The 2011-12 Best Children's Hospitals Rankings

Best children's hospitals in the U.S.
Seriously ill children need a level of experience that most hospitals do not have. In most hospitals, all but a few adults and children, as teachers of medical school drum in medical students are not small adults. They are more vulnerable to infections because their immune systems are not fully developed. They respond to drugs faster and are more sensitive to too much or too little. Your treatment may be very different from an adult with the same condition. On the other hand, children are smaller, they operate in the hearts of the size of a walnut and sera from small veins that are just two of the challenges that face pediatric specialists every day.

Best Children's Hospital focuses on younger patients whose medical centers come with cancer, cystic fibrosis, heart defect, and other life-threatening, rare, or demanding conditions. The rankings showcase the centers of the 50 children, 20 more than last year, in each of 10 specialties: cancer, diabetes, cardiology and cardiac surgery, and endocrinology, gastroenterology, neonatology, nephrology, neurology and neurosurgery, orthopedics, pulmonology and urology.

In total, 76 different hospitals are classified into at least one specialty. The Honor Roll recognizes 11 hospitals with high scores in at least four specialties.

Many hospitals are falling apart physically, independent children's hospitals. Most other departments are large multi-specialty pediatric major medical centers, which operate almost as if they were independent, with its own staff, RUP, and other facilities, a hospital within a hospital.

Ranking of children's hospitals poses unique challenges. There is no equivalent of pediatrics at the huge Medicare files managed by the U.S. government News mine much of the information contained in the annual ranking of the best adult hospitals. Children's hospitals are still beating the rules that describe the types of data to be collected to determine the quality of care and how to analyze information. The health reform law requires the development of such performance standards, but it will probably take several years for the pediatric versions to take shape.

So U.S. News has come directly to hospitals. Since 2007, when the data related to quality is added first-ranked children's hospitals have been asked to fill a long-95 clinical trial sites for the Classification of 2011-12. Most of the 177 establishments surveyed for classification of new members of the National Association of Hospitals and Related Institutions for Children (NACHRI) and are described as independent centers or hospital within a hospital. A small number of specialized and non-NACHRI hospitals-are added because they were classified before or have been recommended by trusted sources. Additionally, hospitals had to prove that respondents had at least one doctor in certain specified categories to be eligible in a specialty.
Some survey questions, as the number of nurses and the extent and success of programs that prevent infection, referred to the 10 specialties. Others, such as complications of renal biopsy and successful treatment for cancer, were in certain specialties. The latest survey was updated and improved with the help of 115 medical directors, department heads, specialists of the infection, and other experts, grouped into task forces related. RTI International, a major North Carolina research and consulting firm that also oversees the Best Hospitals rankings, reviewed the recommendations directed to the survey and analyzed the results. Became a hundred hospitals in the survey.

If a hospital was classified, and if so how high depends on your sample into three areas: reputation among specialists in pediatrics, clinical outcomes such as survival of cancer and related indicators of quality care as the number of patients, nurses, and the availability of specialized programs. The outcomes and indicators related to care consists of dozens of fine-grained measures contained in the glossary. How do we analyze the data and put together a complete description of Children's Hospitals Report Improved Methodology, a PDF file. These are the basics of the three main areas:

Results. Nothing is more important than keeping the results of living children, protecting them from infections and surgical complications and improve quality of life. More research and better data collection and analysis have increased the amount and reliability of the information concerning the results that will in the standings. Examples of measures this year include the survival of childhood cancer in particular and complicated kind of heart surgery, the rates of bloodstream infection in intensive care, complications of a kidney biopsy, and successful management chronic conditions such as cystic fibrosis. The results count as 35 percent of the final mark, up from 25 percent last year and only 10 percent or less the year before that.

Reputation. In each of the 10 specialties, RTI 150 physicians randomly selected accredited pediatric specialty from a national database and sent a survey that asked them to name the five best hospitals for children with severe or difficult regardless of location or expense. worth three years of responses to the survey covers 25 percent of the score of a hospital. The relatively low weight of reputation, compared with 35 percent last year and 50 or 60 percent, depending on the specialty, the previous year continues a trend toward a greater emphasis on clinical measures, especially those linked to the results. Over 51 percent of respondents submitted responses, a very high rate for this study.

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