Mary Washington Rated 'High Performing' in 11 Areas
U.S. News & World Report's ranking of hospitals has high praise for Mary Washington Health Care in 11 adult procedures and conditions. Nurse staffing is a concern.
By Martin Davis
EDITOR-IN-CHIEF
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Editor’s Note: In the interest of full disclosure, this article’s author formerly worked at U.S. News & World Report as a senior editor in the automotive vertical.
Mary Washington Hospital received high praise on Tuesday when it announced the latest ratings released by U.S. News & World Report’s Best Hospitals team.
The hospital was rated high performing in 11 adult procedures and conditions including chronic obstructive pulmonary disease (COPD), diabetes, heart attack, heart failure, hip replacement, kidney failure, knee replacement, lung cancer surgery, pneumonia, prostate cancer surgery, and stroke.
U.S. News rates hospitals based on data in 12 specialty areas. Each specialty area of care is then broken out into specific procedures and conditions.
Mary Washington was scored in nine of the 12 specialty areas. The Top 50 hospitals in each specialty area received a ranking. A smaller number of hospitals are recognized as “high-performing” in each specialty area. A third level of hospitals receive a “score.” Most hospitals did not qualify for a score, “high-performing” recognition, or a ranking because they “did not treat a significant volume of complex cases in this specialty.”
Mary Washington’s recognitions for high performing services were in 11 of the procedures and conditions areas rated.
The specialty areas, and the links to Mary Washington’s performance in each — including the specific procedures and conditions — follows:
Ear, nose & throat
Obstetrics and gynecology
Rehabilitation
Regional Recognition
Mary Washington was also recognized as one of the best Regional Hospitals in Virginia. U.S. News & World Report evaluated 120 hospitals in the state. The top 15 were:
Inova Fairfax Hospital (First)
VCU Medical Center (Second)
Carilion Roanoke Memorial Hospital (Third)
Sentara Norfolk General Hospital (Third - tie)
University of Virginia Medical Center (Third - tie)
Virginia Hospital Center (Sixth)
Mary Washington Hospital (Seventh)
Winchester Medical Center (Seventh - tie)
Henrico Doctors’ Hospitals (Ninth)
Sentara Leigh Hospital (Ninth - tie)
Chippenham and Johnston-Willis Hospitals (Eleventh)
Inova Fair Oaks Hospital (Eleventh - tie)
Sentara Virginia Beach Regional Hospital (Eleventh - tie)
Chesapeake Regional Medical Center (Fourteenth)
Centra Lynchburg General Hospital (Fifteenth)
“This recognition is a reflection of the commitment of our physicians and staff to excellence in caring for our patients every day,” said Mike McDermott, MD, President, and Chief Executive Officer, Mary Washington Healthcare. “Mary Washington Hospital’s high ranking in the state as well as the Washington DC metropolitan area validates our dedication to providing the best possible care to our community.”
Nursing
While Mary Washington scored well in most areas of specialty, one consistent area of concern highlighted by the U.S. News & World Report analysis is nurse staffing.
U.S. News & World Report factors nurse staffing into its rankings, stating that “More nursing care per patient is associated with better outcomes and better patient experience.”
However, in each of the nine specialty areas where Mary Washington is scored, nurse staffing was rated “below average” on a five-point scale that ranges from Poor, to Below Average, Average, Above Average, and Excellent.
“As always,” says the authors of the Best Hospitals ratings, “these ratings should be taken as a starting point. All care decisions should be made in conjunction with medical professionals.”
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There are companies that survey locals and then go around to local businesses telling them that they’ve won a “best of” award. They then ask the proprietor if they’d like to buy a trophy or a framed copy of the award to hang on their wall for $500. This isn't too different. Two of every three hospitals in Washington, D.C., had won an award of some kind from a major rating group or company.
https://kffhealthnews.org/news/washington-hospital-ratings-and-how-they-differ/
Hospitals pay US News & World Report a licensing fee to display their “best of” badge. It’s worth noting that there’s a wave of backlash from the medical community against the survey’s flawed methodology and the perverse incentives these rankings create.
Rankings come from subjective physician surveys and data reported from trade groups (the slightly biased American Hospital Association) and the federal government. Some hospitals are better at working the numbers than others. Not only do hospital systems pay tens of thousands to license their US News rank a whole consulting industry has sprung up to help hospitals to rank higher by allocating resources to the areas on which the rankings focus, even if their patients might have been better served by allocating those resources differently. I’d be curious to know how much MWHC spends on licensing and consulting.
There’s a good site run by the Association of Health Care Journalists that breaks down federal hospital inspection reports. I’ve linked to it below. Here we see that MWHC has almost two times as many deficiencies per bed count as some of the largest hospitals in VA.
https://www.hospitalinspections.org/state/va
MWHC shows (471 beds) has 20 reports and 37 deficiencies. 0.078
Inova Fairfax (923 beds) has 13 reports and 42 deficiencies. 0.045
Carilion Roanoke (737 beds) has 7 reports and 21 deficiencies. 0.028
UVA (671 beds) has 12 reports and 37 deficiencies 0.055
Here are some additional articles that discuss some of the criticisms of the ranking:
Pro Publica - Should Hospital Ratings Be Embraced — or Despised?
https://www.propublica.org/article/should-hospital-ratings-be-embraced-or-despised
San Francisco City Attorney David Chiu, JD urges US News to publicly disclose the payments it receives from the hospitals it endorses, as required by federal regulations
https://www.sfcityattorney.org/2023/06/20/u-s-news-world-report-faces-legal-scrutiny-over-dubious-hospital-rankings/
Revisiting US News & World Report’s Hospital Rankings—Moving Beyond Mortality to Metrics that Improve Care - PubMed
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7858726/
What Do We Do About US News? - PubMed
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9210415/
Criticism spreads to US News Hospital Rankings - Becker’s Hospital Review
https://www.beckershospitalreview.com/rankings-and-ratings/criticism-spreads-to-us-news-hospital-rankings.html
It's Time to Move on From the U.S. News Rankings, — The lack of data and transparency should raise questions - MedPage Today
https://www.medpagetoday.com/opinion/second-opinions/106119
It’s Time For US Hospitals To Withdraw From The US News And World Report Rankings - Health Affairs
https://www.healthaffairs.org/content/forefront/s-time-us-hospitals-withdraw-us-news-and-world-report-rankings
Hospitals Pay U.S. News to Promote Their Rankings - MedPage Today
https://www.medpagetoday.com/special-reports/features/108313
NYU Stern, Heski Bar-Isaac - Online Rankings of Hospitals May Be Detrimental to Patient Welfare
https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1467-6451.2012.00475.x
Should hospitals withdraw from US News & World Report rankings? - Health Exec
https://healthexec.com/topics/healthcare-management/healthcare-quality/should-hospitals-withdraw-us-news-world-report
Penn Medicine quits cooperating with U.S. News hospitals ranking
https://www.washingtonpost.com/education/2023/06/26/penn-med-usnews-rankings/
U.S. News Best Hospitals Rankings May Be Misleading, According to Comparion
https://www.businesswire.com/news/home/20130507005013/en/U.S.-News-Best-Hospitals-Rankings-May-Be-Misleading-According-to-Comparion
Reacting to Rankings: Evidence from America s Best Hospitals and Colleges
https://eml.berkeley.edu/~webfac/moretti/e251_f06/Pope.pdf
What Are the Best Hospitals? Rankings Disagree, Four services that rate U.S. facilities show wide discrepancies, study says; 27 hospitals rated among best in one list rank among worst in another - Wall Street Journal
https://www.wsj.com/articles/what-are-the-best-hospitals-rankings-disagree-1425330348
Hospital Ratings Are Deeply Flawed. Can They Be Fixed?
https://www.chicagobooth.edu/review/hospital-ratings-are-deeply-flawed-can-they-be-fixed