By: Sarah Varney

Editor’s Note: This story is part of a reporting partnership that includes KQED, NPR and Kaiser Health News.

(Ryan Ozawa: Flickr)
(Ryan Ozawa: Flickr)

On the Cal Hospital Compare website, conscientious consumers in California can look up scorecards for their local hospitals. How well does the hospital control infections? How often do patients die from complications that can be treated? How satisfied are most patients with their experience?

Most major hospitals in California give the data voluntarily to independent researchers who analyze and publish consumer-friendly reports.

The project was considered a pioneering effort when it started in 2004, but Jan Emerson-Shea, a spokesperson for the California Hospital Association, says the report cards have outlived their usefulness. “Today there are numerous places consumers can get information on the quality of care delivered by hospitals,” Emerson-Shea says. “Public reporting has very much come of age at this point in time.”

As a result, the California Hospital Association recently sent a letter to the California Hospital Assessment and Reporting Taskforce, which oversees the scorecards, announcing its intention to withdraw from the project.

Emerson-Shea says hospitals have become overwhelmed by the administrative burden of reporting data to multiple agencies.

Indeed, Medicare now requires all hospitals to publicly report a limited number of quality measures, but patient safety advocates say the federal data suffers from the Lake Wobegon-effect: just about everyone is above average, and consumers have a hard time making truly informed choices.

“Chances are you won’t find a hospital that stands out,” says David Hopkins, a senior advisor at the Pacific Business Group on Health, an employer group concerned about health care costs and quality.

Hopkins also sits on the California Hospital Assessment and Reporting Taskforce, and he argues that Cal Hospital Compare uses a more rigorous, and ruthless, analysis than the Medicare report cards. That means hospitals that don’t do a good job stand out.  “This is one of the problems in the industry,” Hopkins says. “The provider says, ‘Wait a minute, this is affecting my business.'”

Patient safety advocates insist the only way hospitals will become safer is through unflinching transparency. Indeed, Cal Hospital Compare publishes a hospital’s ICU mortality rate, measure of how frequently people die in a hospital’s intensive care unit. The measure is adjusted for the mix of patients.

Hopkins says publicly reporting ICU mortality has gotten hospitals to pay attention. “We’ve been reporting the ICU mortality rates for the last three years, and they’ve been getting steadily better, by about 1 percentage point per year, and that has saved a lot of lives. Thousands of lives, as a matter of fact.”

The board of directors of the task force which includes consumer advocates, health insurance companies, hospitals and employers, will meet in the coming weeks to make a final decision on the future of the reporting effort. But with the California Hospital Association withdrawing its support, it seems unlikely that Cal Hospital Compare can continue.

Jan Emerson-Shea from the hospital association says nearly all of the measures, except ICU mortality, will continue to be reported either to Medicare or to California state regulators.

A new state law requires health officials to collect and publish their own hospital quality data, but there’s widespread agreement that the reports are so unreliable, they can’t be used to compare hospitals.

There is plenty of data, to be sure, says Betsy Imholz, a longtime safety expert with Consumers Union, but it’s not necessarily useful. “We’re at a really critical crossroads in health care quality and safety,” Imholz says. “The public needs the data. And we need it uniform and we need it really accessible and understandable.” If consumers are being asked to take responsibility for their health care, she says, they should at least know what they’re getting.

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Are CA Hospital Report Cards Going Away? 6 December,2011Lisa Aliferis

  • Christie

    H.S. Lordships and Skates (both in Berkeley) and Trevino’s in El Cerrito (get the chicken enchiladas or baraquitos).

  • mac10

    Kushido- an inventive small-plates Japanese restaurant on Telegraph – scrumptious and amazing.

  • boBisa

    Dopo in Piedmont/Oakland. Great Sicilian-style pizzas, hand-cured meats that they make themselves, and pastas. Beautifully made dishes, reasonable for a nice dinner for two. Get there early because the word got out.

    Also, Angeline’s in Berkeley for southern creole soul food. Cannot be bested, even if you can find certain elements done better elsewhere (less greasy fried chicken, you like the peach cobbler from Lois Pie Queen better, etc.), the entire meal comes together and just sings at Angeline’s like nowhere else. Maybe it’s the atmosphere.

    Jupiter for pizza & beer. The Red Spot is a great Red IPA, and it’s in house on tap always.

    For burgers I always say True Burger on Grand. Best burgers, best milkshakes of all time. Chocolate marshmallow shake and burger KO’d me.

    For healthier options, I love Flacco’s or Grease Box or Easy Creole (“Not Ming’s Kitchen Anymore”). Good vegan/veggie options with lots of flavor.

  • Pauline

    Wood Tavern on College Ave in Oakland. Now that’s a pork chop!!!

  • cranky

    what a crappy list. are you kidding? with all of the incredible places to eat in the east bay this is what you come up with for the top 10? ridiculous!


Lisa Aliferis

Lisa Aliferis is the founding editor of KQED’s State of Health blog. Since 2011, she’s been writing and editing stories for the site. Before taking up blogging, she toiled for many years (more than we can count) producing health stories for television, including Dateline NBC and San Francisco’s CBS affiliate, KPIX-TV. She also wrote up a handy guide to the Affordable Care Act, especially for Californians. Her work has been honored for many awards. Most recently she was a finalist for “Best Topical Reporting” from the Online News Association. You can follow her on Twitter: @laliferis

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