Healthcare Quality

Healthcare Quality

Evaluating healthcare quality, hospital ratings, physician credentials, patient safety, and making informed healthcare decisions.

Not all hospitals and doctors deliver the same quality of care. Preventable adverse events affect about 1 in 10 hospital patients. About 687,000 hospital-acquired infections occur annually, contributing to roughly 72,000 deaths. And only half of patients research a doctor's credentials before their first visit.

This section gives you the tools to evaluate healthcare quality before you need care, not after. Rating systems, credential verification, second opinions, and questions that protect you. Data comes from CMS Care Compare, Leapfrog, AHRQ, and the FDA.

Hospital Ratings

Two major systems rate American hospitals. CMS assigns 1 to 5 stars to over 3,200 hospitals using 46 quality measures across mortality, safety, readmission, patient experience, and timely care. Leapfrog assigns letter grades (A through F) focused specifically on patient safety, twice a year. The two systems can disagree on the same hospital because they measure different things. We explain how to read both and what to look for before a planned procedure.

Checking Doctor Credentials

Board certification, licensing status, and disciplinary history are all publicly available for free. The ABMS verifies board certification at certificationmatters.org. The FSMB checks licensing and disciplinary actions at docinfo.org. CMS Care Compare shows quality data on 1.2 million Medicare providers. Checking takes five minutes and can save you from a bad outcome.

Second Opinions and Informed Decisions

A Mayo Clinic study found that 88% of second opinions changed or refined the original diagnosis. Medicare covers second surgical opinions. We cover when to get one, how to request your records, what questions to ask before surgery, and how to participate in clinical trials (over 500,000 are registered on ClinicalTrials.gov). We also cover health literacy, because understanding medical information is the foundation of every good healthcare decision.

Articles

Research Archive

Original research from the Center for Studying Health System Change

Wall Street Comes to Washington:

Originally published December 1998

Emerging Health Care Market Trends

Originally published January 2005

Hospital Quality Reporting: Separating the Signal from the Noise

Originally published April 2013

A Tighter Bond: California Hospitals Seek Stronger Ties with Physicians

Originally published December 2009

Politics and Policy of Comparative Effectiveness: Looking Back, Looking Ahead

Originally published January 2005

HSC's 17th Annual Wall Street Comes to Washington Conference

Originally published June 2010

Innovations in Preventing and Managing Chronic Conditions: What's Working in the Real World?

Originally published June 2010

Shifting Ground: Erosion of the Delegated Model in California

Originally published December 2009

Community Report No. 12

Originally published May 2003

San Francisco Bay Area: Health Care Providers Shift Allegiances as Regional Networks Emerge

Originally published September 2012

Los Angeles: Fragmented Health Care Market Shows Signs of Coalescing

Originally published September 2012

HSC's 18th Annual Wall Street Comes to Washington Conference

Originally published February 2001

Greenville & Spartanburg: Surging Hospital Employment of Physicians Poses Opportunities and Challenges

Originally published February 2011

Will Hospital Report Cards Make the Grade?

Originally published July 1997

HSC's 18th Annual Wall Street Comes to Washington Conference

Originally published January 2005

Despite Rapid Growth, Retail Clinic Use Remains Modest

Originally published November 2013

Relief, Restoration and Reform: Economic Upturn Yields Modest and Uneven Health Returns

Originally published January 2008

Variation in Clinical Information Technology (IT) Across Physician Specialties

Originally published January 2005

Wall Street Comes to Washington:

Originally published September 1999

HSC's 12th Annual Wall Street Comes to Washington Conference

Originally published March 2005

Physician Financial Incentives: Use of Quality Incentives Inches Up, but Productivity Still Dominates

Originally published January 2007

An Update on the Community Tracking Study:

Originally published August 1996

Clinical Information Technology Gaps Persist Among Physicians

Originally published September 2007

Northern New Jersey Health Care Market Reflects Urban-Suburban Contrasts

Originally published December 2010

11th Annual Wall Street Comes to Washington Conference

Originally published January 2005

Growing Availability of Clinical Information Technology in Physician Practices

Originally published September 2007

Eighth Annual Wall Street Comes to Washington

Originally published September 1997

A Decade of Tracking Health System Change

Originally published March 2006

Journal Articles by HSC Researchers in the Current Edition of

Originally published April 2004

Can Money Buy Quality? Physician Response to Pay for Performance

Originally published December 2005

Blue Cross Influence Grows in Boston as State Revisits Reform Debates

Originally published December 2005

Innovations in Preventing and Managing Chronic Conditions: What's Working in the Real World?

Originally published April 2007

Arranged Marriages: The Evolution of ACO Partnerships in California

Originally published September 2013

Wall Street Comes to Washington:

Originally published November 1999

Indianapolis Hospital Systems Compete for Well-Insured, Suburban Patients

Originally published June 2005

Tax-free But of Little Account

Originally published January 2005

Rapid Population Growth Attracts National Firms

Originally published September 1997

Lansing's Calm Health Care Market Belies Increased Competition, Economic Doldrums

Originally published October 2005

Health and Wellness: The Shift from Managing Illness to Promoting Health

Originally published June 2008

Seventh Annual Wall Street Comes to Washington

Originally published January 2005

Checking Up on Retail-Based Health Clinics: Is the Boom Ending?

Originally published January 2005

Dynamic Orange County Health Care Market Responds to Opportunities

Originally published August 2005

Comparative Effectiveness Research and Innovation: Policy Options to Foster Medical Advances

Originally published October 2010

Community Hospitals in Indianapolis

Originally published January 1999

Expectations Outpace Reality: Physicians' Use of Care Management Tools for Patients with Chronic Conditions

Originally published December 2009

10th Annual Wall Street Comes to Washington Conference

Originally published May 2003

Most Medicare Outpatient Visits are to Physicians with Limited Clinical Information Technology

Originally published July 2005

Independent No More:

Originally published May 1999

Behind the Times: Physician Income, 1995-99

Originally published March 2003

Medicare Seniors Much Less Willing to Limit Physician-Hospital Choice for Lower Costs

Originally published June 2005