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Home > Studies > 2005 National study > Methodology

100 Top Hospitals®: National
Benchmarks for Success — 2005

Methodology

For the past decade, Solucient has consistently identified benchmark practices by using solely objective statistical analyses of public data sources, and by constantly improving and refining the study performance measures, thresholds for inclusion, and methodologies.

The Study Universe

This study focuses on short-term, acute care, non-federal U.S. hospitals that treat a broad spectrum of patients. The database is based on public data—the Medicare Provider Analysis and Review (MedPAR) data set, the Centers for Medicare & Medicaid Services (CMS) Standard Analytical File (SAF) Outpatient data set, and the Medicare Cost Report.

The Comparison Groups

Bed size, teaching status, and residency program involvement have a profound effect on the types of patients a hospital treats and the scope of services it provides. We assign each hospital to one of five peer groups according to its size and teaching status:

  • Major Teaching Hospitals
  • Teaching Hospitals
  • Large Community Hospitals
  • Medium Community Hospitals
  • Small Community Hospitals

Evolution of Performance Measures

One of the major goals of this study is to create useful and relevant balanced scorecard measures for hospital CEOs and boards of trustees—with a selection methodology that reflects the current hospital operating environment.

Our measures are centered on clinical excellence, operating efficiency and financial health, and responsiveness to the community. The measures for the 2005 study are:

  1. Risk-adjusted mortality index
  2. Risk-adjusted complications index
  3. Risk-adjusted patient safety index
  4. Severity-adjusted average length of stay
  5. Expense per adjusted discharge, case mix- and wage-adjusted
  6. Profitability (operating profit margin)
  7. Cash to total debt ratio
  8. Tangible assets (net plant, property, and equipment) per adjusted discharge
  9. Growth in patient volume

For full details, the 2005 100 Top Hospitals study abstract is now available!

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for more information or to order.

Make the 100 Top Hospitals study work for you:

Want to see how your hospital scored on the 100 Top Hospitals measures? Order a Results Report to see how you compare.

To understand how your hospital’s 5-year performance improvement compares with your peers, order a Performance Improvement Leaders Report.


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