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Duke Children's Ranked in "U.S. News" Best Children's Hospitals 2013-2014 

June 11, 2013

U.S. News & World Report has released the 2013-14 Best Children's Hospitals rankings of America's top pediatric facilities in 10 pediatric specialties. Duke Children’s Hospital & Health Center was ranked among the top 50 nationally in all 10 areas of specialty. The rankings, released today, recognize the top 50 children’s hospitals in 10 specialties: cancer, cardiology and heart surgery, diabetes and endocrinology, gastroenterology, neonatology, nephrology, neurology and neurosurgery, orthopedics, pulmonology, and urology.

“We are proud and honored to be ranked by U.S. News and World Report in all 10 programmatic areas,” says Joseph St. Geme, MD, Chair of the Duke Department of Pediatrics and CEO of Duke Children’s Hospital & Health Center. “I firmly believe this distinction is reflective of the breadth and depth of our faculty and clinical staff’s talent and expertise.”

The results are based on an extensive analysis using a methodology that combines data from a survey of physicians, a direct survey of children's hospitals (mostly freestanding hospitals and large pediatric services amounting to a "hospitals within a hospital"), and other resources.

A total of 179 U.S. children's hospitals were eligible for the rankings. Most are members of the National Association of Children's Hospitals and Related Institutions (NACHRI), although several non-NACHRI members were added because of known expertise or other factors.

The data reflect hospital quality in three key aspects of hospital care: clinical outcomes such as cancer survival and rates of various infections; efficiency and coordination of care delivery, which included results from the reputational survey, compliance with “best practices” and steps to control infection; and care-related resources such as adequate numbers of nurses and availability of programs tailored to particular illnesses and conditions. Each of the three major areas contributed one-third of a hospital’s score.

For the physician survey, which alone made up a quarter of a hospital’s score, 150 specialists and subspecialists in each of the 10 specialties were asked to name up to 10 hospitals they consider best for children with serious or difficult problems without regard to price or location. More than half of the surveyed physicians responded, which according to U.S. News & World Report, is “an extraordinary showing for such a poll by survey standards.”

U.S. News introduced the Best Children's Hospitals rankings in 2007 to help families of sick children find the best medical care available. Best Children's Hospitals 2013-14 goes well beyond rankings, offering families an exclusive look at quality-related information at the individual hospital level. Survival rates, adequacy of nurse staffing, procedure volume, and much more can be viewed on the U.S. News & World Report website and will be published in the U.S. News Best Hospitals 2014 Guidebook, available beginning in August.