Mayo Clinic Once Again Leads in Endocrinology Ranking

Nancy A. Melville

July 30, 2019

Mayo Clinic, in Rochester, Minnesota, has clinched the top spot once again as the nation's leading hospital for diabetes and endocrinology, according to the US News & World Report's annual ranking of the nation's best hospitals.

With a perfect score of 100, Mayo Clinic for the fourth consecutive year topped the list. Johns Hopkins, in Baltimore, was ranked no. 2 with a score of 86.8, and Massachusetts General Hospital, in Boston, was no. 3 with a score of 83.1.

Of 981 hospitals that were scored or not ranked in the field of diabetes and endocrinology, 59 were considered "high-performing," and 50 were ranked.

Good Outcomes and Experience, Patient Safety Not as Great

Mayo Clinic, which is also ranked no. 1 overall on the report's Best Hospitals Honor Roll, has one of the world's largest departments of endocrinology.

The factors weighing most heavily on the score for diabetes and endocrinology are in the category of outcomes and experience, which makes up 49.6% of the score.

The Mayo Clinic received an "excellent" rating for 30-day survival of patients admitted relative to other hospitals treating similarly complex conditions; the score was "very high" for the relative volume of patients treated for diabetes and endocrinology–related disorders over 3 years.

However, Mayo only received an "average" score for patient safety, defined as the ability to prevent four types of accidents and medical errors.

Those four types of accidents and errors were prevention of deaths from treatable conditions after surgery; prevention of major bleeding and bruising after surgery; prevention of respiratory failure after surgery; and prevention of harm to patients during surgery.

In the category "key programs, services and staff," which makes up 19.4% of the score, Mayo Clinic received an "excellent" rating.

This category included nurse staffing and whether the number of nurses per patient is associated with better outcomes and better patient experience; intensivists, including whether the hospital has at least one adult intensive care unit (ICU) staffed by a physician certified or trained for ICU patients; advanced technologies; and patient services, such as wound management and patient-controlled analgesia.

In the category of "professional recognition," which made up 31% of the score, Mayo Clinic is recognized as a "nurse magnet" hospital, indicating high nursing standards. The hospital received an "excellent" score for reputation with physicians in the specialty.

The full top 10 for diabetes and endocrinology were as follows:

  1. Mayo Clinic, Rochester, Minnesota

  2. Johns Hopkins Hospital, Baltimore, Maryland

  3. Massachusetts General Hospital, Boston

  4. Cleveland Clinic, Ohio

  5. Hospitals of the University of Pennsylvania-Penn Presbyterian

  6. UCHealth University of Colorado Hospital

  7. UCSF Medical Center

  8. New York–Presbyterian Hospital – Columbia and Cornell

  9. UCLA Medical Center

  10. Barnes-Jewish Hospital

CHOP and Boston Children's Hospital Lead in Pediatric Endocrinology

In a press statement, Mayo Clinic noted that its Rochester campus has more no. 1 rankings in US News & World Report than any other hospital in the nation. In addition to diabetes and endocrinology, the hospital has no. 1 rankings in five other specialties:

  • Gastroenterology and gastroenterologic surgery

  • Geriatrics

  • Gynecology

  • Nephrology

  • Neurology and neurosurgery

However, Mayo Clinic ranked a bit lower in pediatric diabetes and endocrinology, coming in at 15th with a score of 74.6.

The leaders in that field were Children's Hospital of Philadelphia, at no. 1, followed by Boston Children's Hospital and Yale New Haven Children's Hospital.

Rankings Not Only for Teaching Hospitals

US News & World Report started with 4656 hospitals in its 12 data-driven rankings for the period 2018–2019. The publication said a significant change in rankings in 2018–2019 is that patients who were transferred from one hospital to another were excluded from the calculation of risk-adjusted survival.

It noted that, contrary to common belief, the ranking is not limited to teaching hospitals.

"That misconception persists, even in articles in medical journals that make the assertion, which has never been true.

"Teaching status or medical-school affiliation are only two of the four ways in which a hospital can be a rankings candidate." Many hospitals become part of the eligible pool through two other pathways, it noted.

In the 2018–2019 rankings, a hospital qualified for consideration in the data-driven specialties if it satisfied any of four criteria: (1) it was a teaching hospital; (2) it was affiliated with a medical school; (3) it had at least 200 beds set up and staffed; or (4) it had at least 100 beds and offered at least four of eight advanced technologies associated with high-quality care, such as a PET/CT scanner and certain precision radiotherapies.

"This year, 2264 hospitals, just under half of the total number in the initial pool, met one of the four standards," it noted.

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