About the Lown Institute Hospitals Index

About the Lown Index

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.

What makes the Lown Index different?

Inclusivity

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.

Avoiding Overuse

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.

A man stares up as he lies on the operating table.

Community Benefit

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.

Advisors

The following experts have advised the Lown Institute on development of the Lown Index metrics:

  • William B. Adams — Co-Chair, Patient Council, Right Care Alliance
  • Kevin Barnett, DrPH, MCP - Senior Investigator, Public Health Institute
  • Andrew Bazemore, MD, MPH - SVP of Research and Policy, American Board of Family Medicine
  • David Bor - Chief Academic Officer, Cambridge Health Alliance
  • Candice Chen, MD, MPH - Associate Professor of Health Policy & Management, Milken Institute School of Public Health, The George Washington University
  • Joanne M. Conroy, MD - CEO and President Dartmouth - Hitchcock
  • Adam Elshaug - Professor of Health Policy, Melbourne School of Population and Global Health
  • Michael Fine, MD - Chief Health Strategist to Mayor James Diossa and the City of Central Falls, Rhode Island
  • Elmer Freeman - Executive Director, Center for Community Health Education Research and Service
  • Patricia Gabow, MD - Former CEO, Denver Health and Hospital Authority
  • Merrill Goozner - Editor Emeritus, Modern Healthcare
  • Paul A. Hattis, MD, JD, MPH - Associate Professor, Tufts University School of Medicine
  • Emma Hoo - Director, Pacific Business Group on Health
  • Jeffrey Levi - Professor of Health Policy and Management, George Washington University
  • Sara Rosenbaum, JD - Harold and Jane Hirsh Professor of Health Law and Policy, George Washington University
  • Aaron Schwartz - Resident, Department of Internal Medicine, Brigham and Women's Hospital
  • Pritpal S. Tamber - Consultant in community power and health
  • Gary J. Young, JD, Ph.D - Director, Northeastern University Center for Health Policy and Healthcare Research
Dr. Bernard Lown
Founder
The Lown Institute

Do as much as possible for the patient and as little as possible to the patient."

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