JR: Process measures aren’t. But if you were considering a hospital that was rated worse than average in readmissions, mortality, infections, or even one of the patient safety indicators—and had the luxury of time to pick a place—you should ask the hospital to explain itself.
TL: What’s your last bit of advice?
JR: If you’re going to critique a hospital based on any of these measures, make sure the hospital is really a statistical outlier.
TL: Look into a crystal ball for a moment. Do you see hospital metrics as a path to journalistic glory in the future?
JR: Much of the good hospital reporting has been about horror stories of the malpractice kind, where patients are killed or maimed. This new age of hospital transparency should give journalists a chance to write about the routine quality of care that most patients are likely to receive. That may not be as sexy as a botched operation, but it’s important to readers and everyone else if we’re going to better understand what we’re actually getting for some of the most expensive care in the world. Hopefully one day we’ll be able to know which hospitals really deliver superior care, and which ones just advertise that they do.