ahrq-gov/archive.ahrq.gov/consumer/qnt/qnthosp.htm
2025-02-28 14:14:25 -05:00

393 lines
22 KiB
HTML

<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<!-- "doctitle" -->
<title>Your Guide to Choosing Quality Health Care: Choosing a Hospital</title>
<!-- "metadata" -->
<link href="/includes/archive.css" rel="stylesheet" type="text/css" />
<link href="/includes/ahrqstyleprint_arch.css" rel="stylesheet" type="text/css" media="print" />
<script>
(function(i,s,o,g,r,a,m){i['GoogleAnalyticsObject']=r;i[r]=i[r]||function(){
(i[r].q=i[r].q||[]).push(arguments)},i[r].l=1*new Date();a=s.createElement(o),
m=s.getElementsByTagName(o)[0];a.async=1;a.src=g;m.parentNode.insertBefore(a,m)
})(window,document,'script','//www.google-analytics.com/analytics.js','ga');
ga('create', 'UA-75759936-1', 'auto');
ga(' set', 'anonymizeIp', true);
ga('send', 'pageview');
</script></head>
<noscript>
Your browser doesn't support JavaScript. Please upgrade to a modern browser or enable JavaScript in your existing browser.
</noscript>
<script>
(function(i,s,o,g,r,a,m){i['GoogleAnalyticsObject']=r;i[r]=i[r]||function(){
(i[r].q=i[r].q||[]).push(arguments)},i[r].l=1*new Date();a=s.createElement(o),
m=s.getElementsByTagName(o)[0];a.async=1;a.src=g;m.parentNode.insertBefore(a,m)
})(window,document,'script','//www.google-analytics.com/analytics.js','ga');
ga('create', 'UA-75759936-1', 'auto');
ga(' set', 'anonymizeIp', true);
ga('send', 'pageview');
</script></head>
<body><!-- Google Tag Manager -->
<noscript><iframe src="//www.googletagmanager.com/ns.html?id=GTM-W4DST4"
height="0" width="0" style="display:none;visibility:hidden"></iframe></noscript>
<script>(function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':
new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],
j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src=
'//www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);
})(window,document,'script','dataLayer','GTM-W4DST4');</script>
<!-- End Google Tag Manager -->
<!-- Page Header v2.0 --><a name="top" id="top"></a>
<!--Begin Banner CodeS-->
<div id="ahrqbanner">
<div class="hhsportion">
<a href="#h1" class="skipnav">Skip Navigation</a>
<a href="http://www.hhs.gov" title="U.S. Department of Health and Human Services">
<img src="/images/hhs_banner.gif" alt="U.S. Department of Health and Human Services" />
</a>
<a href="http://www.hhs.gov" title="www.hhs.gov" class="hhsright">
<img src="/images/hhs_link.gif" alt="www.hhs.gov" />
</a>
</div>
<div class="ahrqportion">
<a href="/" title="Archive: Agency for Healthcare Research Quality">
<img src="/images/ahrq_banner.gif" alt="Agency for Healthcare Research Quality" />
</a><form name="searchForm" method="get" action="https://search.ahrq.gov/search" id="banner_searchform">
<label for="search" style="z-index:-1;position:relative;margin-right:-65px; font-size:0px;">Search</label>
<input name="q" type="text" value=" Search Archive" size="11" onfocus="this.value='';" class="gotext" label="Search archive" id="search" />
<input type="hidden" name="entqr" value="0" />
<input type="hidden" name="output" value="xml_no_dtd" />
<input type="hidden" name="proxystylesheet" value="ARCHIVE_Front_End" />
<input type="hidden" name="client" value="ARCHIVE_Front_End" />
<input type="hidden" name="site" value="ARCHIVE_AHRQ_GOV" />
<input src="/images/topbn_GoButton.gif" class="gobtn" name="Submit" onclick="javascript:document.searchForm.submit();" type="image" alt="Search" />
</form>
<a href="https://www.ahrq.gov/" class="ahrqright">www.ahrq.gov</a>
</div><div class="ahrqlinks"><a href="https://www.ahrq.gov/">AHRQ Home&#8212;Live Site</a> | <a href="/">Archive Home</a> | <a href="/sitemap.htm">Site Map</a> <!-- | &nbsp;<img src="/images/envelope1.jpg" alt="" width="21" height="14" /><a href="https://subscriptions.ahrq.gov/service/multi_subscribe.html?code=USAHRQ">E-mail Updates</a> --></div>
</div>
<div id="PrintBanner">
<img src="/images/printbanner_arch.jpg" alt="Archive print banner" />
</div>
<a name="h1"></a>
<!-- End banner code --><!-- End of Page header -->
<!-- Content Body -->
<div id="mainContent">
<table width="100%" border="0" cellspacing="0" cellpadding="4">
<tr>
<td valign="top" width="176">
<!-- Left Navigation column -->
<table border="0" cellspacing="0" cellpadding="1" bgcolor="#CCCCCC">
<tr>
<td>
<table width="176" border="0" cellpadding="1" cellspacing="0" bgcolor="#FFFFE5">
<tr>
<td>
<!-- "navbar" -->
<div class="menu"><span class="topicHeader">Contents</span>
<a href="." class="menuTop" >Introduction</a><span class="hide"><br />
<br />
</span>
<a href="qntmessg.htm" class="menunav" >Health Care Quality Varies<br />a Lot</a><span class="hide"><br />
<br />
</span>
<a href="qntb4.htm" class="menunav" >Before You Begin</a><span class="hide"><br />
<br />
</span>
<a href="qntqlook.htm" class="menunav" >A Quick Look at Quality</a><span class="hide"><br />
<br />
</span>
<a href="qnthplan.htm" class="menunav" >Choosing a Health Plan</a><span class="hide"><br />
<br />
</span>
<a href="qntdr.htm" class="menunav" >Choosing a Doctor</a><span class="hide"><br />
<br />
</span>
<a href="qnttreat.htm" class="menunav" >Choosing Treatments</a><span class="hide"><br />
<br /> </span>
<a href="qnthosp.htm" class="menunav" >Choosing a Hospital</a><span class="hide"><br />
<br />
</span>
<a href="qntltc.htm" class="menunav" >Choosing Long-term Care</a><span class="hide"><br />
<br /> </span>
<a href="qntinfo.htm" class="menunav" >Health Information on the Internet</a><span class="hide"><br />
<br />
</span>
<a href="qntquick.htm" class="menunav" >Quick Checks for Quality</a><span class="hide"><br />
<br />
</span></div>
</td>
</tr>
</table>
</td>
</tr>
</table>
</td>
<td width="70%" valign="top" >
<!-- Center Content section -->
<table width="100%" border="0" cellpadding="0" cellspacing="0" style="margin-left:10px; margin-right:10px;margin-top:5px" >
<!--DWLayoutTable-->
<tr>
<td><div id="centerContent">
<div class="headnote">
<p>This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: <a href="https://info.ahrq.gov/">https://info.ahrq.gov</a>. Let us know the nature of the problem, the Web address of what you want, and your contact information. </p>
<p>Please go to <a href="https://www.ahrq.gov/">www.ahrq.gov</a> for current information.</p></div>
<!-- "main_content" -->
<h2>Choosing a Hospital</h2>
<a id="top" name="top"></a>
<h3>Contents</h3>
<ul>
<li><a href="#choosing">Choosing a Hospital Worksheet</a></li>
<li><a href="#sources">Sources of Additional Information</a></li>
</ul>
<p>How can you choose the best quality hospital for the care you need? It
is important to consider quality, because research shows that some
hospitals simply do a better job than others. For example, we know
that hospitals that do a greater number of the same surgeries have
better outcomes for their patients.</p>
<h4>Quick Check for Quality</h4>
<p>Look for a hospital that:</p>
<ul>
<li>Is accredited by The Joint Commission (formerly the Joint Commission on Accreditation of
Healthcare Organizations).</li>
<li>Is rated highly by State or consumer or other groups.</li>
<li>Is one where your doctor has privileges, if that is important
to you.</li>
<li>Is covered by your health plan.</li>
<li>Has experience with your condition.</li>
<li>Has had success with your condition.</li>
<li>Checks and works to improve its own quality of care.</li>
</ul>
<p><a href="#top">Top of Page</a> <a href="#top"><img src="/images/bullet_up.jpg" alt="Top of Page" width="14" height="15" border="0" /></a> </p>
<a name="choosing"></a>
<h3>Choosing a Hospital Worksheet</h3>
<p>The following questions can help you make the best choices. At the end
you will be able to print out your results summary for the hospital
you are considering.</p>
<p>You may not have a choice right now because of your health plan or
doctor. But keep these questions in mind for when you might make a
change.</p>
<h4>Does the hospital meet national quality standards?</h4>
<p>(_) Yes (_) No</p>
<p>Hospitals can choose to be surveyed by The Joint Commission to make sure they
meet certain quality standards. The standards address the quality of
staff and equipment, and&#8212;most recently&#8212;the hospital's success in
treating and curing patients. If a hospital meets those standards, it
becomes accredited (gets a &quot;seal of approval&quot;). Reviews are done at
least every 3 years. Most hospitals participate in this program.</p>
<p>The Joint Commission prepares a performance report on each hospital that it
surveys. The report lists:</p>
<ul>
<li>Accreditation status (six levels&#8212;from the lowest, &quot;Not
Accredited,&quot; to the highest, &quot;Accredited with Commendation&quot;).</li>
<li>Date of the survey.</li>
<li>Evaluation of the key areas reviewed during the survey.</li>
<li>Results of any followup activity.</li>
<li>Areas needing improvement.</li>
<li>Comparison with national results.</li>
</ul>
<p>You can order The Joint Commission's performance reports free of charge by calling 630-792-5800. Or, check its Web site at <a href="http://www.jointcommission.org/">www.jointcommission.org</a> <a href="/exitdisclaimer.htm"><img src="/images/exitdisclaimer.gif" alt="Exit Disclaimer" border="0" align="middle" /></a>for a hospital's performance report or for its accreditation status.</p>
<h4>How does the hospital compare with others in my area?</h4>
<p>________________________________________________________________________________________________________<br /><br />
________________________________________________________________________________________________________<br /><br /> ________________________________________________________________________________________________________</p>
<br />
<p>One important way to learn about hospital quality is to look at
hospital report cards developed by States and consumer groups. A
recent study about such reports found that besides helping consumers
make informed choices, they also encourage hospitals to improve their
quality of care. This is a very good reason to look for and use
consumer information about hospitals. Here are some ways to find such
information:</p>
<ul>
<li>Some States&#8212;for example, Pennsylvania, California, and Ohio&#8212;have
laws that require hospitals to report data on the quality of their
care. The information is then given to the public so consumers can
compare hospitals.</li>
<li>Some groups gather information on how well hospitals perform and
how satisfied their patients are. An example is the Cleveland
Health Quality Choice Program, which is made up of businesses,
doctors, and hospitals.</li>
<li>Consumer groups publish guides to hospitals and other health care
choices in various cities. Find out what kind of information is
available where you live by calling your State department of
health, health care council, or hospital association. Also, ask
your doctor what he or she thinks about the hospital.</li>
</ul>
<h4>Does my doctor have privileges at the hospital (is permitted to admit patients)?</h4>
<p>(_) Yes (_) No</p>
<p>If not, you would need to be under the care of another doctor while at
the hospital.</p>
<h4>Does my health plan cover care at the hospital?</h4>
<p>(_) Yes (_) No</p>
<p>If not, do you have another way to pay for your care?</p>
<p>If going to a certain hospital is important to you, keep that in mind
when choosing a doctor and/or health plan. In general, you will go to
the hospital where your doctor has &quot;privileges.&quot;</p>
<h4>Does the hospital have experience with my condition?</h4>
<p>(_) Yes (_) No</p>
<p>For example, &quot;general&quot; hospitals handle a wide range of routine
conditions, such as hernias and pneumonia. &quot;Specialty&quot; hospitals have
a lot of experience with certain conditions (such as cancer) or
certain groups (such as children). You may be able to choose General
Hospital &quot;X&quot; for gallbladder surgery, Specialty Hospital &quot;Y&quot; if you
need care for a heart condition, and Specialty Hospital &quot;Z&quot; for your
children.</p>
<p>You also may want to find out if the hospital has a special team of
health professionals that works with people with your condition or
treatment.</p>
<h4>Has the hospital had success with my condition?</h4>
<p>(_) Yes (_) No</p>
<p>Research shows that hospitals that do many of the same types of
procedures tend to have better success with them. In other words,
&quot;practice makes perfect.&quot; Ask your doctor or the hospital if there is
information on:</p>
<ul>
<li>How often the procedure is done there.</li>
<li>How often the doctor does the procedure.</li>
<li>The patient outcomes (how well the patients do).</li>
</ul>
<p>Also, some health departments and others publish reports on &quot;outcomes
studies&quot; about certain procedures. These studies show, for example,
how well patients do after having heart bypass surgery. Such studies
can help you compare which hospitals and surgeons have had the most
success with a procedure.</p>
<h4>How well does the hospital check and improve on its own quality of care?</h4>
<p>________________________________________________________________________________________________________<br /><br />
________________________________________________________________________________________________________<br /><br /> ________________________________________________________________________________________________________</p><br />
<p>More and more hospitals are trying to improve the quality of their
care. One way is to keep track of patient outcomes for certain
procedures. Another way is to keep track of patient injuries and
infections that occur in the hospital. By finding out what works and
what doesn't, the hospital can improve the way it treats patients.</p>
<p>Ask the hospital quality management (or assurance) department how it
monitors and improves the hospital's quality of care. Also, ask for
any patient satisfaction surveys the hospital has done. These will
tell you how other patients have rated the quality of their care.</p>
<p><a href="#top">Top of Page</a> <a href="#top"><img src="/images/bullet_up.jpg" alt="Top of Page" width="14" height="15" border="0" /></a> </p>
<a name="sources"></a>
<h3>Sources of Additional Information</h3>
<!-- <h4>A Patient's Bill of Rights</p>
<p>Available from the American Hospital Association. Free.</p>
<blockquote>Web site: <a href="http://www.aha.org/aha/issues/Communicating-With-Patients/pt-care-partnership.html">http://www.aha.org/aha/issues/Communicating-With-Patients/pt-care-partnership.html</a></blockquote>-->
<!-- <h4>All Hospitals Are Not Created Equal</p>
<p>Information and questions to ask to help you choose the hospital that
best suits your needs. Part of a series published by Health Pages'
online magazine.</p>
<blockquote>Web site: <a href="http://www.thehealthpages.com/articles/ar-hosps.html">http://www.thehealthpages.com/articles/ar-hosps.html</a></blockquote>-->
<!-- <h4>Choosing a Hospital and Hospital Quality Checklist</p>
<p>Web site offered by the Pacific Business Group on Health.</p>
<blockquote>Web site: <a href="http://www.healthscope.org/hospitals/default.asp">http://www.healthscope.org/hospitals/default.asp</a></blockquote> -->
<h4>Finding the Right Hospital</h4>
<p>Information and questions to ask to help you choose the hospital that
best suits your needs. Part of a series published by Health Pages'
online magazine.</p>
<blockquote>Web site: <a href="http://www.thehealthpages.com/articles/ar-hosps.html">www.thehealthpages.com/articles/ar-hosps.html</a> <a href="/exitdisclaimer.htm"><img src="/images/exitdisclaimer.gif" alt="Exit Disclaimer" border="0" align="middle" /></a></blockquote>
<h4>healthfinder&reg;</h4>
<p> A gateway to reliable consumer health information from the Federal Government and other organizations.</p>
<blockquote>Web site: <a href="http://www.healthfinder.gov/">http://www.healthfinder.gov</a></blockquote>
<h4>Hospital Compare</h4>
<p>Information on how well hospitals care for patients with certain medical conditions or surgical procedures, and results from a survey of patients about the quality of care they received during a recent hospital stay. </p>
<blockquote>Web site: <a href="http://www.hospitalcompare.hhs.gov/">http://www.hospitalcompare.hhs.gov</a></blockquote>
<h4>The Patient Care Partnership: Understanding Expectations, Rights and Responsibilities</h4>
<p>From the American Hospital Association, this information explains what patients should expect during their hospital stay.</p><blockquote>
<p>Web site: <a href="http://www.aha.org/aha/issues/Communicating-With-Patients/pt-care-partnership.html">http://www.aha.org/aha/issues/Communicating-With-Patients/pt-care-partnership.html</a> <a href="/exitdisclaimer.htm"><img src="/images/exitdisclaimer.gif" alt="Exit Disclaimer" border="0" align="middle" /></a></p>
</blockquote>
<p><a href="#top">Top of Page</a> <a href="#top"><img src="/images/bullet_up.jpg" alt="Top of Page" width="14" height="15" border="0" /></a> </p>
<hr />
<p class="size2" align="center"><img src="/images/arrow_lft.gif" width="8" height="11" alt="Previous Section" border="0" /> <a href="qnttreat.htm">Previous Section</a> &nbsp; &nbsp; &nbsp; &nbsp; <a href="index.html#Contents">Contents</a> &nbsp; &nbsp; &nbsp; &nbsp; <a href="qntltc.htm">Next Section</a> <img src="/images/arrow_rt.gif" width="8" height="11" alt="Next Section" border="0" />&nbsp;&nbsp;&nbsp;</p>
<hr />
<br />
<div class="footnote"><p> The information on this page is archived and provided for reference purposes only.</p></div>
<p>&nbsp;</p>
</div>
</td>
</tr>
</table>
<!-- End of Center Content section -->
</td>
<td width="170">
<!-- Right column section -->
</td>
</tr>
</table>
</div>
<!-- End of Content Body -->
<!-- Footer graphic 1.2-->
<table cellspacing="0" cellpadding="0" border="0" width="100%">
<tr>
<td width="125" background="/images/bottom_ahrq_bkg.jpg"><img src="/images/bottom_ahrq_1.jpg" width="125" alt="AHRQ" /></td>
<td width="100%" background="/images/bottom_ahrq_bkg.jpg" ><img src="/images/bottom_ahrq_bkg.jpg" width="10" height="34" alt="" /></td>
<td width="310" background="/images/bottom_ahrq_bkg.jpg"><img src="/images/bottom_ahrq_2.gif" alt="Advancing Excellence in Health Care" width="310" height="34" /></td>
</tr>
</table>
<!-- Footer links section -->
<div id="banner_Footer2"><p> <a href="https://www.ahrq.gov/">AHRQ Home</a> | <a href="https://info.ahrq.gov" class="footer_navlink">Questions?</a> | <a href="https://www.ahrq.gov/contact/index.html" class="footer_navlink">Contact AHRQ</a> | <a href="https://www.ahrq.gov/sitemap.html" class="footer_navlink">Site Map</a> | <a href="https://www.ahrq.gov/policy/electronic/accessibility/index.html" class="footer_navlink">Accessibility</a> | <a href="https://www.ahrq.gov/policy/electronic/privacy/index.html" class="footer_navlink">Privacy
Policy</a> | <a href="https://www.ahrq.gov/policy/foia/index.html" class="footer_navlink">Freedom of Information Act</a> | <a href="https://www.ahrq.gov/policy/electronic/disclaimers/index.html" class="footer_navlink">Disclaimers</a> | <a href="http://www.hhs.gov/open/recordsandreports/plainwritingact/index.html" class="footer_navlink">Plain Writing Act</a> <br />
<a href="http://www.hhs.gov" class="footer_navlink">U.S. Department of Health &amp; Human Services</a> | <a href="http://www.whitehouse.gov" class="footer_navlink">The White House</a> | <a href="http://www.usa.gov" class="footer_navlink">USA.gov: The U.S. Government's Official Web Portal</a></p>
</div>
<div id="banner_Footeraddress"><p>Agency for Healthcare Research and Quality <img src="/images/bottom_dot.gif" alt="" /> 5600 Fishers Lane Rockville, MD 20857 <img src="/images/bottom_dot.gif" alt="" /> Telephone: (301) 427-1364</p></div>
<!-- End of Footer links section -->
</body>
</html>