VIDEO: Our September 19, 2023 launch event featuring Dr. Uché Blackstock, CEO of Advancing Health Equity; Dr. Selwyn O. Rogers, Founding Director of the University of Chicago Medicine Trauma Center; Elena Mendez-Escobar, PhD, MBA, Co-Director of the Health Equity Accelerator at Boston Medical Center ; and Dr. Vikas Saini, 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 fourth year racial inclusivity results have been released and the first time that data from Medicare Advantage has been included along with traditional Medicare claims. (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 serving more patients from communities of color than expected got better rankings. Some of the most and least racially inclusive U.S. hospitals are located in the same cities.
These are the fifty most racially inclusive hospitals in the United States according to the 2023 Lown Institute Hospitals Index for Social Responsibility.
You can also view the complete rankings of over 3,000 hospitals.
BOSTON MEDICAL CENTER CORPORATION
JOHN H. STROGER JR. HOSPITAL
Penn Presbyterian Medical Center
METRO NASHVILLE GENERAL HOSPITAL
South Coast Global Medical Center
St. Charles Madras
GRADY MEMORIAL HOSPITAL
Emory University Hospital Midtown
Capital Health Regional Medical Center
Sanford Chamberlain Medical Center
University Health Truman Medical Center
MedStar Washington Hospital Center
COLORADO RIVER MEDICAL CENTER
Banner – University Medical Center South Campus
Research Medical Center
NYC Health + Hospitals/Metropolitan
Newark Beth Israel Medical Center
WEST SUBURBAN MEDICAL CENTER
BIG HORN MEMORIAL HOSPITAL
JFK Memorial Hospital
Kaiser Permanente West Los Angeles Medical Center
Howard University Hospital
VALLEYWISE MEDICAL HEALTH CENTER
Methodist Dallas Medical Center
NYC Health + Hospitals/Queens
UF Health Jacksonville
SIGNATURE HEALTHCARE BROCKTON HOSPITAL
The George Washington University Hospital
Henry Ford Hospital
Tidelands Georgetown Memorial Hospital
North Shore Medical Center
HCA Houston Healthcare Pearland
St. Mary’s Medical Center
WEST PALM BEACH
Princeton Baptist Medical Center
Lutheran Downtown Hospital
Astria Sunnyside Hospital
Banner – University Medical Center Phoenix
DMC Harper University Hospital
Emory Decatur Hospital
DENVER HEALTH MEDICAL CENTER
Banner Estrella Medical Center
SSM Health Saint Louis University Hospital
MERCY HOSPITAL AND MEDICAL CENTER
Southern California Hospital at Hollywood
PARKLAND HEALTH AND HOSPITAL SYSTEM
The following cities* have the most segregated hospital markets in America, with more than 20% of hospitals receiving 1 or 5 stars. For example, the New Orleans, Louisiana metro area has 14 total hospitals. Five hospitals earned 1 star (lowest score); two earned 5 stars (highest score). That means 7/14 (50%) of the hospitals in this metro area are outliers, indicating a segregated hospital market.
Many of the cities with segregated hospital markets also have large gaps in life expectancy by race. For example, white residents of St. Louis County live nearly 9 years longer than Black residents.
*Cities are defined by their metropolitan statistical area (MSAs) from the United States Census Bureau. All of these cities have more than 10 hospitals within the MSA region, more than 20% outliers, and at least one 1-star and at least one 5-star hospital.
These are the most racially inclusive hospitals in each state (ranked #1 in their state) according to the 2023 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 performance of the U.S. News Honor Roll hospitals on the Lown racial inclusivity metric varied widely. Hospital of the University of Pennsylvania had the best performance, ranking at #52, and North Shore University Hospital had the worst performance, ranking at #2999 of the 3,142 hospitals studied.
* The Mayo Clinic did not meet the criteria to be included in the ranking because it had a racially homogenous community area (97% one race).
The 2023 Lown Institute Hospitals Index racial inclusivity metric measures how well more than 3,100 U.S. hospitals serve people of color in their surrounding communities. To create this metric, we used both traditional Medicare and Medicare Advantage claims and the U.S. Census Bureau’s American Community Survey from 2021.
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 code tabulation area (ZCTA) 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 ZCTA and and community area ZCTA 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 ZCTAs closer to the hospital were weighted more heavily than ZCTAs farther away. Hospitals received higher scores if they had higher patient counts from ZCTAs with greater proportions of non-white patients compared to their community area. Hospitals with racially homogenous community areas (97% one race) were not given a ranking for racial inclusivity.
Cities were defined by their metropolitan statistical areas (MSAs) from the United States Census Bureau. Hospital markets were designated as “segregated” when they had more than 10 ranked hospitals and more than 20% of hospitals with 1 or 5 stars (must have at least one on each end).
Information on Black/white life expectancy gaps was obtained from the Institute for Health Metrics and Evaluation (IHME) analysis of the CDC’s National Center for Health Statistics data, available from http://vizhub.healthdata.org/subnational/usa. (Accessed August 2023)
For more details, see our full Methodology paper: https://lownhospitalsindex.org/rankings/our-methodology/
Media inquiries should be directed to Aaron Toleos, vice president of communications for the Lown Institute, at firstname.lastname@example.org.