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Methodology: U.S Methodology: U.S. News & World Report Best Children’s Hospitals 2011-12 Murrey G. Olmsted Emily McFarlane Joe Murphy Jessica Severance Angela Pitts Denise Bell Melissa Morley Version: June 20, 2011 To Whom It May Concern: U.S. News & World Report ’s “Best Children's Hospitals” study is the sole and exclusive property of U.S. News & World Report , which owns all rights, including but not limited to copyright, in and to the attached data and material. Any party wishing to cite, reference, publish, or otherwise disclose the information contained herein may do so only with the prior written consent of U.S. News . Any U.S. News -approved reference or citation must identify the source as “U.S. News & World Report ’s Best Children's Hospitals” and, with the exception of academic journals, must include the following credit line: “Data reprinted with permission from U.S. News & World Report .” For permission to cite or use in any other way, contact [email protected]. For custom reprints, please contact Wright’s Media at 877-419-5725 or [email protected] . Table of Contents I. Introduction ....................................................................................................................... 1 II. Eligibility ............................................................................................................................ 2 A. General Eligibility ...................................................................................................... 2 B. Specialty-Specific Eligibility ..................................................................................... 3 III. Pediatric Hospital Survey................................................................................................. 3 IV. Structure ............................................................................................................................ 5 A. Structural Measures (All Specialties) ........................................................................ 5 Advanced Clinical Services ....................................................................................... 5 Advanced Technology ............................................................................................. 10 Clinical Support Services ......................................................................................... 12 Commitment to Clinical Research ........................................................................... 12 Commitment to Involving Parents and Family ........................................................ 14 Commitment to Quality Improvement ..................................................................... 14 Fellowship Programs ............................................................................................... 15 Nurse Magnet Hospital ............................................................................................ 15 Nurse-Patient Ratio .................................................................................................. 15 Overall Infection Prevention .................................................................................... 16 Patient and Family Services ..................................................................................... 19 Subspecialist Availability ........................................................................................ 20 Volume of Patients ................................................................................................... 24 Use of Health Information Technology ................................................................... 32 B. Structural Measures (Specialty-Specific) ................................................................ 33 Cancer ...................................................................................................................... 33 Cardiology & Heart Surgery .................................................................................... 35 Diabetes & Endocrinology ....................................................................................... 37 Gastroenterology ...................................................................................................... 39 Neonatology ............................................................................................................. 39 Nephrology .............................................................................................................. 40 Neurology & Neurosurgery ..................................................................................... 41 Orthopedics .............................................................................................................. 42 Pulmonology ............................................................................................................ 42 Urology .................................................................................................................... 43 C. Standardization and Weighting ................................................................................ 44 V. Outcomes ......................................................................................................................... 46 A. Outcome Measures................................................................................................... 46 Cancer ...................................................................................................................... 46 Cardiology & Heart Surgery .................................................................................... 47 Diabetes & Endocrinology ....................................................................................... 48 Gastroenterology ...................................................................................................... 48 Neonatology ............................................................................................................. 49 Nephrology .............................................................................................................. 49 i Neurology & Neurosurgery ..................................................................................... 50 Orthopedics .............................................................................................................. 51 Pulmonology ............................................................................................................ 51 Urology .................................................................................................................... 52 B. Standardization and Weighting ................................................................................ 52 VI. Process .............................................................................................................................. 53 A. Eligibility Requirements .......................................................................................... 54 B. Survey Procedure ..................................................................................................... 55 Materials .................................................................................................................. 55 Mailings ................................................................................................................... 55 2011 Response Rates ............................................................................................... 55 C. Survey Response Weighting .................................................................................... 56 D. Log Transformation ................................................................................................. 56 VII. U.S. News Score ............................................................................................................... 57 VIII. Pediatric Honor Roll ....................................................................................................... 58 IX. Future Improvements ..................................................................................................... 59 X. Contact Information ....................................................................................................... 60 XI. References ........................................................................................................................ 60 ii List of Tables Table 1. Specialty-Specific Eligibility Requirements ..................................................................... 4 Table 2. Advanced Clinical Services Offered by Specialty ............................................................ 6 Table 3. Advanced Technologies by Specialty ............................................................................. 11 Table 4. Clinical Support Services by Specialty ........................................................................... 13 Table 5. Fellowship Programs by Specialty ................................................................................. 16 Table 6. Core Infection Prevention Measures—All Specialties (17 services).............................. 17 Table 7. Subspecialists by Specialty ............................................................................................. 20 Table 8. Specialty-Specific Volume Measures ............................................................................. 25 Table 9. Weight (%) of Structural Measures by Specialty ........................................................... 44 Table 10. Weight (%) of Outcomes Measures by Specialty ......................................................... 53 Table
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