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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

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