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Clinical Focus: Pediatrics - Review

Children’s hospital quality ratings: where are we and can we do better?

, , &
Pages 405-412 | Received 06 Jul 2021, Accepted 24 Feb 2022, Published online: 14 Mar 2022
 
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ABSTRACT

Objective

Hospital quality ratings are intended to guide patients and payers to the highest quality hospitals. Their success in achieving this goal has been limited by inconsistencies between ratings and questionable data collection methods. Despite these shortcomings, their popularity and importance are increasing. The purpose of this review is to identify the strengths and weaknesses of the US News and World Report (USNWR) Best Children’s Hospitals Report and Leapfrog Pediatric Care Survey and discuss improvement opportunities.

Methods

A structured literature review was performed analyzing hospital quality surveys. Previously published criteria were used to compare the USNWR Best Children’s Hospitals Report and Leapfrog Pediatric Care Survey.

Results

This narrative review highlights the strengths and weakness of both the USNWR Best Children’s Hospitals Report and the Leapfrog Pediatric Care Survey, including a letter grade comparison.

Conclusion

Existing children’s hospital rating systems are lacking. We suggest specific improvements that may better enable these reports to influence the quality of pediatric care.

Declaration of funding

No funding was received for the production of this manuscript.

Acknowledgments

None stated.

Disclosure Statement

The authors have no relevant conflicts of interest to disclose. Peer reviewers on this manuscript have no relevant financial or other relationships to disclose.

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