The Lown Institute Hospitals Index is the first ranking to evaluate hospitals on their social responsibility, including metrics of health equity and value of care alongside traditional patient outcomes.
While most rankings focus on clinical outcomes, the Lown Index takes into account the full breadth of what hospitals do as care providers, employers, and community partners. By setting these benchmarks, we seek to shine a light on those hospitals that provide exceptional, high-value patient care to all who need it in their community — and encourage all hospitals to follow their example.
The Lown Institute is an independent think tank advocating bold ideas for a just and caring system for health. We envision a healthcare system focused on what’s best for people, like hospitals caring for those most in need, patients living without fear of financial distress, and health professionals finding joy in their roles. The Lown Institute is a 501(c)(3) nonprofit. This project is predominantly self-funded. Support from Arnold Ventures helped fund research and reports related to financial assistance/debt collection and hospital fair share spending.
Learn more about our founder Dr. Bernard Lown, our staff and our board.
Socially responsible hospitals care for all the people in their surrounding community who need medical treatment, especially those impacted by structural racism and poverty. The Lown Index is the first hospital ranking to take into account how well hospitals serve people of lower income or education levels, and people of color.
Socially responsible hospitals should provide patients with all the care they need, and none that they do not. The Lown Institute Hospitals Index is the first hospital ranking to evaluate hospitals based on their delivery of 12 commonly overused services, including unnecessary hysterectomy, coronary stenting, head imaging for fainting, and more.
Nonprofit hospitals are expected to provide charity care and other community benefits, to maintain their tax-exempt status. However, the amount that hospitals spend on care for the uninsured and other community health needs varies widely. The Lown Institute Hospitals Index is the first hospital ranking to take into account how much hospitals spend on charity care and other community health programs, as well as the proportion of low-income patients they serve.
The following experts have advised the Lown Institute on development of the Lown Index metrics:
Do as much as possible for the patient and as little as possible to the patient."
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