2021 Winning Hospitals: Avoiding Overuse

The Results Are In

The Lown Institute Hospitals Index is the first ranking to apply overuse criteria to over 3,100 U.S. hospitals to assess their success at avoiding tests and procedures that offer little to no clinical benefit to patients. Related research has been published in JAMA Network Open (April 2021).

We examined twelve low-value services, such as hysterectomy for benign disease, coronary stents for stable heart disease, and head imaging for fainting, chosen based on their validation in previous overuse studies. (press release | methodology

Key Takeaways

  • Every 80 seconds, a hospital in the U.S. delivers a low-value test or procedure to an older adult, putting hundreds of thousands at risk of harm.
  • Out of the 50 top performing hospitals, nine are in New England and ten in the Pacific Northwest, making those regions stand out at the top of the list.
  • The South is home to 41 of the 50 lowest-performing hospitals, with five of the bottom ten located in Florida.
  • 64% of hysterectomies, 44% of carotid endarterectomies, and 24% of coronary stent procedures met criteria for overuse nationwide.
  • The Cleveland Clinic (58th) is the only hospital from the current U.S. News honor roll to break into the Lown top 100 for avoiding overuse.

Media inquiries should be directed to Aaron Toleos, vice president of communications for the Lown Institute, at atoleos@lowninstitute.org.