w b

cn b ovd. th longuinay cah, cnal lin, oahing u ay in you ody,h ga you ik of dvloing

a onially dadly infcion.

3pvn bood coa o co k. mak u youdoco ak aou faco uch a okingo u of oal conaciv ha caninca h ik of dvloing a clo, whichcan cau lg ain o, o dangouly,avl o you lung.

ak bo vnon. You ay nd oak lood-hinning dicaion o o uinflaal cuff on you lg af ugyo vn lood clo.

g ovn. Whn you al, ak u

a hoial aff hl you g ouof d o i in a chai o walk down h hall.

4poc o Know o k. If you a 50 o old,you doco hould chck you ik of havinga ha aack o ok. to a you ik,u ou calculao a ConsumerReports.org/heartrisk.

ak bo b-bock. If you a ahigh ik fo ha aack o ok, akwhh you hould givn a-lockfo ugy o oc h ha fo hoon ha can igg a

oo-aid haa. If you alady ak

a-lock, ak u hy a nood whil you in h hoial.

5K bntk bo n. tll youdoco and anhiologi whh youhav l ana, which can inca hik of anhia and ain dicaion.If you havn n diagnod wih lana u hav n old ha you noloudly o you a unuually id duing hday, alk o you doco aou ing chckdfo h condiion.

Do d-bn nd con

xc. mak u oon ach youho xci whn you a covingfo ugy. thy can hl vnnuonia and aial colla of h lung.

6g dBn d . mak u iinclud ov-h-coun and ciiondicaion, viain, and hal, a wlla any dug allgi.

tck o d. th o coon dugo a inadvn chang o xiingdicaion. Ak you doco aou anychang o you dug gin duing you

hoial ay.

Some hospitals and surgeons now use checklists before procedures to reducecomplications, much as airline pilots do before taking off. We think all hospitalsshould do so. And we think patients and families should use checklists, too, tomake sure they do what they can to stay safe while in the hospital. Heres ours:

ally h i big h c vici h dici ab qaliy.

C Ui, h licy a fC R, ai d j hahgh i Saf Pai Pjc. I wkwih ai advca highligh hhig ha ca g wg i hial ad g a ad fdal gv, awll a hial adiia, ak cay iv ai afy.

Saf Pai Pjc gal icld:

Exadig blic ig by hial gical-i ifci. Ta w -qid aially ly f cl gyad abdial hycy.

Rqiig fdally fdd hial afyjc blicly hi l.

Eablihig a adadizd way f a-i dical .

If y hik y hav b had i

h hial, cac y lcal ahalh da if y a Mdi-ca, y a Mdica Qaliy I-v Ogaizai.

A ffciv way g hial adlgila fc h bl i fai ha hi i, ayMcGiff a h Saf Pai Pjc. ll y, g safepatientproject.org/share-your-story.


7/25

september 2013 consumer reports 1

Better Worse

5 4 3 2 1

how to choose

a hospital

U you a hon odownload h rdLa oshosavvy a and canh cod fo vido.

Whats behind our surgery Ratingsth raing on h following ag look a howhoial naionwid coa in avoidingadv vn in mdica ain duinghi hoial ay fo ugy. scifically,h raing a ad on h cnag ofa hoial ugy ain who did in hhoial o ayd long han xcd fohi ocdu. rach how hoau a colad wih colicaion,and o hoial hlv u hiaoach o onio qualiy. to dvlo hraing, w wokd wih mpA, a halh caconuling fi wih xi in analyzingilling clai and clinical cod daa and inhling hoial u h infoaion oiov ain afy. th analyi lookd amdica clai daa fo 2009 hough 2011 foain undgoing 27 cagoi of coon

chduld ugi. Fo ach hoial, hul fo all ocdu a coind ino anovall ugy raing. In addiion, w havraing fo fiv of ho ocdu on ouwi (ConsumerReports.org/hospitalratings): ack ugy, lacn of h hi o kn,and ugy o ov lockag in ai inh ha (angiolay) o nck (caoid ayugy). th a a ik-adjud ad onain chaaciic, uch a ag, gnd, andoh halh condiion, including high loodu and dia. th raing don akino accoun colicaion ha caaan af ain w dichagd foh hoial. W hav raing fo h 2,463U.s. acu-ca o ciical-acc hoial wihufficin mdica f-fo-vic in-ainugical clai daa fo ain 65 and old.

W don hav raing fo Van Affaihoial and hoial ha olymdica Advanag ain, uch a anyKai hoial, cau hy u anohoing y. th hoial hown lowa oganizd y a and lid y hi raing.

Hoial wih h a raing a alhaizd.Fo a full dciion of ou hodology, a wlla o infoaion on hoial, go oConsumerReports.org/hospitalratings.

Hspital name SurgeryRating

ALABAMAJack Hughstn Memrial HspitalPhenix City &X

Thmas Hspital Fairhope &X

Andalusia Reginal Hspital Andalusia &C

Baptist Medical Center East Montgomery &C

Crestwd Medical Center Huntsville &CCullman Reginal Medical CenterCullman &C

DeKalb Reginal Medical CenterFort Payne &C

Helen Keller Hspital Sheffield &C

Jacksn Hspital and Clinic Montgomery &CMarshall Medical Center Nrth Guntersville &C

Marshall Medical Center Suth Boaz &C

Medical Center Enterprise Enterprise &C

Medical West Bessemer &C

Nrthprt Medical Center Northport &CPrincetn Baptist Medical CenterBirmingham &C

Prvidence Hspital Mobile &C

Russell Medical Center Alexander City &C

Russellville Hspital Russellville &C

Shelby Baptist Medical Center Alabaster &CSuth Baldwin Reginal Medical CenterFoley &C

Stringfellw Memrial HspitalAnniston &C

Vaughan Reginal Medical CenterSelma &C

Walker Baptist Medical Center Jasper &C

DCH Reginal Medical Center Tuscaloosa &V

Flwers Hspital Dothan &V

Huntsville Hspital Huntsville &VNrtheast Alabama Reginal Medical CenterAnniston &V

Sutheast Alabama Medical CenterDothan &V

Baptist Medical Center Suth Montgomery &B

Brkwd Medical Center Birmingham &B

Decatur General Hspital Decatur &B


ALABAMA continued

East Alabama Medical Center Opelika &B

Elia Cffee Memrial Hspital Florence &BGadsden Reginal Medical CenterGadsden &B

Mbile Infirmary Medical Center Mobile &BRiverview Reginal Medical CenterGadsden &B

Springhill Memrial Hspital Mobile &B

St. Vincent's Birmingham Birmingham &B

St. Vincent's East Birmingham &B

Trinity Medical Center Birmingham &B

University f Alabama HspitalBirmingham &B

ALASKA

Alaska Native Medical Center Anchorage &C

Alaska Reginal Hspital Anchorage &C

Central Peninsula General Hspital Soldotna &C

Fairbanks Memrial Hspital Fairbanks &C

Mat-Su Reginal Medical Center Palmer &CPrvidence Alaska Medical CenterAnchorage &V

ARIzoNAArina orthpedic Surgical HspitalChandler &Z

Arina Spine and Jint Hspital Mesa &Z

Arrwhead Hspital Glendale &ZBanner Baywd Medical Center Mesa &Z

Banner Bswell Medical Center Sun City &Z

Banner Heart Hspital Mesa &Z

May Clinic Hspital Phoenix &Z

Nrthwest Medical Center Tucson &Z

or Valley Hspital Oro Valley &ZScttsdale Healthcare Thmpsn PeakHspital Scottsdale &Z

Scttsdale Healthcareosbrn MedicalCenter Scottsdale &Z

Surgical Specialty Hspital f ArinaPhoenix &Z

Yavapai Reginal Medical Center Prescott &Z


ARIzoNA continuedBanner Del E. Webb Medical Center Sun CityWest &X

Mercy Gilbert Medical Center Gilbert &XScttsdale Healthcare Shea Medical CenterScottsdale &X

University f Arina Medical CenterUniversity Campus Tucson &X

Yavapai Reginal Medical CenterEastPrescott Valley &X

Arina Reginal Medical Center Mesa &C

Banner Desert Medical Center Mesa &C

Banner Estrella Medical Center Phoenix &C

Banner Gateway Medical Center Gilbert &CBanner Gd Samaritan Medical CenterPhoenix &C

Banner Thunderbird Medical CenterGlendale &C

Carndelet St. Jseph's Hspital Tucson &C

Carndelet St. Mary's Hspital Tucson &CCasa Grande Reginal Medical CenterCasa Grande &C

Chandler Reginal Medical CenterChandler &C

Flagstaff Medical Center Flagstaff &CJhn C. Lincln Deer Valley HspitalPhoenix &C

Jhn C. Lincln Nrth Muntain HspitalPhoenix &C

Kingman Reginal Medical CenterKingman &C

Muntain Vista Medical Center Mesa &C

oasis Hspital Phoenix &C

Paradise Valley Hspital Phoenix &CPaysn Reginal Medical CenterPayson &C

Phenix Baptist Hspital Phoenix &CSierra Vista Reginal Health CenterSierra Vista &C

St. Jseph's Hspital and Medical CenterPhoenix &C

St. Luke's Medical Center Phoenix &C

Summit Healthcare Reginal Medical CenterShow Low &C


8/25

2 consumer reports september 2013


ARIzoNA continued

TMC Healthcare Tucson &C

Valley View Medical Center Fort Mohave &C

Verde Valley Medical Center Cottonwood &C

West Valley Hspital Goodyear &C

Yuma Reginal Medical Center Yuma &CHavasu Reginal Medical CenterLake Havasu City &V

Western Arina Reginal Medical CenterBullhead City &V

ARKANSAS

Arkansas Heart Hspital Little Rock &Z

Arkansas Surgical Hspital North Little Rock &ZMedical Center f Suth ArkansasEl Dorado &Z

Mercy Hspital Rgers Rogers &Z

Physicians' Specialty Hspital Fayetteville &XBaxter Reginal Medical Center MountainHome &C

Cnway Reginal Medical Center

Conway

&C

Jeffersn Reginal Medical CenterPine Bluff &C

Mercy Hspital Ht Springs Hot SpringsNational Park &C

NEA Baptist Memrial Hspital Jonesboro &CNrth Arkansas Reginal Medical CenterHarrison &C

Nrthwest Medical Center Springdale &C

ouachita Cunty Medical Center Camden &C

Saline Memrial Hspital Benton &CSparks Reginal Medical CenterFort Smith &C

St. Bernards Medical Center Jonesboro &CSt. Vincent Medical CenterNrthSherwood &C

Summit Medical Center Van Buren &C

UAMS Medical Center Little Rock &CWashingtn Reginal Medical CenterFayetteville &C

White Cunty Medical Center Searcy &CArkansas Methdist Medical CenterParagould &V

Mercy Hspital Frt Smith Fort Smith &V

Natinal Park Medical Center Hot Springs &VSaint Mary's Reginal Medical CenterRussellville &V

Baptist Health Medical CenterNrth LittleRck North Little Rock &B

Baptist Health Medical CenterLittle RckLittle Rock &B

St. Vincent Infirmary Medical Center LittleRock &B

White River Medical Center Batesville &B

CALIFoRNIA

Alvarad Hspital San Diego &Z

Centinela Hspital Medical Center Inglewood &Z

Eisenhwer Medical Center Rancho Mirage &Z

Enle Medical Center Chico &ZFrench Hspital Medical Center San LuisObispo &Z

Fresn Heart and Surgical HspitalFresno &Z

Fresn Surgical Hspital Fresno &Z

Hag orthpedic Institute Irvine &Z


CALIFoRNIA continued

Mercy Medical Center Redding Redding &Z

orville Hspital Oroville &Z

Sacrament Medical Center Sacramento &Z

Saint Jhn's Health Center Santa Monica &Z

Scripps Green Hspital La Jolla &ZSequia Hspital Redwood City &ZShasta Reginal Medical CenterRedding &Z

St. Helena Hspital Napa ValleySaint Helena &Z

St. Jseph Hspital Orange &Z

Sutter Lakeside Hspital Lakeport &ZSutter Surgical HspitalNrth ValleyYuba City &Z

UC San Dieg Health System San Diego &ZUniversity f Califrnia, Irvine HealthcareOrange &Z

Washingtn Hspital Healthcare SystemFremont &Z

Alta Bates Summit Medical Center

Berkeley&X

Alta Bates Summit Medical CenterSummitCampus Oakland &X

Bakersfield Heart Hspital Bakersfield &X

Chapman Medical Center Orange &X

Clvis Cmmunity Medical Center Clovis &X

Desert Valley Hspital Victorville &X

El Camin Hspital Mountain View &X

Fallbrk Hspital Fallbrook &XGleta Valley Cttage HspitalSanta Barbara &X

Henry May Newhall Memrial HspitalValencia &X

Jhn F. Kennedy Memrial HspitalIndio &X

Marian Medical Center Santa Maria &XMercy General Hspital Sacramento &X

Mercy Hspitals f Bakersfield Bakersfield &XMethdist Hspital f SacramentSacramento &X

olympia Medical Center Los Angeles &X

Pmerad Hspital Poway &XPresbyterian Intercmmunity HspitalWhittier &X

Prvidence Tarana Medical Center Tarzana &X

Redwd Memrial Hspital Fortuna &XSaddleback Memrial Medical CenterLaguna Hills &X

Sierra Nevada Memrial HspitalGrass Valley &X

St. Eliabeth Cmmunity HspitalRed Bluff &X

St. Francis Medical Center Lynwood &X

St. Jseph Hspital Eureka &X

St. Jseph's Medical Center Stockton &X

St. Jude Medical Center Fullerton &X

St. Mary Medical Center Long Beach &X

Stanislaus Surgical Hspital Modesto &X

Sutter Amadr Hspital Jackson &X

Sutter Auburn Faith Hspital Auburn &X

Sutter Davis Hspital Davis &XSutter Medical Center, SacramentSacramento &X


CALIFoRNIA continuedThusand oaks Surgical HspitalThousand Oaks &X

Verdug Hills Hspital Glendale &XAdventist Medical CenterHanfrdHanford &C

Anaheim Reginal Medical CenterAnaheim &CArry Grande Cmmunity HspitalArroyo Grande &C

Bartn Memrial Hspital South Lake Tahoe &C

Brtman Medical Center Culver City &CCalifrnia Pacific Medical CenterSan Francisco &C

Cedars-Sinai Medical Center Los Angeles &C

Chinese Hspital San Francisco &CCity f Hpe's Helfrd Clinical ResearchHspital Duarte &C

Cmmunity Hspital f the MntereyPeninsula Monterey &C

Cmmunity Reginal Medical Center Fresno &C

Damern Hspital Stockton &C

Delan Reginal Medical Center Delano &CDesert Reginal Medical CenterPalm Springs &C

Dctrs Medical CenterSan Pabl CampusSan Pablo &C

Dminican Hspital Santa Cruz &CDwney Reginal Medical CenterDowney &C

Eden Medical Center Castro Valley &CEl Centr Reginal Medical CenterEl Centro &C

Emanuel Medical Center Turlock &C

Feather River Hspital Paradise &CFuntain Valley Reginal Hspital andMedical Center Fountain Valley &C

Frank R. Hward Memrial HspitalWillits &C

Fremnt-Rideut Health Grup Marysville &C

Garfield Medical Center Monterey Park &CGlendale Memrial Hspital and HealthCenter Glendale &C

Gd Samaritan Hspital Los Angeles &C

Healdsburg District Hspital Healdsburg &C

Hemet Valley Medical Center Hemet &CHag Memrial Hspital PresbyterianNewport Beach &C

Hllywd Presbyterian Medical CenterLos Angeles &C

Jhn Muir Medical Center, CncrdConcord &C

Jhn Muir Medical Center, Walnut CreekWalnut Creek &C

Keck Hspital f USC Los Angeles &CLakewd Reginal Medical CenterLakewood &C

Ldi Memrial Hspital Lodi &CLma Linda University Medical CenterLoma Linda &C

Lmpc Valley Medical Center Lompoc &CLng Beach Memrial Medical CenterLong Beach &C

Ls Alamits Medical Center Los Alamitos &CLs Rbles Hspital and Medical CenterThousand Oaks &C

Marin General Hspital Greenbrae &C

Better Worse

5 4 3 2 1


9/25




Marina Del Rey Hspital Marina Del Rey &C

Marshall Medical Center Placerville &C

Memrial Medical Center Modesto &C

Mercy Hspital f Flsm Folsom &C

Mercy Medical Center Merced Merced &CMercy Medical Center Munt ShastaMount Shasta &C

Mercy San Juan Medical CenterCarmichael &C

Methdist Hspital f Suthern CalifrniaArcadia &C

Mills-Peninsula Health ServicesBurlingame &C

Missin Hspital Mission Viejo &C

NrthBay Medical Center Fairfield &C

Nvat Cmmunity Hspital Novato &C

o'Cnnr Hspital San Jose &C

oakland Medical Center Oakland &Corange Cast Memrial Medical CenterFountain Valley &C

Palm Drive Hspital Sebastopol &CPalmdale Reginal Medical CenterPalmdale &C

Palmar Medical Center Escondido &CParkview Cmmunity Hspital MedicalCenter Riverside &C

Patients' Hspital f Redding Redding &C

Petaluma Valley Hspital Petaluma &CPineers Memrial Healthcare DistrictBrawley &C

Placentia-Linda Hspital Placentia &CPmna Valley Hspital Medical CenterPomona &C

Prvidence Hly Crss Medical CenterMission Hills &C

Prvidence Little Cmpany f Mary MedicalCenter Torrance &C

Prvidence Little Cmpany f Mary MedicalCenter San Pedr San Pedro &C

Prvidence Saint Jseph Medical CenterBurbank &C

Queen f the Valley Medical CenterNapa &C

Ranch Springs Medical Center Murrieta &C

Redlands Cmmunity Hspital Redlands &C

Riverside Cmmunity Hspital Riverside &CRnald Reagan University f Califrnia LsAngeles Medical Center Los Angeles &C

Saint Agnes Medical Center Fresno &CSaint Francis Memrial HspitalSan Francisco &C

Saint Luise Reginal Hspital Gilroy &CSalinas Valley Memrial Healthcare SystemSalinas &C

San Antni Cmmunity Hspital Upland &CSan Gabriel Valley Medical CenterSan Gabriel &C

San Ramn Reginal Medical CenterSan Ramon &C

Santa Barbara Cttage HspitalSanta Barbara &C

Santa Clara Medical Center Santa Clara &C

Santa Rsa Memrial Hspital Santa Rosa &CScripps Memrial HspitalEncinitasEncinitas &C

Scripps Memrial HspitalLa JllaLa Jolla &C



Scripps Mercy Hspital San Diego &CSharp Chula Vista Medical CenterChula Vista &C

Sharp Crnad Hspital and HealthcareCenter Coronado &C

Sharp Grssmnt Hspital La Mesa &CSharp Memrial Hspital San Diego &C

Sierra View District Hspital Porterville &CSierra Vista Reginal Medical CenterSan Luis Obispo &C

Simi Valley Hspital and Health CareServices Simi Valley &C

Snra Reginal Medical Center Sonora &CSt. Bernardine Medical CenterSan Bernardino &C

St. Jhn's Pleasant Valley HspitalCamarillo &C

St. Jhn's Reginal Medical Center Oxnard &C

St. Luke's Hspital San Francisco &C

St. Mary's Medical Center San Francisco &C

St. Vincent Medical Center Los Angeles &CStanfrd Hspital and Clinics Palo Alto &CSutter Maternity and Surgery Center fSanta Cru Santa Cruz &C

Sutter Medical Center f Santa Rsa,Chanate Campus Santa Rosa &C

Sutter Rseville Medical Center Roseville &C

Sutter Slan Medical Center Vallejo &C

Sutter Tracy Cmmunity Hspital Tracy &C

Tahe Frest Hspital District Truckee &CTrrance Memrial Medical CenterTorrance &C

Tri-City Medical Center Oceanside &C

UCSF Medical Center San Francisco &C

Ukiah Valley Medical Center Ukiah &CUniversity f Califrnia, Davis MedicalCenter Sacramento &C

Vallej Medical Center Vallejo &C

Valley Presbyterian Hspital Van Nuys &C

ValleyCare Medical Center Pleasanton &CWatsnville Cmmunity HspitalWatsonville &C

West Anaheim Medical Center Anaheim &C

West Hills Hspital and Medical CenterWest Hills &C

White Memrial Medical CenterLos Angeles &C

Antelpe Valley Hspital Lancaster &VBakersfield Memrial Hspital

Bakersfield&V

Beverly Hspital Montebello &VCmmunity Memrial Health SystemVentura &V

Glendale Adventist Medical CenterGlendale &V

Reginal Medical Center f San JseSan Jose &V

San Jaquin Cmmunity HspitalBakersfield &V

Santa Mnica-UCLA Medical Center andorthpaedic Hspital Santa Monica &V

St. Jseph Health St. Mary Apple Valley &V

St. Rse Hspital Hayward &VTwin Cities Cmmunity HspitalTempleton &V


CALIFoRNIA continuedCitrus Valley Medical CenterInter-Cmmunity Campus Covina &B

Dctrs Medical Center Modesto &B

Gd Samaritan Hspital San Jose &B

Huntingtn Memrial Hspital Pasadena &B

Kaweah Delta Medical Center Visalia &BNrthridge Hspital Medical CenterRsce Bulevard Campus Northridge &B

Setn Medical Center Daly City &B

Sutter Delta Medical Center Antioch &B

CoLoRADo

Avista Adventist Hspital Louisville &Z

Exempla Saint Jseph Hspital Denver &Z

McKee Medical Center Loveland &Z

Memrial Health SystemColorado Springs &Z

orthClrad Hspital Lakewood &ZPenrse-St. Francis Health ServicesColorado Springs &Z

Prter Adventist Hspital Denver &Z

Pudre Valley Hspital Fort Collins &Z

University f Clrad Hspital Aurora &Z

Valley View Hspital Glenwood Springs &Z

Animas Surgical Hspital Durango &XExempla Lutheran Medical CenterWheat Ridge &X

Lngmnt United Hspital Longmont &X

Mercy Reginal Medical Center Durango &X

Mntrse Memrial Hspital Montrose &XPresbyterian-St. Luke's Medical CenterDenver &X

St. Anthny Hspital Lakewood &XSt. Mary's Hspital and Medical Center

Grand Junction &XYampa Valley Medical CenterSteamboat Springs &X

Bulder Cmmunity Hspital Boulder &C

Cmmunity Hspital Grand Junction &CDelta Cunty Memrial HspitalDelta &C

Exempla Gd Samaritan Medical CenterLafayette &C

Littletn Adventist Hspital Littleton &C

Medical Center f Aurra Aurora &C

Medical Center f the Rckies Loveland &C

Nrth Clrad Medical Center Greeley &C

Nrth Suburban Medical Center Thornton &C

Parker Adventist Hspital Parker &C

Parkview Medical Center Pueblo &C

Rse Medical Center Denver &CSan Luis Valley Reginal Medical CenterAlamosa &C

Sky Ridge Medical Center Lone Tree &C

Suthwest Memrial Hspital Cortez &C

St. Anthny Nrth Hspital Westminster &C

St. Mary-Crwin Medical Center Pueblo &C

St. Thmas Mre Hspital Canon City &C

Swedish Medical Center Englewood &C

Vail Valley Medical Center Vail &CSt. Anthny Summit Medical CenterFrisco &B

Better Worse

5 4 3 2 1


10/25



CoNNECTICUT

Danbury Hspital Danbury &ZSaint Francis Hspital and Medical CenterHartford &Z

Day Kimball Hspital Putnam &X

New Milfrd Hspital New Milford &X

Bridgeprt Hspital Bridgeport &C

Bristl Hspital Bristol &C

Greenwich Hspital Greenwich &C

Griffin Hspital Derby &C

Hartfrd Hspital Hartford &CLawrence + Memrial HspitalNew London &C

Manchester Memrial HspitalManchester &C

MidState Medical Center Meriden &C

Middlesex Hspital Middletown &C

Milfrd Hspital Milford &C

Nrwalk Hspital Norwalk &C

Rckville General Hspital Vernon Rockville &C

Saint Mary's Hspital Waterbury &C

St. Vincent's Medical Center Bridgeport &C

Stamfrd Hspital Stamford &CThe Charltte Hungerfrd HspitalTorrington &C

The Hspital f Central CnnecticutNew Britain &C

The William W. Backus HspitalNorwich &C

University f Cnnecticut HealthCenter, Jhn Dempsey HspitalFarmington

&C

Waterbury Hspital Waterbury &C

Windham Hspital Willimantic &C

Yale-New Haven Hspital New Haven &C

DELAWARE

Beebe Medical Center Lewes &X

Christiana Care Health System Newark &C

Nanticke Memrial Hspital Seaford &C

St. Francis Hspital Wilmington &C

Bayhealth Medical Center Dover &B

DISTRICT oF CoLUMBIAMedStar Gergetwn University HspitalWashington, D.C. &C

Gerge Washingtn University HspitalWashington, D.C. &B

MedStar Washingtn Hspital CenterWashington, D.C. &B

Prvidence Hspital Washington, D.C. &B

Sibley Memrial Hspital Washington, D.C. &B

FLoRIDA

Dctrs Hspital f Sarasta Sarasota &Z

Gulf Breee Hspital Gulf Breeze &Z

Gulf Cast Medical Center Panama City &Z

May Clinic Jacksnville Jacksonville &Z

Munre Reginal Medical Center Ocala &Z

ocala Reginal Medical Center Ocala &ZSacred Heart Hspital n the Emerald CastMiramar Beach &Z

Twin Cities Hspital Niceville &Z

Cape Canaveral Hspital Cocoa Beach &X


FLoRIDA continuedCharltte Reginal Medical Center PuntaGorda &X

Citrus Memrial Health System Inverness &X

Flrida Hspital DeLand DeLand &XFlrida Hspital Heartland Medical Center

Sebring&X

Flrida Hspital Waterman Tavares &X

Nrth Shre Medical Center Miami &X

Sarasta Memrial Hspital Sarasota &X

St. Anthny's Hspital Saint Petersburg &X

West Bca Medical Center Boca Raton &X

Baptist Hspital Pensacola &CBay Medical Center Sacred HeartPanama City &C

Bayfrnt Medical Center Saint Petersburg &C

Bert Fish Medical Center New Smyrna Beach &C

Blake Medical Center Bradenton &C

Bca Ratn Reginal Hspital Boca Raton &C

Brandn Reginal Hspital Brandon &C

Brksville Reginal Hspital Brooksville &CBrward Health Medical CenterFort Lauderdale &C

Brward Health Nrth Deerfield Beach &C

Central Flrida Reginal Hspital Sanford &C

Cral Gables Hspital Coral Gables &C

Delray Medical Center Delray Beach &C

Dctrs Hspital Coral Gables &C

Edward White Hspital Saint Petersburg &CEnglewd Cmmunity HspitalEnglewood &C

Fawcett Memrial Hspital Port Charlotte &C

Flrida Hspital Fish Memrial Orange City &C

Flrida Hspital Memrial Medical CenterDaytona Beach &C

Flrida Hspital Nrth PinellasTarpon Springs &C

Flrida Hspital Tampa Tampa &C

Flrida Hspital zephyrhills Zephyrhills &C

Flrida HspitalCarrllwd Tampa &C

Flrida HspitalFlagler Palm Coast &CGd Samaritan Medical CenterWest Palm Beach &C

H. Lee Mffitt Cancer Center and ResearchInstitute Tampa &C

Heart f Flrida Reginal Medical CenterDavenport &C

Highlands Reginal Medical CenterSebring &C

Hly Crss Hspital Fort Lauderdale &CIndian River Medical Center Vero Beach &C

Jacksn Hspital Marianna &C

Lake City Medical Center Lake City &C

Lake Wales Medical Center Lake Wales &CLakewd Ranch Medical CenterBradenton &C

Lawnwd Reginal Medical CenterFort Pierce &C

Lee Memrial Hspital Fort Myers &C

Manatee Memrial Hspital Bradenton &C

Mease Cuntryside Hspital Safety Harbor &C

Mease Hspital Dunedin Dunedin &C


FLoRIDA continued

Medical Center f Trinity Trinity &C

Memrial Hspital Miramar Miramar &C

Memrial Hspital West Pembroke Pines &C

Memrial Hspital f Tampa Tampa &C

Mrtn Plant Nrth Bay HspitalNew Port Richey &C

Munt Sinai Medical Center Miami Beach &C

Nrth okalsa Medical CenterCrestview &C

Nrthside Hspital and Heart InstituteSaint Petersburg &C

Nrthwest Medical Center Margate &C

oak Hill Hspital Brooksville &C

orange Park Medical Center Orange Park &Coscela Reginal Medical CenterKissimmee &C

Palm Springs General Hspital Hialeah &C

Palms West Hspital Loxahatchee &CPalms f Pasadena Hspital

Saint Petersburg&C

Parrish Medical Center Titusville &C

Pasc Reginal Medical Center Dade City &CPeace River Reginal Medical CenterPort Charlotte &C

Physicians Reginal Medical CenterPineRidge Naples &C

Plantatin General Hspital Plantation &C

Putnam Cmmunity Medical CenterPalatka &C

Raulersn Hspital Okeechobee &CReginal Medical CenterBaynet PintHudson &C

Sacred Heart Hspital f PensaclaPensacola &C

Sebastian River Medical Center Sebastian &CSeven Rivers Reginal Medical CenterCrystal River &C

Shands Jacksnville Medical CenterJacksonville &C

Suth Flrida Baptist Hspital Plant City &C

Suth Miami Hspital Miami &CSt. Clud Reginal Medical CenterSaint Cloud &C

St. Lucie Medical Center Port St. Lucie &C

St. Mary's Medical Center West Palm Beach &CSt. Petersburg General HspitalSaint Petersburg &C

St. Vincent's Medical Center RiversideJacksonville &C

St. Vincent's Medical Center Suthside

Jacksonville&C

The Villages Health System The Villages &CUniversity Hspital and Medical CenterTamarac &C

Venice Reginal Medical Center Venice &CWellingtn Reginal Medical CenterWest Palm Beach &C

Westside Reginal Medical CenterPlantation &C

Winter Haven Hspital Winter Haven &CWuesthff Medical CenterRckledgeRockledge &C

Aventura Hspital and Medical CenterAventura &V

Baptist Hspital f Miami Miami &V

Better Worse

5 4 3 2 1


11/25



FLoRIDA continuedBaptist Medical Center BeachesJacksonville Beach &V

Bethesda Memrial HspitalBoynton Beach &V

Brward Health Cral SpringsCoral Springs &V

Brward Health Imperial PintFort Lau derdale &V

Cape Cral Hspital Cape Coral &V

Cleveland Clinic Flrida Weston &VFrt Waltn Beach Medical CenterFort Walton Beach &V

J.F.K. Medical Center Atlantis &V

Jacksn Health System Miami &V

Jupiter Medical Center Jupiter &VLakeland Reginal Medical CenterLakeland &V

Lehigh Reginal Medical CenterLehigh Acres &V

Lwer Keys Medical Center Key West &V

Suth Bay Hspital Sun City Center &V

Suth Lake Hspital Clermont &V

St. Jseph's Hspital Tampa &V

Twn and Cuntry Hspital Tampa &V

University f Miami Hspital Miami &V

West Flrida Hspital Pensacola &V

Wuesthff Medical CenterMelburneMelbourne &V

Baptist Medical Center Jacksonville &BCapital Reginal Medical CenterTallahassee &B

Flagler Hspital Saint Augustine &B

Flrida Hspital Orlando &B

Gulf Cast Medical Center Fort Myers &B

Halifax Health Medical Center f DaytnaBeach Daytona Beach &B

Health Central Ocoee &BHlmes Reginal Medical CenterMelbourne &B

Kendall Reginal Medical Center Miami &B

Larg Medical Center Largo &BLeesburg Reginal Medical CenterLeesburg &B

Martin Health System Stuart &BMemrial Hspital JacksnvilleJacksonville &B

Memrial Reginal Hspital Hollywood &B

Mrtn Plant Hspital Clearwater &BNCH Dwntwn Naples HspitalNaples &B

Nrth Flrida Reginal Medical CenterGainesville &B

orland Reginal Medical CenterOrlando &B

Palm Beach Gardens Medical CenterPalm Beach Gardens &B

Palmett General Hspital Hialeah &BShands at the University f FlridaGainesville &B

Tallahassee Memrial HealthCareTallahassee &B

Tampa General Hspital Tampa &B

GEoRGIA

Athens Reginal Medical Center Athens &X


GEoRGIA continued

Fairview Park Hspital Dublin &X

Hughstn Hspital Columbus &X

Newtn Medical Center Covington &XNrtheast Gergia Medical CenterGainesville &X

Nrthside HspitalCherkee Canton &X

Rckdale Medical Center Conyers &X

Atlanta Medical Center Atlanta &C

Candler Hspital Savannah &C

Cartersville Medical Center Cartersville &C

Cliseum Nrthside Hspital Macon &CClquitt Reginal Medical CenterMoultrie &C

DeKalb Medical at Nrth DecaturDecatur &C

Dctrs Hspital Augusta &CEast Gergia Reginal Medical CenterStatesboro &C

Eastside Medical Center Snellville &C

Emry Jhns Creek Hspital Johns Creek &CEmry University Hspital Atlanta &CEmry University Hspital MidtwnAtlanta &C

Fannin Reginal Hspital Blue Ridge &CGergia Health Sciences Medical CenterAugusta &C

Grdn Hspital Calhoun &C

Hamiltn Medical Center Dalton &C

Henry Medical Center Stockbridge &C

Hustn Medical Center Warner Robins &CJhn D. Archbld Memrial HspitalThomasville &C

May Clinic Health System in WaycrssWaycross &C

Memrial Health Savannah &C

Nrth Fultn Reginal Hspital Roswell &C

Nrthside Hspital Atlanta &C

optim Medical CenterTattnall Reidsville &C

Phebe Nrth Albany &C

Piedmnt Fayette Hspital Fayetteville &C

Piedmnt Newnan Hspital Newnan &CRedmnd Reginal Medical CenterRome &C

Suthern Reginal Medical CenterRiverdale &C

Spalding Reginal Medical CenterGriffin &C

Stephens Cunty Hspital Toccoa &C

Tanner Medical Center Carrollton &CThe Medical Center Columbus &C

Tift Reginal Medical Center Tifton &C

Trinity Hspital f Augusta Augusta &C

University Hspital Augusta &C

Upsn Reginal Medical Center Thomaston &C

WellStar Cbb Hspital Austell &C

West Gergia Health La Grange &CPhebe Putney Memrial HspitalAlbany &V

Saint Jseph's Hspital f AtlantaAtlanta &V

Suth Gergia Medical Center Valdosta &V


GEoRGIA continued

St. Francis Hspital Columbus &V

WellStar Duglas Hspital Douglasville &V

Cliseum Medical Centers Macon &B

Flyd Medical Center Rome &B

Gwinnett Hspital System Lawrenceville &BMedical Center f Central GergiaMacon &B

Nrthside HspitalFrsyth Cumming &B

Piedmnt Hspital Atlanta &BPiedmnt Muntainside HspitalJasper &B

Sutheast Gergia Health System BrunswickCampus Brunswick &B

St. Jseph's Hspital Savannah &B

St. Mary's Health Care System Athens &B

WellStar Kennestne Hspital Marietta &B

HAWAII

Castle Medical Center Kailua &C

Kuakini Medical Center Honolulu &C

Maui Memrial Medical Center Wailuku &C

Pali Mmi Medical Center Aiea &C

Straub Clinic & Hspital Honolulu &C

Queen's Medical Center Honolulu &B

IDAHo

Ktenai Medical Center Coeur D'Alene &Z

Prtneuf Medical Center Pocatello &ZSt. Luke's Reginal Medical CenterBoise &Z

Nrthwest Specialty Hspital Post Falls &XSt. Luke's Magic Valley Medical CenterTwin Falls &X

Bingham Memrial Hspital Blackfoot &C

Cassia Reginal Medical Center Burley &CEastern Idah Reginal Medical CenterIdaho Falls &C

Madisn Memrial Hspital Rexburg &C

Muntain View Hspital Idaho Falls &CSaint Alphnsus Medical CenterNampaNampa &C

Saint Alphnsus Reginal Medical CenterBoise &C

St. Jseph Reginal Medical CenterLewiston &C

St. Luke's Wd River Medical CenterKetchum &C

West Valley Medical Center Caldwell &C

ILLINoIS

Altn Memrial Hspital Alton &Z

Decatur Memrial Hspital Decatur &ZGenesis Medical Center, Illini CampusSilvis &Z

St. Margaret's Hspital Spring Valley &Z

Trinity Rck Island Rock Island &Z

Adventist Hinsdale Hspital Hinsdale &XAdvcate Gd Samaritan HspitalDowners Grove &X

Advcate Gd Shepherd HspitalBarrington &X

Alexian Brthers Medical CenterElk Grove Village &X

CGH Medical Center Sterling &X

Edward Hspital Naperville &X

Better Worse

5 4 3 2 1


12/25


ILLINoIS continued

FHN Memrial Hspital Freeport &X

Hammnd-Henry Hspital Geneseo &X

Hly Crss Hspital Chicago &X

Katherine Shaw Bethea Hspital Dixon &X

Mrris Hspital & Healthcare CentersMorris &X

Nrthwestern Lake Frest HspitalLake Forest &X

Pekin Hspital Pekin &X

Rckfrd Memrial Hspital Rockford &X

Rush oak Park Hspital Oak Park &XAdvcate BrMenn Medical CenterNormal &C

Advcate Cndell Medical Center Libertyville &CAdvcate Illinis Masnic Medical CenterChicago &C

Advcate Lutheran General HspitalPark Ridge &C

Advcate Suth Suburban HspitalHazel Crest &C

Advcate Trinity Hspital Chicago &CAndersn Hspital Maryville &C

Blessing Hspital Quincy &C

Carle Fundatin Hspital Urbana &C

Centegra HspitalMcHenry McHenry &C

Centegra HspitalWdstck Woodstock &C

Central DuPage Hspital Winfield &CCrssrads Cmmunity Hspital MountVernon &C

Delnr Hspital Geneva &C

Elmhurst Memrial Hspital Elmhurst &CFranciscan St. James Hspital and HealthCenters Olympia Fields &C

Gateway Reginal Medical Center

Granite City&C

Gibsn Area Hspital and Health ServicesGibson City &C

Gd Samaritan Reginal Health CenterMount Vernon &C

Gttlieb Memrial Hspital Melrose Park &C

Graham Hspital Canton &CHeartland Reginal Medical CenterMarion &C

Herrin Hspital Herrin &C

Illinis Valley Cmmunity Hspital Peru &C

Ingalls Memrial Hspital Harvey &CIrquis Memrial Hspital and ResidentHme Watseka &C

Little Cmpany f Mary Hspital and HealthCare Centers Evergreen Park &C

Luis A. Weiss Memrial Hspital Chicago &C

Lyla University Medical Center Maywood &C

MacNeal Hspital Berwyn &C

McDnugh District Hspital Macomb &C

Memrial Hspital f Carbndale Carbondale &CMercy Hspital and Medical CenterChicago &C

Methdist Medical Center f IllinisPeoria &C

MetrSuth Medical Center Blue Island &C

Munt Sinai Hspital Chicago &CNrthShre University Health SystemEvanstn Hspital Evanston &C


ILLINoIS continuedNrthShre University Health SystemSkkie Hspital Skokie &C

Nrthwest Cmmunity Hspital ArlingtonHeights &C

Nrthwestern Memrial HspitalChicago &C

oSF Saint Anthny Medical CenterRockford &C

oSF Saint Eliabeth Medical CenterOttawa &C

oSF Saint JamesJhn W. Albrecht MedicalCenter Pontiac &C

oSF St. Jseph Medical Center Bloomington &C

oSF St. Mary Medical Center Galesburg &Cour Lady f the Resurrectin Medical CenterChicago &C

Pals Cmmunity Hspital Palos Heights &C

Passavant Area Hspital Jacksonville &C

Prctr Hspital Peoria &CPrvena Cvenant Medical CenterUrbana &C

Prvena Mercy Medical Center Aurora &CPrvena Saint Jseph Hspital Elgin &C

Prvena St. Mary's Hspital Kankakee &CPrvena United Samaritans Medical CenterDanville &C

Resurrectin Medical Center Chicago &C

Riverside Medical Center Kankakee &C

Rush University Medical Center Chicago &C

Rush-Cpley Medical Center Aurora &C

Saint Anthny's Health Center Alton &C

Saint Jseph Hspital Chicago &CSaints Mary & Eliabeth Medical CenterChicago &C

Sarah Bush Lincln Health CenterMattoon &C

Sherman Hspital Elgin &C

Silver Crss Hspital New Lenox &C

St. Alexius Medical Center Hoffman Estates &CSt. Anthny's Memrial HspitalEffingham &C

St. Eliabeth's Hspital Belleville &C

St. Jhn's Hspital Springfield &C

St. Mary's Hspital Decatur &C

St. Mary's Hspital Streator &C

Swedish Cvenant Hspital Chicago &C

SwedishAmerican Hspital Rockford &CUniversity f Chicag Medical CenterChicago &C

University f Illinis Hspital & HealthSciences System Chicago &C

Vista Medical Center East Waukegan &C

West Suburban Medical Center Oak Park &C

Westlake Hspital Melrose Park &CAdventist La Grange Memrial HspitalLa Grange &V

Prvena Saint Jseph Medical CenterJoliet &V

St. Mary's Hspital Centralia &V

Advcate Christ Medical Center Oak Lawn &B

Galesburg Cttage Hspital Galesburg &B

Kishwaukee Cmmunity Hspital DeKalb &B

Memrial Hspital Belleville &B


ILLINoIS continued

Memrial Medical Center Springfield &B

oSF Saint Francis Medical Center Peoria &B

Saint Francis Hspital Evanston &B

INDIANA

Cmmunity Heart and Vascular HspitalIndianapolis &Z

Indiana orthpaedic Hspital Indianapolis &ZIndiana University Health Ball MemrialHspital Muncie &Z

Indiana University Health BlmingtnHspital Bloomington &Z

Memrial Hspital and Health Care CenterJasper &Z

Mnre Hspital Bloomington &Z

orthpaedic Hspital f Lutheran HealthNetwrk Fort Wayne &Z

Parkview orth Hspital Fort Wayne &Z

Parkview Hspital Randallia Fort Wayne &ZSt. Vincent Heart Center f IndianaIndianapolis &Z

Cmmunity Hspital East Indianapolis &X

Cmmunity Hspital Suth Indianapolis &X

Dupnt Hspital Fort Wayne &XElkhart General Healthcare SystemElkhart &X

Franciscan St. Eliabeth HealthLafayetteCentral Lafayette &X

Hendricks Reginal Health Danville &XMemrial Hspital f Suth BendSouth Bend &X

Physicians' Medical Center New Albany &X

Prter Reginal Hspital Valparaiso &XSaint Jseph Reginal Medical CenterPlymuth Campus Plymouth &X

St. Vincent Carmel Hspital Carmel &X

Clark Memrial Hspital Jeffersonville &C

Clumbus Reginal Hspital Columbus &C

Cmmunity Hspital Munster &C

Cmmunity Hspital Nrth Indianapolis &CCmmunity Hspital f Andersn andMadisn Cunty Anderson &C

Cmmunity Hward Reginal HspitalKokomo &C

Deacness Hspital Evansville &CFlyd Memrial Hspital and HealthServices New Albany &C

Franciscan St. Anthny HealthCrwn PintCrown Point &C

Franciscan St. Anthny HealthMichiganCity Michigan City &C

Franciscan St. Eliabeth HealthCrawfrds-ville Crawfordsville &C

Franciscan St. Eliabeth HealthLafayetteEast Lafayette &C

Franciscan St. Francis HealthIndianaplisIndianapolis &C

Franciscan St. Francis HealthMresvilleMooresville &C

Franciscan St. Margaret HealthHammndHammond &C

Gd Samaritan Hspital Vincennes &C

Hancck Reginal Hspital Greenfield &CIndiana University Health Arnett HspitalLafayette &C

Indiana University Health Gshen HspitalGoshen &C

Better Worse

5 4 3 2 1



13/25


INDIANA continuedIndiana University Health La Prte HspitalLa Porte &C

Indiana University Health Nrth HspitalCarmel &C

Indiana University Health UniversityHspital Indianapolis &C

Indiana University Health West HspitalAvon &C

King's Daughters' Health Madison &C

Ksciusk Cmmunity Hspital Warsaw &C

Lutheran Hspital f Indiana Fort Wayne &C

Majr Hspital Shelbyville &C

Marin General Hspital Marion &C

Methdist Hspitals Gary &CReid Hspital and Health Care ServicesRichmond &C

Riverview Hspital Noblesville &CSaint Jseph Reginal Medical CenterMishawaka &C

Schneck Medical Center Seymour &C

St. Catherine Hspital East Chicago &CSt. Jseph Hspital Fort Wayne &CSt. Jseph Hspital and Health CenterKokomo &C

St. Mary Medical Center Hobart &CSt. Mary's Medical Center f EvansvilleEvansville &C

St. Vincent Andersn Reginal HspitalAnderson &C

Terre Haute Reginal Hspital Terre Haute &C

Unin Hspital Terre Haute &C

Witham Memrial Hspital Lebanon &C

Henry Cunty Hspital New Castle &VIndiana University Health Tiptn HspitalTipton &V

St. Vincent Indianaplis HspitalIndianapolis &V

The Heart Hspital at Deacness GatewayNewburgh &V

Dearbrn Cunty Hspital Lawrenceburg &B

Kentuckiana Medical Center Clarksville &B

IoWAMercy Medical CenterNrth IwaMason City &Z

Trinity Bettendrf Bettendorf &ZIwa Specialty HspitalClarinClarion &X

Mahaska Health Partnership Oskaloosa &XMarshalltwn Medical & Surgical CenterMarshalltown &X

Mercy Medical CenterDubuque

Dubuque &XMercy Medical CenterSiux CitySioux City &X

ottumwa Reginal Health CenterOttumwa &X

St. Anthny Reginal Hspital Carroll &XAlegent Creightn Health Mercy HspitalCouncil Bluffs &C

Allen Memrial Hspital Waterloo &C

Cvenant Medical Center Waterloo &C

Finley Hspital Dubuque &CGenesis Medical CenterDavenprtDavenport &C

Lakes Reginal Healthcare Spirit Lake &C


IoWA continued

Mary Greeley Medical Center Ames &C

Mercy Iwa City Iowa City &C

Mercy Medical CenterClintn Clinton &CMercy Medical CenterDes MinesDes Moines &C

Skiff Medical Center Newton &C

Spencer Hspital Spencer &C

St. Luke's Health System, Inc. Sioux City &C

St. Luke's Hspital Cedar Rapids &CTrinity Reginal Medical CenterFort Dodge &C

University f Iwa Hspitals and ClinicsIowa City &C

Jennie Edmundsn Hspital Council Bluffs &V

Great River Medical Center West Burlington &B

Iwa Lutheran Hspital Des Moines &B

Iwa Methdist Medical Center Des Moines &BMercy Medical CenterCedar RapidsCedar Rapids &B

KANSASHeartland Surgical Specialty HspitalOverland Park &Z

Kansas City orthpaedic InstituteLeawood &Z

Kansas Medical Center Andover &Z

Kansas Spine Hspital Wichita &ZKansas Surgery and Recvery CenterWichita &Z

Saint Luke's Suth Hspital Overland Park &Z

Summit Surgical, LLC Hutchinson &Z

Great Bend Reginal Hspital Great Bend &X

Salina Surgical Hspital Salina &XShawnee Missin Medical CenterShawnee Mission &X

Strmnt-Vail HealthCare Topeka &XCffeyville Reginal Medical CenterCoffeyville &C

Hutchinsn Reginal Medical CenterHutchinson &C

Kansas Heart Hspital Wichita &C

Labette Health Parsons &C

Lawrence Memrial Hspital Lawrence &C

Menrah Medical Center Overland Park &C

Mercy Reginal Health Center Manhattan &C

olathe Medical Center Olathe &C

Pratt Reginal Medical Center Pratt &C

Prvidence Medical Center Kansas City &C

Salina Reginal Health Center Salina &C

St. Francis Health Center Topeka &CThe University f Kansas HspitalKansas City &C

Via Christi Hspital in Pittsburg Pittsburg &C

Via Christi Hspital n St. Francis Wichita &C

Wesley Medical Center Wichita &C

Western Plains Medical Cmplex Dodge City &C

Hays Medical Center Hays &Voverland Park Reginal Medical CenterOverland Park &V

Newman Reginal Health Emporia &B

Newtn Medical Center Newton &B

St. Catherine Hspital Garden City &B


KENTUCKY

Flaget Memrial Hspital Bardstown &Z

Saint Jseph East Lexington &Z

Meadwview Reginal Medical CenterMaysville &X

Saint Jseph Hspital Lexington &XSt. Claire Reginal Medical CenterMorehead &X

Baptist Health Crbin Corbin &C

Baptist Health Madisnville Madisonville &C

Baptist Health Paducah Paducah &C

Baptist Health Richmnd Richmond &C

Ephraim McDwell Reginal Medical CenterDanville &C

Frankfrt Reginal Medical CenterFrankfort &C

Hardin Memrial Hspital Elizabethtown &CHaard ARH Reginal Medical CenterHazard &C

Jacksn Purchase Medical CenterMayfield &C

Jennie Stuart Medical Center Hopkinsville &C

Jewish HspitalShelbyville Shelbyville &C

King's Daughters Medical Center Ashland &C

Lurdes Hspital Paducah &C

our Lady f Bellefnte Hspital Ashland &Cowensbr Medical Health SystemOwensboro &C

Pikeville Medical Center Pikeville &C

Saint JsephLndn London &C

St. Eliabeth EdgewdEdgewood &C

St. Eliabeth Frt Thmas Fort Thomas &C

Taylr Reginal Hspital Campbellsville &C

TriStar Greenview Reginal Hspital

Bowling Green&C

Twin Lakes Reginal Medical CenterLeitchfield &C

Baptist Health Lexingtn Lexington &V

Baptist Health Luisville Louisville &V

Medical Center at Bwling GreenBowling Green &V

Murray-Callway Cunty HspitalMurray &V

Nrtn Hspital Louisville &V

Jewish Hspital Louisville &B

Lake Cumberland Reginal HspitalSomerset &B

Saint Jseph Munt Sterling Mount Sterling &B

T.J. Samsn Cmmunity HspitalGlasgow &B

University f Kentucky Albert B. ChandlerHspital Lexington &B

University f Luisville Hspital Louisville &B

LoUISIANA

Heart Hspital f Lafayette Lafayette &Z

Luisiana Heart Hspital Lacombe &Z

ochsner Medical Center New Orleans &Z

P & S Surgical Hspital Monroe &ZCHRISTUS Schumpert Medical CenterShreveport &X

Central Luisiana Surgical HspitalAlexandria &X

Better Worse

5 4 3 2 1



14/25


LoUISIANA continued

Green Clinic Surgical Hspital Ruston &X

Iberia Medical Center New Iberia &Xochsner Medical CenterBatn RugeBaton Rouge &X

Specialists HspitalShreveprt Shreveport &X

American Legin Hspital Crowley &CCHRISTUS St. Frances Cabrini HspitalAlexandria &C

CHRISTUS St. Patrick Hspital f LakeCharles Lake Charles &C

Dauterive Hspital New Iberia &C

East Jeffersn General Hspital Metairie &CGlenwd Reginal Medical CenterWest Monroe &C

Jennings American Legin HspitalJennings &C

Lafayette Surgical Specialty HspitalLafayette &C

Lake Charles Memrial Hspital Lake Charles &C

Lane Reginal Medical Center Zachary &C

Minden Medical Center Minden &Cochsner Baptist Medical Center New Orleans &C

ochsner Medical CenterKenner Kenner &Copelusas General Health SystemOpelousas &C

our Lady f Lurdes Reginal MedicalCenter Lafayette &C

Slidell Memrial Hspital Slidell &C

Suthern Surgical Hspital Slidell &C

St. Tammany Parish Hspital Covington &CThe NeurMedical Center Surgical HspitalBaton Rouge &C

Thibdaux Reginal Medical CenterThibodaux &C

Tur Infirmary New Orleans &C

Tulane Medical Center New Orleans &CWK Bssier Health Center Bossier City &CWest Calcasieu Camern HspitalSulphur &C

West Jeffersn Medical Center Marrero &C

Willis-Knightn Medical Center Shreveport &C

Wman's Hspital Baton Rouge &CWmen and Children's HspitalLake Charles &C

Batn Ruge General Medical CenterBaton Rouge &V

LSU Health Sciences Center Shreveport &VLafayette General Medical CenterLafayette &V

Lakeview Reginal Medical Center

Covington

&V

Nrthern Luisiana Medical CenterRuston &V

Rapides Reginal Medical CenterAlexandria &V

Nrth oaks Medical Center Hammond &Bour Lady f the Lake Reginal MedicalCenter Baton Rouge &B

Reginal Medical Center f AcadianaLafayette &B

St. Francis Medical Center Monroe &B

Terrebnne General Medical Center Houma &B

MAINE

St. Mary's Reginal Medical CenterLewiston &X


MAINE continued

Arstk Medical Center Presque Isle &C

Central Maine Medical Center Lewiston &C

Eastern Maine Medical Center Bangor &C

Henrietta D. Gdall Hspital Sanford &C

Inland Hspital Waterville &CMaine Cast Memrial HspitalEllsworth &C

Maine Medical Center Portland &C

MaineGeneral Medical CenterWatervilleCampus Waterville &C

May Reginal Hspital Dover-Foxcroft &C

Mid Cast Hspital Brunswick &C

Pen Bay Medical Center Rockport &C

Suthern Maine Medical CenterBiddeford &C

St. Jseph Hspital Bangor &C

Franklin Memrial Hspital Farmington &V

Miles Memrial Hspital Damariscotta &V

Yrk Hspital York &VMercy Hspital f Prtland Portland &B

MARYLAND

Anne Arundel Medical Center Annapolis &Z

Carrll Hspital Center Westminster &Z

Greater Baltimre Medical CenterBaltimore &Z

MedStar Unin Memrial HspitalBaltimore &Z

Memrial Hspital at Eastn MarylandEaston &Z

Mercy Medical Center Baltimore &Z

Peninsula Reginal Medical CenterSalisbury &Z

Suburban Hspital Bethesda &Z

Washingtn Adventist HspitalTakoma Park &Z

Frederick Memrial Hspital Frederick &X

Garrett Cunty Memrial HspitalOakland &X

Harfrd Memrial Hspital Havre De Grace &X

Kernan orthpaedics and RehabilitatinBaltimore &X

MedStar Franklin Square Medical CenterBaltimore &X

MedStar St. Mary's Hspital Leonardtown &X

University f Maryland Medical CenterBaltimore &X

Atlantic General Hspital Berlin &CBaltimre Washingtn Medical CenterGlen Burnie &C

Calvert Memrial Hspital Prince Frederick &C

Dctrs Cmmunity Hspital Lanham &C

Frt Washingtn Medical CenterFort Washington &C

Hly Crss Hspital Silver Spring &C

Hward Cunty General HspitalColumbia &C

Jhns Hpkins Hspital Baltimore &C

MedStar Gd Samaritan HspitalBaltimore &C

MedStar Harbr Hspital Baltimore &C


MARYLAND continued

MedStar Mntgmery Medical Center Olney &C

Meritus Medical Center Hagerstown &C

Nrthwest Hspital Randallstown &C

Prince Gerge's Hspital Center Cheverly &C

Saint Agnes Hspital Baltimore &CShady Grve Adventist Hspital Rockville &C

Unin Hspital Elkton &C

Upper Chesapeake Medical Center Bel Air &C

Western Maryland Reginal Medical CenterCumberland &C

Civista Health La Plata &V

Sinai Hspital f Baltimre Baltimore &V

University f Maryland St. Jseph MedicalCenter Towson &V

Chester River Health System Chestertown &B

Jhns Hpkins Bayview Medical CenterBaltimore &B

MASSACHUSETTS

Carney Hspital Boston &Z

Cley Dickinsn Hspital Northampton &ZBaystate Franklin Medical CenterGreenfield &X

Baystate Medical Center Springfield &X

Falmuth Hspital Falmouth &XHly Family Hspital and Medical CenterMethuen &X

Mercy Medical Center Springfield &XNewtn-Wellesley HspitalNewton Lower Falls &X

UMass Memrial Medical Center Worcester &X

Anna Jaques Hspital Newburyport &C

Beth Israel Deacness HspitalMiltn Milton &C

Beth Israel Deacness Medical CenterBoston &C

Beverly Hspital Beverly &C

Bstn Medical Center Boston &C

Brigham and Wmen's Faulkner HspitalBoston &C

Cape Cd Hspital Hyannis &C

Emersn Hspital Concord &C

Gd Samaritan Medical Center Brockton &C

Hallmark Health System Melrose &C

Health Alliance Hspitals Leominster &C

Heywd Hspital Gardner &C

Hlyke Medical Center Holyoke &C

Jrdan Hspital Plymouth &C

Lwell General Hspital Lowell &C

Massachusetts Eye and Ear InfirmaryBoston &C

Merrimack Valley Hspital Haverhill &C

MetrWest Medical Center Framingham &C

Milfrd Reginal Medical Center Milford &C

Mrtn Hspital and Medical CenterTaunton &C

Munt Auburn Hspital Cambridge &C

New England Baptist Hspital Boston &C

Nrth Adams Reginal HspitalNorth Adams &C

Better Worse

5 4 3 2 1



15/25


MASSACHUSETTS continued

Nrth Shre Medical Center Salem &C

Nrwd Hspital Norwood &C

Quincy Medical Center Quincy &C

Saint Vincent Hspital Worcester &C

Saints Medical Center Lowell &CSignature Healthcare Brcktn HspitalBrockton &C

Suth Shre Hspital South Weymouth &C

St. Eliabeth's Medical Center Brighton &C

Sturdy Memrial Hspital Attleboro &C

Tufts Medical Center Boston &C

UMass MemrialMarlbrugh HspitalMarlborough &C

Winchester Hspital Winchester &C

Berkshire Medical Center Pittsfield &V

Lawrence General Hspital Lawrence &V

Saint Anne's Hspital Fall River &V

Brigham and Wmen's Hspital Boston &BLahey Hspital & Medical Center, BurlingtnBurlington &B

Massachusetts General HspitalBoston &B

Suthcast Hspitals Grup Fall River &B

MICHIGAN

Beaumnt HspitalTry Troy &Z

Bell Hspital Ishpeming &ZLakeland Reginal Medical CenterSt.Jseph Saint Joseph &Z

Metr Health Hspital Wyoming &Z

PrMedica Bixby Hspital Adrian &Z

Scheurer Hspital Pigeon &Z

St. Jseph Mercy Livingstn HspitalHowell &Z

Dickinsn Cunty Healthcare SystemIron Mountain &X

Hillsdale Cmmunity Health CenterHillsdale &X

Hurn Medical Center Bad Axe &X

oaklawn Hspital Marshall &X

otseg Memrial Hspital Gaylord &X

Pennck Hspital Hastings &X

Prtage Health Hancock &X

Prvidence Hspital Southfield &X

Saint Mary's Health Care Grand Rapids &X

St. Jseph Mercy Prt Hurn Port Huron &X

Allegan General Hspital Allegan &CAllegiance Health Jackson &C

Alpena Reginal Medical Center Alpena &C

Brgess Medical Center Kalamazoo &C

Brnsn Battle Creek Battle Creek &C

Brnsn Methdist Hspital Kalamazoo &C

Chelsea Cmmunity Hspital Chelsea &C

Cmmunity Health Center f Branch CuntyColdwater &C

Cvenant Medical Center Saginaw &C

Crittentn Hspital Medical CenterRochester &C


MICHIGAN continuedDetrit Receiving Hspital/UniversityHealth Center Detroit &C

Garden City Hspital Garden City &C

Genesys Reginal Medical CenterGrand Blanc &C

Harper University Hspital/Hutel Wmen'sHspital Detroit &C

Henry Frd Hspital Detroit &C

Henry Frd Macmb Hspitals ClintonTownship &C

Henry Frd West Blmfield HspitalWest Bloomfield &C

Henry Frd Wyandtte HspitalWyandotte &C

Hlland Hspital Holland &C

Karmans Cancer Center Detroit &C

Marquette General Health SystemMarquette &C

McLaren Bay Regin Bay City &C

McLaren Central Michigan Mount Pleasant &C

McLaren Flint Flint &C

McLaren Greater Lansing Lansing &C

McLaren Lapeer Regin Lapeer &C

McLaren Macmb Mount Clemens &C

McLaren Nrthern Michigan Petoskey &C

McLaren oakland Pontiac &C

Mecsta Cunty Medical CenterBig Rapids &C

Memrial Healthcare Owosso &C

Memrial Medical Center f West MichiganLudington &C

Mercy Health Partners, Hackley CampusMuskegon &C

Mercy Health Partners, Mercy CampusMuskegon &C

Mercy Hspital Cadillac Cadillac &C

Mercy Hspital Grayling Grayling &C

Mercy Memrial Hspital SystemMonroe &C

MidMichigan Medical CenterGratitAlma &C

MidMichigan Medical CenterMidlandMidland &C

oakwd Heritage Hspital Taylor &C

oakwd Suthshre Medical CenterTrenton &C

Prt Hurn Hspital Port Huron &C

PrMedica Herrick Hspital Tecumseh &CSinai-Grace Hspital Detroit &C

Spectrum HealthGrand RapidsGrand Rapids &C

Spectrum Health Gerber MemrialFremont &C

St. Jhn Macmb-oakland HspitalWarren &C

St. Jseph Health System Tawas City &C

St. Jseph Mercy Hspital Ypsilanti &C

St. Jseph Mercy oakland Pontiac &C

St. Mary Mercy Hspital Livonia &C

St. Mary's f Michigan Saginaw &C


MICHIGAN continued

University f Michigan Hspitals and HealthCenters Ann Arbor &C

War Memrial Hspital Sault Sainte Marie &C

West Branch Reginal Medical CenterWest Branch &C

West Shre Medical Center Manistee &C

Btsfrd Hspital Farmington Hills &V

DMC Hurn Valley-Sinai Hspital CommerceTownship &V

oakwd Annaplis Hspital Wayne &VSt. Jhn Hspital and Medical CenterDetroit &V

Beaumnt HspitalRyal oakRoyal Oak &B

Beaumnt HspitalGrsse PinteGrosse Pointe &B

Hurley Medical Center Flint &B

Munsn Medical Center Traverse City &B

oakwd Hspital & Medical Center

Dearbrn Dearborn&B

Sparrw Hspital Lansing &B

MINNESoTA

Abbtt Nrthwestern HspitalMinneapolis &Z

Duglas Cunty Hspital Alexandria &Z

Essentia Health St. Jseph's Medical CenterBrainerd &Z

Fairview Ridges Hspital Burnsville &Z

Fairview Suthdale Hspital Edina &Z

Lake Regin Healthcare Fergus Falls &Z

Lakeview Hspital Stillwater &Z

May Clinic Health System in Albert Lea

Albert Lea&Z

Mercy Hspital Coon Rapids &Z

Regins Hspital Saint Paul &Z

Rice Memrial Hspital Willmar &Z

Ridgeview Medical Center Waconia &Z

Sanfrd Bemidji Medical Center Bemidji &Z

St. Francis Reginal Medical CenterShakopee &Z

District one Hspital Faribault &X

Essentia Health St. Mary's HspitalDetritLakes Detroit Lakes &X

Grand Itasca Clinic and HspitalGrand Rapids &X

May Clinic Health System in Red WingRed Wing &X

New Ulm Medical Center New Ulm &X

Nrth Memrial Medical CenterRobbinsdale &X

Nrthfield Hspital Northfield &X

Park Nicllet Methdist HspitalSaint Louis Park &X

Regina Medical Center Hastings &X

Rchester Methdist Hspital Rochester &X

St. Gabriel's Hspital Little Falls &X

St. Jhn's Hspital Saint Paul &X

United Hspital Saint Paul &X

Better Worse

5 4 3 2 1



16/25


MINNESoTA continued

Unity Hspital Fridley &X

Winna Health Winona &X

Wdwinds Health Campus Woodbury &X

Buffal Hspital Buffalo &C

Cambridge Medical Center Cambridge &CCuyuna Reginal Medical CenterCrosby &C

Essentia HealthVirginia Virginia &C

Fairview Lakes Health ServicesWyoming &C

Hennepin Cunty Medical CenterMinneapolis &C

Hutchinsn Health Hutchinson &C

May ClinicSaint Marys HspitalRochester &C

May Clinic Health System in MankatMankato &C

May Clinic Health System in New PragueNew Prague &C

olmsted Medical Center Rochester &C

owatnna Hspital Owatonna &C

Riverwd Healthcare Center Aitkin &C

St. Clud Hspital Saint Cloud &CSt. Jseph's Area Health ServicesPark Rapids &C

St. Jseph's Hspital Saint Paul &C

St. Luke's Hspital Duluth &C

Essentia Health St. Mary's Medical CenterDuluth &V

May Clinic Health System in FairmntFairmont &V

May Clinic Health System in AustinAustin &B

Sanfrd Medical Center Thief River FallsThief River Falls &B

University f Minnesta Medical Center,Fairview Minneapolis &B

MISSISSIPPI

Baptist Memrial HspitalGlden TriangleColumbus &C

Baptist Memrial HspitalNrthMississippiOxford &C

Baptist Memrial HspitalUnin CuntyNew Albany &C

Central Mississippi Medical CenterJackson &C

Crssgates River oaks Hspital Brandon &C

Delta Reginal Medical Center Greenville &CGilmre Memrial Reginal Medical CenterAmory &C

Greenwd Leflre Hspital Greenwood &CKing's Daughters Medical CenterBrookhaven &C

Magnlia Reginal Health CenterCorinth &C

Mississippi Baptist Medical CenterJackson &C

Natche Reginal Medical CenterNatchez &C

Nrth Mississippi Medical CenterTupelTupelo &C

River Regin Medical Center Vicksburg &C

Suth Central Reginal Medical CenterLaurel &C


MISSISSIPPI continuedSuthwest Mississippi Reginal MedicalCenter McComb &C

University Hspitals and Health System,University f Mississippi Medical CenterJackson

&C

Andersn Reginal Medical Center

Meridian&V

Bilxi Reginal Medical Center Biloxi &V

River oaks Hspital Flowood &V

Rush Fundatin Hspital Meridian &VBaptist Memrial HspitalDestSouthaven &B

Frrest General Hspital Hattiesburg &B

Garden Park Medical Center Gulfport &B

Memrial Hspital at Gulfprt Gulfport &B

oCH Reginal Medical Center Starkville &B

Singing River Health System Pascagoula &BSt. Dminic-Jacksn Memrial HspitalJackson &B

Wesley Medical Center Hattiesburg &B

MISSoURIBne Hspital Center Columbia &Z

Saint Luke's Nrth HspitalBarry RadKansas City &Z

Hannibal Reginal Hspital Hannibal &X

Lester E. Cx Medical Centers Springfield &X

Mercy Hspital Washingtn Washington &XMissuri Baptist Medical CenterSaint Louis &X

Prgress West HealthCare CenterSaint Charles &X

Saint Luke's East Hspital Lee's Summit &X

Audrain Medical Center Mexico &C

Barnes-Jewish West Cunty HspitalSaint Louis &C

Beltn Reginal Medical Center Belton &C

Bthwell Reginal Health CenterSedalia &C

Capital Regin Medical Center Jefferson City &C

Centerpint Medical Center Independence &C

Christian Hspital Saint Louis &C

Citiens Memrial Hspital Bolivar &C

Cx Medical Center Bransn Branson &C

Freeman Hspital West Joplin &C

Glden Valley Memrial HealthcareClinton &C

Heartland Reginal Medical CenterSaint Joseph &C

Lee's Summit Medical Center Lee's Summit &CLiberty Hspital Liberty &C

Mercy Hspital Jeffersn Crystal City &C

Mercy Hspital Jplin Joplin &C

Mercy Hspital Lebann Lebanon &C

Mercy Hspital Springfield Springfield &C

Missuri Delta Medical Center Sikeston &C

Nrth Kansas City Hspital North Kansas City &C

Nrtheast Reginal Medical CenterKirksville &C

oarks Medical Center West Plains &C

Phelps Cunty Reginal Medical CenterRolla &C


MISSoURI continuedPplar Bluff Reginal Medical CenterPoplar Bluff &C

Research Medical Center Kansas City &C

SSM DePaul Health Center Bridgeton &C

SSM St. Clare Health Center Fenton &C

SSM St. Jseph Health Center Saint Charles &C

SSM St. Jseph Hspital West Lake Saint Louis &C

SSM St. Mary's Health Center Saint Louis &C

Saint Francis Medical Center Cape Girardeau &C

Saint Luis University Hspital Saint Louis &C

Saint Luke's Hspital f Kansas CityKansas City &C

Sutheast Hspital Cape Girardeau &C

St. Jseph Medical Center Kansas City &C

St. Mary's Medical Center Blue Springs &C

St. Mary's Health Center Jefferson City &C

Truman Medical CenterLakewdKansas City &C

University f Missuri Hspitals and ClinicsColumbia &C

Wmen's and Children's Hspital Columbia &C

Barnes-Jewish Hspital Saint Louis &V

Barnes-Jewish St. Peters Hspital SaintPeters &V

Mercy Hspital St. Luis Saint Louis &V

St. Luke's Hspital Chesterfield &V

Western Missuri Medical CenterWarrensburg &V

Des Peres Hspital Saint Louis &B

Lake Reginal Health System Osage Beach &B

St. Anthny's Medical Center Saint Louis &B

MoNTANABillings Clinic Billings &Z

Great Falls Clinic Medical Center Great Falls &Z

Kalispell Reginal Medical Center Kalispell &Z

St. Patrick Hspital Missoula &Z

St. Vincent Healthcare Billings &Z

Benefis Hspitals Great Falls &X

Beman Deacness Hspital Bozeman &X

The HealthCenter Kalispell &X

Cmmunity Medical Center Missoula &C

Marcus Daly Memrial Hspital Hamilton &C

Nrth Valley Hspital Whitefish &C

St. James Healthcare Butte &C

St. Peter's Hspital Helena &C

NEBRASKA

Lincln Surgical Hspital Lincoln &Z

Mary Lanning Healthcare Hastings &Z

Midwest Surgical Hspital Omaha &Z

Nebraska Heart Hspital Lincoln &Z

Nebraska orthpaedic Hspital Omaha &Z

Saint Eliabeth Reginal Medical CenterLincoln &Z

Clumbus Cmmunity Hspital Columbus &X

Fremnt Area Medical Center Fremont &XAlegent Creightn Health Bergan MercyMedical Center Omaha &C

Better Worse

5 4 3 2 1



17/25


NEBRASKA continuedAlegent Creightn Health Immanuel MedicalCenter Omaha &C

Alegent Creightn Health Lakeside HspitalOmaha &C

Alegent Creightn Health Midlands HspitalPapillion &C

Alegent Creightn HealthCreightnUniversity Medical Center Omaha &C

Bryan Medical Center Lincoln &C

Cmmunity Hspital McCook &C

Faith Reginal Health Services Norfolk &C

Gd Samaritan Hspital Kearney &C

Great Plains Reginal Medical Center NorthPlatte &C

Nebraska Medical Center Omaha &C

Nebraska Methdist Hspital Omaha &C

Nebraska Spine Hspital Omaha &C

Reginal West Medical Center Scottsbluff &C

Saint Francis Medical Center Grand Island &C

NEVADASierra Surgery Hspital Carson City &Z

Renwn Suth Meadws Medical CenterReno &X

Saint Mary's Reginal Medica

surgery report & ratings

Documents