VIDEO: Our June 28, 2022 launch event featured Kate Walsh, president and CEO of Boston Medical Center; Judson Howe, president of Adventist Health in Mendocino County; Vikas Saini, MD, president of the Lown Institute; Shannon Brownlee, MSc, special advisor to the president of the Lown Institute.
The Lown Institute Hospitals Index is the first to measure Social Responsibility for more than 3,600 hospitals nationwide. The Index evaluates hospitals on 53 metrics across categories of health equity, value, and outcomes. (press release | methodology)
Included for the first time this year, the Lown Institute created a tool for tracking a hospital’s COVID burden. While not factored into the social responsibility ranking, this measure can be used to provide context on how hospitals were impacted by COVID during the first year of the pandemic.
The Lown Hospitals Index measures social responsibility as a composite of 53 metrics across patient outcomes, value of care, and health equity.
These 66 hospitals received straight “A” grades in outcomes, value, and equity on the Lown Hospitals Index, giving them the highest rankings in overall social responsibility.
Duke Regional Hospital
Tristar Horizon Medical Center
Boston Medical Center Corporation
Salinas Valley Memorial Hospital
Legacy Mount Hood Medical Center
Banner-University Medical Center South Campus
Saint Alphonsus Medical Center – Nampa
Saint Alphonsus Medical Center – Ontario
Denver Health Medical Center
St. Rose Dominican Hospitals – Rose De Lima Campus
Centura Health-St. Mary Corwin Medical Center
Saint Joseph Berea
St. Charles Prineville
Sutter Solano Medical Center
Providence Milwaukie Hospital
North Suburban Medical Center
Baystate Wing Hospital and Medical Centers
Medical Center of the Rockies
Atrium Health University City
Lee Memorial Hospital
Excela Health Frick Hospital
Tristar Stonecrest Medical Center
Providence St. Joseph Medical Center
California Pacific Medical Center – Mission Bernal
Saint Michael’s Medical Center
Munson Healthcare Cadillac Hospital
Riverside University Health System-Medical Center
Garden Grove Hospital & Medical Center
Uintah Basin Medical Center
Grady Memorial Hospital
Chi Health Immanuel
St. Elizabeth Community Hospital
Petaluma Valley Hospital
Research Medical Center
Alliance Community Hospital
Tristar Southern Hills Medical Center
Spotsylvania Regional Medical Center
St. Luke’s Hospital – Monroe Campus
Landmark Medical Center
St. Charles Redmond
Alaska Regional Hospital
St. Anthony Hospital
Sharp Chula Vista Medical Center
Lawrence General Hospital
Dallas Regional Medical Center
Promedica Bixby Hospital
Wakemed Raleigh Campus
Multicare Auburn Medical Center
Beth Israel Deaconess Hospital – Plymouth
Paradise Valley Hospital
SSM Health St. Mary’s Hospital – St. Louis
Angel Medical Center
JPS Health Network
Peninsula Regional Medical Center
Parkland Health Center
Providence Holy Cross Medical Center
St. Bernardine Medical Center
St. Mary’s General Hospital
John Randolph Medical Center
UofL Health – Jewish Hospital
These 15 hospitals received “A” grades in outcomes, value, and equity on the Lown Hospitals Index, while also experiencing a high COVID burden.
COVID burden is measured as the number of weeks in which ten percent or more of the hospital’s beds were filled with COVID-19 patients, from March 1, 2020 to February 28, 2021. High COVID burden is defined as having 26 or more weeks in which ten percent or more of hospital beds had COVID-19 patients.
COVID Burden (Weeks)
Number of beds
The highest-ranked hospital for social responsibility in each state.
Walker Baptist Medical Center
Baptist Health Medical Center Heber Spings
Adventist Health Howard Memorial
Beebe Medical Center
Emory University Hospital Midtown
Wahiawa General Hospital
Rush University Medical Center
Saint Joseph Regional Medical Center – Plymouth
St. Lukes Hospital
Baton Rouge General Medical Center
Southern Maine Health Care
Mayo Clinic Health System – Fairmont
Baptist Memorial Hospital North MS
Lovelace Westside Hospital
CHI St. Alexius Health Dickinson
Integris Bass Baptist Health Center
GHS Hillcrest Memorial Hospital
Avera Queen of Peace
Rutland Regional Medical Center
United Medical Center
Berkeley Medical Center
Powell Valley Hospital
Here’s how the 20 US News Honor Roll hospitals performed on the Lown Hospitals Index for Social Responsibility. None of these hospitals made it to the top 100 of the Lown ranking. Cedars-Sinai Medical Center in Los Angeles, CA is #2 on the US News ranking, but ranks #2494 on the Lown Index.
The following hospitals had the greatest COVID burdens of the hospitals in their city, measured as number of weeks with at least ten percent of beds with COVID-19 patients. For some hospitals, their COVID burden was double the regional average.
COVID burden is measured as the number of weeks in which ten percent or more of the hospital’s beds were filled with COVID-19 patients, from March 1, 2020 to February 28, 2021.
Regional average (Weeks)
Wellstar Atlanta Medical Center
Medstar Franklin Square Medical Center
Atrium Health Pineville
Swedish Covenant Hospital
UH Cleveland Medical Center
Baylor University Medical Center
Detroit Receiving Hospital & University Health Center
St. Luke’s Hospital at the Vintage
Franciscan Health Indianapolis
Martin Luther King, Jr. Community Hospital
West Kendall Baptist Hospital
Mount Sinai Hospital
Chestnut Hill Hospital
Abrazo Central Campus
Flushing Hospital Medical Center
Christian Hospital Northeast-Northwest
Medstar Washington Hospital Center
The Lown Hospitals Index measures hospital social responsibility as a composite of 53 metrics across patient outcomes, value of care, and health equity. Outcomes, value, and equity were weighted at a ratio of 40, 30, and 30 percent, respectively. Hospitals with “A” grades on all three categories of metrics received the highest ranking on social responsibility.
For more details, see our Methodology page.
The first year of COVID-19 was an incredibly difficult year for hospitals, as they dealt with an unknown virus, shortages of staff and equipment, financial difficulties, and other challenges.
To better understand how the pandemic impacted hospitals, we have included a measure of COVID burden for every hospital on the Lown Hospitals Index, which can be found on each hospital’s profile page. We report:
These metrics do not impact the Social Responsibility ranking.
Data sources and analysis
For the time period July 31, 2020 – February 28, 2021, data on hospitals’ inpatient beds with COVID-19 patients was taken from the Centers for Disease Control and Prevention (CDC)’s COVID-19 Reported Patient Impact and Hospital Capacity by Facility.
We used this data and the Medicare Fee-For-Service data from the CMS Chronic Conditions Warehouse to estimate the total number of patients with COVID-19 prior to the CDC’s starting collection date. Patients were identified in the data set if they had a principal or admitting diagnosis of Covid-19. We fitted a linear regression at the hospital level to the CDC data and the Medicare FFS COVID-19 patients to estimate the number of total patients with COVID-19 from March 1, 2020 to the CDC collection start date (July 31, 2020 for most hospitals).
We found the number of inpatient beds (including intensive care units) from a hospital’s 2019 Hospital Cost Report, which are reported by CMS. Because available hospital beds can fluctuate due to staffing changes, we used a fixed number of hospital beds reported prior to the pandemic as a benchmark. The acute bed count includes total adult and pediatric beds, intensive care unit, coronary care unit, burn unit, surgical intensive care unit, other special care, and nursery.
We calculated two metrics to display on the website and dashboard. COVID Burden was calculated as the number of weeks where the percentage of COVID-19 hospitalized patients were 10% or more of a hospital’s 2019 inpatient bed count. To calculate Maximum COVID Beds, we found the three week rolling average of the number of COVID-19 hospitalized patients in the hospital, and then found the maximum of this value in the hospital up to February 28, 2021. We reported this value as a percentage of the hospital’s 2019 inpatient bed count.
Media inquiries should be directed to Aaron Toleos, vice president of communications for the Lown Institute, at email@example.com.