Hospital Ratings Avoiding Infections Our hospitals have turned into breeding grounds for dangerous—even deadly—infections. Consumer Reports has expanded its hospital Ratings and now includes information about two common and deadly infections: MRSA (methicillin-resistant Staphylococcus aureus) and C. difficile (Clostridium difficile). Consumer Reports’ new Ratings of more than 3,000 U.S. hospitals show which do a good job of avoiding these infections, and which do not. The numbers are staggering: every year in the U.S., 648,000 people develop infections during a hospital stay, and 75,000 people die as a result. That’s more than twice the number of people who die each year in car crashes. Many of these illnesses and deaths can be traced back to the use of antibiotics, the very drugs that are supposed to fight the infections. While some hospitals are taking steps to reduce infections and inappropriate antibiotic use, others appear to be making little effort. Most hospitals report their infection rates for five different hospital-acquired infections to the Centers for Disease Control and Prevention (CDC). Consumer Reports has analyzed this data, and rated hospitals based on their performance in avoiding the following infections: MRSA (methicillin-resistant Staphylococcus aureus infections), C. difficile (Clostridium difficile) infections, central-line associated bloodstream infections, catheter-associated urinary tract infections, and surgical-site infections. We also developed an infections composite measure (“Avoiding Infections Overall Rating”), which indicates how a hospital did across all five infections. To read the story that accompanies the Ratings, please visit: http://consumerreports.org/cro/hospitalinfections2015. This story is part of a 3-part investigative series on antibiotics resistance. About the infections data: Data on hospital infections comes from information that hospitals reported to the CDC between October 2013 and September 2014, the most recent data available at the time of this report. All data are adjusted by the CDC to account for factors such as the health of a hospital’s patients, its size, and whether it is a teaching hospital. For more details on the method please see http://www.consumerreports.org/HowWeRateHospitals. How to interpret the individual infection Ratings (not the composite): Infection Rating Better 5 4 2 0 infections At least 50% better than national baseline Between the national baseline and 50% better than national baseline Up to and including 100% worse than national baseline 1 More than 100% worse than national baseline 3 Worse Interpretation National baselines are from the CDC and are based on historical data. Not Yet Rated: This means a hospital did not have enough data for us to calculate a Rating. 1 Dallas Area – Avoiding Infections Consumer Reports has expanded its Ratings of hospital-acquired infections rates and now includes information about two common and deadly infections: MRSA (methicillin-resistant Staphylococcus aureus) and C. difficile (Clostridium difficile). Below are Ratings for the eight largest hospitals (300+ beds) in the Dallas area.      Medical Center of Plano received Consumer Reports’ second-highest Rating for avoiding MRSA infections, but our second-lowest Rating for avoiding C-difficile infections Parkland Health & Hospital System received Consumer Reports’ second-lowest Rating for avoiding MRSA infections Baylor University Medical Center received Consumer Reports’ second-lowest Rating for both avoiding MRSA infections and avoiding C. difficile infections. Medical City Dallas Hospital, Unviersity of Texas Southwestern Medical Center, and Texas Health Presbyterian Hospital Plano all received our second-lowest Rating for avoiding C. difficile infections. Five hospitals in the Dallas area received our second-highest Rating for avoiding central-line infections: Parkland Health & Hospital System, Texas Health Presbyterian Hospital Dallas, Medical City Dallas Hospital, University of Texas Southwestern Medical Center, Methodist Dallas Medical Center Large hospitals (300+beds) in the Dallas area. Sorted alphabetically. Hospital Name City Baylor University Medical Center Dallas Medical Center of Plano Medical City Dallas Hospital Methodist Dallas Medical Center Plano Dallas Dallas Parkland Health & Hospital System Texas Health Presbyterian Hospital Dallas Texas Health Presbyterian Hospital Plano University of Texas Southwestern Medical Center Avoiding Infections Avoiding Avoiding Overall MRSA C. difficile Rating Infections Infections Avoiding Centralline Infections Avoiding Catheterurinary tract Infections Avoiding Surgicalsite Infections Dallas 2 3 3 3 3 2 4 3 3 2 2 2 2 3 3 3 3 4 4 4 3 2 3 3 2 2 2 3 2 2 Dallas 3 3 3 4 2 3 Plano 2 3 2 3 2 2 Dallas 3 3 2 4 3 Not Yet Rated Consumer Reports’ complete infection Ratings for all hospitals in the Dallas area can be found on the next page. Hospital-acquired infections are only one measure of hospital quality. Consumer Reports also evaluates individual hospitals for readmissions, mortality, patient experiences, C-section rates, and other criteria. Full Ratings for hospitals are available to subscribers at http://www.ConsumerReports.org/hospitalratings. For the “Avoiding Infections” Ratings above and on the following pages, note that hospital performance can vary across the different infection categories. For example, if a hospital receives a higher Rating in one area of infections, that does not mean it does well across the board. 2 Dallas Area – Avoiding Infections All hospitals, listed alphabetically. Hospital Name Baylor Jack and Jane Hamilton Heart and Vascular Hospital Baylor Medical Center at Carrollton+ Baylor Medical Center at Frisco City Dallas Baylor Medical Center at Garland Baylor Medical Center at Irving Garland Irving Baylor Medical Center at McKinney* Baylor Medical Center at Uptown* Baylor Medical Center at Waxahachie* Baylor Regional Medical Center at Grapevine Baylor Regional Medical Center at Plano Baylor University Medical Center Centennial Medical Center+ McKinney Dallas Medical Center Dallas Carrollton Frisco Dallas Regional Medical Center Denton Regional Medical Center Dallas Waxahachie Grapevine Plano Dallas Frisco Mesquite + Denton Doctors Hospital at White Rock Lake East Texas Medical Center Athens# Ennis Regional Medical Center Dallas Heritage Park Surgical Hospital* Sherman Hopkins County Memorial Hospital Hunt Regional Medical Center# Sulphur Springs Greenville Lake Pointe Medical Center* Rowlett Las Colinas Medical Center* Irving Mayhill Hospital Athens Ennis Denton Avoiding Infections Avoiding Avoiding Overall MRSA C. difficile Rating Infections Infections Not Yet Rated Avoiding Centralline Infections Avoiding Catheterurinary tract Infections Avoiding Surgicalsite Infections Not Yet Rated Not Yet Rated Not Yet Rated Not Yet Rated 3 3 3 3 5 2 5 3 3 2 Not Yet Rated Not Yet Rated 5 2 5 3 3 Not Yet Rated 2 3 2 2 2 4 3 3 5 3 3 3 3 Not Yet Rated Not Yet Rated 5 Not Yet Rated Not Yet Rated Not Yet Rated 2 Not Yet Rated 2 5 2 2 3 4 3 4 3 2 2 2 2 2 2 2 4 3 1 3 3 2 2 Not Yet Rated Not Yet Rated 3 2 1 5 2 2 3 3 3 2 5 3 3 5 4 Not Yet Rated 2 3 3 4 2 3 5 4 5 Not Yet Rated Not Yet Rated Not Yet Rated Not Yet Rated Not Yet Rated Not Yet Rated Not Yet Rated 5 5 Not Yet Rated Not Yet Rated Not Yet Rated 3 4 2 2 3 3 4 4 3 Not Yet Rated Not Yet Rated 2 4 3 5 5 3 Not Yet Rated Not Yet Rated 4 Not Yet Rated Not Yet Rated 5 2 Not Yet Rated Not Yet Rated 3 4 3 3 Not Yet Rated 3 4 4 3 5 5 5 1 Medical Center of Lewisville# Lewisville Medical Center of McKinney McKinney Medical Center of Plano Plano Medical Center of Southeastern Oklahoma# Medical City Dallas Hospital Durant, OK Methodist Charlton Medical Center Methodist Dallas Medical Center Dallas Methodist Hospital for Surgery Addison Methodist Richardson Medical Center* Navarro Regional Hospital Richardson Dallas Dallas Corsicana 3 3 3 2 4 4 2 3 2 5 4 3 5 1 2 5 4 2 2 3 1 3 1 2 1 4 5 3 5 3 3 3 4 3 3 3 4 4 1 3 2 2 4 Not Yet Rated 4 Not Yet Rated Not Yet Rated Not Yet Rated 2 5 3 4 1 5 3 Not Yet Rated Not Yet Rated Not Yet Rated Not Yet Rated 3 Not Yet Rated Not Yet Rated Not Yet Rated Not Yet Rated Not Yet Rated Not Yet Rated Not Yet Rated Not Yet Rated Not Yet Rated Not Yet Rated Not Yet Rated Not Yet Rated 3 5 4 Not Yet Rated Nocona General Hospital Nocona North Central Surgical Center* Dallas 5 North Texas Medical Center Gainesville Paris Regional Medical Center* Parkland Health & Hospital System Pine Creek Medical Center Paris Dallas 4 4 Texas General Hospital Grand Prairie Plano Texas Health Center for Diagnostic & Surgery* Texas Health Harris Methodist Hospital Southlake* Texas Health Presbyterian Hospital Allen* Texas Health Presbyterian Hospital Dallas Texas Health Presbyterian Hospital Denton* Texas Health Presbyterian Hospital Flower Mound* Texas Health Presbyterian Hospital Kaufman Texas Health Presbyterian Hospital of Rockwall* Texas Health Presbyterian Hospital Plano Texas Health Presbyterian Hospital-WNJ Texas Regional Medical Center at Sunnyvale* Texoma Medical Center Dallas Southlake Allen Dallas Denton Flower Mound Kaufman Rockwall Plano Sherman Sunnyvale Denison 5 3 5 5 3 3 2 3 4 2 2 3 Not Yet Rated Not Yet Rated Not Yet Rated Not Yet Rated Not Yet Rated 5 Not Yet Rated Not Yet Rated Not Yet Rated Not Yet Rated Not Yet Rated 4 Not Yet Rated 5 Not Yet Rated Not Yet Rated 3 5 Not Yet Rated 5 Not Yet Rated Not Yet Rated Not Yet Rated 3 Not Yet Rated 3 5 2 5 3 3 3 4 2 3 3 5 3 4 2 2 4 Not Yet Rated 3 5 5 3 2 Not Yet Rated 3 Not Yet Rated 1 Not Yet Rated 4 Not Yet Rated 3 5 3 5 2 3 2 3 2 2 3 1 3 5 3 3 3 3 Not Yet Rated 3 3 5 4 3 3 2 4 2 4 The Heart Hospital Baylor Plano Plano University of Texas Southwestern Medical Center Wise Regional Health System+ Dallas Decatur Not Yet Rated 3 2 Not Yet Rated Not Yet Rated Not Yet Rated 3 3 3 1 2 2 4 3 3 5 Not Yet Rated 5 +Although this hospital reported zero surgical-site infections [ 5], due to low patient volume this result is not statistically better than national rates. *Although this hospital reported zero infections [ 5] for one or more categories in the table above, due to low patient volume this result is not statistically better than national rates. # Although this hospital reported zero surgical-site and catheter-associated urinary tract infections [ 5], due to low patient volume this result is not statistically better than national rates. 5