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  BURTON & SIMKIN

Area Hospital safety scores

11/7/2016

 
How do east-central Indiana and west-central Ohio hospitals rank as far as patient safety? One such measure is  http://www.hospitalsafetyscore.org which has assigned grades of A, B, C, D, or F to more than 2,600 U.S. hospitals based on 26 safety measures and standards, including errors and accidents such patient falls, retained surgical objects, central line blood infections, as well as policies and procedures hospitals have in place to protect patients from such incidents.  

Current Grades for Area Hospitals

Henry County Hospital, New Castle:                                     A
Ball Memorial Hospital, Muncie:                                           A
Reid Hospital & Health Care Services, Richmond:                B
Fayette Regional Health System, Connersville:                     B
Good Samaritan Hospital & Health Center, Dayton, OH:     B
KNH-Grandview Medical Center, Dayton, OH:                    B
Wayne Hospital, Greenville, OH:                                           C
Miami Valley Hospital, Dayton, OH:                                     C
McCullough-Hyde Memorial Hospital, Oxford, OH:            D

St. Vincent-Randolph in Winchester is apparently not yet ranked.

I was glad to see that the Indiana hospitals in and around Wayne County rank well.  However, I am concerned about the lower scores for some of the Ohio hospitals, as I have had numerous clients and acquaintances who have received treatment at each of them.  

Of course, these grades are only as good as the data which they are based upon.   If you take a look at the full score for a hospital, you can see that this site largely relies upon information reported to CMS (Centers for Medicare and Medicaid Services), especially regarding reported incidents.  

It appears that McCullough-Hyde's grade of D is largely due to a high number of falls or traumas (about 3 times the rate of average performing hospitals) and a higher than average number of postoperative pulmonary embolisms and deep vein thromboses.  The high rate of falls is 1.74 out of every 1,000 patients discharged and the worst performing hospital in the country had a rate of 2.1.  

Thinking deeper, all of this data is based on self-reporting that the hospitals are required to do and you have to wonder about how accurate it truly reflects the number of actual incidents.  Certainly not all patient falls, for example, get charted and I suspect the ones that actually end up included in the CMS data are mostly the ones resulting in injury.  (Although, when you think about it, all falls potentially could result in injury and thus should be reported).  One would suspect that different hospitals have different cultures and policies regarding the charting and reporting of incidents such as falls.  A hospital that is willing to provide fuller and more accurate disclosure may end up being penalized when compared to a hospital that doesn't self-report as fully.  I am interested in learning more about how accurate this data truly is.  However, there is no doubt that patients are entitled to this sort of information and are well-advised to seek it out and consider it when making decisions about where to receive care.

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    David Burton

    Attorney at Law

    David J. Burton
    DAVID BURTON LAW LLC
    P.O. BOX 1447
    Richmond, IN 47375
    Office Phone: (765) 966-5548
    Cell Phone: (765) 277-0041
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