Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Showing posts with label best hospitals. Show all posts
Showing posts with label best hospitals. Show all posts

Sunday, September 17, 2017

US News and World Report unveils 2017-18 Best Hospitals

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

Wednesday, August 9, 2017

2017-18 Best Hospitals Honor Roll and Overview

You are completely on your own trying to find the best stroke hospitals. Our fucking failures of stroke associations should have statistics for every stroke hospital so we only go to those that deliver results, not 'care' or 'processes'.
1. Nothing on 100% recovery statistics.
2. Nothing on 30-day deaths compared to other hospitals.
3. Nothing on the efficacy of their stroke rehab protocols.
4.  Nothing on tPA full efficacy.
5. Nothing on their misdiagnosis percentage of strokes, especially young strokes. 

http://health.usnews.com/health-care/best-hospitals/articles/best-hospitals-honor-roll-and-overview

U.S. News ranks the top 20 hospitals in the nation, plus the best hospitals in each state and metro area.

Somewhere in America, at a pace of about once per second, a patient checks into a hospital. With more than 33 million hospitalizations a year and so many patients on whom to sharpen their skills, hospitals could be expected to meet the most demanding standards for quality and safety.
Yet too many hospitals fail even those whose medical needs are relatively straightforward – such as hip replacement, uncomplicated heart bypass surgery or removal of a cancerous section of colon. The hospital that makes treating patients like these its bread and butter is the very definition of a community hospital, and it should perform at a high standard.
Even fewer hospitals excel at caring for patients with especially challenging or complex diagnoses, for whom the stakes may be a matter of life or death. For those patients, venturing beyond a trusted community hospital to seek care at a truly exceptional medical center, even one farther from home, may be the wisest option.
To help readers narrow their search for hospitals that best match their needs, U.S. News ranks hospital performance in 16 areas of complex specialty care and also rates hospitals in nine bellwether procedures and conditions such as heart bypass, hip and knee replacement, heart failure and lung cancer surgery.
The Best Hospitals Honor Roll takes both the specialty rankings and the procedure and condition ratings into account. Hospitals received points if they were nationally ranked in one of the 16 specialties – the more specialties and the higher their rank, the more points they got – and also if they were rated "high performing"in the nine procedures and conditions. The top 20 point-getters made up the Honor Roll, which has a maximum total of 480 points.
U.S. News 2017-18 Best Hospitals Honor Roll
RankNamePoints
1 Mayo Clinic, Rochester, Minnesota 415
2 Cleveland Clinic 365
3 Johns Hopkins Hospital, Baltimore 363
4 Massachusetts General Hospital, Boston 358
5 UCSF Medical Center, San Francisco 303
6 University of Michigan Hospitals and Health Centers, Ann Arbor 294
7 Ronald Reagan UCLA Medical Center, Los Angeles 292
8 New York-Presbyterian Hospital, New York 267
9 Stanford Health Care-Stanford Hospital, Stanford, California 251
10 Hospitals of the University of Pennsylvania-Penn Presbyterian, Philadelphia 244
11 Cedars-Sinai Medical Center, Los Angeles 239
12 Barnes-Jewish Hospital, St. Louis 236
13 Northwestern Memorial Hospital, Chicago 228
14 UPMC Presbyterian Shadyside, Pittsburgh 218
15 University of Colorado Hospital, Aurora 204
16 Thomas Jefferson University Hospitals, Philadelphia 202
17 Duke University Hospital, Durham, North Carolina 199
18 Mount Sinai Hospital, New York 196
19 NYU Langone Medical Center, New York 194
20 Mayo Clinic Phoenix 186