The Women’s Choice Award identifies America’s Best Hospitals across our nation to help women make smart healthcare choices. Our goal is to simplify your choice of hospitals as we understand how this critically important decision can impact you and your family. Being treated with the proper level of care impacts your health, well-being and healing, so our goal is to identify those hospitals that have demonstrated the highest level of quality care to their patients, with a special focus on the female experience.
Being named and recognized as a hospital of choice among women is an honorable achievement as it represents the strongest and most important consumer message in today’s healthcare marketplace. Considering that women account for 90% of all healthcare decisions for her and her family, being a hospital of choice women trust is commendable.
Our methodology is unique in that it is the only national list that simplifies a woman’s choice when selecting a hospital. Our understanding of what matters most to women when selecting a hospital is based on surveys of tens of thousands of women, as well as research conducted in partnership with the Wharton School of Business on what drives the consumer experience for women vs. men. This research led us to understand that we cannot separate clinical performance from patient experience. Furthermore, all of the methodologies below take into consideration the recommendation rating based on patient feedback.
In arriving at our award determinations, we use the most recent publicly available information from The Centers for Medicare and Medicaid Services (CMS), as well as accreditation information from appropriate sources. In some cases, we have surveyed thousands of women to determine which measures are most important to them. Our methodology is 100% objective, replicable and uniform. There are no subjective considerations for any of our awards.
The determination of the Best Children’s Hospitals is based on publicly available information on children’s hospitals across the nation. The award criteria looks at 4 different areas to determine which children’s hospital is eligible for the Women’s Choice Award.
We arrive at the top hospitals through a weighted point system, giving 25% of the total score to each of the following areas: Online Reviews, Clinical Success Score, Clinical Safety Score and finally, the extent of Services offered, which is further detailed below.
Some of the services offered by the Best Children’s Hospitals:
We also assigned extra points to hospitals that have taken additional steps to offer the highest level of care for the following services:
Minimum scores were further determined for each of the 4 categories, with any below the national Children’s Hospital averages for each category being excluded from earning the Best Children's Hospital award.
The determination of the Best Pediatric Emergency Care was based on publicly available data from children’s hospitals across the nation. A children’s hospital earned the Best Pediatric Emergency Care award if they have all four of the following:
The America’s Best Small Hospital Award is unique in that it highlights outstanding small hospitals across the nation. The scoring process takes into account the depth of services offered by small hospitals and requires them to exceed the national average for HCAHPS patient recommendations. The analysis divides all small hospitals into two distinct categories: those hospitals that have between 25-100 beds and those under 25 Beds.
This category ranks small hospital that are between 25-100 beds on the following: they are required to provide Emergency Department functions, and they must also offer eight or more additional services from the 13 most prominently offered hospital services. Those 13 services are: Dialysis, Obstetrics, In-patient Surgery, Cardiac Rehabilitation, CT Scan, Diagnostic Mammography, Helipad, ICU, Joint Replacement, MRI, Physical Therapy, Trauma Center, and Wound Care.
Very small hospitals, many of which have extremely limited resources, offer a very broad array of different services. In this category, a recipient hospital must offer at least three of these services, in addition to the required Emergency Department. In this group, after determination of the required three services plus Emergency, the qualifying hospitals were then ranked by their HCAHPS Patient Recommendation Rating.
In order to determine valid Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) measurement of recommendation ratings, survey data had to represent at least 90 patient survey responses. In some cases, data from multiple years was required.
During these challenging Covid years, some hospitals nationwide have experienced reductions in both the number of recommendation ratings, as well as the ratings themselves. This year, an exception was made to include those hospitals that had earned awards in the previous year but were short of the number or rating for the CMS HCAHPS recommendation score, provided that all other requirements were still present.
The 100 Best Hospitals for Patient Experience scoring process is unique in that it is the only national list that focuses on patient satisfaction and female preferences. The process begins with a survey of hundreds of women. Our survey determines which questions in the HCAHPS* survey, completed by patients after discharge, are most important to them in determining their satisfaction with their hospital stay. A weight is given to each of the most important questions. For 2024, the most weight is given to those regarding the patient’s willingness to recommend, doctor communications, staff help, cleanliness, providing recovery information, explanation of medications, communication by nurses and peacefulness of room at night, and Understanding of care upon discharge respectively.
The responses to those questions, weighted accordingly, results in a numeric score for each hospital that reported valid HCAHPS data to the Centers for Medicare and Medicaid Services. The scoring is totally objective and uniform. The best 100 scores in each of the five hospital bed size categories (Under 25 beds, 25-100 beds, 101-250 beds, 251-400 beds, and over 400 beds) determine the recipients of the 100 Best Hospitals for Patient Experience award. WCA obtains hospital bed count from CMS publicly available data.
For under 25 Bed category, WCA collects and averages 2 years of data to ensure a more meaningful data set. Additionally, downward trends were noted, eliminating any hospitals that had a downward trend over 12% over the determined period.
*Hospital Consumer Assessment of Healthcare Providers and Systems.
The methodology for the bariatric surgery award is unique in that it combines national accreditations, Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey results and hospital outcome scores with primary research about women’s healthcare preferences. It is the only award recognizing excellence in bariatric surgery based on robust criteria that consider patient satisfaction and clinical excellence.
Hospitals earning the America’s Best Hospitals for Bariatric Surgery Award have met the Comprehensive Center standards of The American College of Surgeons (ACS) and the American Society for Metabolic and Bariatric Surgery (ASMBS) through the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP).
Additionally, hospitals that have received a Woman’s Choice Award have been assessed for their patient safety ranking and a patient recommendation rating. In addition to the rigorous criteria required for comprehensive accreditation, these awarded centers are above the national average for Patient Recommendation (67%) on the HCAHPS survey by the Centers for Medicare and Medicaid Services (CMS) and exhibit a strong safety culture, ranking in the top 50% for all hospitals nationwide for Patient Safety based on 13 CMS measures of infection and complication rates.
The Best Hospitals for Comprehensive Breast Care award recipients have all met the National Accreditation Program for Breast Centers (NAPBC) standards from the American College of Surgeons. As a pioneer to setting criteria for breast diseases, NAPBC-accredited centers offer the highest standard of care providing women with access to board-certified specialists, breast surgeons, breasts radiologists, medical and radiation oncologists, breast pathologists, plastic/reconstructive surgeons as well as support professionals. Alternatively, breast centers can be accredited by the NQMBC (National Quality Measures for Breast Centers) as a Certified Quality Breast Center.
Our awarded hospitals must also carry the seal of the American College of Radiologists as a Breast Imaging Center of Excellence (BICOE) which signifies that the center has achieved breast imaging excellence in mammography, stereotactic breast biopsy, breast ultrasound and breast MRI.
Apart from accreditation, patient experience is also a significant criterion for the Best Hospitals for Comprehensive Breast Care Award. Hospitals must receive a recommendation rating of 62% for the Centers for Medicare and Medicaid Services’ (CMS) patient recommendation measures, or their equivalent in the case of breast centers without hospital affiliation.
The Best Hospitals for Cancer Care must have received accreditation from the American College of Surgeons Commission on Cancer as any of the following: a National Cancer Institute (NCI) Designated Comprehensive Cancer Program; a Comprehensive Community Cancer Program; an Integrated Network Cancer Program (with over 200 beds); or an Academic Comprehensive Cancer Program. These accreditations require that the hospital have treated over 500 cancer cases in the most recent year and supports their commitment to providing high-quality, multidisciplinary, patient centered cancer care.
In addition to their accreditation, these selected hospitals were further segmented based on their patient recommendation rating from the Centers for Medicare and Medicaid Services’ (CMS) Hospital Consumer Assessment for Healthcare Providers and Systems (HCAHPS) survey. All accredited and awarded hospitals must receive a recommendation rating at or above the national average (67%) on the HCAHPS survey. Additional points were given if a hospital offered on-site chemotherapy, radiation or hospice, and cancer research activities. Hospitals were disqualified if infection ratings were worse than the national average with respect to Central Line Associated Bloodstream Infection (CLABSI) and Catheter Associated Urinary Tract Infection (CAUTI). Only the top 10% of hospitals nationwide were awarded for Cancer Care.
The Best Hospitals for Emergency Care are hospitals that consistently rank among the best hospitals reporting on the performance of their respective Emergency Departments. They are judged on the following Emergency Department performance measures reported by the Centers for Medicare and Medicaid Services (CMS):
Each of the measures indicated above were weighted according to a survey of over 1,000 women on their relative priority, and listed above in order of importance. In addition, hospitals that fell within the bottom 25th percentile for patient recommendation scores were eliminated from consideration for the award.
For each Emergency Department measure, the top 25th percentile and the top 50th percentile are determined for all hospitals reporting the measure. Hospitals that ranked in the top 25% nationwide for a measure received points according to the measure’s relative importance. Hospitals that ranked between 25% and 50% received half the points. Additionally, points were provided for the various trauma level centers. Points were then totaled for all measures, per hospital. In addition to their score, these selected hospitals were then given a numerical score based on their patient recommendation rating from the Centers for Medicare and Medicaid Services’ (CMS) Hospital Consumer Assessment for Healthcare Providers and Systems (HCAHPS). Hospitals that received at or above the national average (67%) on the HCAHPS survey and with total scores that placed them in the top 14% nationally, earned the Women’s Choice Award.
The Best Hospitals for Heart Care list is determined by first identifying hospitals across the nation that offer a minimum of six of the following cardiac and/or vascular services:
The above cardiovascular services are the most universal clinical procedures that are offered by hospitals. Only qualified hospitals that performed well clinically with regard to heart care measures of mortality and readmission as reported to Medicare, and also have a high Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) recommendation score, are selected. Hospitals that received above the national average (67%) on HCAHPS survey along with low mortality and readmission rates that placed them in the top 11% nationally, earned the Women’s Choice Award.
Hospitals that received above the national average (67%) on HCAHPS survey and that are accredited for Mammograms (MAP) and carry the Breast Imaging Center of Excellence (BICOE) seal from the American College of Radiology earned the Best Hospitals for Mammogram Imaging award.
The Best Hospitals for Obstetrics scoring process is unique in that it is the only national list that is evidence-based and focuses on patient satisfaction. Our awarded hospitals ranked above the national average for patient recommendations (67%+), as indicated by the data reported by the U.S. Department of Health and Human Services in Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys.
Recent statistics from the American Pregnancy Association state that women under the age of 35 have a 15% chance to miscarry whereas women who are 35-45 years have a 20-35% chance of a miscarriage. Most women that have high risk pregnancies may require a higher level of care for the baby after birth. In addition to high patient recommendation ratings, hospitals were rewarded extra points for having a Level III/IV Neonatal Intensive Care Units (NICU). Levels III/IV intensive care units are designed for babies that require high level of care where level IV centers have the most comprehensive capabilities for the care of the most complex and critically ill newborns.
Additional points were also granted to hospitals who reported early elective delivery rates between 0-1%, better than the national average. We also recognized hospitals that were designated as baby-friendly facilities and those whose infection and complication surgical scores were ranked above the weighted national average for patient safety. Hospitals with a high patient safety ranking based on 13 Centers for Medicare and Medicaid Services’ measures of infection and complication rates received additional points.
Points were also given to hospitals participating in the Baby Friendly program, that have successfully implemented the Ten Steps to Successful Breastfeeding.
The Best Hospitals for Orthopedics are hospitals that provide comprehensive orthopedics services, such as arthroscopy, joint replacements and spine surgery services, as well as offering onsite MRI and physical therapy. In addition to providing a spectrum of orthopedic services, these full-service hospitals are then judged based on their results through the Hospital Consumer Assessment for Healthcare Providers and Systems (HCAHPS) survey for patient recommendations and post-operative recovery instructions, measures that are very important to women when choosing a hospital. Both recommendation and recovery ratings must be equal or above the national average in order to qualify (67%and 85% respectively). Only the top 7% hospitals in the nation have been awarded for Best in Orthopedics.
In a 2017 surgical complication prevention guide by the Agency for Healthcare Research and Quality (AHRQ), studies indicated surgical adverse effects ranged from 3 to 27% amongst surgical patients. Apart from being a comprehensive facility and having high recommendation and recovery ratings, surgical event scores for all hospitals were also a criterion to earn the Women’s Choice Award. Award recipients are measured on their incidence of surgical complications and infections, including:
Hospitals who were rated Worse Than the National Benchmark were disqualified for abnormally high rates of surgical complications and infections.
The Best Hospitals for Outpatient Experience is predominantly determined on patient satisfaction with a hospital visit. The scoring process is unique in that it is the only national list that focuses on the opinion of females. Over 500 women were initially surveyed to determine which questions in the Outpatient and Ambulatory Surgery Survey (OAS-CAHPS) are most important to them in terms of satisfaction. The most weight is given to the communication and care provided by the healthcare providers and staff, overall facility’s rating, patients’ recommendation and pre- and post-surgical coordination respectively.
The responses to OAS-CAHPS questions are compared to the nation’s average and a ranking is assigned to each hospital based on its overall numeric score in conjunction to the weights obtained from the survey. In addition, only facilities that are accredited can qualify for the award.
To receive the award, hospitals must first be accredited by the Joint Commission (JC), The Healthcare Facilities Outpatient Program (HFAP) or Det Norske Veritas Healthcare (DNV). Accredited facilities are continuously improving the safety and quality of patient care and this certification signifies the facility’s commitment in meeting regulations and best practices for the medical industry. The categories in the OAS-CAHPS survey are assigned weights based on the feedback received from the Women’s Choice Award Survey. Only hospitals that achieve rankings higher or equal to the national average in communication and care by hospital staff, pre- and post-surgical coordination, facility ratings and patients’ recommendation are eligible for the outpatient experience award, and only the top 7% hospitals in the nation have been awarded for Best in Outpatient Experience.
2024 Best Hospitals for Patient Safety*
The Best Hospitals for Patient Safety are hospitals that have a low incidence of problems arising from surgical errors and infections. The hospitals that report the frequency of these adverse surgical events to The Centers for Medicare and Medicaid Services (CMS) are ranked for each of the following twelve measures:
Hospitals can be eliminated from consideration for the following reasons:
For the remaining hospitals, the Women’s Choice Award averaged their rankings for all the measures (weighted slightly toward surgical errors as a result of a WCA women’s survey) and cut off the award list only including those that averaged in the top half nationally. Only the top 10% of hospitals are recognized for patient safety.
The Best Hospitals for Stroke Care are hospitals that hold a Stroke Center Certification, recognizing centers that meet high standards for stroke care as determined by the Joint Commission (JC) and/or Det Norske Veritas (DNV).
Hospitals get credit for their certification on a scale based on the degree of care available to the stroke patient. The following certifications earn credit, from most to least:
To receive Advanced Primary certification, Stroke Centers must meet disease-specific requirements, clinically specific requirements, and expectations which include:
In order to be certified as a Comprehensive Advanced Stroke Center, the center must meet additional requirements. Thrombectomy Capable Stroke Centers have the tools and the expertise to perform mechanical thrombectomy, a minimally invasive surgical procedure to remove a blood clot from an artery. Acute Stroke Ready hospitals are certified to provide immediate care for strokes, including life-saving medications, and then transport the patient to a primary or comprehensive stroke center.
Using data from the Centers for Medicare and Medicaid Services (CMS) and hospital certification sites:
In addition to the above requirements, hospitals receive points if they maintain a recommendation rating at or better than the national average of 67%, and additional points if they scored in the top 80% nationally for the time from emergency department arrival to head CT scan results. Only the top 11% of Hospitals have been awarded for Stroke Care.
Hospitals that deliver a spectrum of services that are most important to women for their own health earn this award.
A hospital earning this award will, at a minimum, offer obstetric services, as that is the most common health reason for women to be hospitalized. Award recipients will also provide at least three of the following:
Those hospitals that meet the above requirements can be disqualified if their recommendation rating from the Hospital Consumer Assessment of Healthcare Providers and Services (HCAHPS) survey does not meet or exceed the national average (67%). They can also be disqualified if their most recent rating for Surgical Site Infections related to hysterectomies is given a rating of “Worse than the National Rate” by the Centers for Medicare and Medicaid Services (CMS). Only the top 7% of hospitals are recognized for Women’s Services.
These imaging centers are independent and not hospital affiliated. To start, these centers must carry the Breast Imaging Center of Excellence (BICOE) seal from the American College of Radiology and be accredited for Mammograms (MAP). Facilities that met that requirement were then checked for their web reviews. A minimum of 50 reviews from publicly available review sites was required with Google and Yelp reviews being the predominate sources. Centers must have a minimum overall average rating of 4.0 stars or higher to earn the award.
The Women’s Choice Award - Best Dialysis Center Award is unique in that it highlights outstanding Dialysis Centers across the nation. The source data comes from the In-Center Hemodialysis Survey Consumer Assessment of Healthcare Providers and Systems (ICH CAHPS). The scoring process considers the ICH HCAHPS average survey results and sets a requirement for them to exceed the national average over all reporting Dialysis Centers.
The patients for the ICH HCAHPS report under two distinct categories: a star rating method, and a patient scoring process (top box analysis) for various, but similar categories.
Under the top box analysis, Dialysis Centers were scored for the following categories: the degree of the nephrologist’s communication and care, quality of the Dialysis Center’s care and overall operations, the degree to which information was provided to the patients, the rating of the nephrologist, the rating of the DC staff, the rating of the facility overall, and finally, an overall summarized average score. These scores were analyzed over the most recent 2 years of available data. The resulting weighted average of the 2 years of data for each facility needed to be above the national average of the overall rating to qualify.
Under the Star Rating method: the same categories were reviewed by CMS (Centers for Medicare and Medicaid Services) and given star ratings from 1-5 stars. Here, each individual category was reviewed, and a Dialysis Center was disqualified if any of the individual category ratings were under 3 stars.
To determine valid Dialysis Center measurement of recommendation ratings, survey data had to represent at least 90 patient survey responses. In some cases, data from multiple years was required.
The Extended Care award was given to those facilities that have 25 or more beds, and have received at least 18 combined stars in the four categories in the Centers for Medicare and Medicaid Services (CMS) five-star rating system. No three-star ratings are accepted – only four and five stars. The CMS rating categories are:
Recipients must also have:
Approximately 900 facilities were awarded out of over 15,000 across the nation.
Disclosure:
The Women’s Choice Award® identifies America’s Best Hospitals & healthcare facilities across our nation based on robust criteria that includes relevant clinical performance, patient satisfaction and appropriate accreditations to help women make smart healthcare choices. Being treated with the proper level of care impacts your health, well-being and healing, so our goal is to simplify your choice by identifying those hospitals that have demonstrated the highest level of quality care to their patients, with a special focus on the female experience.
Our methodology is 100% objective, replicable and uniform. There are no subjective considerations for any of our awards. In arriving at our award determinations, we use the most recent publicly available clinical data from The Centers for Medicare and Medicaid Services (CMS), the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) patient satisfaction survey results, relevant accreditation information from appropriate sources and the American Hospital Directory. The Best Children’s Hospitals are based on publicly available information on children’s hospitals across the nation. We arrived at the top children’s hospitals through a weighted point system looking at 4 different areas: Online Reviews, Clinical Success Score, Clinical Safety Score and finally, the extent of Services offered.
Hospitals do not pay a fee to qualify. All qualified hospitals & healthcare facilities are listed on womenschoiceaward.com. Once qualified, hospitals may purchase marketing collateral such as licensed award seal usage, featured enhanced online listings, leadership spotlights or promotional products. The inclusion of a hospital within the WCA Best Hospitals, Imaging Center and Extended Care network should not be construed as an endorsement of the hospital/healthcare facility by WomenCertified Inc. or its partners and affiliates and is no guarantee of quality of services provided to patients. These lists should be used as a starting point and be included as part of the decision-making process in choosing a healthcare facility.