View a recording of our launch event featuring Brenda Battle, MBA, BSN; Tony Iton, MD, JD, MPH; Richard Allen Williams, MD, FACC; and Vikas Saini, MD, president of the Lown Institute.
The Lown Institute Hospitals Index for Social Responsibility is the first rankings program to examine the racial inclusivity of America’s hospitals and determine their success at serving the people of color in their communities. This is the third year racial inclusivity results have been released and the first time that data from COVID years has been included. (press release | methodology)
To create the rankings, the Institute assessed how well the demographics of a hospital’s Medicare patients matched the demographics of the hospital’s surrounding communities. Hospitals underserving communities of color got lower rankings. Some of the most and least racially inclusive U.S. hospitals are located in the same cities.
The following cities* have the most segregated hospital care in America with at least 50% of their hospitals falling in the most or least racially inclusive categories.
In all of these cities, hospital segregation was notably reduced for treatment of COVID patients.
For example, Detroit has the most segregated hospital market in America; when considering service to all patients, it is 90% segregated. However, when considering only treatment of COVID patients, it is 0% segregated.
* Cities are defined by their hospital referral regions (HRRs). The Dartmouth Atlas of Health Care has identified 306 HRRs based on where Medicare patients are admitted for tertiary care.
These are the fifty most racially inclusive hospitals in the United States according to the 2022 Lown Institute Hospitals Index for Social Responsibility.
These are the fifty least racially inclusive hospitals in the United States according to the 2022 Lown Institute Hospitals Index for Social Responsibility.
These are the most racially inclusive hospitals in each state (ranked #1 in their state) according to the 2022 Lown Institute Hospitals Index for Social Responsibility.
*Hospitals with racially homogenous community areas were not given a ranking for racial inclusivity. Only one hospital in Alaska was able to be ranked for this metric.
The following table shows how the twenty U.S. News Honor Roll hospitals performed on the Lown Institute’s racial inclusivity metric.
* The Mayo Clinic did not receive a ranking because it had a racially homogenous community areas.
The 2022 Lown Institute Hospitals Index racial inclusivity metric measures how well more than 2,800 US hospitals serve people of color in their surrounding community. To create this metric, we used Medicare claims and the U.S. Census Bureau’s American Community Survey from 2020.
Each hospital’s racial inclusivity score reflects how well the demographics of the hospital’s “community area” (containing people who the hospital could serve) compare to the demographics of the patient population (who the hospital does serve). The community area is determined using the zip codes from which a hospital’s Medicare patients come and includes a travel time adjustment.
We used Census data to determine the proportions of the following racial/ethnic groups in both the hospital patient zip codes and and community area zip codes in the 65+ population: American Indian or Alaska Native, Asian, Black or African American, Hispanic or Latino, Native Hawaiian and other Pacific Islander, Other, Two or more races, and White (not Hispanic or Latino). Demographics from zip codes closer to the hospital were weighted more heavily than zip codes farther away. Hospitals received higher scores if they had higher patient counts from zip codes with greater proportions of non-white patients compared to their community area. Hospitals with racially homogenous community areas were not given a ranking for racial inclusivity.
Media inquiries should be directed to Aaron Toleos, vice president of communications for the Lown Institute, at firstname.lastname@example.org.