Choosing A Hospital: Rating The Hospital Worksheet

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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