How Safe Is Your Hospital?

cr investigates

surgical infection Patrick Roth of Dartmouth, Mass., can’t walk unassisted since he experienced several complications after surgery.

the government doesn’t adequately track it as it does deaths from automobiles, plane crashes, and cancer. It’s appalling.” How safe is That lack of information not only makes it difficult to define the extent of the problem but also makes it challenging for patients to know about the safety of the your hospital? hospitals in their communities. To address that problem, Consumer Our new Ratings find that too many pose risks Reports has for the first time rated hospitals for safety, using the most current data ospitals should be places says. “That’s like wiping out the entire pop- available to us at the time of our analysis. you go to get better, but too of- ulations of North Dakota, Rhode Island, It includes information from government ten the opposite happens. and Vermont. It’s a man-made disaster.” and independent sources on 1,159 hospi- Infections, surgical mistakes, Some hospitals have responded to the tals in 44 states. For this article, we also Hand other medical harm contribute to the crisis with safety initiatives such as elec- interviewed patients, physicians, hospi- deaths of 180,000 hospital patients a year, tronic prescribing to help prevent drug er- tal administrators, and safety experts; re- according to projections based on a 2010 rors and checklists to prevent infections, viewed medical literature; and looked at report from the Department of Health and with some success. Rates of central-line hospital inspections and investigations. Human Services. Another 1.4 million are bloodstream infections, for example, have Still, our Ratings include only 18 percent seriously hurt by their hospital care. And dropped by 32 percent since 2008, accord- of U.S. hospitals because data on patient those figures apply only to Medicare pa- ing to the national Centers for Disease harm still isn’t reported fully or consis- tients. What happens to other people is Control and Prevention. tently nationwide. “Hospitals that volun- less clear because most hospital errors go But more needs to be done. “Hospitals teer safety information, regardless of their unreported and hospitals report on only a haven’t given safety the attention it de- score, deserve credit, since the first step in fraction of things that can go wrong. serves,” says Peter Pronovost, M.D., se- safety is accountability,” says John Santa, “There is an epidemic of health-care nior vice president for patient safety and M.D., director of the Consumer Reports harm,” says Rosemary Gibson, a patient- quality at Johns Hopkins Medicine in Bal- Health Ratings Center. “But the fact that safety advocate and author. More than timore. Nor has the government, he says. consumers can’t get a full picture of most 2.25 million Americans will probably die “Medical harm is probably one of the three hospitals in the U.S. underscores the need

from medical harm in this decade, she leading causes of death in the U.S., but for more public reporting.” prophett carrie photo:

20 consumer reports august 2012 Despite that limitation, our safety Rat- ings provide a unique way to compare hos- Things that should never happen in a hospital pitals in your community. And they yield important insights into the state of hospi- There’s never an excuse for operating Blood clots after surgery. Some on the wrong patient or body part. But surgeries, such as those to replace tal safety nationwide—and what you need our medical experts say that several less a hip or knee, can cause blood to do to protect yourself, or someone you 5 dramatic events should also never or at clots to form in the legs. Those clots care for, when entering a hospital. least very rarely occur in hospitals. Those can break loose and travel to the lungs, include the complications listed below, a deadly complication called a pulmonary What we found which are part of our Ratings. embolism. Moving about and walking We focus on six categories in our safety Bedsores. These painful wounds, soon after surgery can help prevent Ratings: infections, readmissions, com- usually on the ankles, back, buttocks, the clots, as can blood thinners and munication, CT scanning, complications, 1hips, or other bony areas, can special stockings. and mortality. Some experts question develop if a patient is left in one position Postoperative sepsis. This those measures. Readmission rates, for too long. Frequent repositioning and occurs when a serious infection special pads, cushions, and mattresses overwhelms the body, leading to example, might be higher among hospi- 6 can prevent them. If you see early signs, failure of the kidneys, liver, lungs, and tals that care for patients with little home including patches of skin that have other organs. Make sure that everyone or community support, says David M. reddened, let the nursing staff know. who touches you washes their hands Shahian, M.D., professor of surgery at Collapsed lungs. If doctors are and that the hospital follows infection- Harvard Medical School and associate not careful, they can puncture the prevention guidelines. Early signs include medical director at the Center for Quality 2 lungs when inserting a catheter either high or low body temperature plus and Safety at Massachusetts General Hos- or needle into the chest. Your doctor rapid breathing and pulse. Treatment includes measures to rein in the infection pital in Boston. But our Ratings are “based should use an ultrasound as guidance, and control blood pressure. on the best data we have about what hap- especially if you’re at high risk because of chronic lung disease. Opening of a wound after pens to patients in hospitals,” Santa says. surgery. A wound that opens in Here are some of the most important Central venous catheter-related bloodstream infections. A doctor the days following an operation is findings from our analysis: 7 or nurse should make sure that an infection waiting to happen. Ask how Bad things happen in all hospitals, but 3 • these tubes, used to deliver medicine and to care for your surgical wound, how they happen a lot in some. The lowest- nutrients, are kept clean and are removed long it should take to heal, and what scoring hospital, Sacred Heart Hospital in as soon as they’re no longer necessary. to do if it doesn’t. Chicago, earned just a 16 on our 100-point Postoperative hip fractures. Accidental punctures or cuts. safety scale and reported a rate of blood- To prevent a fall that can break Surgeons can accidentally stream infections that was more than 4your hip, ask for help when you 8 puncture or cut an organ or blood vessel, which can extend your hospital twice the national benchmark. The hospi- get out of bed. And don’t take more stay. Finding an experienced, skilled tal declined to comment. pain medication than you need or walk if you are groggy. surgeon might reduce the risk. • Even high-scoring hospitals can do better. Billings Clinic in Montana was at the top of our list—but it got a safety score of just 72. “The work is hard,” says Mark Ru- mans, M.D., the hospital’s physician-in- Deadly infections develop an infection. They can be devastat- chief. “We are far from perfect.” Despite worsening back pain, Patrick Roth ing, deadly even, and many can be prevent- • Some well-known hospitals have less- of Dartmouth, Mass., loved to ride his bicy- ed. Dirty instruments, improperly sterilized than-outstanding safety scores. That in- cle. But that was before back surgery in 2007 catheters or needles, and the contaminated cludes Massachusetts General Hospital, at age 65. The procedure was followed by sev- hands of doctors, nurses, or other health- Boston, with a safety score of 45; Ronald eral complications, including an infection care workers are common causes. Reagan UCLA Medical Center, Los Ange- with a potentially deadly bacterium. Roth We rate hospitals on infections that de- les, 43; Cleveland Clinic, 39; New York- velop after surgery, those caused by central- Presbyterian, New York, 32; and Mount line catheters in intensive-care units, or Sinai Medical Center, New York, 30. ‘Medical harm is both. The catheters are IVs that deliver • Our Ratings are an important measure, probably one of drugs and nutrients but can also introduce but they’re not the only source you should serious infections into the bloodstream. consult. They don’t, for example, assess the three leading Some states require that hospitals report how successful hospitals are at treating data for one or both types of infections. And medical conditions. So before a planned causes of death.’ some hospitals volunteer central-line data hospital stay, consult multiple sources, to Leapfrog. such as Hospital Compare (hospitalcompare. says he didn’t understand he had the in- An estimated 290,000 surgical-site in- hhs.gov), run by the federal government, fection until he transferred to a new hospi- fections occur each year in U.S. hospitals, and the Leapfrog Group (leapfroggroup.org), tal. Now he rides a mobility scooter instead and Roth’s is an example of the agony they an independent organization that tracks of a bike and is learning to live with the side can cause. A few days after his surgery hospital safety and quality. Some of the effects of daily antibiotics, he says. Roth was in so much pain he had to return data we use come from those sources. About one in 20 hospitalized patients will to the hospital. He was there for 12 days,

august 2012 ConsumerReports.org 21 cr investigates how safe is your hospital?

most of which he can’t remember because of the pain medication he was given. (Roth was initially treated at Carney Hospital in Boston. We don’t have data for the period he was hospitalized. But the hospital received a 61 in our current safety score and top marks for avoiding infections.) Roth’s wife, Barbara, says he was hallu- cinating and “would scream for 2 to 3 hours at a time.” A CT scan taken several months later showed that a screw from his surgery had broken, but Roth says his doctors don’t want him to risk another operation. He can no longer walk unassisted. “The pain becomes too intense,” he says. And to this day the Roths have not received “even an acknowledgment or an apology for what he went through,” Barbara Roth says. The hospital said it could not comment on a specific patient. Only 544 of the hospitals in our Ratings have data for surgical-site infections, from

14 states that require their public report- Cascading crisis Mary Flowers, M.D., says her father died after his intestines were ing. Of those hospitals, 82 reported zero punctured during a routine procedure and he developed bedsores and a fatal infection. such infections. Infections linked to central-line catheters may be even more worrisome. They kill up benchmark. But we couldn’t rate it for hibitors increase the risk of intestinal in- to 16,250 patients a year, research suggests. safety because Maryland hospitals don’t fections and pneumonia. If you’re taking They’re also almost entirely preventable. participate in the standard Medicare pay- one, ask whether you should stop. Yet 202 hospitals reported infections at rates ment system that’s also used to collect data higher than the benchmark used by the for some of the measures in our Ratings. Readmissions CDC, and only 148 reported zero infections. What you can do. Ask whether the hos- Having to return to the hospital soon after “Central-line infections are the canary pital uses a checklist of best practices for going home can be a sign that something in the coal mine for patient safety,” says inserting and maintaining central lines went wrong during the initial stay, such Pronovost at Johns Hopkins Medicine. In and how you or someone caring for you as an infection that worsens after you get one study, 60 percent of hospitals that can help monitor those lines. In addition: home. And the more often you enter a used an infection-prevention checklist he • Make sure that all staff and visitors hospital, the greater the chance some- developed eliminated all central-line in- wash their hands before touching you. thing else will go wrong. Research sug- fections in their intensive-care units for at • Ask every day whether any catheters or gests that up to three-quarters of least a year. And follow-up research shows other tubes can be removed. readmissions may be preventable. that those hospitals saw a 10 percent drop • Before surgery ask whether you’re prone Our readmissions rating is based on in their overall death rates. to infection because of a chronic disease, data from the Centers for Medicare and “Any hospital should be able to get such as diabetes. Smoking increases infec- Medicaid Services, which tracks patients to zero bloodstream infections, or close to tion risk, so take steps to kick the habit. hospitalized for heart attack, heart fail- it,” Pronovost says. And a hospital that • Ask whether shaving your surgical site is ure, and pneumonia who are readmitted does well in preventing those infections necessary. Nicks can grant bacteria entry. to a hospital within 30 days of being dis- “has something good going on.” On the • Make sure you understand instructions charged. No hospital earned our highest other hand, he says, be concerned about for caring for your wound. If you notice score for readmissions; 166 hospitals re- hospitals that do poorly in that measure. redness and pain at the surgery site or if ceived our lowest score. Johns Hopkins Hospital had less than you develop a fever, call your doctor. What you can do. Usually the sooner half the rate of infections of the national • Heartburn drugs called proton pump in- you get home the better. But you shouldn’t be discharged if you feel disoriented, faint, Have you been harmed? or unsteady; have pain that’s not controlled by oral drugs; can’t go to the bathroom If you think you’ve been injured in the advocates for legislation to protect patients alone; have trouble urinating or moving hospital, see a health-care provider, contact from medical harm, collects such stories your bowels; or can’t keep food or drink your state health department, get a at SafePatientProject.org/share_your_story. down. In addition, follow these steps: complete copy of your medical records, ProPublica, an independent newsroom, does See a discharge planner well in advance and consider sharing your story. Consumers too and recently started a ProPublica Patient • of your departure to arrange for services or Union’s Safe Patient Project, which Harm Community on Facebook.

supplies you’ll need at home. norton cary photo:

22 consumer reports august 2012 • Get a written summary of what to do • Keep a list of all your prescription and contrast and once without. Probably less when you get home, including drugs you over-the-counter medications, including than 1 percent of patients undergoing chest need, how to care for wounds, how active dietary supplements and vitamins. CT scans should get double scans, says you can be, and when you can shower, • If you don’t understand why you are James Brink, M.D., chairman of the de- drive, return to work, and eat normally. taking certain drugs, or how to take them, partment of diagnostic radiology at Yale • Get results of tests done while in the ask again until you do. University School of Medicine. Double hospital and ask what tests you’ll need af- • Learn about the potential side effects scans of the abdomen are needed more fre- ter you leave and when you’ll need them. and what should you do if you have one. quently, often to define abnormalities in • See your primary-care doctor within 10 the liver, kidney, and pancreas, he says. days of going home. Radiation overload But only 28 percent of the hospitals in CT scans can provide essential diagnostic in- our Ratings had double-scan rates of 5 per- Unclear instructions formation. But they pose risks, too. Radia- cent or less in both categories, which is Clear communication in the hospital is tion from CT scans—which are equivalent the cutoff we use for a top rating. Brink hard to come by: Almost 500 hospitals says that referring doctors often assume earned our lowest score for communica- that double scans provide more useful in- tion about new medications and discharge No hospital got formation than single scans. Radiologists plans, and none earned our top score. That’s should question such orders, he says. a problem because drug errors in hospitals top scores for What you can do. If you’re scheduled are common and sometimes serious, and readmissions or to get two CT scans of your chest or abdo- poor discharge planning can lead to read- men, ask whether both are necessary. Also missions. The scores are based on questions communication. ask whether any CT is really required and answered by millions of discharged patients whether an imaging test that does not in a federally mandated survey. to between 100 and 500 chest X-rays—might emit radiation, such as an MRI or ultra- What you can do. Take notes during contribute to an estimated 29,000 future sound, could be used instead. your discharge planning if you can, and cancers a year, a 2009 study suggests. take a friend or relative to serve as an extra Our Ratings report the percentage of What needs to happen set of ears. To prevent confusion about chest and abdominal CT scans that are or- The federal government recently provided your medication, follow these steps: dered twice for the same patient, once with funding of $218 million to 26 hospital

Why some hospitals succeed—and others don’t

Top-scoring hospitals have found different reports conducted by state and federal health problem, a medication error, at Alton ways to improve safety. Billings Hospital in departments at three low-scoring hospitals Memorial Hospital, Illinois’ highest-scoring Montana had our top safety score, in part and obtained through Freedom of hospital, since 2009. Similarly, Lancaster because it reported very low rates of double Information Act requests. General was cited just twice since 2009, CT scans and bloodstream infections. Mark Sacred Heart Hospital in Chicago, our according to the records, for not training Rumans, M.D., the hospital’s physician-in- lowest-rated hospital, was cited for a Feb. 25 emergency-room staff on how to comply chief, says that doctors who practice there incident in which an emergency-room doctor with a federal law and for transferring are part of an integrated system, which declined to provide care to an unresponsive patients without full consent. fosters teamwork. woman in her car in the hospital’s parking Lancaster General, in Pennsylvania, lot. She was transported to another hospital, Hospitals respond which had the best readmission score among where she was pronounced dead, according Of the three low-scoring hospitals mentioned the hospitals in our Ratings, says heart- to the documents. The inspection reports above, only Our Lady of the Resurrection failure readmission rates have stayed low mentioned rusty surgical tools, a hole in an responded to a request for comment. It said for seven years. The hospital says its overall operating-room wall, nurses who failed to the hospital tries to correct problems brought readmission rates have also been low thanks follow precautions to prevent falls and to its attention. In addition, the hospital says to a strong network of primary-care doctors bedsores, and a lab refrigerator so dirty that it “had only one central-line-associated and a team approach to care. it “created the potential for contamination bloodstream infection over the entire past Baylor University Medical Center in of the specimens and infection to the staff.” year” and “zero hospital-acquired conditions Dallas, one of our highest-scoring teaching The documents we have for Our Lady of the for more than seven months.” Harlem hospitals, says it saw a 23 percent reduction Resurrection, another low-scoring Chicago Hospital Center, in New York, another in sepsis, a particularly serious infection, hospital, cited failures such as misuse of low-scoring hospital, acknowledged that it and a 34 percent decline in preventable patient restraints, failure to ensure that needed to improve in some areas. It said it is deaths since 2006. “We set goals for medical nurses could hear patient alarms, and failure “committed to offering high-quality health directors and made them part of their to provide timely discharge counseling. care to all New Yorkers regardless of their performance appraisals,” says John Inspectors at Kimball Medical Center in ability to pay.” Kings County Hospital Center, McWhorter, the hospital’s president. Lakewood, N.J., which also received low in Brooklyn, N.Y., said its patients speak more scores, noted substandard cleaning, misuse than 100 languages. Both said they had Why bad things happen of restraints, and a failure to properly report recently seen drops in rates of infections and When hospitals get low scores, other adverse events. double CT scans. If those improvements are problems may be at play, as we found when When we looked at two top hospitals, we maintained and publicly reported, we will we reviewed inspection and investigation spotted fewer citations. We found only one include them in future updated Ratings.

august 2012 ConsumerReports.org 23 cr investigates how safe is your hospital?

groups nationwide to improve hospital safety and provided up to $500 million for Hospital safety: Highest and lowest scores programs to help Medicare patients tran- The 10 hospitals at the top of our Ratings are in 10 states. They are in big cities and sition from hospital to home. And hospi- small towns. The Mayo Clinic in Phoenix is a teaching hospital; others are small tals now have financial incentives to use community hospitals. The message: Success can happen anywhere. The lowest-scoring electronic health records. hospitals tend to cluster in metropolitan areas, suggesting that urban hospitals face But more needs to be done. “Those car- special challenges. Their safety scores in our 100-point scale are shown below. rots are fine, but we need some sticks, too,” says Lisa McGiffert, director of the Safe Pa- Top 10 hospitals Bottom 10 hospitals tient Project at Consumers Union, the ad- 1. Billings Clinic Billings, Mont. 72 1. Sacred Heart Hospital Chicago 16 vocacy arm of Consumer Reports. For 2. Saint Clare’s Hospital Weston, Wis. 71 2. Harlem Hospital Center New York 20 example, Medicare withholds payments 3. Alton Memorial Hospital Alton, Ill. 71 3. Lake Regional Health System 22 Osage Beach, Mo. for some procedures that lead to patient 4. Central Vermont Medical Center 71 harm, but it should also require hospitals Berlin, Vt. 4. Kings County Hospital Center 22 Brooklyn, N.Y. to pay for the follow-up tests and treat- 5. Kadlec Medical Center 71 5. Our Lady of the Resurrection 23 ments that those errors lead to, she says. Richland, Wash. Medical Center Chicago Consumers Union believes that a nation- 6. St. John’s Hospital Springfield, Mo. 70 6. Kimball Medical Center 24 Lakewood, N.J. al system should track and publicly report 7. Mayo Clinic Hospital Phoenix 70 medical errors. The Institute of Medicine 7. St. Rose Dominican Hospitals- 24 8. Northern Michigan Regional 69 San Martin Campus Las Vegas recommended that more than a decade Hospital Petoskey, Mich. 8. Clinch Valley Medical Center 25 ago. “The public assumes that someone 9. Bon Secours St. Francis Health 69 Richlands, Va. keeps track of all that goes wrong, but that System Greenville, S.C. 9. Westchester Medical Center 25 is just not the case,” McGiffert says. 10. Memorial Hospital of Union 68 Valhalla, N.Y. Also, Consumers Union says hospital County Marysville, Ohio 10. Hanford Community Medical 25 administrators and regulators need to lis- Center Hanford, Calif. ten more to the people most affected by medical harm: patients. Regulators must investigate those complaints and use them to identify hospitals with patterns of prob- Mary Flowers, M.D., of Montgomery, says, wasn’t the mistakes but the time it lems. Changes in the courtroom could Ala., agrees. She says her father entered took for the hospital to acknowledge help, too, by relaxing the gag orders and the hospital for a procedure related to di- them. “I’m a doctor—I know we are not secret settlements that often prevent alysis “and never walked out, because of perfect,” she says. “But we need to listen harmed patients from telling their stories. one error after another.” Problems includ- to our patients and, when mistakes hap- “The best cure for medical harm is full dis- ed a punctured colon, bedsores, and a seri- pen, own up so we can fix them, or at least closure,” McGiffert says. ous infection. The biggest problem, she keep them from happening again.”

About the Ratings We have safety Ratings for 1,159 of the 6,268 without footnotes are average or similar. Why these hospitals aren’t listed hospitals in the U.S. They’re presented to magazine Infections reflects a hospital’s success in avoiding • Veterans Affairs and children’s hospitals because readers in four regional editions. A national list of infections from central-line catheters used in the government doesn’t require them to participate all hospitals with a safety score is available on our intensive-care units and/or infections after in a survey of patients that we use to determine iPad edition and to website subscribers at cesarean section, hernia repair, hip or knee ratings for communication. ConsumerReports.org/hospitalratings. That page replacement, hysterectomy, spinal fusion, or • Some specialty hospitals because they don’t treat also gives information on more than 3,000 other coronary bypass, colon, or gallbladder surgery. patients with conditions used in our readmissions hospitals that don’t have enough data for a safety Readmissions represents the chance that a patient rating. That includes such hospitals as the Hospital score but for which we have some information. It who has had a heart attack, heart failure, or for Special Surgery in New York and the University also includes a full description of our methodology. pneumonia will have to be readmitted to a hospital of Texas M.D. Anderson Cancer Center in Houston. Reporting periods vary depending on the hospital within 30 days of his or her initial discharge. • Hospitals that don’t have enough data, have data and the rating category. All data except infection Communication indicates how clearly staff explain we consider too old, have data discrepancies, or information come from the Centers for Medicare new medications and discharge planning to patients. don’t report their data in a way we can use. That and Medicaid Services. Infection data come from Scanning reflects the percentage of chest and/or includes many hospitals, including some familiar states and the Leapfrog Group. abdominal CT scans that are ordered twice for the ones, such as Duke University Hospital in Durham, Safety score combines six categories of hospital same patient, once with contrast and once without. N.C.; Emory University Hospital in Atlanta; Henry safety into a score between 1 and 100. Displayed scores Complications looks at a set of eight adverse Ford Hospital in Detroit; Johns Hopkins Hospital in are rounded, but hospitals are listed in order of their events, including bedsores, collapsed lungs, Baltimore; the University of Chicago Medical Center; precise score. Look for large differences between central-line-associated bloodstream infections, and the University of Colorado Hospital in Aurora. hospitals; small differences are not meaningful. We and accidental punctures or cuts during surgery, also show a hospital’s rating in four of those as well as four post-surgical complications: how to choose categories: infections, readmissions, communication, bloodstream infections, hip fractures, blood clots a hospital and scanning. Each gets up to 20 points of the in the lungs or legs, and the reopening of wounds. Use your smart phone to safety score. We footnote hospitals that are better Mortality assesses a set of six causes of death in download the RedLaser or or worse than the average in complications and the hospital: heart attack, heart failure, stroke, ShopSavvy app and scan mortality, each worth up to 10 points. Those stomach bleeding, hip fracture, and pneumonia. the code for video.

24 consumer reports august 2012 Ratings Hospital safety Better worse In order of safety score, within states. 5 4 3 2 1 Hospital Safety score Categories Hospital Safety score Categories Scanning Scanning Infections Infections Readmissions Readmissions Communication 0 100 0 100 Communication Alaska California continued Alaska Regional Hospital Anchorage 54 &V &V &V &Z Marin General Hospital Greenbrae 58 &Z &V &B &Z Arizona Sherman Oaks Hospital Sherman Oaks ‹ 58 &Z &V &&V &Z Mayo Clinic Hospital Phoenix ‹ 70 &Z &V &X &Z Sharp Chula Vista Medical Center Chula Vista 58 &X &C &V &Z Banner Baywood Medical Center Mesa ‹ 63 &Z &V &V &Z Anaheim Regional Medical Center Anaheim 58 &Z &V &B &Z Banner Gateway Medical Center Gilbert ‹ 63 &X &V &B &Z Enloe Medical Center Chico › 57 &Z &V &V &Z

Scottsdale Healthcare Thompson Peak 61 Bakersfield Memorial Hospital Bakersfield 57 &Z &V &B &Z Scottsdale &Z &V &B &Z St. Mary Medical Center Long Beach 57 Banner Boswell Medical Center Sun City ⁄‹ 60 &V &V &V &Z &Z &V &B &X Queen of the Valley Medical Center Napa 57 Banner Thunderbird Medical Center Glendale ‹ 60 &Z &V &V &Z &X &V &V &Z St. Rose Hospital Hayward 57 Scottsdale Healthcare-Osborn Scottsdale ‹ 56 &C &V &B &Z &Z &V &B &Z Mercy Hospital of Folsom Folsom 57 &Z &V &V &X Banner Desert Medical Center Mesa ‹ 55 &C &V &V &Z O’Connor Hospital San Jose 57 &Z &V &B &Z Banner Estrella Medical Center Phoenix ‹ 54 &V &V &V &Z San Antonio Community Hospital Upland ‹ 57 &C &C &V &Z Yuma Regional Medical Center Yuma 53 &Z &V &V &C Emanuel Medical Center Turlock 57 &X &C &B &Z Banner Good Samaritan Medical Center 53 &C &C &V &C Phoenix ‹ St. Mary’s Medical Center San Francisco 57 &Z &V &V &X Scottsdale Healthcare Shea Scottsdale € 48 &X &C &B &Z Mills-Peninsula Health Services Burlingame 57 &X &C &B &Z Banner Del E. Webb Medical Center 46 &V &V &B &X Henry Mayo Newhall Memorial Hospital 57 Sun City West ‹ Valencia &Z &V &B &Z St. Joseph’s Hospital and Medical Center 42 57 Phoenix € &V &V &V &Z Stanford Hospital and Clinics Palo Alto &X &C &V &X California ValleyCare Medical Center Pleasanton 56 &Z &C &V &C Feather River Hospital Paradise 56 &Z &V &V &C Bakersfield Heart Hospital Bakersfield ‹ 68 &Z &C &B &Z Mercy San Juan Medical Center Carmichael 55 &Z &V &V &X Sutter Auburn Faith Hospital Auburn 68 &Z &C &C &Z Mercy General Hospital Sacramento 54 &Z &V &V &C Woodland Healthcare Woodland 68 &Z &C &V &Z Scripps Memorial Hospital-Encinitas 54 Mercy Medical Center Redding Redding 65 &Z &C &V &Z Encinitas &X &V &B &Z Sutter Medical Center of Santa Rosa, Chanate ‹ 65 53 Shasta Regional Medical Center Redding &Z &C &B &Z Campus Santa Rosa &Z &C &V &V Alhambra Hospital Medical Center 64 &Z &C &B &X Methodist Hospital of Southern California 53 Alhambra ‹ Arcadia &C &C &B &Z Sutter Medical Center, Sacramento Sacramento 64 &Z &C &V &Z San Joaquin General Hospital French Camp 53 &X &V &B &Z Salinas Valley Memorial Healthcare System 64 Scripps Green Hospital La Jolla € 53 &Z &C &V &X Salinas &Z &C &B &Z Methodist Hospital of Sacramento Sacramento 53 &X &V &V &Z Tri-City Regional Medical Center 62 Hawaiian Gardens ‹ &Z &V &B &Z St. Mary Medical Center Apple Valley 53 &Z &V &B &X Sutter Roseville Medical Center Roseville € 62 &Z &C &B &Z LAC/University of Southern California 52 Memorial Medical Center Modesto 62 &Z &V &V &Z Medical Center Los Angeles &X &V &B &Z Santa Rosa Memorial Hospital Santa Rosa › 61 &Z &X &B &Z Alvarado Hospital San Diego 52 &X &V &B &X St. Joseph's Medical Center Stockton 61 &Z &V &B &Z Scripps Mercy Hospital San Diego ‹ 52 &C &V &B &Z Marian Medical Center Santa Maria 61 &Z &C &B &Z St. Luke’s Hospital San Francisco 52 &C &C &B &Z Glendale Memorial Hospital and Health 52 Paradise Valley Hospital National City 60 &Z &C &B &Z Center Glendale &Z &V &B &X 52 Sutter Solano Medical Center Vallejo 60 &Z &V &V &Z Palmdale Regional Medical Center Palmdale &X &V &B &Z 52 Saint Francis Memorial Hospital Regional Medical Center of San Jose San Jose &Z &B &B &Z 60 &Z &C &B &X San Francisco Seton Medical Center Daly City 52 &Z &V &B &X Dominican Hospital Santa Cruz 59 &X &C &B &Z Cedars-Sinai Medical Center Los Angeles € 52 &X &C &B &Z Contra Costa Regional Medical Center Martinez 59 &Z &V &V &Z Orange Coast Memorial Medical Center 51 St. Joseph Hospital Orange 59 &X &C &V &Z Fountain Valley &Z &C &B &C ⁄Complications are better than average. €Complications are worse than average. ‹Mortality is better than average. ›Mortality is worse than average.

august 2012 ConsumerReports.org 25 cr investigates how safe is your hospital?

Hospital Safety score Categories Hospital Safety score Categories Scanning Scanning Infections Infections Readmissions Readmissions

0 100 Communication 0 100 Communication California continued California continued

Santa Clara Valley Medical Center San Jose 51 &Z &C &B &C Palomar Medical Center Escondido 46 &X &C &B &C Downey Regional Medical Center Downey 46 &V &V &B &Z Providence Little Company of Mary Medical 51 Center Torrance &C &V &B &Z Sharp Grossmont Hospital La Mesa › 45 &Z &V &B &C Sequoia Hospital Redwood City 50 &C &C &B &X Providence Holy Cross Medical Center West Anaheim Medical Center Anaheim ‹ 45 &X &V &B &V 50 &C &C &B &X Mission Hills Scripps Memorial Hospital-La Jolla La Jolla € 45 &C &C &V &X Lakewood Regional Medical Center Lakewood 50 &C &V &B &Z Fremont-Rideout Health Group Marysville › 44 &C &V &B &Z Doctors Medical Center Modesto € 50 &X &V &B &Z Tri-City Medical Center Oceanside 44 &V &C &B &C Los Alamitos Medical Center Los Alamitos › 50 &X &C &B &Z Centinela Hospital Medical Center Inglewood ⁄‹ 44 &X &B &B &C Eden Medical Center Castro Valley 50 &X &V &B &X Community Memorial Health System Ventura 44 &Z &C &B &B Presbyterian Intercommunity Hospital 50 Whittier ‹ &Z &V &V &V Good Samaritan Hospital Los Angeles 44 &X &V &B &X Washington Hospital Healthcare System 50 Fremont &X &V &V &X St. John’s Pleasant Valley Hospital Camarillo 43 &C &C &B &C Mercy Hospitals of Bakersfield Bakersfield 49 &X &V &B &Z Beverly Hospital Montebello 43 &X &V &B &C NorthBay Medical Center Fairfield 49 &V &B &V &Z California Pacific Medical Center 43 &X &V &B &C Sharp Memorial Hospital San Diego €› 49 &Z &V &V &Z San Francisco St. Francis Medical Center Lynwood 43 Lodi Memorial Hospital Lodi 48 &C &V &V &Z &V &V &B &Z Ronald Reagan University of California Los 43 Huntington Memorial Hospital Pasadena € 48 &X &V &B &Z Angeles Medical Center Los Angeles € &X &V &V &C St. Joseph Hospital Eureka 48 &X &C &B &C Good Samaritan Hospital San Jose €› 42 &C &C &B &Z UCSF Medical Center San Francisco 48 &C &V &V &C Santa Barbara Cottage Hospital Santa Barbara › 42 &V &C &V &C John Muir Medical Center, Walnut Creek 48 Pomerado Hospital Poway 42 &C &C &B &C Walnut Creek ‹ &C &C &B &C Arrowhead Regional Medical Center Colton 42 Saddleback Memorial Medical Center 48 &V &V &B &Z Laguna Hills ⁄ &C &C &B &C Torrance Memorial Medical Center Torrance 42 Los Robles Hospital and Medical Center &Z &V &B &B 48 &X &C &B &C Thousand Oaks St. Vincent Medical Center Los Angeles ⁄ 42 &V &C &B &C St. Helena Hospital Saint Helena 48 &V &V &V &Z Whittier Hospital Medical Center Whittier 42 &X &C &B &C ‹ 48 UC San Diego Health System San Diego &C &V &B &C LAC-Olive View-UCLA Medical Center Sylmar 42 &C &V &B &C Desert Regional Medical Center Palm Springs 48 &X &V &V &C Natividad Medical Center Salinas 41 &B &V &V &Z Northridge Hospital Medical Center-Roscoe 48 Boulevard Campus Northridge &C &C &B &X John Muir Medical Center, Concord Concord 41 &C &C &V &V Hoag Memorial Hospital Presbyterian 48 &X &V &B &Z Citrus Valley Medical Center- 41 Newport Beach › Inter-Community Campus Covina &C &C &B &V San Gabriel Valley Medical Center San Gabriel 48 &X &B &B &Z Western Medical Center-Santa Ana Santa Ana 41 &C &C &B &C John F. Kennedy Memorial Hospital Indio 47 &Z &V &B &V California Hospital Medical Center 41 &V &V &B &Z San Francisco General Hospital Medical Los Angeles 47 &X &V &V &X Simi Valley Hospital and Health Care Services Center San Francisco 41 &V &C &B &C Doctors Medical Center-San Pablo Campus Simi Valley 47 &C &V &B &Z San Pablo Glendale Adventist Medical Center Glendale 41 &C &V &B &C Riverside Community Hospital Riverside 47 &C &C &B &X Saint Agnes Medical Center Fresno › 41 &C &V &B &X St. Jude Medical Center Fullerton 47 &C &C &V &C Mercy Medical Center Merced Merced 41 &B &V &B &Z Alameda County Medical Center Oakland 46 &C &V &B &Z Long Beach Memorial Medical Center 41 &C &V &B &C Riverside County Regional Medical Center Long Beach 46 &C &V &B &Z Moreno Valley St. John’s Regional Medical Center Oxnard 40 &C &V &B &C Providence Saint Joseph Medical Center 46 Burbank ⁄ &V &V &B &X Hemet Valley Medical Center Hemet 40 &C &V &B &C Marshall Medical Center Placerville 46 &X &V &V &C Providence Tarzana Medical Center Tarzana 39 &V &V &B &X Fresno Heart and Surgical Hospital Fresno 46 &B &V &C &X Clovis Community Medical Center Clovis € 39 &B &C &V &X Community Hospital of the Monterey Santa Monica-UCLA Medical Center and 46 &V &C &B &Z 39 Peninsula Monterey › Orthopaedic Hospital Santa Monica € &X &V &B &C Community Hospital of San Bernardino San University of California, Davis Medical 46 38 &C &V &V &C Bernardino &Z &C &B &V Center Sacramento € ⁄Complications are better than average. €Complications are worse than average. ‹Mortality is better than average. ›Mortality is worse than average.

26 consumer reports august 2012 Better worse 5 4 3 2 1 Hospital Safety score Categories Hospital Safety score Categories Scanning Scanning Infections Infections Readmissions Readmissions

0 100 Communication 0 100 Communication California continued Colorado continued LAC-Harbor-University of California at Los 38 Colorado Plains Medical Center Fort Morgan 61 &Z &C &C &C Angeles Medical Center Torrance &V &B &B &X Foothill Presbyterian Hospital Glendora 38 &V &V &B &C Vail Valley Medical Center Vail 61 &Z &V &C &X

Antelope Valley Hospital Lancaster › 38 &C &V &B &Z Exempla Lutheran Medical Center 61 Wheat Ridge ‹ &C &C &V &Z Kern Medical Center Bakersfield 38 &V &V &B &C Platte Valley Medical Center Brighton 59 &Z &V &V &Z Fountain Valley Regional Hospital and 38 &C &V &B &V Medical Center Fountain Valley McKee Medical Center Loveland ‹ 59 &C &V &C &X

Sutter Delta Medical Center Antioch 37 &B &V &B &Z Exempla Good Samaritan Medical Center 59 Lafayette &X &V &V &Z University of California, Irvine Healthcare 37 Orange € &X &V &V &C Presbyterian-St. Luke's Medical Center Denver € 59 &Z &C &V &Z 37 St. Mary’s Hospital and Medical Center Eisenhower Medical Center Rancho Mirage &C &C &V &B 59 &X &V &V &Z Garden Grove Hospital and Medical Center Grand Junction 37 &C &V &B &B Garden Grove ‹ Longmont United Hospital Longmont ‹ 59 &X &V &V &X La Palma Intercommunity Hospital La Palma 36 &Z &V &B &B Rose Medical Center Denver 58 &X &C &V &Z Community Regional Medical Center Fresno › 36 &V &B &B &Z Exempla Saint Joseph Hospital Denver 58 &X &V &C &Z Greater El Monte Community Hospital South 36 El Monte &B &V &B &X Denver Health Medical Center Denver 57 &X &V &V &Z Los Angeles Community Hospital Los Angeles 36 &V &B &B &Z Parker Adventist Hospital Parker 57 &C &C &V &Z USC University Hospital Los Angeles € 36 &C &V &B &C Boulder Community Hospital Boulder 56 &X &C &V &X Placentia-Linda Hospital Placentia 35 &B &V &V &C St. Anthony North Hospital Westminster 55 &C &C &V &Z Brotman Medical Center Culver City 35 &C &V &B &C Parkview Medical Center Pueblo € 55 &X &C &V &Z Redlands Community Hospital Redlands 35 &X &C &B &B Delta County Memorial Hospital Delta 53 &X &V &V &Z Valley Presbyterian Hospital Van Nuys 34 &B &V &B &X North Suburban Medical Center Thornton 52 &X &V &V &Z Garfield Medical Center Monterey Park 33 &X &V &B &B St. Anthony Central Hospital Denver € 52 &X &C &V &Z

Parkview Community Hospital Medical 33 Medical Center of Aurora Aurora 51 &V &C &V &X Center Riverside &Z &V &B &B Penrose-St. Francis Health Services 51 Corona Regional Medical Center Corona › 32 &C &V &B &V Colorado Springs &C &V &V &Z Sierra Vista Regional Medical Center San Luis 32 Sterling Regional MedCenter Sterling 49 Obispo &B &V &V &B &Z &V &C &B Loma Linda University Medical Center Loma Linda € 32 &C &V &V &V Sky Ridge Medical Center Lone Tree 49 &V &C &V &X Mission Hospital Mission Viejo € 32 &C &V &B &B Swedish Medical Center Englewood € 48 &C &C &V &X Olympia Medical Center Los Angeles 31 &B &B &B &Z Littleton Adventist Hospital Littleton 47 &C &C &V &C 47 West Hills Hospital and Medical Center 31 Avista Adventist Hospital Louisville &V &V &C &C West Hills &C &V &B &B Community Hospital Grand Junction 46 &V &C &V &X Menifee Valley Medical Center Sun City 30 &B &V &B &C St. Thomas More Hospital Canon City › 44 &V &C &V &X Twin Cities Community Hospital Templeton › 30 &C &C &B &B St. Mary-Corwin Medical Center Pueblo € 44 &C &V &V &X Hollywood Presbyterian Medical Center 30 &V &B &B &C Los Angeles Memorial Health System 44 Colorado Springs &C &C &V &V Kaweah Delta Medical Center Visalia › 29 &V &C &B &V Porter Adventist Hospital Denver 43 &C &V &V &C St. Bernardine Medical Center San Bernardino 28 &C &V &B &B San Luis Valley Regional Medical Center 41 &X &C &B &B Providence Little Company of Mary Medical 26 Alamosa Center San Pedro San Pedro &V &V &B &B Montrose Memorial Hospital Montrose 38 &C &V &V &B Hanford Community Medical Center Hanford › 25 &C &V &V &B Idaho Colorado West Valley Medical Center Caldwell 63 &Z &C &V &Z Yampa Valley Medical Center Steamboat Springs 67 &Z &C &C &Z Eastern Idaho Regional Medical Center 53 &Z &C &V &C North Colorado Medical Center Greeley ‹ 66 &X &V &C &Z Idaho Falls › Mercy Regional Medical Center Durango 64 &X &C &C &Z Montana Poudre Valley Hospital Fort Collins 62 &Z &C &V &X Billings Clinic Billings ⁄ 72 &Z &C &V &Z Medical Center of the Rockies Loveland 62 &Z &C &C &X Community Medical Center Missoula 48 &C &V &V &X

august 2012 ConsumerReports.org 27 cr investigates how safe is your hospital? Better worse 5 4 3 2 1 Hospital Safety score Categories Hospital Safety score Categories Scanning Scanning Infections Infections Readmissions Readmissions

0 100 Communication 0 100 Communication nevada oregon continued

Southern Hills Hospital and Medical Center 55 Rogue Valley Medical Center Medford 54 &X &X &V &C Las Vegas &Z &V &B &X Legacy Meridian Park Hospital Tualatin 53 Desert Springs Hospital Medical Center Las 53 &C &V &V &Z Vegas &Z &V &B &Z St. Rose Dominican Hospitals-Siena Campus Sacred Heart Medical Center Eugene 52 &C &C &B &Z 49 &X &V &V &C Henderson Legacy Emanuel Hospital and Health Center € 52 &X &C &V &Z Northern Nevada Medical Center Sparks 48 &C &V &B &Z Portland Silverton Hospital Silverton 49 &V &V &V &Z Spring Valley Hospital Medical Center 46 Las Vegas &Z &V &B &C Ashland Community Hospital Ashland 45 &V &C &C &V North Vista Hospital North Las Vegas 45 &C &V &B &X Samaritan Albany General Hospital Albany 44 &B &V &V &X Sunrise Hospital and Medical Center 44 &V &V &B &Z Las Vegas Providence Medford Medical Center 41 Medford &C &V &V &C University Medical Center Las Vegas € 44 &X &V &B &Z OHSU Hospital Portland € 40 &V &V &V &X Renown Regional Medical Center Reno › 43 &C &V &B &Z Bay Area Hospital Coos Bay › 40 &V &V &V &Z Centennial Hills Hospital Medical Center 43 Las Vegas &V &V &B &Z utah Valley Hospital Medical Center Las Vegas › 41 &Z &B &B &C Ogden Regional Medical Center Ogden 60 MountainView Hospital Las Vegas € 38 &X &V &B &C &X &C &V &X 57 Summerlin Hospital Medical Center 37 St. Mark’s Hospital Salt Lake City &X &C &B &Z Las Vegas &V &C &B &V Timpanogos Regional Hospital Orem 55 &Z &V &V &C St. Rose Dominican Hospitals-Rose de Lima 33 Campus Henderson &V &V &B &V washington St. Rose Dominican Hospitals-San Martin 24 Campus Las Vegas € &C &V &B &B Kadlec Medical Center Richland ‹ 71 &Z &C &V &X new mexico Evergreen Healthcare Kirkland ‹ 67 &X &C &V &Z Presbyterian Hospital Albuquerque € 50 &C &X &V &X St. Francis Hospital Federal Way 65 &Z &C &V &Z oregon Virginia Mason Medical Center Seattle ‹ 65 &Z &C &C &C Salem Hospital Salem 63 &Z &C &V &Z Saint Alphonsus Medical Center-Ontario Providence St. Peter Hospital Olympia 62 &X &C &V &Z 61 &Z &C &V &X Ontario Northwest Hospital & Medical Center 61 &Z &C &B &X Three Rivers Community Hospital and Health 60 Seattle Center Grants Pass &X &C &V &Z Tacoma General Hospital Tacoma 60 &Z &V &V &X Willamette Valley Medical Center 60 &Z &V &V &X McMinnville St. Joseph Medical Center Tacoma € 57 &Z &V &V &Z Providence Willamette Falls Medical Center 60 Oregon City &Z &V &V &Z St. Clare Hospital Tacoma € 56 &Z &C &V &X

Providence Portland Medical Center 60 Overlake Hospital Medical Center Bellevue 53 &X &C &V &X Portland € &Z &C &V &Z Providence Regional Medical Center Everett 52 St. Charles Medical Center-Bend Bend 59 &C &X &V &Z Everett ‹ &B &C &V &Z

McKenzie-Willamette Medical Center 58 Valley Medical Center Renton 52 &V &V &V &Z Springfield &C &C &C &Z Harrison Medical Center Bremerton 52 &V &C &V &Z Sacred Heart Medical Center at RiverBend 58 Springfield &C &C &V &Z University of Washington Medical Center 51 &Z &V &V &X Providence St. Vincent Medical Center 57 Seattle € Portland € &X &X &V &Z Swedish Medical Center-Cherry Hill 49 &C &V &V &Z Sky Lakes Medical Center Klamath Falls › 56 &Z &C &V &Z Campus Seattle € 49 Legacy Mount Hood Medical Center Gresham 55 &C &V &V &Z Harborview Medical Center Seattle € &X &V &V &Z Multicare Good Samaritan Hospital 48 Adventist Medical Center Portland 55 &Z &C &B &X Puyallup &V &V &V &Z Good Samaritan Regional Medical Center 54 € 46 Corvallis € &C &C &V &Z Swedish Health Services Seattle &C &V &V &Z Auburn Regional Medical Center Auburn 41 Legacy Good Samaritan Hospital and 54 &V &B &B &Z Medical Center Portland &C &V &V &X Mercy Medical Center Roseburg 54 &X &V &B &Z wyoming Tuality Healthcare Hillsboro 54 &V &C &V &Z Wyoming Medical Center Casper › 58 &Z &C &B &Z ⁄Complications are better than average. €Complications are worse than average. ‹Mortality is better than average. ›Mortality is worse than average.

28 consumer reports august 2012 Ratings Hospital safety Better Worse In rank order, within states. 5 4 3 2 1 Hospital Safety score Categories Hospital Safety score Categories Scanning Scanning Infections Infections Readmissions Readmissions Communication Communication

0 100 0 100 Alabama Florida continued Walker Baptist Medical Center Jasper 57 &Z &C &V &C Palms West Hospital Loxahatchee 47 &C &V &B &Z Shelby Baptist Medical Center Alabaster 53 &Z &V &V &X JFK Medical Center Atlantis €‹ 45 &X &V &B &X Brookwood Medical Center Birmingham › 51 &X &C &V &X Blake Medical Center Bradenton ‹ 45 &C &V &B &C Providence Hospital Mobile › 51 &Z &C &B &C Coral Gables Hospital Coral Gables 44 &X &V &B &X Gadsden Regional Medical Center Gadsden 49 &C &V &V &Z Sacred Heart Hospital of Pensacola Pensacola 44 &X &C &V &B Princeton Baptist Medical Center Birmingham € 46 &C &C &V &X Palmetto General Hospital Hialeah 43 &Z &B &B &C Huntsville Hospital Huntsville 42 &V &C &V &C Columbia Hospital West Palm Beach 43 &V &V &B &Z Crestwood Medical Center Huntsville › 37 &V &C &V &C St. Lucie Medical Center Port St. Lucie 43 &V &C &V &C Florida Lawnwood Regional Medical Center Fort Pierce 42 &V &B &B &Z 41 Florida Hospital Memorial Medical Center 67 West Florida Hospital Pensacola &V &V &V &C Daytona Beach ‹ &Z &C &V &X Palm Beach Gardens Medical Center 40 St. Mary’s Medical Center West Palm Beach 61 &Z &C &B &Z Palm Beach Gardens €‹ &V &V &B &Z Mayo Clinic Jacksonville Jacksonville 61 &X &V &C &Z Oak Hill Hospital Brooksville 39 &V &C &V &C Homestead Hospital Homestead 58 &Z &V &V &Z Fort Walton Beach Medical Center Fort Walton Beach › 39 &C &V &V &C Delray Medical Center Delray Beach ⁄‹ 57 &C &V &B &Z Plantation General Hospital Plantation 37 &B &V &B &X Fawcett Memorial Hospital Port Charlotte ‹ 56 &C &V &B &Z Central Florida Regional Hospital Sanford 35 &Z &V &B &B Capital Regional Medical Center Tallahassee 56 &X &V &B &Z Georgia Regional Medical Center-Bayonet Point Hudson ⁄ 55 &X &C &B &X Emory Eastside Medical Center Snellville ‹ 62 &X &V &B &Z Raulerson Hospital Okeechobee 55 &Z &V &V &X Doctors Hospital Augusta 57 &Z &C &V &X Ocala Regional Medical Center Ocala ‹ 54 &C &V &B &Z North Fulton Regional Hospital Roswell 55 &C &C &B &Z Aventura Hospital and Medical Center Aventura ‹ 54 &C &V &B &Z Redmond Regional Medical Center 55 Westside Regional Medical Center Plantation 54 &Z &V &B &Z Rome &C &C &V &Z Florida Hospital Heartland Medical Center Sebring ‹ 53 &X &V &B &C Cartersville Medical Center Cartersville 53 &C &V &V &Z Brandon Regional Hospital Brandon 53 &Z &V &B &X WellStar Kennestone Hospital Marietta 51 &Z &V &B &X Northwest Medical Center Margate ⁄‹ 53 &C &V &B &X St. Joseph’s Candler Hospital Savannah 49 &Z &V &B &C Memorial Hospital Jacksonville Jacksonville 52 &X &V &B &Z Spalding Regional Medical Center Griffin 48 &Z &V &B &V Orange Park Medical Center Orange Park 51 &C &V &B &Z St. Joseph's Hospital Savannah 47 &C &C &B &C Good Samaritan Medical Center West Palm Beach ‹ 51 &C &C &B &C Coliseum Medical Centers Macon 46 &V &V &V &X Orlando Regional Medical Center Orlando 50 &Z &V &B &X Atlanta Medical Center Atlanta € 45 &X &V &V &X South Miami Hospital Miami 50 &C &C &B &Z WellStar Douglas Hospital Douglasville 45 &Z &V &B &V South Bay Hospital Sun City Center € 49 &Z &B &B &Z Fairview Park Hospital Dublin 44 &C &C &B &C Gulf Coast Medical Center Panama City 49 &C &C &V &C WellStar Cobb Hospital Austell 43 &C &V &B &C Hialeah Hospital Hialeah 48 &Z &B &B &X Palmyra Medical Centers Albany 43 &C &V &B &C North Shore Medical Center Miami ⁄ 48 &C &V &B &X Memorial Health Savannah €‹ 42 &X &C &V &B South Fulton Medical Center Atlanta 25 West Boca Medical Center Boca Raton 48 &C &V &B &Z &V &V &B &B Baptist Hospital of Miami Miami 47 &V &V &B &Z Kentucky Osceola Regional Medical Center Kissimmee 47 &Z &V &B &C Manchester Memorial Hospital Manchester 47 &Z &B &B &C Doctors Hospital Coral Gables 47 &C &V &B &X Norton Hospital Louisville 39 &C &V &V &V Kendall Regional Medical Center Miami ‹ 47 &C &B &B &X Louisiana North Florida Regional Medical Center 47 Our Lady of the Lake Regional Medical Center 53 Gainesville &V &V &B &Z Baton Rouge › &C &C &V &Z ⁄Complications are better than average. €Complications are worse than average. ‹Mortality is better than average. ›Mortality is worse than average.

august 2012 ConsumerReports.org 25 cr investigates how safe is your hospital?

Hospital Safety score Categories Hospital Safety score Categories Scanning Scanning Infections Infections Readmissions Readmissions Communication Communication

0 100 0 100 Louisiana continued Missouri continued Baton Rouge General Medical Center Baton Rouge 44 &C &C &B &C Saint Francis Medical Center Cape Girardeau › 42 &C &C &V &C Lakeview Regional Medical Center Covington 39 &C &V &V &C Barnes-Jewish Hospital St. Louis € 41 &C &B &V &X Rapides Regional Medical Center Alexandria › 38 &X &V &B &V Des Peres Hospital St. Louis 40 &C &V &V &C

Tulane Medical Center New Orleans € 32 &C &C &V &B Bothwell Regional Health Center Sedalia › 39 &C &V &V &C Regional Medical Center of Acadiana Lafayette 30 &C &B &V &B Freeman Health System Joplin 37 &X &V &V &B Truman Medical Center-Hospital Hill 36 Mississippi Kansas City &B &V &V &X Ozarks Medical Center West Plains 36 Baptist Memorial Hospital-Golden Triangle 47 &B &C &V &C Columbus › &Z &V &V &C Jefferson Regional Medical Center Crystal City 34 &V &V &B &C Baptist Memorial Hospital-DeSoto Southaven 46 &X &B &B &X › 33 Garden Park Medical Center Gulfport 37 &C &B &V &C Phelps County Regional Medical Center Rolla &B &C &V &C › 29 &C &V &B &V Baptist Memorial Hospital-North Mississippi 36 Poplar Bluff Regional Medical Center Poplar Bluff Oxford › &C &V &B &C Saint Louis University Hospital St. Louis € 28 &B &V &V &V Missouri Lake Regional Health System Osage Beach › 22 &B &V &V &B St. John’s Hospital Springfield 70 &Z &X &V &Z North Carolina Boone Hospital Center Columbia 65 &Z &C &C &X Frye Regional Medical Center Hickory 60 &C &C &V &Z Barnes-Jewish St. Peters Hospital St. Peters ‹ 62 &Z &V &V &Z Gaston Memorial Hospital Gastonia ‹ 58 &C &C &V &Z Missouri Baptist Medical Center St. Louis ‹ 60 &X &V &V &Z Rex Healthcare Raleigh €‹ 53 &X &V &B &X Barnes-Jewish West County Hospital St. Louis 60 &X &C &V &Z Onslow Memorial Hospital Jacksonville › 47 &C &V &V &Z Skaggs Regional Medical Center Branson 59 &Z &C &B &X University of North Carolina Hospitals 45 &C &V &C &Z St. John’s Mercy Hospital Washington 57 &C &C &V &Z Chapel Hill €› Saint Luke’s East-Lee's Summit Lee's Summit 57 &C &V &C &Z Wake Forest Baptist Medical Center 32 Winston-Salem › &C &B &V &C St. Luke’s Hospital Chesterfield €‹ 56 &Z &V &V &Z Oklahoma Lester E. Cox Medical Centers Springfield 56 &C &C &V &Z OU Medical Center Oklahoma City €› 33 &X &V &B &C Christian Hospital St. Louis ‹ 52 &Z &B &V &C South Carolina Saint Luke’s Hospital of Kansas City Kansas City € 52 &C &V &V &Z Heartland Regional Medical Center St. Joseph 51 &X &V &V &X Bon Secours St. Francis Health System Greenville 69 &Z &X &V &Z Liberty Hospital Liberty 51 &X &B &V &Z Bon Secours St. Francis Hospital Charleston 63 &Z &C &V &X 60 Centerpoint Medical Center Independence 51 &C &V &V &Z Springs Memorial Hospital Lancaster &X &V &C &Z 60 Audrain Medical Center Mexico 51 &C &C &C &V McLeod Regional Medical Center Florence &X &V &C &Z 59 St. Mary’s Medical Center Blue Springs 50 &C &V &V &Z Oconee Medical Center Seneca &X &C &V &Z Loris Community Hospital Loris 56 North Kansas City Hospital North Kansas City €‹ 50 &C &V &V &X &X &V &B &Z Roper Hospital Charleston 56 Hannibal Regional Hospital Hannibal 49 &X &V &C &V &X &C &C &X Hillcrest Hospital Simpsonville 55 St. John’s Mercy Medical Center St. Louis 49 &C &V &V &Z &V &C &C &Z Spartanburg Regional Medical Center 55 St. Anthony’s Medical Center St. Louis ‹ 47 &C &V &B &C Spartanburg ‹ &C &C &V &X Saint Luke’s Northland Hospital-Barry Road 46 Kansas City &B &V &V &Z Mary Black Memorial Hospital Spartanburg 55 &X &V &V &Z St. Joseph Medical Center Kansas City 45 &X &V &V &V Palmetto Health Richland Columbia € 54 &C &C &V &Z Capital Region Medical Center Jefferson City 45 &C &V &V &V Beaufort Memorial Hospital Beaufort 54 &Z &B &V &Z Missouri Delta Medical Center Sikeston 45 &C &V &V &C Greenville Memorial Hospital Greenville € 53 &C &X &B &X

University of Missouri Hospitals and Clinics 43 Providence Hospital Columbia › 53 &C &C &V &Z Columbia &C &V &V &C Piedmont Medical Center Rock Hill 52 &C &V &V &Z Southeast Hospital Cape Girardeau 43 &C &V &V &V Baptist Easley Hospital Easley 52 St. Alexius Hospital-Broadway Campus St. Louis 43 &V &V &B &X &C &V &V &Z Greer Memorial Hospital Greer 51 Research Medical Center Kansas City 42 &C &V &V &V &V &V &V &Z ⁄Complications are better than average. €Complications are worse than average. ‹Mortality is better than average. ›Mortality is worse than average.

26 consumer reports august 2012 Better Worse 5 4 3 2 1 Hospital Safety score Categories Hospital Safety score Categories Scanning Scanning Infections Infections Readmissions Readmissions Communication Communication

0 100 0 100 South Carolina continued Tennessee continued

Self Regional Healthcare Greenwood 51 &X &C &V &C Takoma Regional Hospital 47 Greeneville &Z &C &V &B Lexington Medical Center West Columbia › 51 &C &V &V &Z Skyline Medical Center Nashville 45 Grand Strand Regional Medical Center &C &V &V &C 50 &Z &V &B &Z Myrtle Beach › University Medical Center Lebanon 45 &X &V &B &C Conway Medical Center Conway 50 &V &V &V &Z Southern Hills Medical Center Nashville 45 &V &V &V &Z MUSC Medical Center of Medical University of 50 &X &V &V &X Wellmont Bristol Regional Medical Center 45 South Carolina Charleston Bristol &Z &V &B &B Village Hospital Greer 50 &C &C &V &C Indian Path Medical Center Kingsport 45 &Z &V &V &B 49 Colleton Medical Center Walterboro &C &V &V &Z Saint Francis Hospital-Bartlett Bartlett 43 &C &C &B &C Newberry County Memorial Hospital Newberry › 49 &X &V &V &X Middle Tennessee Medical Center 43 Murfreesboro › &X &B &B &Z East Cooper Medical Center Mount Pleasant 49 &V &C &V &X Summit Medical Center Hermitage 42 &X &V &V &V AnMed Health Medical Center Anderson 48 &C &V &V &C Jackson-Madison County General Hospital 41 &V &C &B &Z Waccamaw Community Hospital Murrells Inlet 48 &Z &B &V &C Jackson › Horizon Medical Center Dickson 40 Palmetto Health Baptist Columbia 48 &C &V &B &Z &B &V &V &X Erlanger Medical Center Chattanooga € 38 &X &C &V &V Aiken Regional Medical Centers Aiken › 47 &C &V &B &Z Parkridge Medical Center Chattanooga 38 &X &V &V &B Laurens County Health Care System Clinton › 47 &C &C &V &X Vanderbilt University Medical Center 37 Regional Medical Center Orangeburg 46 &C &V &B &X Nashville € &V &B &C &C Hilton Head Hospital Hilton Head Island 46 &X &V &B &C Saint Francis Hospital Memphis › 37 &X &V &B &C Trident Medical Center Charleston › 41 &C &V &V &X Methodist Healthcare Memphis Hospitals › 36 &X &V &V &V KershawHealth Camden 40 &V &V &V &C Memphis Georgetown Memorial Hospital Georgetown 38 &C &V &B &C Skyridge Medical Center Cleveland › 35 &X &V &B &C Wallace Thomson Hospital Union 36 &B &V &V &C Regional Medical Center at Memphis Memphis 34 &B &V &B &C Clarendon Memorial Hospital Manning 36 &V &V &V &C Johnson City Medical Center Johnson City 32 &X &B &V &B

Carolina Pines Regional Medical Center 34 Williamson Medical Center Franklin › 32 &X &V &B &B Hartsville &C &B &B &C Sumner Regional Medical Center Gallatin 31 &C &V &V &B Carolinas Hospital System Florence › 30 &V &V &V &V Gateway Medical Center Clarksville › 31 &B &B &B &Z Tennessee Texas Saint Thomas Hospital Nashville ⁄‹ 63 &X &V &V &Z Cookeville Regional Medical Center Cookeville ⁄ 61 &C &C &V &Z Baylor University Medical Center Dallas 67 &Z &C &V &Z Maury Regional Hospital Columbia ‹ 58 &X &V &C &X St. David’s Medical Center Austin 64 &Z &C &V &Z ‹ 58 Blount Memorial Hospital Maryville &X &V &B &Z Texas Health Harris Methodist Hospital Fort 63 &Z &V &V &Z Baptist Hospital Nashville 56 &Z &V &B &X Worth Fort Worth Memorial Health Care System Chattanooga ⁄ 55 &C &C &V &C Clear Lake Regional Medical Center Webster 61 &Z &C &B &Z 61 Methodist Medical Center of Oak Ridge 53 Lake Pointe Medical Center Rowlett &Z &V &B &Z Oak Ridge &X &B &V &Z Texas Health Harris Methodist Hospital 59 Regional Hospital of Jackson Jackson 53 &X &V &V &Z Southwest Fort Worth Fort Worth &Z &C &V &X

Baptist Memorial Hospital-Memphis Memphis 52 &C &C &B &Z Baylor All Saints Medical Center at Fort Worth 59 Fort Worth ‹ &X &C &V &C Fort Sanders Regional Medical Center Knoxville 52 &C &C &V &X Texas Health Arlington Memorial Hospital ‹ 58 &Z &V &B &C University of Tennessee Medical Center Knoxville 50 &C &V &V &Z Arlington St. David’s North Austin Medical Center 58 &Z &V &V &X Centennial Medical Center Nashville 49 &V &C &V &Z Austin Methodist Stone Oak Hospital San Antonio 58 &Z &V &B &Z Parkwest Medical Center Knoxville 48 &C &V &V &X St. David’s South Austin Medical Center 57 &X &V &V &Z Wellmont Holston Valley Medical Center 48 Austin Kingsport &X &V &V &X Texas Health Presbyterian Hospital Dallas 55 Mercy Medical Center St. Mary's Knoxville 47 &V &C &B &Z Dallas &X &V &V &Z

august 2012 ConsumerReports.org 27 cr investigates how safe is your hospital? Better Worse 5 4 3 2 1 Hospital Safety score Categories Hospital Safety score Categories Scanning Scanning Infections Infections Readmissions Readmissions Communication Communication

0 100 0 100 Texas continued Virginia continued Methodist Hospital San Antonio ⁄ 55 &V &C &V &Z Virginia Hospital Center-Arlington Arlington ‹ 60 &C &V &V &Z

Texas Health Harris Methodist Hospital 54 Riverside Walter Reed Hospital Gloucester 57 &Z &V &B &Z Hurst-Euless-Bedford Bedford &Z &C &V &C Inova Loudoun Hospital Leesburg 57 &X &V &V &Z Texas Health Presbyterian Hospital Plano Plano 53 &Z &V &V &C Cypress Fairbanks Medical Center Houston ‹ 51 &Z &V &B &V Bon Secours-DePaul Medical Center Norfolk 57 &X &C &B &Z Medical Center of McKinney McKinney 51 &X &V &B &Z Reston Hospital Center Reston 55 &Z &V &B &Z Good Shepherd Medical Center Longview ⁄‹ 51 &V &V &C &V Inova Alexandria Hospital Alexandria 55 &Z &V &B &X

Mother Frances Hospital-Tyler Tyler ‹ 49 &C &C &V &V Riverside Regional Medical Center 53 Newport News &X &C &B &X Park Plaza Hospital Houston 48 &Z &C &B &B Lewis-Gale Medical Center Salem 53 &C &V &V &Z Baylor Medical Center at Garland Garland 48 &Z &C &B &V Prince William Hospital Manassas 53 &C &V &V &Z The Methodist Hospital Houston €‹ 47 &C &C &V &C Inova Fair Oaks Hospital Fairfax 53 &X &V &V &Z Centennial Medical Center Frisco 47 &V &V &V &X Sentara Virginia Beach General Hospital 53 &X &V &V &Z Texas Health Presbyterian Hospital Denton 47 Virginia Beach › Denton &Z &V &B &V Augusta Health Fishersville 53 Baylor Medical Center at Irving Irving 47 &V &V &V &X &C &C &C &X Baylor Regional Medical Center at Grapevine Sentara CarePlex Hospital Hampton › 52 &Z &V &V &X 46 &Z &C &V &B Grapevine Sentara Norfolk General Hospital Norfolk › 52 &Z &V &V &X Houston Northwest Medical Center Houston 46 &C &C &B &C Sentara Leigh Hospital Norfolk › 51 &X &C &V &X Huguley Memorial Medical Center Fort Worth 45 &Z &V &B &B Inova Fairfax Hospital Falls Church €‹ 51 &C &V &B &Z Denton Regional Medical Center Denton 45 &C &V &V &X Sentara Obici Hospital Suffolk › 51 &X &C &V &X North Hills Hospital North Richland Hills 44 &X &V &B &C Bon Secours St. Mary's Hospital Richmond ‹ 51 &C &V &V &X Medical Center of Plano Plano 43 &C &V &B &X Bon Secours St. Francis Medical Center 49 &Z &V &V &C Methodist Richardson Medical Center Midlothian € 42 &V &V &B &Z Richardson CJW Medical Center Richmond 48 &X &C &V &V 42 Plaza Medical Center of Fort Worth Fort Worth &V &C &V &C Carilion Medical Center Roanoke › 48 &V &C &V &Z Methodist Charlton Medical Center Dallas 42 &C &C &B &V Fauquier Hospital Warrenton 47 &V &V &V &Z Methodist Mansfield Medical Center Mansfield 42 &C &V &B &X Bon Secours Maryview Medical Center 46 Portsmouth &V &V &V &X Medical City Dallas Hospital Dallas € 40 &C &V &V &X Sentara Potomac Hospital Woodbridge 45 &V &V &B &Z Las Palmas Del Sol Healthcare El Paso 39 &C &V &V &V Martha Jefferson Hospital Charlottesville 45 &V &V &V &X ‹ 39 Midland Memorial Hospital Midland &V &C &B &B Inova Mount Vernon Hospital Alexandria 45 &V &V &V &X Methodist Dallas Medical Center Dallas 38 &X &C &V &B Henrico Doctors’ Hospital Richmond 44 &V &C &V &X Sierra Medical Center El Paso 38 &Z &V &B &B Centra Lynchburg General Hospital Lynchburg › 44 &C &V &V &Z € 43 Kingwood Medical Center Kingwood 36 &V &V &B &C Mary Washington Hospital Fredericksburg &X &B &B &Z € 41 Providence Memorial Hospital El Paso €‹ 36 &C &V &B &B VCU Health System Richmond &V &V &V &Z Chesapeake Regional Medical Center Baylor Medical Center at Carrollton Carrollton 35 41 &V &C &B &V Chesapeake &V &V &V &X Medical Center of Arlington Arlington 33 &V &V &B &V Memorial Hospital Martinsville › 40 &C &V &B &Z Medical Center Health System Odessa 32 &C &V &B &B Southside Regional Medical Center 40 &X &B &B &C Valley Regional Medical Center Brownsville 32 &X &V &B &B Petersburg University of Virginia Medical Center 39 Medical Center of Lewisville Lewisville 29 &V &V &V &B Charlottesville › &V &V &V &Z Virginia Danville Regional Medical Center Danville 39 &C &B &B &C Clinch Valley Medical Center Richlands 25 Bon Secours Memorial Regional Medical Center 67 &B &B &V &V Mechanicsville ‹ &Z &C &V &Z West Virginia Rockingham Memorial Hospital Harrisonburg ‹ 63 &Z &V &B &Z Winchester Medical Center Winchester 60 &Z &V &V &Z Monongalia General Hospital Morgantown ⁄ 60 &Z &V &V &C ⁄Complications are better than average. €Complications are worse than average. ‹Mortality is better than average. ›Mortality is worse than average.

0 100 0 100 Connecticut Massachusetts continued Middlesex Hospital Middletown ‹ 64 &X &C &V &Z Saint Vincent Hospital Worcester 58 &Z &V &V &Z The William W. Backus Hospital Norwich 62 &Z &V &V &Z South Shore Hospital South Weymouth 58 &Z &B &C &Z St. Vincent’s Medical Center Bridgeport 54 &Z &V &B &X Saints Medical Center Lowell 58 &X &V &V &Z Waterbury Hospital Waterbury 54 &X &V &B &Z Southcoast Hospitals Group Fall River ⁄ 58 &X &V &V &Z Manchester Memorial Hospital Manchester 54 &C &C &B &Z Berkshire Medical Center Pittsfield ‹ 57 &V &C &C &Z Saint Mary’s Hospital Waterbury 53 &C &V &V &Z Harrington Memorial Hospital Southbridge 57 &Z &V &V &X Lawrence & Memorial Hospital New London ⁄› 52 &C &C &B &Z Caritas St. Elizabeth's Medical Center Brighton ‹ 56 &Z &B &C &X Hartford Hospital Hartford › 52 &X &V &V &Z Holyoke Medical Center Holyoke 56 &C &C &V &Z Norwalk Hospital Norwalk 51 &X &V &B &Z Heywood Hospital Gardner 56 &X &V &V &Z Stamford Hospital Stamford 51 &X &V &B &Z Falmouth Hospital Falmouth ‹ 56 &V &C &V &X Danbury Hospital Danbury 48 &C &V &V &Z Cape Cod Hospital Hyannis 54 &X &C &V &X Bristol Hospital Bristol › 48 &C &V &V &Z Caritas Norwood Hospital Norwood 54 &X &V &V &Z The Charlotte Hungerford Hospital Torrington 47 &V &C &V &X UMass Memorial Medical Center Worcester 53 &Z &B &V &X Hospital of Saint Raphael New Haven 44 &C &B &V &Z Saint Francis Hospital and Medical Center Faulkner Hospital Boston 53 &C &B &C &Z 44 &C &V &B &Z Hartford › North Adams Regional Hospital North Adams 53 &C &C &V &X Bridgeport Hospital Bridgeport 42 &C &V &B &C North Shore Medical Center Salem 53 &C &C &V &Z Yale-New Haven Hospital New Haven 41 &C &B &V &X Brigham and Women’s Hospital Boston 53 &C &V &C &Z MidState Medical Center Meriden 41 &C &V &V &C Winchester Hospital Winchester 52 &C &V &V &Z €› 36 &V &V &V &Z The Hospital of Central Connecticut New Britain Newton-Wellesley Hospital Newton Lower Falls 52 &V &C &V &X University of Connecticut Health Center, John 28 &C &V &V &B Caritas Holy Family Hospital and Medical 51 Dempsey Hospital Farmington € Center Methuen &Z &B &V &C Delaware Lowell General Hospital Lowell 51 &X &V &V &Z Bayhealth Medical Center Dover ⁄‹ 55 &X &V &V &V Saint Anne’s Hospital Fall River 51 &C &V &V &Z Nanticoke Memorial Hospital Seaford ‹ 54 &C &C &V &C Merrimack Valley Hospital Haverhill 51 &C &V &V &Z Christiana Care Health System Newark 54 &C &V &V &Z Mount Auburn Hospital Cambridge 50 &X &V &V &X 43 St. Francis Hospital Wilmington &C &B &B &Z Caritas Good Samaritan Medical Center 50 Brockton &C &V &V &Z Maine Anna Jaques Hospital Newburyport 49 &V &V &V &Z 65 Central Maine Medical Center Lewiston &Z &C &V &Z Hallmark Health System Melrose 48 &C &V &V &Z MaineGeneral Medical Center-Waterville 59 Campus Waterville &C &C &C &Z Lawrence General Hospital Lawrence › 48 &X &V &V &Z Eastern Maine Medical Center Bangor 57 &V &C &V &Z Quincy Medical Center Quincy 47 &C &V &B &Z Maine Medical Center Portland € 46 &V &C &V &Z Lahey Clinic Hospital Burlington 46 &C &V &V &C Massachusetts Morton Hospital and Medical Center Taunton 46 &V &V &V &Z Jordan Hospital Plymouth 45 &X &B &V &X Health Alliance Hospitals Leominster 66 &Z &C &V &Z Sturdy Memorial Hospital Attleboro › 45 &C &V &V &X Mercy Medical Center Springfield ‹ 64 &Z &V &B &Z Massachusetts General Hospital Boston €› 45 &C &V &V &Z Milford Regional Medical Center Milford 64 &Z &V &C &Z UMass Memorial-Marlborough Hospital 44 Carney Hospital Boston 61 &Z &V &V &X Marlborough &V &V &V &Z Beverly Hospital Beverly 61 &Z &C &V &Z MetroWest Medical Center Framingham 44 &C &B &V &X Milton Hospital Milton 61 &Z &V &C &X Baystate Franklin Medical Center Greenfield 44 &V &V &V &X Cooley Dickinson Hospital Northampton 60 &X &V &V &Z Tufts Medical Center Boston 43 &C &B &V &C New England Baptist Hospital Boston 60 &X &V &C &Z Beth Israel Deaconess Medical Center Boston €‹ 42 &C &B &V &X Emerson Hospital Concord 60 &X &V &V &Z Boston Medical Center Boston € 42 &C &V &B &Z Baystate Medical Center Springfield ⁄ 60 &C &C &V &Z Cambridge Health Alliance Cambridge 38 &V &B &V &X ⁄Complications are better than average. €Complications are worse than average. ‹Mortality is better than average. ›Mortality is worse than average.

august 2012 ConsumerReports.org 25 cr investigates how safe is your hospital?

Hospital Safety score Categories Hospital Safety score Categories Scanning Scanning Infections Infections Readmissions Readmissions Communication Communication

0 100 0 100 New Hampshire New Jersey continued

Frisbie Memorial Hospital Rochester 67 &Z &V &C &Z Englewood Hospital and Medical Center 42 Englewood &C &V &B &X Wentworth-Douglass Hospital Dover 67 &Z &C &C &Z Raritan Bay Medical Center Perth Amboy 42 &C &B &B &Z St. Joseph Hospital Nashua 66 &Z &C &V &Z Virtua West Jersey Hospital-Voorhees 41 Voorhees › &C &V &B &Z Catholic Medical Center Manchester 64 &X &C &V &Z Robert Wood Johnson University Hospital 41 &C &B &B &X Exeter Hospital Exeter 62 &X &C &C &Z Rahway Rahway Cheshire Medical Center Keene 62 &X &V &V &Z East Orange General Hospital East Orange 41 &Z &B &B &C Portsmouth Regional Hospital Portsmouth 55 &C &V &C &Z Trinitas Regional Medical Center Elizabeth 41 &V &B &B &Z Saint Peter’s University Hospital 40 Concord Hospital Concord 55 &C &C &C &X New Brunswick € &C &B &B &Z Dartmouth-Hitchcock Medical Center Lebanon €› 54 &X &C &C &Z Valley Hospital Ridgewood €› 40 &X &V &V &X

Elliot Hospital Manchester 53 &V &C &V &Z University Medical Center at Princeton 39 Princeton &V &V &B &X › 49 Lakes Region General Hospital Laconia &C &V &V &Z Cooper Health System Camden € 38 &C &B &B &Z Parkland Medical Center Derry 47 &B &V &C &Z Riverview Medical Center Red Bank 38 &B &V &V &Z

New Jersey Capital Health Regional Medical Center 38 Trenton &B &V &B &Z Deborah Heart and Lung Center Browns Mills 62 &C &C &C &Z Shore Memorial Hospital Somers Point 36 &V &V &B &C Newton Medical Center Newton 59 &Z &V &B &Z Holy Name Medical Center Teaneck 36 &V &B &B &X Clara Maass Medical Center Belleville ⁄‹ 59 &Z &B &B &X St. Mary’s Hospital Passaic › 36 &C &B &B &Z Lourdes Medical Center of Burlington County 57 Cape Regional Medical Center Cape May Willingboro &Z &V &B &Z 35 Court House &V &V &B &C Hunterdon Medical Center Flemington 54 &C &C &V &Z Newark Beth Israel Medical Center 34 &C &B &B &C Virtua Memorial Mount Holly 54 &C &V &B &Z Newark St. Joseph’s Regional Medical Center › 54 34 Morristown Medical Center Morristown &Z &V &B &Z Paterson › &C &B &B &X Warren Hospital Phillipsburg 54 &Z &V &B &X Capital Health-Mercer Campus Trenton € 34 &V &V &B &X ‹ 53 Monmouth Medical Center Long Branch &X &V &B &X University of Medicine and Dentistry of New 33 Jersey-University Hospital Newark € &X &B &B &C St. Francis Medical Center Trenton 53 &Z &V &B &X › 31 &C &B &B &C Kennedy Memorial Hospitals-University Somerset Medical Center Somerville 52 &X &B &B &Z Medical Center Cherry Hill ‹ JFK Medical Center Edison € 29 &C &B &B &C South Jersey Healthcare-Regional 51 Medical Center Vineland &C &V &V &X Kimball Medical Center Lakewood 24 &B &B &B &V Virtua Berlin Berlin › 50 &Z &V &B &Z New York 50 CentraState Healthcare System Freehold &X &B &B &Z Cayuga Medical Center at Ithaca 61 &C &C &V &Z Ocean Medical Center Brick Township ‹ 49 &V &V &V &X Ithaca ⁄› 60 Robert Wood Johnson University Hospital 49 Benedictine Hospital Kingston &Z &B &V &Z New Brunswick € &X &V &V &Z Peconic Bay Medical Center Riverhead 59 &Z &V &B &Z Bayshore Community Hospital Holmdel 48 &X &B &B &Z Saratoga Hospital Saratoga Springs 57 &C &V &C &Z 47 Jersey Shore University Medical Center Neptune € &C &V &B &Z St. Francis Hospital Roslyn ⁄› 57 &C &V &C &Z Robert Wood Johnson University Hospital 46 at Hamilton Hamilton &C &B &V &Z NYU Langone Medical Center New York ‹ 56 &C &C &B &Z Hackensack University Medical Center 46 St. Peter’s Hospital Albany ‹ 56 &C &V &V &Z Hackensack ‹ &V &V &B &X Mount St. Mary’s Hospital and Health Center 56 Saint Barnabas Medical Center Livingston € 45 &Z &V &B &C Lewiston &X &C &V &Z Mountainside Hospital Montclair 45 &X &V &B &X Putnam Hospital Center Carmel 55 &Z &B &B &Z Saint Michael's Medical Center Newark ⁄ 45 &C &B &B &Z Albany Memorial Hospital Albany 53 &C &V &V &Z Christ Hospital Jersey City › 45 &Z &B &B &Z Community Memorial Hospital Hamilton 53 &X &V &V &C Underwood-Memorial Hospital Woodbury 44 &C &V &B &X Peninsula Hospital Center Far Rockaway › 52 &Z &V &B &Z LibertyHealth-Jersey City Medical Center Jersey City 44 &X &B &B &Z Good Samaritan Hospital Suffern ⁄ 52 &X &V &B &Z Saint Clare’s Health System Denville 43 &V &V &B &X St. Luke’s Cornwall Hospital Newburgh ⁄ 52 &C &V &B &Z › 43 Overlook Medical Center Summit &C &V &B &Z Samaritan Hospital Troy 52 &X &V &V &Z AtlantiCare Regional Medical CenterAtlantic City 43 &C &V &V &X Sisters of Charity Hospital of Buffalo 52 Our Lady of Lourdes Medical Center Camden 43 &Z &V &B &V Buffalo &X &V &V &Z ⁄Complications are better than average. €Complications are worse than average. ‹Mortality is better than average. ›Mortality is worse than average.

0 100 0 100 New York continued New York continued St. Joseph Hospital Bethpage 51 &C &V &V &Z Jamaica Hospital Medical Center Jamaica 42 &V &B &B &Z Nyack Hospital Nyack 51 &X &V &B &Z St. Barnabas Hospital Bronx 42 &C &B &B &Z

Bassett Medical Center Cooperstown 51 &C &V &V &X North Shore University Hospital at 42 Plainview Plainview › &C &V &B &Z 51 Canton-Potsdam Hospital Potsdam &V &V &V &Z Kenmore Mercy Hospital Kenmore 42 &C &V &V &V Arnot Ogden Medical Center Elmira 51 &C &V &V &Z Lutheran Medical Center Brooklyn › 42 &X &B &B &Z Rome Memorial Hospital Rome › 51 &Z &V &V &C SUNY Downstate Medical Center University 42 &X &B &B &X Richmond University Medical Center Staten Island 50 &X &V &B &Z Hospital of Brooklyn Brooklyn Sound Shore Medical Center of Westchester Northern Dutchess Hospital Rhinebeck 50 &Z &V &V &C 42 New Rochelle &V &V &B &Z Thompson Health Canandaigua › 50 &Z &V &C &C New York Hospital Queens Flushing › 41 &X &B &B &Z Our Lady of Lourdes Memorial Hospital 50 South Nassau Communities Hospital Binghamton ⁄ &V &V &V &X 41 Oceanside &V &V &V &X Huntington Hospital Huntington 50 &C &V &B &Z Brooks Memorial Hospital Dunkirk 41 &B &V &B &X St. Charles Hospital Port Jefferson 50 &V &V &V &Z New York Westchester Square Medical 40 &X &B &B &Z Saint Francis Hospital and Health Centers Center Bronx › 50 &Z &B &V &X Poughkeepsie Bellevue Hospital Center New York 40 &V &B &B &Z United Health Services Hospitals- 50 Binghamton Binghamton › &X &V &V &Z Brooklyn Hospital Center Brooklyn 40 &X &B &B &X Winthrop-University Hospital Mineola 50 &C &V &V &Z Southampton Hospital Southampton 40 &B &V &B &Z St. Mary’s Healthcare Amsterdam ‹ 49 &V &V &C &C Unity Hospital Rochester 40 &X &V &V &B Glens Falls Hospital Glens Falls 49 &C &V &V &Z Champlain Valley Physicians Hospital 39 Medical Center Plattsburgh › &C &V &B &Z Albany Medical Center Albany 49 &C &V &B &X Faxton-St. Luke's Healthcare Utica › 39 &C &B &B &Z Mercy Hospital Buffalo 49 &V &C &B &Z Upstate Medical University Syracuse €› 39 &C &V &V &X Southside Hospital Bay Shore › 49 &X &V &B &Z St. Luke’s-Roosevelt Hospital Center 39 Geneva General Hospital Geneva › 49 &Z &V &V &C New York &C &B &B &Z Lincoln Medical and Mental Health Center Good Samaritan Hospital Medical Center 48 39 &X &B &B &X West Islip ⁄› &C &V &V &Z Bronx Clifton Springs Hospital and Clinic Hudson Valley Hospital Center Cortlandt Manor 47 39 &Z &B &V &X Clifton Springs › &V &V &C &C John T. Mather Memorial Hospital Port 46 Jefferson &V &V &V &Z Queens Hospital Center Jamaica 38 &V &B &B &Z Stony Brook University Medical Center 46 North Shore University Hospital Manhasset › 37 &C &B &B &Z Stony Brook &X &V &B &X New York Downtown Hospital New York › 37 &X &B &B &X St. Joseph's Hospital Health Center Syracuse € 46 &C &V &V &Z St. James Mercy Health System Hornell 36 &B &B &V &X Crouse Hospital Syracuse › 46 &C &V &B &Z Woman’s Christian Association Hospital Columbia Memorial Hospital Hudson 36 &V &V &B &C 45 &C &C &B &Z Jamestown › Lenox Hill Hospital New York € 36 &C &B &B &X St. Mary’s Hospital Troy 45 &V &V &V &Z Montefiore Medical Center Bronx › 36 &C &B &B &Z Northern Westchester Hospital Mount Kisco 45 &C &V &V &X St. Elizabeth Medical Center Utica › 36 &C &V &V &C Samaritan Medical Center Watertown 45 &C &C &V &C New York Methodist Hospital Brooklyn › 36 &C &B &B &Z Glen Cove Hospital Glen Cove › 45 &Z &V &V &C St. John’s Riverside Hospital Yonkers 36 &B &V &B &Z Erie County Medical Center Buffalo 45 &X &V &B &C Orange Regional Medical Center Middletown 36 &C &B &B &X Mercy Medical Center Rockville Centre 44 &V &B &B &Z Flushing Hospital Medical Center Flushing › 36 &C &B &B &Z Staten Island University Hospital Staten Island 44 &X &V &B &X Lawrence Hospital Center Bronxville 36 &B &V &B &X Kingston Hospital Kingston › 44 &Z &B &B &Z St. John’s Episcopal Hospital-South Shore 35 &V &B &B &Z Vassar Brothers Medical Center Poughkeepsie › 44 &Z &B &B &X Far Rockaway › Highland Hospital of Rochester Rochester € 34 &C &C &V &B White Plains Hospital Center White Plains › 43 &C &V &B &Z New York Community Hospital Brooklyn › 34 &V &B &B &Z Long Island Jewish Medical Center 43 New Hyde Park › &C &V &B &Z Strong Memorial Hospital of the University of 34 &C &V &V &V Phelps Memorial Hospital Center Sleepy Hollow 43 &V &C &V &X Rochester Rochester €› Kingsbrook Jewish Medical Center 34 Maimonides Medical Center Brooklyn 43 &C &V &B &Z Brooklyn &V &B &B &Z Franklin Hospital Valley Stream 43 &C &B &B &Z Nicholas H. Noyes Memorial Hospital Dansville 34 &V &V &C &B

0 100 0 100 New York continued Vermont Beth Israel Medical Center New York › 32 &C &B &B &X Central Vermont Medical Center Berlin 71 &Z &X &V &Z New York-Presbyterian Hospital New York € 32 &C &V &B &C Brattleboro Memorial Hospital Brattleboro 63 &Z &C &C &X Brookhaven Memorial Hospital Medical Northwestern Medical Center St. Albans 58 &C &C &V &Z 32 &V &B &B &Z Center Patchogue › Rutland Regional Medical Center Rutland 50 &V &C &V &Z Nassau University Medical Center 32 East Meadow › &V &B &B &Z Southwestern Vermont Medical Center Bennington 49 &V &V &C &Z Forest Hills Hospital Forest Hills › 32 &V &B &B &Z Fletcher Allen Health Care Burlington €› 46 &C &C &C &X

St. Catherine of Siena Medical Center 31 Virginia Smithtown › &C &V &B &C Bon Secours Memorial Regional Medical 67 Wyckoff Heights Medical Center Brooklyn › 31 &V &B &B &Z Center Mechanicsville ‹ &Z &C &V &Z Brookdale Hospital Medical Center 31 Rockingham Memorial Hospital Harrisonburg ‹ 63 &Z &V &B &Z Brooklyn › &V &B &B &Z Winchester Medical Center Winchester 60 &Z &V &V &Z Woodhull Medical and Mental Health Center 30 Brooklyn &V &B &B &C Virginia Hospital Center-Arlington Arlington ‹ 60 &C &V &V &Z Coney Island Hospital Brooklyn 30 &V &B &B &C Riverside Walter Reed Hospital Gloucester 57 &Z &V &B &Z Mount Sinai Hospital New York €› 30 &C &B &B &X Inova Loudoun Hospital Leesburg 57 &X &V &V &Z Kaleida Health Buffalo › 30 &C &V &B &V Bon Secours-DePaul Medical Center Norfolk 57 &X &C &B &Z United Memorial Medical Center 28 Batavia › &V &B &V &C Reston Hospital Center Reston 55 &Z &V &B &Z Olean General Hospital Olean 27 &V &V &B &B Inova Alexandria Hospital Alexandria 55 &Z &V &B &X Jacobi Medical Center Bronx 27 &V &B &B &C Riverside Regional Medical Center Newport News 53 &X &C &B &X Bronx-Lebanon Hospital Center Health Lewis-Gale Medical Center Salem 53 &C &V &V &Z 26 &C &B &B &B Care System Bronx Prince William Hospital Manassas 53 &C &V &V &Z St. Joseph’s Medical Center Yonkers › 26 &B &V &B &X Inova Fair Oaks Hospital Fairfax 53 &X &V &V &Z Westchester Medical Center 25 &C &V &B &V Sentara Virginia Beach General Hospital 53 Valhalla › Virginia Beach › &X &V &V &Z Kings County Hospital Center 22 Augusta Health Fishersville 53 Brooklyn &V &B &B &V &C &C &C &X Harlem Hospital Center New York 20 &V &B &B &B Sentara CarePlex Hospital Hampton › 52 &Z &V &V &X › 52 &Z &V &V &X Pennsylvania Sentara Norfolk General Hospital Norfolk Sentara Leigh Hospital Norfolk › 51 &X &C &V &X Lancaster General Health Lancaster ‹ 68 &Z &X &V &C Inova Fairfax Hospital Falls Church €‹ 51 &C &V &B &Z UPMC Hamot Erie 64 &Z &C &V &Z Sentara Obici Hospital Suffolk › 51 &X &C &V &X Lehigh Valley Hospital Allentown €‹ 61 &Z &V &V &Z Bon Secours St. Mary's Hospital Richmond ‹ 51 &C &V &V &X Moses Taylor Hospital Scranton 58 &Z &C &V &C Bon Secours St. Francis Medical Center 49 Midlothian € &Z &V &V &C Lehigh Valley Hospital-Muhlenberg 58 Bethlehem €‹ &Z &V &V &X CJW Medical Center Richmond 48 &X &C &V &V Reading Hospital and Medical Center Carilion Medical Center Roanoke › 48 &V &C &V &Z 53 &C &C &V &X West Reading €‹ Fauquier Hospital Warrenton 47 &V &V &V &Z Community Medical Center Healthcare 49 &V &C &B &X Bon Secours Maryview Medical Center 46 System Scranton ⁄ Portsmouth &V &V &V &X Allegheny General Hospital Pittsburgh ‹ 46 &X &B &B &V Sentara Potomac Hospital Woodbridge 45 &V &V &B &Z Hahnemann University Hospital Martha Jefferson Hospital Charlottesville 45 &V &V &V &X 44 &C &V &V &Z Philadelphia € Inova Mount Vernon Hospital Alexandria 45 &V &V &V &X Pinnacle Health System Harrisburg €› 37 &X &V &B &C Henrico Doctors’ Hospital Richmond 44 &V &C &V &X Rhode Island Centra Lynchburg General Hospital Lynchburg › 44 &C &V &V &Z € 43 Miriam Hospital Providence 56 &X &V &V &Z Mary Washington Hospital Fredericksburg &X &B &B &Z VCU Health System Richmond € 41 &V &V &V &Z Memorial Hospital of Rhode Island 54 Pawtucket &Z &B &V &Z Chesapeake Regional Medical Center Chesapeake 41 &V &V &V &X St. Joseph Health Services of Rhode Island 51 Memorial Hospital Martinsville › 40 &C &V &B &Z North Providence › &Z &V &B &Z 40 Roger Williams Medical Center 46 Southside Regional Medical Center Petersburg &X &B &B &C Providence &V &V &V &X University of Virginia Medical Center Charlottesville › 39 &V &V &V &Z Kent County Memorial Hospital Warwick 46 &C &V &B &X Danville Regional Medical Center Danville 39 &C &B &B &C Rhode Island Hospital Providence € 36 &V &B &V &X Clinch Valley Medical Center Richlands 25 &B &B &V &V

⁄Complications are better than average. €Complications are worse than average. ‹Mortality is better than average. ›Mortality is worse than average.

0 100 0 100 Illinois Illinois continued Alton Memorial Hospital Alton ‹ 71 &Z &C &C &X Resurrection Medical Center Chicago ‹ 51 &Z &V &B &C Illinois Valley Community Hospital Peru 65 &Z &V &C &Z OSF Saint Anthony Medical Center Rockford 51 &C &V &V &Z FHN Memorial Hospital Freeport 64 &Z &C &B &Z Provena Covenant Medical Center Urbana € 50 &X &V &V &Z Advocate Good Shepherd Hospital Barrington ‹ 64 &Z &V &V &X Anderson Hospital Maryville 50 &Z &V &B &C Decatur Memorial Hospital Decatur ⁄ 63 &C &V &C &Z Advocate Trinity Hospital Chicago ‹ 49 &X &B &B &Z Kishwaukee Community Hospital Dekalb 62 &Z &V &V &Z Provena Mercy Medical Center Aurora 49 &X &V &B &X Memorial Hospital Belleville ‹ 62 &Z &V &V &X SwedishAmerican Hospital Rockford 48 &C &V &V &Z Pekin Hospital Pekin 60 &Z &V &V &Z Alexian Brothers Medical Center Elk Grove Village ‹ 48 &X &V &B &C Swedish Covenant Hospital Chicago ⁄‹ 60 &X &V &B &X Louis A. Weiss Memorial Hospital Chicago ‹ 48 &C &B &B &X Morris Hospital & Healthcare Centers Morris 60 &Z &V &V &Z St. Alexius Medical Center Hoffman Estates ‹ 47 &Z &B &V &V Blessing Hospital Quincy 59 &X &V &V &Z Gateway Regional Medical Center Granite City 47 &Z &V &B &C Advocate Illinois Masonic Medical Center Herrin Hospital Herrin 59 46 &Z &V &V &X Chicago &C &B &V &X Adventist La Grange Memorial Hospital La Grange ‹ 58 &X &V &V &Z NorthShore Evanston Hospital Evanston €‹ 45 &X &V &B &C St. Mary’s Hospital Decatur 58 &Z &V &B &Z Rockford Memorial Hospital Rockford 45 &C &V &B &X Trinity Rock Island Rock Island 57 &Z &V &V &Z Provena St. Mary's Hospital Kankakee 45 &Z &B &V &C Sarah Bush Lincoln Health Center Mattoon 57 &C &C &C &Z Provena Saint Joseph Hospital Elgin ‹ 45 &X &V &V &B ⁄ 57 Riverside Medical Center Kankakee &X &V &B &X Little Company of Mary Hospital and Health 44 Care Centers Evergreen Park &C &V &B &Z Rush-Copley Medical Center Aurora 57 &Z &V &V &Z Edward Hospital Naperville ‹ 44 &X &V &V &B Passavant Area Hospital Jacksonville › 56 &Z &V &V &Z Mercy Hospital and Medical Center Chicago ‹ 44 &V &V &B &Z Ingalls Memorial Hospital Harvey ⁄‹ 56 &X &B &B &Z Provena Saint Joseph Medical Center Joliet ‹ 44 &X &B &B &V Heartland Regional Medical Center Marion 55 &Z &B &B &Z Centegra Hospital-Woodstock Woodstock ‹ 44 &C &B &V &C Holy Cross Hospital Chicago ⁄ 55 &Z &B &B &Z Delnor Hospital Geneva 43 &Z &V &V &B 55 Palos Community Hospital Palos Heights ‹ &X &B &B &Z University of Illinois Medical Center 43 &X &V &V &C Saint Joseph Hospital Chicago 55 &Z &V &V &X at Chicago Chicago € Proctor Hospital Peoria › 43 &Z &V &V &C Memorial Hospital of Carbondale Carbondale 55 &X &V &V &X Memorial Medical Center Springfield €› 43 &X &V &V &Z Advocate Lutheran General Hospital Park Ridge 54 &Z &B &V &X St. Anthony’s Memorial Hospital Effingham › 43 &Z &V &V &C Elmhurst Memorial Hospital Elmhurst 54 &X &C &V &X St. Margaret’s Hospital Spring Valley › 43 &C &V &V &X Advocate Christ Medical Center Oak Lawn ‹ 54 &X &B &V &X Rush University Medical Center Chicago € 43 &C &V &V &X Central DuPage Hospital Aurora 54 &Z &C &V &C OSF Saint Francis Medical Center Peoria › 43 &X &V &V &C Advocate South Suburban Hospital Hazel Crest ‹ 54 &C &V &V &X OSF St. Mary Medical Center Galesburg › 43 &V &V &C &X MetroSouth Medical Center Blue Island ‹ 54 &Z &B &B &Z Northwestern Lake Forest Hospital Lake Forest 42 &Z &V &B &B West Suburban Medical Center Oak Park ⁄ 54 &X &V &B &X Saints Mary & Elizabeth Medical Center Chicago 42 &C &B &V &X Carle Foundation Hospital Urbana € 53 &X &V &V &Z Advocate Condell Medical Center Libertyville ‹ 42 &X &V &B &B Adventist Hinsdale Hospital Hinsdale ‹ 53 &X &V &V &C Northwestern Memorial Hospital Chicago € 41 &Z &B &B &X Saint Anthony’s Health Center Alton 53 &Z &V &V &V MacNeal Hospital Berwyn 41 &C &V &B &C Silver Cross Hospital Joliet ⁄‹ 53 &C &B &V &Z Franciscan St. James Hospital and Health 40 Advocate Good Samaritan Hospital Downers Grove ‹ 53 &C &V &V &C Centers Olympia Fields ‹ &C &B &B &X Northwest Community Hospital Arlington Heights ‹ 53 &X &B &B &Z Loyola University Medical Center Maywood € 40 &C &V &V &C Methodist Medical Center of Illinois Peoria 53 &X &V &C &C Adventist GlenOaks Hospital Glendale Heights 40 &V &V &B &X Centegra Hospital-McHenry McHenry ‹ 52 &Z &B &V &C Westlake Hospital Melrose Park 39 &V &V &B &C ⁄Complications are better than average. €Complications are worse than average. ‹Mortality is better than average. ›Mortality is worse than average. august 2012 ConsumerReports.org 25 cr investigates how safe is your hospital?

Hospital Safety score Categories Hospital Safety score Categories Scanning Scanning Infections Infections Readmissions Readmissions Communication Communication

0 100 0 100 Illinois continued Michigan continued St. John’s Hospital Springfield 39 &C &C &B &V Huron Valley-Sinai Hospital Commerce Township ‹ 61 &Z &V &B &Z Sherman Hospital Elgin 39 &X &V &V &B St. Joseph Mercy Hospital Ypsilanti ‹ 60 &X &V &V &X Advocate BroMenn Medical Center Normal › 38 &X &C &V &B Beaumont Hospital Grosse Pointe Grosse Pointe ‹ 58 &X &V &V &Z Mount Sinai Hospital Chicago 37 &C &B &B &X Port Huron Hospital Port Huron ⁄ 57 &X &V &V &Z ‹ 57 Rush Oak Park Hospital Oak Park 35 &V &V &B &C St. John Macomb-Oakland Hospital Warren &Z &V &B &X Norwegian American Hospital Chicago 35 &B &V &B &X Sparrow Hospital Lansing 55 &C &V &V &Z Saint Francis Hospital Evanston 35 &X &B &B &V Providence Hospital Southfield ‹ 55 &X &V &V &Z ‹ 34 &C &V &B &B Spectrum Health Butterworth Hospital Grand St. Elizabeth's Hospital Belleville 55 &C &C &V &Z John H. Stroger Jr. Hospital of Cook County Rapids 33 &C &B &B &C Chicago Metro Health Hospital Wyoming 54 &X &V &C &X NorthShore Skokie Hospital Skokie 33 &C &V &B &B Harper University Hospital/Hutzel Women's 54 &X &V &B &Z OSF St. Joseph Medical Center Bloomington › 32 &X &V &V &B Hospital Detroit ‹ St. Joseph Mercy Oakland Pontiac ‹ 52 &Z &C &V &B Gottlieb Memorial Hospital Melrose Park 32 &C &V &B &B Beaumont Hospital-Royal Oak Royal Oak €‹ 52 &X &V &V &Z St. Mary’s Hospital Centralia 32 &C &B &C &B University of Michigan Hospitals and Health 50 &C &B &C &Z Thorek Memorial Hospital Chicago 30 &X &V &B &B Centers Ann Arbor St. John Providence Macomb-Oakland Vista Medical Center East Waukegan 29 &C &V &B &B 49 Hospital, Oakland Center Madison Heights ‹ &C &V &B &X Roseland Community Hospital Chicago 28 &X &B &B &B Beaumont Hospital-Troy Troy ‹ 49 &C &B &V &X St. Bernard Hospital and Health Care Center 28 Chicago &C &B &B &C Botsford Hospital Farmington Hills ‹ 48 &C &B &B &X Our Lady of the Resurrection Medical Center 23 St. John Hospital and Medical Center Detroit ‹ 46 &X &B &B &C Chicago ⁄ &V &B &B &B Dickinson County Healthcare System Iron 44 Sacred Heart Hospital Chicago 16 &B &B &B &B Mountain &B &C &V &Z Indiana Mercy Memorial Hospital System Monroe 42 &B &V &B &Z St. Vincent Indianapolis Hospital Indianapolis ⁄‹ 60 &V &C &B &Z Garden City Hospital Garden City 41 &C &B &B &X › 38 Union Hospital Terre Haute ⁄ 56 &V &V &V &Z Covenant Medical Center Saginaw &Z &V &V &B ⁄‹ 37 &C &B &B &B St. Mary’s Medical Center of Evansville St. Mary Mercy Hospital Livonia 56 &C &V &V &Z Evansville Detroit Receiving Hospital/University Health 35 Center Detroit &X &V &B &V Deaconess Hospital Evansville 53 &X &V &V &Z Sinai-Grace Hospital Detroit ‹ 35 &B &B &B &X Saint John's Health System Anderson 48 &Z &V &V &V Terre Haute Regional Hospital Terre Haute 44 &X &V &V &V Minnesota Indiana University Health La Porte Hospital 42 Woodwinds Health Campus Woodbury 65 &Z &C &V &Z La Porte › &Z &C &B &B ⁄ 65 &C &V &C &Z Kansas Mayo Clinic-Saint Marys Hospital Rochester Essentia Health St. Joseph's Medical Center Brainerd 64 &Z &V &C &Z Menorah Medical Center Overland Park 61 &Z &V &V &Z Essentia Health Duluth Duluth 64 &Z &C &V &Z Wesley Medical Center Wichita 53 &Z &X &V &V Overland Park Regional Medical Center Ridgeview Medical Center Waconia 63 &Z &V &V &Z 52 &X &V &V &Z Overland Park Mayo Clinic-Methodist Hospital Rochester ⁄ 63 &X &V &X &Z Shawnee Mission Medical Center Shawnee Mission 43 &V &V &V &C St. Joseph’s Hospital Saint Paul 63 &Z &C &B &Z Via Christi Hospitals Wichita Wichita 42 &X &C &B &V Lake Region Healthcare Corporation Fergus Falls 62 &Z &V &C &X Michigan Mayo Clinic Health System in Mankato Mankato 61 &Z &C &V &X 69 Northern Michigan Regional Hospital Petoskey &Z &C &C &Z Douglas County Hospital Alexandria 61 &X &V &C &Z MidMichigan Medical Center-Midland Midland 64 &Z &C &V &Z St. Cloud Hospital Saint Cloud 58 &C &V &C &Z Munson Medical Center Traverse City 64 &X &C &C &Z Fairview Southdale Hospital Edina 58 &X &V &V &Z Bronson Methodist Hospital Kalamazoo 64 &Z &C &V &Z Mayo Clinic Health System in Albert Lea 57 Mercy Health Partners, Mercy Campus Muskegon 63 &Z &C &V &X Albert Lea &C &C &V &Z Allegiance Health Jackson 63 &Z &C &V &Z Mercy Hospital Coon Rapids 55 &C &V &V &Z Lapeer Regional Medical Center Lapeer ‹ 62 &Z &V &V &X Essentia Health St. Mary's Medical Center Duluth 55 &Z &C &V &X Battle Creek Health System Battle Creek 62 &Z &V &V &Z Abbott Northwestern Hospital Minneapolis ‹ 55 &V &V &V &Z ⁄Complications are better than average. €Complications are worse than average. ‹Mortality is better than average. ›Mortality is worse than average.

0 100 0 100 Minnesota continued Missouri continued Rice Memorial Hospital Willmar 54 &C &V &C &Z Saint Luke’s Northland Hospital-Barry Road Kansas City 46 &B &V &V &Z ‹ 54 St. Luke’s Hospital Duluth &C &V &V &X St. Joseph Medical Center Kansas City 45 &X &V &V &V Cambridge Medical Center Cambridge 54 &V &V &C &Z Capital Region Medical Center Jefferson City 45 &C &V &V &V Methodist Hospital St. Louis Park ‹ 53 &V &C &B &Z Missouri Delta Medical Center Sikeston 45 &C &V &V &C Unity Hospital Fridley 53 &X &V &V &Z 53 University of Missouri Hospitals and Clinics 43 Lakeview Hospital Stillwater &V &C &C &Z Columbia &C &V &V &C Fairview Red Wing Medical Center Red Wing 51 &B &C &C &Z Southeast Hospital Cape Girardeau 43 &C &V &V &V North Memorial Health Care Robbinsdale 51 &C &V &V &Z St. Alexius Hospital-Broadway Campus St. Louis 43 &V &V &B &X Buffalo Hospital Buffalo 50 &V &V &C &Z Research Medical Center Kansas City 42 &C &V &V &V Sanford Bemidji Medical Center Bemidji 50 &V &V &B &Z Saint Francis Medical Center Cape Girardeau › 42 &C &C &V &C St. John’s Hospital St. Paul 50 &V &V &V &Z Barnes-Jewish Hospital St. Louis € 41 &C &B &V &X Regions Hospital St. Paul 49 &C &V &V &X Des Peres Hospital St. Louis 40 &C &V &V &C St. Francis Regional Medical Center 49 Shakopee &V &V &V &Z Bothwell Regional Health Center Sedalia › 39 &C &V &V &C Grand Itasca Clinic and Hospital 47 Freeman Health System Joplin 37 &X &V &V &B Grand Rapids &V &V &V &X Fairview Ridges Hospital Burnsville 47 &V &V &V &Z Truman Medical Center-Hospital Hill Kansas City 36 &B &V &V &X Ozarks Medical Center West Plains 36 University of Minnesota Medical Center, 42 &B &C &V &C Fairview Minneapolis € &V &V &V &Z Jefferson Regional Medical Center Crystal City 34 &V &V &B &C Owatonna Hospital Owatonna 42 &C &C &V &B Phelps County Regional Medical Center Rolla › 33 &B &C &V &C United Hospital St. Paul 40 &B &V &V &Z Poplar Bluff Regional Medical Center 29 &C &V &B &V Essentia Health St. Mary's Hospital-Detroit 37 Poplar Bluff › Lakes Detroit Lakes &B &C &V &C Saint Louis University Hospital St. Louis € 28 &B &V &V &V Olmsted Medical Center Rochester 31 &B &V &C &B Lake Regional Health System Osage Beach › 22 &B &V &V &B Missouri Nebraska St. John’s Hospital Springfield 70 &Z &X &V &Z Nebraska Medical Center Omaha 53 &C &V &V &Z Boone Hospital Center Columbia 65 &Z &C &C &X Creighton University Medical Center Omaha € 48 &Z &V &V &C Barnes-Jewish St. Peters Hospital St. Peters ‹ 62 &Z &V &V &Z Ohio Missouri Baptist Medical Center St. Louis ‹ 60 &X &V &V &Z Memorial Hospital of Union County Marysville 68 Barnes-Jewish West County Hospital St. Louis 60 &X &C &V &Z &Z &C &C &Z Christ Hospital Cincinnati ‹ 68 &Z &V &V &Z Skaggs Regional Medical Center Branson 59 &Z &C &B &X Kettering Medical Center Kettering ‹ 67 &Z &C &V &X St. John’s Mercy Hospital Washington 57 &C &C &V &Z Mercy Hospital Fairfield Fairfield ‹ 66 &Z &V &V &Z Saint Luke’s East-Lee's Summit Lee's Summit 57 &C &V &C &Z Licking Memorial Hospital Newark ‹ 65 &X &V &V &Z St. Luke's Hospital Chesterfield €‹ 56 &Z &V &V &Z Flower Hospital Sylvania ‹ 65 &X &C &V &Z Lester E. Cox Medical Centers Springfield 56 &C &C &V &Z Mercy Hospital Anderson Cincinnati ‹ 65 &Z &V &B &Z Christian Hospital St. Louis ‹ 52 &Z &B &V &C Saint Luke’s Hospital of Kansas City The Toledo Hospital Toledo ‹ 64 &Z &C &V &Z 52 &C &V &V &Z Kansas City € Madison County Hospital London 64 &Z &V &V &Z Heartland Regional Medical Center St. Joseph 51 &X &V &V &X Good Samaritan Hospital Cincinnati ‹ 64 &X &V &C &Z Liberty Hospital Liberty 51 &X &B &V &Z Summa Wadsworth-Rittman Hospital 64 &Z &V &V &Z Centerpoint Medical Center Independence 51 &C &V &V &Z Wadsworth Blanchard Valley Health System Findlay 63 &Z &C &V &X Audrain Medical Center Mexico 51 &C &C &C &V St. John Medical Center Westlake ‹ 62 &X &C &V &Z St. Mary’s Medical Center Blue Springs 50 &C &V &V &Z North Kansas City Hospital Good Samaritan Hospital Dayton ‹ 62 &X &V &V &Z 50 &C &V &V &X North Kansas City €‹ Union Hospital Dover ‹ 62 &Z &V &B &X Hannibal Regional Hospital Hannibal 49 &X &V &C &V Sycamore Medical Center Miamisburg 62 &Z &V &V &Z St. John’s Mercy Medical Center St. Louis 49 &C &V &V &Z Brown County General Hospital Georgetown 61 &Z &C &V &X St. Anthony’s Medical Center St. Louis ‹ 47 &C &V &B &C Grant Medical Center Columbus 61 &Z &V &V &Z

0 100 0 100 Ohio continued Ohio continued Mount Carmel St. Ann’s Westerville 61 &Z &V &V &Z Summa Barberton Citizens Hospital Barberton 51 &X &V &B &Z Pomerene Hospital Millersburg 61 &Z &V &V &X Mercy Hospital Mount Airy Cincinnati ‹ 50 &V &C &B &X St. Vincent Charity Medical Center Westlake 50 &C &V &V &Z St. Rita’s Medical Center Lima 61 &Z &C &V &X McCullough-Hyde Memorial Hospital Oxford 50 &V &C &V &Z Dublin Methodist Hospital Dublin 60 &Z &C &B &X Mercy Medical Center Canton 50 &C &C &B &Z Marion General Hospital Marion ‹ 60 &C &V &V &Z Northside Medical Center Youngstown 50 &X &V &B &Z Parma Community General Hospital Parma 59 &X &V &V &Z Lakewood Hospital Lakewood 50 &X &V &B &Z Doctors Hospital Columbus 59 &Z &V &V &Z Berger Health System Circleville 49 &C &V &V &Z Genesis HealthCare System Zanesville 58 &Z &V &V &Z Salem Community Hospital Salem 49 &V &C &V &Z Fort Hamilton Hospital Hamilton ‹ 58 &X &V &B &Z Mary Rutan Hospital Bellefontaine 48 &V &C &V &X Mercy Tiffin Hospital Tiffin 58 &Z &C &C &V Community Hospitals and Wellness Centers Bryan 48 &V &C &V &Z Lake Health Concord Township ‹ 58 &C &V &V &Z Alliance Community Hospital Alliance 48 &X &C &B &C Mercy St. Charles Hospital Oregon 48 &C &V &B &Z Southwest General Health Center 58 Middleburg Heights ‹ &X &V &V &Z University Hospitals Geauga Regional Hospital Chardon 48 &C &V &V &X Mercy St. Vincent Medical Center Toledo €‹ 58 &X &V &V &Z Atrium Medical Center Franklin 47 &C &V &B &Z St. Elizabeth Boardman Health Center Boardman 57 &Z &V &B &Z Ashtabula County Medical Center Ashtabula 47 &V &V &B &Z Grady Memorial Hospital Delaware 57 &C &C &V &Z Medina Hospital Medina 46 &X &V &V &C Miami Valley Hospital Dayton €‹ 57 &X &V &V &Z Euclid Hospital Euclid 46 &B &V &V &Z Fairfield Medical Center Lancaster ⁄ 57 &C &V &V &Z Wood County Hospital Bowling Green 46 &V &V &V &X Mercy St. Anne Hospital Toledo ‹ 56 &B &C &C &Z Marietta Memorial Hospital Marietta ‹ 46 &X &V &V &V Upper Valley Medical Center Troy 56 &X &V &V &Z Fisher-Titus Medical Center Norwalk 44 &V &V &V &X Van Wert County Hospital Van Wert 56 &Z &C &C &V St. Joseph Health Center Warren 44 &X &V &B &C Southern Ohio Medical Center Portsmouth ‹ 56 &Z &V &V &V MetroHealth Medical Center Cleveland € 43 &C &B &V &Z Akron General Medical Center Akron €‹ 56 &X &V &V &Z St. Elizabeth Health Center Youngstown € 43 &X &V &B &X Affinity Medical Center Massillon ‹ 56 &C &V &V &Z University Hospital Cincinnati €‹ 42 &V &B &V &Z Riverside Methodist Hospital Columbus 55 &Z &V &V &X Clinton Memorial Hospital Wilmington 42 &X &B &V &C Wayne Hospital Greenville 55 &C &C &V &Z Mercy Hospital Clermont Batavia 42 &C &B &V &X Ohio State University Medical Center Columbus €‹ 55 &X &V &V &Z Wilson Memorial Hospital Sidney 42 &C &C &V &B Aultman Hospital Canton 55 &X &C &B &X Trumbull Memorial Hospital Warren 42 &X &V &B &C Holzer Medical Center Gallipolis ‹ 54 &Z &B &V &Z Mercy Regional Medical Center Lorain ‹ 41 &V &V &V &C Bethesda North Hospital Cincinnati ‹ 54 &C &V &V &X Memorial Hospital Fremont 41 &C &C &C &B Lima Memorial Health System Lima 54 &C &V &V &Z Knox Community Hospital Mount Vernon › 41 &X &C &V &V St. Luke’s Hospital Maumee 54 &Z &V &B &X University Hospitals Case Medical Center Cleveland € 41 &C &V &V &C Robinson Memorial Hospital Ravenna 54 &Z &V &B &X South Pointe Hospital Warrensville Heights ‹ 40 &B &V &B &Z Firelands Regional Health System Sandusky 54 &X &C &V &X Grandview Medical Center Dayton ‹ 40 &V &V &V &V Mount Carmel Columbus € 53 &X &V &V &Z O'Bleness Memorial Hospital Athens 39 &V &B &V &X Bay Park Community Hospital Oregon 53 &C &V &V &Z Cleveland Clinic Foundation Cleveland € 39 &X &B &V &C Summa Health System Akron 52 &C &V &V &Z Hillcrest Hospital Cleveland € 36 &X &V &B &C Adena Health System Chillicothe ‹ 52 &X &B &V &X East Ohio Regional Hospital Martins Ferry 35 &C &V &B &C Lutheran Hospital Cleveland 52 &C &V &V &Z East Liverpool City Hospital East Liverpool › 35 &V &V &B &Z Marymount Hospital Garfield Heights ‹ 52 &Z &B &B &X Southeastern Ohio Regional Medical Center Cambridge 34 &B &B &C &C Mercer County Joint Township Community Mercy Hospital Western Hills Cincinnati 33 &B &V &B &C 52 &X &V &C &C Hospital Coldwater Trinity Health System Steubenville 32 &X &B &V &B The Jewish Hospital Cincinnati ‹ 51 &X &B &B &Z The University of Toledo Medical Center Toledo € 28 &B &V &B &C Fairview Hospital Cleveland 51 &C &V &V &Z Wisconsin Samaritan Regional Health System Ashland 51 &C &C &C &C Saint Clare's Hospital Weston 71 &Z &C &C &Z Joint Township District Memorial Hospital 51 St. Marys ‹ &C &C &V &V Bellin Memorial Hospital Green Bay ‹ 63 &V &C &C &Z MedCentral-Mansfield Hospital Mansfield 51 &X &V &B &Z Aspirus Wausau Hospital Wausau 56 &C &C &V &Z ⁄Complications are better than average. €Complications are worse than average. ‹Mortality is better than average. ›Mortality is worse than average.

28 consumer reports august 2012