If we had anything even remotely resembling a great stroke association stroke survivors would know what hospitals can get us 100% recovered. There would be factual information on:
1. tPA efficacy,
2. 30 day deaths,
3. 100% recovery,
4. rehab protocol efficacy.
But we have fucking failures of stroke associations instead doing nothing to solve ANY of the problems in stroke. And we have hospitals professing how great they are at stroke because they are following Get With the Guideline or Joint Commission standards on stroke. Neither of which measures results, just whether they are following processes. You can follow processes 100% and the patient dies, good for the doctor, not so good for the patients. You can't get better at anything unless you measure it. You don't measure processes you measure results.
https://www.mdlinx.com/internal-medicine/medical-news-article/2017/08/10/us-news-world-report-hospital-top-ten-mayo-clinic-cleveland-clinic-johns-hopkins/7284295/?category=last-month&page_id=2
Now in their 28th year, US News and World Report has revealed their
2017–18 Best Hospitals, and it's the Mayo Clinic topping this year's
list, a feat they also accomplished last year.The Cleveland Clinic
ranked second, followed by Johns Hopkins Hospital third, a step up from
last year's ranking of fourth.The rankings are formulated by analyzing
objective measures such as risk–adjusted survival and readmission rates,
volume, patient experience, patient safety and quality of nursing,
among other care–related indicators. This year, there was an increase in
data, with five years of Medicare data covering more than 60 million
hospitalizations being used to calculate Procedures and Conditions
ratings. In previous years, three years' data was used.For the Best
Regional Hospitals, procedures and conditions ratings, which are based
on completely objective data, were emphasized more than specialty
rankings. US News also modified its measurements so as to not penalize
hospitals for treating low–income patients or for accepting high–risk
cases transferred from other hospitals, US News said in a statement.
Finally, U.S. News refined how it measured patient volume to improve
comparability among hospitals.Also recognized were 535 Best Regional
Hospitals, which were ranked by state and metro based on their
performance in both complex and common care.When it came to specialties,
University of Texas MD Anderson Cancer Center ranked No. 1 in cancer.
Cleveland Clinic is ranked at the top for cardiology & heart surgery
and Hospital for Special Surgery was first in orthopedics.Here are the
2017–18 Best Hospitals: • Mayo Clinic, Rochester, MN • Cleveland Clinic •
Johns Hopkins Hospital, Baltimore • Massachusetts General Hospital,
Boston • UCSF Medical Center, San Francisco • University of Michigan
Hospitals and Health Centers, Ann Arbor• Ronald Reagan UCLA Medical
Center, Los Angeles • New York–Presbyterian Hospital, NY • Stanford
Health Care–Stanford Hospital, Stanford, CA • Hospitals of the
University of Pennsylvania–Penn Presbyterian, Philadelphia •
Cedars–Sinai Medical Center, Los Angeles • Barnes–Jewish Hospital, St.
Louis • Northwestern Memorial Hospital, Chicago • UPMC Presbyterian
Shadyside, Pittsburgh • University of Colorado Hospital, Aurora • Thomas
Jefferson University Hospitals, Philadelphia• Duke University Hospital,
Durham, NC • Mount Sinai Hospital, New York • NYU Langone Medical
Center, New York • Mayo Clinic Phoenix —Beth Jones Sanborn
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