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24
FRIDAY, NOVEMBER 3, 1989
I LOCAL NEWS I
Sinai
Continued from Page 1
lness. He said results of
these studies can be
misleading and should not
be used for the public.
"Fifty percent of the
reason people die is lifestyle
and 50 percent is because of
genes," Simmons said.
Joan Pine defended the
consulting firm's methods,
saying Pine Associates is
basing its information on a
basic philosophy: People go
to a hospital with the hope
that their lives will be saved
at the facility.
During the past year, Dr.
Pine released study results
in part to a few publications.
For The Jewish News, Pine
and Associates compared
mortality rates of some
Detroit area hospitals to the
national list.
The consulting firm rank-
ed hospitals in eight groups
— level one displaying ex-
ceptional low mortality and
level eight showing the
highest mortality. Sinai and
U-M were among 100
hospitals in the country that
treat Medicare patients
which were grouped as level
one hospitals.
Hutzel Hospital of Detroit,
Providence of Southfield,
Beaumont of Royal Oak,
Saint Joseph of Pontiac,
Henry Ford of Detroit and
Harper of Detroit were
ranked in category four,
which according to Dr.
Pine's studies, are average
mortality rates.
Mount Carmel Hospital of
Detroit, a trauma center,
ranked in category five, and
Grace, also of Detroit, was
listed in group eight.
Based on these factors, Dr.
Pine said Sinai had a risk
factor of 1.13 (one is
average). That means a pa-
tient admitted to Sinai was
at greater risk of death than
the average hospital patient
in the country. Risk factors
for Mount Carmel (1.14) and
Grace (1.20) were the only
two area hospitals with risk
indicators higher than Sinai.
The 100 hospitals ranking
in category one had ratios 10
percent less than the na-
tional average for Medicare
patient deaths to expected
deaths. These hospitals also
had a patient combination
that was comparable to the
national average patient
mix.
In addition, odds were less
than one in a million that
one of the top 100 hospital's
low mortality rates was bas-
ed on chance.
"There's got to be some
reason for the low mortality
rates of the category one
hospitals" Joan Pine
said. "Some hospitals are do-
ing a lot better than others.
It is time to find out what
they are doing so it can be
emulated by other
hospitals."
Sinai is part of an in-
tegrated system as a
member of Premier
Hospitals Alliance, a consor-
tium of 40 teaching hospitals
On the whole,
Jewish hospitals
are better than
average, said
Patrice Sweeney,
because they are
teaching and
research hospitals.
that offers a range of ser-
vices for member hospitals.
Twenty-five of Premier's
members are Jewish
hospitals.
On the whole, Jewish
hospitals are better than
average, said Patrice
Sweeney, an assistant vice
president with Premier, bas-
ed in Chicago. Sweeney said
they are better because they
are teaching and research
hospitals mostly in larger
metropolitan areas.
Teaching hospitals con-
sistently educate their
staffs, she said.
There are 38 Jewish
health care institutions
throughout the United
States, 33 of which are acute
care facilities.
Ten Jewish hospitals made
Dr. Pine's list of 100. They
are Cedars-Sinai Medical
Center of Los Angeles,
Mount Sinai Medical Center
of Miami Beach, Beth Israel
Hospital of Boston, Menorah
Medical Center of Kansas
City, the Jewish Hospital of
Saint Louis, Beth Israel
Medical Center of New
York, Maimonides Medical
Center of New York and
Mount Sinai Medical Center
of New York. 0
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Thursday, Nov. 16.
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Wednesday, Nov. 22
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Nov. 23-24.