Joint Commission Top Hospitals List Shuns Academic Medical Centers

In what Joint Commission president Mark Chassin is calling "a wake-up call to larger hospitals," facilities with some of the most prominent national reputations are absent from the list of 405 best in the nation. Meanwhile, a disproportionate number of smaller hospitals are represented, in "recognition that small, rural, and community hospitals can do an excellent job."

6 comments on "Joint Commission Top Hospitals List Shuns Academic Medical Centers"
Richard A. Robbins, M.D. (11/1/2011 at 2:30 PM)

My colleagues and I have examined the Joint Commission's performance measures in terms of outcomes and find no relationship. The manscript was posted on 10-30-11 at Southwest Journal of Pulmonary and Critical Care ( There is also an accompanying editorial posted on 11-1-11.
Todd (9/22/2011 at 6:44 PM)

I disagree with the comment that The Joint Commission has a conflict. I think its more of a problem in the other direction. They have a TON of data about hospitals both in the US and Internationally yet fail to disclose it. They don't want to bite the hand that feeds. Perhaps now they're starting to release information since Press Gainey is now comparing hospital data.
chloe (9/15/2011 at 11:37 PM)

By the way, there is also a conflict of interest with HEALTHGRADES. Healthgrades sells its consultancy services to hospitals who, surprise! Always get top ratings. Also a huge percentage of Healthgrades information is inaccurate. Finally, the hospitals that earn high ratings have to pay Healthgrades for the privilege of advertising that fact to the public. It's all a crock.
Karl Hatten, Sr. (9/15/2011 at 8:57 PM)

Joint Commission is an ineffective self serving organization that needs to be terminated now. It over lapses with other organizations and adds nothing to improvement of health care.
J. Kuriyan (9/15/2011 at 2:10 PM)

There is an obvious conflict of interests when JCAHO starts grading hospitals. After all they are the ones who help hospitals get "passing grades" when there are quality and other issues. My guess is that the "prominent hospitals with national reputations" have become wise - they don't need JCAHO's stamp of approval. US News & World Report, on the other hand is a pure news organization with no obvious bias on this matter of slecting the best healthcare organizations or facilities. If transparency is important then JCAHO will reveal their financial relationships with those on their list - and those that did not make it.
Dr S (9/15/2011 at 12:36 PM)

Great! Now the large hospitals should not have to accept the complex cases from these smaller hospitals, in fact it appears we need to reverse that! The big hospitals should send their trauma cases, liver failure... on to their community hospitals. I am sure it will work out great - the rankings here are not "flawed" as Chassin states others are.


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