Roy Exum: Hospital Ratings Are Ridiculous

Friday, August 9, 2013 - by Roy Exum
Roy Exum
Roy Exum

When Consumer Reports graded hospitals on surgical care several weeks ago, a cursory glance at the statistics revealed it was a ridiculous stretch at best. A hospital has little, if anything, to do with the individual ability or performance of a given doctor and for our community to get all riled up that the area’s largest hospitals – Erlanger and Memorial – were rated as “poor” by a far-away magazine is a bunch of poppycock.

Last year Erlanger, our Level 1 trauma center, was chosen as the top regional hospital by U.S. News & World Report and that is equally mystifying, given Erlanger’s huge financial losses at the time. The truth is that Erlanger and Memorial, as well as Parkridge that was rated “good” by the Consumer Reports findings, all offer quality medical care despite the senseless statistical data that was used.

As a quick example, the Houston Astros and Chicago White Sox have the worst records in Major League baseball. There is little doubt Consumer Reports would rank both as “terminal.” The Astros have lost 75 of 112 games this season and the White Sox are now 24 games behind Detroit in the AL Central alone. But that has absolutely nothing to do with the fact Houston second baseman Jose Altura is batting a healthy .279 with 117 hits or that Chicago’s Adam Dunn has already hit 26 home runs with 68 RBIs.

I’ll be the first to acknowledge there are some doctors that are much better than others. You see it everywhere you look; some lawyers are brilliant and some chase ambulances, some teachers are thrilling and some are hall monitors, some truckers win mileage awards and some crash their rigs. The trick in picking a doctor is choosing who you trust and learning who you want to avoid.

I have been blessed by the parade of wonderful doctors who have come into my life. Oh, I’ve shied away from several but having a physician you admire and trust is a big part of staying healthy. Once you get to know and appreciate their staff it gets even better and today, with more and more “physician’s assistants” able to see you quickly, the team approach is a blessing in itself.

I had one doctor, a nice guy, who did a procedure on me one Friday about two years ago and over the weekend I got pretty sick as a result. I try hard not to bother a doctor on the weekend, instead going to the ER if absolutely necessary. When I called his office the first thing Monday morning, I was promptly patched through to his nurse and was stunned by the crass message. After listening to her recording, I wouldn’t go back to that doctor on a bet. Oh, he was a good guy but my thinking is that if a psycho nurse is my only lifeline I’m better off finding a different crowd that cares about me.

Another great test is to note how long you wait to be seen. I understand about emergencies – that has been me before – but I have found if I wait over 30 minutes from the time of my appointment, chances are there is some other doctor in the same field who cares more about his business plan. That’s not unreasonable – my time is valuable. When I waste it needlessly, all I think about is what a fool I am to allow such a situation to occur in my life.

All the big hospitals – Vanderbilt, Emory, UAB and others – now have in-house telephone numbers for the patient to call if “the 30 minute rule” is violated. Whether a doctor wants to admit it, the competition for patient satisfaction has raised the bar. Granted, for it to work, the patient must be on time, too, but the days of being a victim are over.

My biggest failure of all time happened this summer when I was referred to an orthopedic clinic for the very first time after I fractured my shoulder. I waited 55 minutes before I was seen by this male nurse who had a good number of tattoos. I don’t have anything against tattoos but that is what I remembered. “Nurse Tattoo” took my history and then I waited another 40 minutes before the physician’s assistant finally showed up.

The physician’s assistant left several times to relay questions to the doctor and then come back with the answers. I’ve never seen anything like it. When I finally left, I had been a patient in that office for two hours and 20 minutes and, get this, I had neither met nor did I even know the name of the doctor I was to see.

I realized at the time there was little I could do to have avoided what had happened but I can guarantee it will never occur to me again. Patients must remember they have a choice – they should use it -- but they should also realize no website in the world can possibly know this stuff goes on at different hospitals.

How can you possibly rate surgical care based on Medicare statistics? Some doctors refuse to see Medicare patients – the paperwork alone is horrendous – but that hardly means the doctors who do see Medicare and Medicaid are not quality physicians who are keenly interested in the people they help.

Don’t fall for meaningless grades and rankings. Understand the magazine’s chief goal is to sell subscriptions and by ranking the top two hospitals in Chattanooga as “poor” creates exactly the firestorm and sensationalism it takes in today’s climate of “got cha’” journalism.

royexum@aol.com


Mayor's Friends Should Rally Around

I have been keeping up with the latest news about Mayor Burke. I have also seen that the media is breaking their necks trying to get the latest.  I live in a glass house, the glass is very thin and a blade of grass would crack it.  My thinking of this is, if you are a true friend of the mayor, let him know...If you say you are a friend of the mayor and turn your back ... (click for more)

Roy Exum: The American Dream, 2016

On this, the week of commencement, junior high graduations, and achievement at every level is displayed, we stand with hope and wonder as the next wave of promising Americans gives our nation the reason we pray for our next tomorrow. On Monday, as Vice President Joe Biden addressed 950 cadets who would become 2nd Lieutenants by the end of the day at the United States Military ... (click for more)

Attorney Says Lacie Stone, Advisor To Mayor Berke, Is Victim, Not Instigator

The attorney for advisor to Mayor Andy Berke Lacie Stone said she has been thrust into the spotlight, but said she is "the victim of an unprovoked attack" by her husband, Bobby Stone. Attorney John Cavett said it is ridiculous "to suggest that she was the perpetrator." Mr. Stone is facing charges of domestic assault and vandalism. Attorney Cavett said, "It is unfortunate ... (click for more)

Dr. Russell Dyer Chosen As Director Of Schools By Cleveland City School Board

The Cleveland City School board unanimously voted Thursday afternoon to offer the job of director of Schools to Dr. Russell Dyer. Dr. Dyer serves as the chief of staff of schools in Collierville, Tn.  If Dr. Dyer accepts the school board's contract, he will be paid $132,500 a year.  After contract negotiations, the board plans for Dr. Dyer to start at Cleveland City ... (click for more)

Baylor Rolls Past St. Benedict In D-II Softball Opener

MURFREESBORO – The Baylor softball team had somewhat of a slow start here at McKnight Field No. 3 Wednesday morning as they began defense of their D-II state softball crown, but they finished on a strong note and that’s probably all that matters at this point. The Lady Red Raiders, improving to 35-4, needed just five innings to slide past St. Benedict as they scored at least ... (click for more)

Baylor Rocks GPS, 8-2, For Shot At 10th State Softball Championship

MURFREESBORO, Tenn. – The magic number Baylor’s softball team has in mind now is 10. After polishing off bitter rival Girls Preparatory School – a seemingly constant opponent at TSSAA’s Spring Fling – by 8-2 Thursday in the Division II-AA winner’s bracket final, the Lady Red Raiders are zeroed in on a game that could produce their 10 th  state championship.  “It ... (click for more)