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CHOOSING A HOSPITAL
GETTING AN OVERVIEW OF YOUR OPTIONS

STEP FOUR: RATING THE HOSPITALS - WORKSHEET

This is a scorecard designed to help you compare your hospital options. There is space to compare three hospitals. You may want to copy these pages to use as your work sheets.

HOW TO RATE
By Using Points: Assign 3 points if the benefit is very important to you, 2 points if the benefit is moderately important, 1 point if the benefit is not important, and 0 if the hospital does not have the feature or benefit.
or
By Using Check Marks: The hospital with the most check marks rates highest. See “Other” to add personal items to consider or special services you may need.

NAME OF HOSPITAL 1:  2:  3:
Covered by my insurance   
My physician(s) has/have privileges   
Nationallly accredited   
Best and latest equipment   
Certified teaching hospital   
Reputation for:   
  ·   Best Physicians in Area   
  ·   Best Nurses in Area   
Nurse to Patient Ratio 1:10 or Better   
Most Physicians Board Certified   
Good Emergency Department   
Experience:   
  ·   Best Experience in Major Specialties   
  ·   Significant Experience in My Procedure   
Women’s Specialty Department   
Recommended by:   
  ·   Physician   
  ·   Another Employee Says Good   
  ·   Employer Recommends   
  ·   Been to Hospital/Satisfied   
Advertises Seminars/Classes   
Advertises Free Diagnostics   
TOTAL SCORES THIS PAGE   

NAME OF HOSPITAL
(From first page)
 1:  2:  3:
Caring Reputation   
Warm/Friendly Staff   
Same Religious Affiliation as Family   
Conveniently Located   
Modern Facilities   
Has Health Center/Wellness Program   
Good Educational Programs   
Free TV   
Has Rooming-In for Relatives   
Good Visiting Hours/Flexible   
Has Patient Transition Plan   
Good Food/Flexible Menus   
Respects Patients Preferences/Privacy   
Best Value/Lower Costs   
Clinical Trial Participation Available   
Physician Coordination Plan   
Pharmacy Coordination Plan   
Private Rooms Available   
Safe for Valuables   
Allows Personal Toiletry Items   
Schedules Diagnostics w/Physician for Me   
Other:   
    
    
    
    
TOTAL SCORES THIS PAGE   
TOTAL SCORES FROM FIRST PAGE   
TOTAL SCORE FROM BOTH PAGES INDICATING BEST CHOICE   


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