This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

To the Editor: In their analysis of hospital quality ratings for acute myocardial infarction (AMI) by HealthGrades.com, Dr Krumholz and colleagues¹ noted wide variation in performance among hospitals with the same ratings. Because the ratings had limited ability to discriminate performance between individual hospitals, the authors concluded that the rating system is not helpful for consumers to make informed choices about where to receive care. We disagree with this conclusion. Although such ratings are not a perfect proxy for hospital performance, patients at 5-star hospitals will experience, on average, better care and lower mortality. As the authors note, patients choosing a 5-star hospital over a 1-star hospital will sometimes select the hospital with worse performance. More often than not, however, patients choosing 5-star hospitals will select a hospital with better performance.

In an ideal world, direct measures of performance at individual hospitals would be available for patient decision making . . . [Full Text of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?