Not-for-profit church-owned hospitals also held the lead on patient satisfaction, according to the report, with an average score of 261.2 on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey, compared with an average score of 253.1 for for-profits and 258.4 for government hospitals.
By contrast, for-profits had significantly better core measure scores, garnering an average of 97.3%. Not-for-profit church-owned hospitals averaged 96.5%; other not-for-profits scored 96.2%; and government hospitals averaged 95%.
And for case mix- and wage-adjusted inpatient expense per discharge, for-profits came in the leanest at $5,811, well below the $6,170 average for not-for-profit church-owned hospitals and the $6,633 for government-owned facilities.
“I wouldn't say we were surprised,” Foster says of the results. “It's consistent with what we found when we looked at ownership in 2010. It's probably not surprising to see that for-profits pay close attention to the bottom line and not-for-profits are mission-driven.”
Dr. Bruce Vanderhoff, OhioHealth's chief medical officer, credited much of the system's success to its mission-based culture, which he says has buoyed its efforts to address a number of quality targets, including preventable readmissions. OhioHealth has reduced readmission rates for heart failure patients from about 24%, roughly the national average, down to 14% across the entire system.
“We have a longer-term view about where we want to be,” Blom says. “We don't have shareholders and we're not driven by short-term accountabilities.”
Vinson Yates, president of OhioHealth's Grant Medical Center, recalls an instance when an employee stopped him from going into an isolation room without gloves. “When an associate feels comfortable enough to hold the president accountable, I think that shows we have a good culture in place,” he says.
At Riverside Methodist, another of OhioHealth's hospitals, the first agenda item at every leadership meeting is safety, says Dr. Steve Markovich, the hospital's president and CEO. “It starts at the top,” he says. “We bring in staff members to board meetings and they present good catches. That kind of recognition filters down to everyone.”
Also on Truven's 100 Top Hospitals list this year was Advocate Christ Medical Center, a 672-bed hospital in Oak Lawn, Ill. Dr. William Adair, the hospital's vice president of clinical transformation, says Truven's latest ownership analysis confirms what he believes from his own experience: that people who are drawn to faith-based, mission-driven organizations have similar values, and that bolsters a commitment to patients.