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How stupid are USNews rankings of hospitals?

tibor75

Banned
UPMC urging doctors to vote to bolster ranking
Friday, October 13, 2006

By Christopher Snowbeck, Pittsburgh Post-Gazette



Politicians aren't the only ones orchestrating get-out-the-vote campaigns this fall.

Dr. Loren Roth, chief medical officer of the University of Pittsburgh Medical Center, distributed a letter to local physicians last month in which he encouraged them to vote early and often for UPMC hospitals should they be among the lucky doctors asked to participate in U.S. News & World Report magazine's annual survey of "best hospitals."

Noting the medical center's recent success in the ranking by U.S. News -- UPMC was rated this year as one of the 14 best hospitals in the nation -- Dr. Roth told his physicians that: "We would like to build on this upward momentum. Hence now more than ever, UPMC needs your vote."

"If you receive a survey and respond by selecting a UPMC teaching facility (such as UPMC Presbyterian Shadyside, Children's Hospital and/or Magee-Womens Hospital), you can help advance UPMC's ranking," Dr. Roth wrote in the Sept. 20 letter. "In the survey you may list one hospital, several hospitals, or all of them."

While Dr. Roth was not available for comment yesterday, spokesman Frank Raczkiewicz said health system officials have sent similar letters for the past three years or so to remind physicians about the survey, and encourage their participation.

Mr. Raczkiewicz did not say how many physicians received the letter, which encourages doctors who are surveyed by U.S. News to alert the marketing office at UPMC so that officials can "update our database." The September letter encouraged doctors to submit their surveys in time for the Halloween deadline.

"Only 200 physicians across the United States in each of 16 specialties receive this survey," Dr. Roth wrote. "Therefore, your response is critical, and holds tremendous weight."

The U.S. News ranking has become a serious business for hospitals, which often incorporate accolades from the magazine in their own marketing campaigns. As such, it's not surprising that hospitals including UPMC would work to get out the vote, said Betsy Gelb, a professor of marketing and entrepreneurship at the Bauer College of Business at the University of Houston.

She likened the UPMC outreach to those made by professional baseball teams as they encourage fans to cast votes in favor of hometown players for the All-Star Game.

"You're not really influencing their opinion -- I think that is the honest fact," Ms. Gelb said. "You're trying to get people who would vote for your folks anyway, to, in effect, go to the polls and do so."

That may be, but it reflects poorly on the U.S. News methodology, said Ken Segel of the Value Capture Policy Institute, a North Side group that was founded in part by former Alcoa chairman and U.S. Treasury Secretary Paul O'Neill.

Some experts in health care quality have long bemoaned the public attention given to the magazine's rankings, in part because U.S. News uses a hospital's reputation among physicians as one of its three main data points. A Dartmouth College study published in Health Affairs during 2004, for example, raised questions about the magazine's methodology by finding that Medicare patients with similar chronic conditions receive strikingly different care among hospitals identified as "best" in geriatrics by U.S. News.

"U.S. News is, in a sense, getting what they deserve by setting up the criteria in a way that rewards reputation disproportionately," Mr. Segel said. "They need to really shift the ratings away from reputation and toward hard evidence -- that the right outcomes are being achieved, and the right processes are being followed."

U.S. News officials did not respond to written questions seeking comment.

Dr. Roth hopes the same won't be true of UPMC physicians.

"We thank you in advance," he wrote, "for casting your vote for one or all of the eligible UPMC facilities."
 
tibor75;632516; said:
I'm sorry this thread isn't interesting to you. Perhaps I should start whining about my court appearance or crying about a failed marriage or divorce. :roll1:

The :roll1: wasn't b/c of lack of interest in the thread but the depths that these people go to to improve their ranking.
 
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Brutus1;632639; said:
The majority of their patients probably think U.S. News is the daily newspaper that divides sections based on colors.

Did you receive a letter, Tibs ?


Heck no. I got the email though notifying us just as this article said we were. Pretty pathetic.

I wonder how much patients care about this stuff. When UPMC was nominated in the Honor Roll this year a bunch of people went around the hospital handing out free Tshirts mentioning the honor. Not that we are any different. When I was at OSU I did rotations at the Cleveland Clinic and their cardiology dept did the same thing after they were ranked Number 1.
 
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tibor75;632646; said:
Heck no. I got the email though notifying us just as this article said we were. Pretty pathetic.

I wonder how much patients care about this stuff. When UPMC was nominated in the Honor Roll this year a bunch of people went around the hospital handing out free Tshirts mentioning the honor. Not that we are any different. When I was at OSU I did rotations at the Cleveland Clinic and their cardiology dept did the same thing after they were ranked Number 1.

Just another symptom of our slide into becoming a "face" culture. Agassi had no idea how prescient he was when he said "Image is Everything." There's little that's more pathetic, even though it's biologically innate, than the extent to which humans' self-perception is dependent more on our merits relative to others than our merits relative to any objective standard of excellence.
 
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buckeyegrad;632636; said:
About as stupid as their rankings of colleges and universities.

USN&WR rankings are not perfect, and I certainly believe that there's a systematic bias in favor of smaller, private colleges (ND better than Berkeley?), but they are not useless.

As much as people like to gripe about the weight given to alumni giving or class size, the vast majority of a school's rankings comes down to two criteria: how selective it is (i.e. the quality of its students) and how the school's academics and faculty members are percieved by other academics outside the institution. Both, in my opinion, pretty serious indicators of a university's quality.

And while you might be able to argue why one school is 16th and another is 19th, the rankings do a very good job of seperating schools into overall quality tiers, which in Ohio State's case is very important as so many Ohio residents still buy into Jim Rhodes' populist nonsense that there is no fundamental quality difference between Ohio's public universities.
 
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ORD_Buckeye;632686; said:
As much as people like to gripe about the weight given to alumni giving or class size, the vast majority of a school's rankings comes down to two criteria: how selective it is (i.e. the quality of its students) and how the school's academics and faculty members are percieved by other academics outside the institution. Both, in my opinion, pretty serious indicators of a university's quality.

This is exactly my point as to why those rankings are worthless. It measures inputs to the educational system (e.g. types of students attending, faculty quality who work their, financial resources), not the outputs that result from an institution's activities. Items like quality research production, social mobility of students, services to corresponding communities, and fulfillment of insitutional mission should be the things by which a university or college is evaluated.
 
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buckeyegrad;632696; said:
This is exactly my point as to why those rankings are worthless. It measures inputs to the educational system (e.g. types of students attending, faculty quality who work their, financial resources), not the outputs that result from an institution's activities. Items like quality research production, social mobility of students, services to corresponding communities, and fulfillment of insitutional mission should be the things by which a university or college is evaluated.

I half agree: Perceived faculty quality seems like a legitimate, although obviously subjective, indicator. Selectivity doesn't tell you how well a school does in improving what comes in the door at all, although a student should typically benefit from being around "smarter" peers. The factors you reference should get more weight.
 
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ORD_Buckeye;632686; said:
Both, in my opinion, pretty serious indicators of a university's quality.

This appears to be a sentence without a verb. I'll now sit back and wait for your explanation as to why that's not a problem grammatically. Because I believe that you'll have one, and I like to learn. :biggrin:

EDIT - I'm an idiot, I confused you with another poster.
 
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tibor75;632516; said:
I'm sorry this thread isn't interesting to you. Perhaps I should start whining about my court appearance or crying about a failed marriage or divorce. :roll1:

That sounds like a lot more fun on a slow news day Tibs. Go for your badge and let's see what you can haul into the boat.
 
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