Talk:Cleveland Clinic

Quality and Safety

May I propose that the current section headed Reputation in the Cleveland Clinic article be replaced with a section headed Quality and Safety. This could report current CMS, Joint Commission, Leapfrog, UniversityHospitals Consortium data relating to quality and safety. This would be more current and objective than copy that is now under the Reputation heading, some of which is out of date. So for instance:

Quality & Safety

As of 2015, Cleveland Clinic meets or exceeds CMS benchmarks in four of six hospital acquired infection measures and has active projects underway improving performance across all measures. Cleveland Clinic’s Leapfrog Group Hospital Safety score was C in 2015. The Joint Commission currently accredits Cleveland Clinic hospital with its Gold Seal of Approval. Cleveland Clinic participates in Joint Commission improvement initiatives for reducing clostridium difficile infections, surgical site infections and venous thromboembolism prevention.In 2014, the University HealthSystem Consortium gave Cleveland Clinic its Quality and Accountability study Leadership Award. Past safety issues at Cleveland Clinic were analyzed in a 2014 article in Modern Healthcare. In 2012 Consumer Reports gave Cleveland Clinic and some other large academic medical centers low scores for hospital acquired infections. What do people think of this? HealthMonitor (talk) 20:17, 13 January 2016 (UTC)

Request edit on 28 January 2016

Quality and Safety[edit] May I propose that the current section headed Reputation in the Cleveland Clinic article be replaced with a section headed Quality and Safety. This could report current CMS, Joint Commission, Leapfrog, UniversityHospitals Consortium data relating to quality and safety. This would be more current and objective than copy that is now under the Reputation heading, some of which is out of date. (The current quality and safety data could be kept as a note. ) So for instance:

Quality & Safety

As of 2015, Cleveland Clinic meets or exceeds CMS benchmarks in four of six hospital acquired infection measures and has active projects underway improving performance across all measures. [1] Cleveland Clinic’s Leapfrog Group Hospital Safety score was C in 2015.[2] The Joint Commission currently accredits Cleveland Clinic hospital with its Gold Seal of Approval. Cleveland Clinic participates in Joint Commission improvement initiatives for reducing clostridium difficile infections, surgical site infections and venous thromboembolism prevention.[3][4][5]In 2014, the University HealthSystem Consortium gave Cleveland Clinic its Quality and Accountability study Leadership Award.[6] Past safety issues at Cleveland Clinic were analyzed in a 2014 article in Modern Healthcare.[7][8] In 2012 Consumer Reports gave Cleveland Clinic and some other large academic medical centers low scores for hospital acquired infections.[9]

What do people think of this?

Jump up ^ http://www.medicare.gov/hospitalcompare/profile.html#profTab=0&ID=360180&cmprID=360180&dist=25&loc=CLEVELAND%2C%20OH&lat=41.4994954&lng=-81.6954088&cmprDist=5.0&Distn=5.0 Jump up ^ http://www.hospitalsafetyscore.org/about-us/newsroom/display/50703 Jump up ^ http://www.centerfortransforminghealthcare.org/projects/detail.aspx?Project=11 Jump up ^ http://www.centerfortransforminghealthcare.org/projects/detail.aspx?Project=4 Jump up ^ http://www.centerfortransforminghealthcare.org/projects/detail.aspx?Project=13 Jump up ^ https://www.uhc.edu/membership/quality-accountability-study Jump up ^ Carlson J. Cleveland Clinic cases highlight flaws in safety oversight. Modern Healthcare. June 7, 2014. Jump up ^ Carlson J. Selected Cleveland Clinic hospital inspection reports. Modern Healthcare. June 7, 2014. Jump up ^ http://www.cleveland.com/healthfit/index.ssf/2012/07/northeast_ohio_hospital_get_lo.html

References

- HealthMonitor (talk) 20:17, 13 January 2016 (UTC)

I looked at the first source, which is rich and complicated. If you are drawing this from the "Complications" tab, and the "Healthcare associated infections" within that, there are 8 measures there, and CC is par on three, better than the national benchmarks on 3, and below par on 2. And I found nothing there about "and has active projects underway improving performance across all measures.". So the content is not supported by the source. Also it would be useful if you properly format references so we can implement them more easily. Thanks. I don't think the average reader knows what the "Joint Commission" is. The "University HealthSystem Consortium" appears to have been absorbed by a private company called Vizient - see here. The content summarizing the 2014 Modern Healthcare article, says nothing and is not helpful.

This is not useful content as it stands... Jytdog (talk) 17:27, 19 February 2016 (UTC)

Jytdog: Thank you for checking those references. I accept your judgement on the usefulness of the content. Your feedback is much appreciated. HealthMonitor (talk) 17:44, 19 February 2016 (UTC)

My pleasure. Thanks for working with me. Jytdog (talk) 17:47, 19 February 2016 (UTC)

U.S. News Rankings Update

I'm planning to update the U.S. News rankings for this page. They are out of date. The accuracy of this update can be easily checked by going to the U.S. News website. I am merely updating the data that is already there. It is not an attempt to promote and aggrandize the subject of this article. If one feels that this is inappropriate, please indicate what information in this update may be incorrect or unsourced, so that I or someone else may be able to post the correct information. If this information is correct, does not promote or aggrandize the subject of the article, and is soundly sourced, I hope it will be allowed to remain on the page. — Preceding unsigned comment added by HealthMonitor (talk • contribs) 14:52, 16 February 2016 (UTC)

Please post your proposed update here. It is OK for you to directly edit only to remove blatant vandalism or to make simple factual updates (like the number of employees), as long as those factual updates are very reliably sourced and are noncontroversial, broadly construed. This is all discussed clearly in the WP:COI guideline. What you are talking about is neither of those. Thanks. Jytdog (talk) 17:16, 19 February 2016 (UTC)

More Quality and Safety

In light of Jytdog's helpful comments, I am once more hoping to update Cleveland Clinic's CMS, Consumer Reports and Leapfrog Group quality and safety ratings based on the most recent data. If other editors agree, I believe we should remove the following paragraphs:

The USNWR ratings stand in contrast to rankings in models which feature a safety emphasis. In a Kaiser Family Foundation review of Centers for Medicare and Medicaid Services (CMS) data for hospital acquired conditions in 2014, the Cleveland Clinic received a 8.7 score (1–10 possible, with 10 being the worst), in the bottom 7% of hospitals.[39] In 2012 Consumer Reports rated the Cleveland Clinic 98th among 105 rated hospitals in the State of Ohio for overall safety, with a score of 39 out of 100 possible points; nationwide, the top 10 hospitals in this survey received scores of 68 to 72, and the bottom 10 hospitals received scores of 16–25.[40] Leapfrog Group ranked Cleveland Clinic in 2012 as one of 121 hospitals (of a total of 2618) with a "barely passing" D rating for safety (25 hospitals had F scores), which Leapfrog sees as among the "most hazardous environments for patients in need of care."[41] The different emphasis and specific methodology for the USNWR and for the other ranking systems explains why teaching hospitals collectively score prominently on one system but rarely feature highly on others.[36]

Between 2010 and 2013, the CMS undertook an extensive series of ongoing separate investigations of CCF with at least a dozen inspections and follow-up visits triggered by patient complaints.[42][43] An analysis of Medicare inspection data between 2011 and 2014 found that CCF was one of at least 230 instances where validated serious incidents—dubbed “immediate jeopardy” complaints— led CMS to threaten loss of ability to serve Medicare patients unless the problems were fixed immediately.[42] Due to numerous serious ongoing safety violations, CCF was on payment termination track for a period of 19 months, placing at stake $1B in annual Medicare/Medicaid reimbursement.[42] The citations were reported and analyzed in detail by Modern Healthcare, which posted some of the safety documents.[42][43]

And replace them with these paragaphs:

(Start here)

In 2015 Consumer Reports rated the Cleveland Clinic 60th among 161 rated hospitals in the State of Ohio for overall safety, with a score of 49 out of 100 possible points; nationwide, the top rated hospital this survey received a scores of 79, and the bottom rated hospital received a score of 21. According to 2015 CMS data, Cleveland Clinic has 36% better than national rates for CLABSI (central line infections), 29% better than national rates for avoiding surgical-site infections, 46% better than national rates for avoiding catheter-associated urinary tract infections, 40 % worse than the national rates for avoiding MRSA, and 37% worse than national rates for c.difficile infections. Consumer Report Reference CMS Hospital Compare Site The CMS Hospital-Acquired Condition (HAC) Reduction Program gives Cleveland Clinic a total HAC score of 7.0000. (Hospitals with a Total HAC Score greater than 6.7500 are subject to a payment reduction.) Consumer Report Reference CMS Hospital Compare Site Cleveland Clinic’s Leapfrog Group Hospital Safety score was C in 2015. Reference Cleveland Clinic rated “better-than-average” to “best” in all CMS Patient Experience categories, including communication about hospital discharge, communication about drug information, doctor-patient communication, nurse-patient communication, pain control, help from hospital staff, room cleanliness, and room quietness. Consumer Report Reference CMS Hospital Compare Site

(End.)

(Please note that the Kaiser Family Foundation rankings were based on prior CMS data, and are no longer up to date. I can't find any more recent Kaiser Family Foundation rankings.)

What do you think? I look forward to your comments. HealthMonitor (talk) 18:05, 10 March 2016 (UTC) 18:03, 10 March 2016 (UTC)

As of April 10, it will be a month since the above change to the Cleveland Clinic article was proposed. If no one objects, I would like to post it on April 10 and see what kind of response it gets. HealthMonitor (talk) 18:23, 5 April 2016 (UTC)

Do not edit the article directly! There is no deadline here. I will try to get back to this soon. Jytdog (talk) 20:36, 5 April 2016 (UTC)

Appreciate it, Jytdog. Thank you. HealthMonitor (talk) 18:49, 6 April 2016 (UTC)

This safety information is way out of date. Fresh new data in this month. See my update. Moirashelly (talk) 15:58, 29 April 2016 (UTC)

I don't think the old information should be completely removed. We don't remove information from articles just because it's old. I would cut it back and add the new info. I would also just remove the table and summarize its contents. Kendall-K1 (talk) 17:10, 29 April 2016 (UTC)

Kendall K-1, the old information was completely removed because it's completely out of date. It would be misleading to leave it there. Here a compromise -- we could move the old information to the History section. As regards the US News and World Report, table, I have seen and updated similar tables on other hospital Wikipedia pages. This one does not seem out of line.