U.S. News & World Report Best Hospitals 2026 guidebook

in Texas

For the 17th year in a row, U.S. News & World Report ranks Texas Children’s #1 in Texas and among the nation’s best. This honor reflects our standard of care, but our mission extends beyond rankings: to pioneering research, groundbreaking discoveries and expanding possibilities in pediatric medicine.

Top in the nation in every specialty:

No. 1 No. 1

No. 1

No. 2

No. 2 No. 2 No. 5

No. 5 No. 5 No. 9

Cardiology & Heart Surgery

Neurology & Neurosurgery

Pulmonology & Lung Surgery

Neonatology

Nephrology (Kidney Disorders)

Urology

Diabetes & Endocrinology

Gastroenterology & GI Surgery

Orthopedics

Cancer

CHAPTER ONE

On Medicine’s Front Lines

12 The Promise and Challenges of AI in Medicine

Artificial intelligence is transforming healthcare, but that doesn’t mean it’s without potential drawbacks.

40 The Midwife Solution

To save more mothers’ lives, the U.S. needs to rethink how we give birth.

42 Living Longer, Living Better

Ten science-based strategies that can help you stay healthy and vibrant late into life.

46 The Hidden Health Risks of Alcohol

Raising a glass to good health is doing just the opposite.

CHAPTER TWO

Patient Power

72 Pain and the Power of the Mind

Mind-body therapies may help you reframe awareness of pain.

78 Your Ultimate Menopause Guide

With the right lifestyle strategies and treatment, this hormonal transition can be an empowering period of life.

82 Walking Toward Better Health

Putting one foot in front of the other is a simple way to reduce your risk of certain chronic diseases.

86 Best Diets of 2025

Your goal: to find the eating plan that will work best for you.

89 Eat Your Way to Better Gut Health

What you put on your plate can help—or hurt—the well-being of your gut.

93 How to Put Together a Family Medical History

Your family’s medical past may hold the key to your future health.

Clinical excellence, breakthrough research, and world-class expertise.

Top 10 in the nation for kids

For 125 years, we’ve been the established leader in treating children on the West Coast. Whether it’s for routine care or a lifesaving need, families turn to Children’s Hospital Los Angeles for the very best in pediatric care.

PROVENQUALITY PROGRAMS AMERICANCOLLEGE of CARDIOLOGY

The American College of Cardiology (ACC) recognizes these Health Systems for their commitment to driving preeminent hospital care for heart patients. Participating in the ACC’s proven quality care delivery and outcomes programs demonstrates their commitment to better lives for healthier tomorrows.

Wellstar Health System

University of California Health System

SSM Health Care

Adventist Health

Alabama Healthcare Holdings, LLC

Baptist Memorial Health Care Corporation

BJC HealthCare

Banner Health

Yale New Haven Health

Deaconess Health System, Inc.

Kaleida Health Buffalo

General Foundation

Memorial Health System of California

MultiCare Health System

Mayo Foundation for Medical Education and Research

The Cleveland Clinic Foundation

PorterCare Adventist Health System

Prime Healthcare Services

ScionHealth

SCL Health System

St. Luke’s University Health Network

Children’s Health

146 Taking On Childhood Concussions

A deep dive into kids’ head injuries—from the warning signs to recovery.

152 A Parent’s Guide to Nourishing a Healthy Eater Doc-approved tips for making sure kids get the nutrition they need. 156 Navigating the Youth Mental Health

The support and guidance you need to help a child through their challenges.

The U.S. News Rankings

Best Children’s Hospitals

Regional Hospitals

Read about how U.S. News identified and ranked top hospitals in each

181 The Rankings See how nearby hospitals performed in areas of specialty care and in common procedures and conditions.

195 Caring for Whole Communities

U.S. News recognizes hospitals that treat patients from every stratum of their communities.

198 Best Regional Children’s Hospitals A region-by-region ranking based on performance in 11 specialties.

Comprehensive.Academic. Award-winning.

NewJerseydeservesnothingless

Two of our hospitals, Robert Wood Johnson University Hospital and Cooperman Barnabas Medical Center, have earned recognition as Best Regional Hospitals, ranking in the top 10 in New Jersey, and in the top 25 in the competitive Mid-Atlantic Region. Our hospitals throughout New Jersey have been recognized for quality in a variety of specialties: cardiac and cancer care, neurology and orthopedic surgery, and more. Learnmoreatrwjbh.org/usnews.

Here’s What’s @usnews.com

NUTRITION AND LIFESTYLE

Best Diets

A look at some of the most popular and best researched diets, with reviews by a panel of health experts. Discover the top plans for weight loss, diabetes management and heart health, as well as the best plant-based and menopause diets. health.usnews.com/best-diet

Wellness and Trends

Stay on top of the latest health news and research, and get expert insight into trending wellness topics. health.usnews.com/wellness

INSURANCE

Best Medicare

Advantage Plans

State-by-state ratings of insurers offering Medicare Advantage and Medicare Part D plans, plus tips on choosing one of these plans vs. original Medicare. health.usnews.com/medicare

POPULATION HEALTH

Healthiest Communities

An interactive platform featuring news, analysis and county-level rankings that examine how social factors shape America’s health and well-being. usnews.com/news/healthiestcommunities

OUTPATIENT CARE

Best Ambulatory Surgery Centers

Discover the top outpatient surgery centers for a variety of procedures near you. health.usnews.com/best-ascs

Specialties, Procedures and Conditions

We’ve evaluated nearly 5,000 hospitals on 22 common procedures and conditions, including hip replacement, knee replacement, heart bypass surgery, colon cancer surgery, diabetes and stroke, as well as 15 medical specialties from cancer care to cardiology. health.usnews.com/best-hospitals

SENIOR CARE

Best Nursing Homes

An analysis of government data and published ratings of more than 15,000 nursing home facilities throughout the United States. health.usnews.com/ best-nursing-homes

Top Recommended Health Products

Which over-the-counter products do pharmacists and dermatologists prefer? To make your next trip to the drugstore easier, check out these top recommended medicine and health products, ranging from skin care to supplements. health.usnews.com/otc

PHYSICIAN SEARCH TOOL

Doctor Finder

A searchable directory of more than 750,000+ doctors. Patients can find and research doctors who have the training, certification, practical experience and hospital affiliation they want—and can see ratings based on other patients’ experience. health.usnews.com/doctors

Our Strength. Your Health.

Nationally recognized for excellence, year after year.

El Camino Health has deep roots in the South Bay, providing compassionate care that’s part of a comprehensive, coordinated network, putting you and our community first.

Our commitment to excellence continues to earn national recognition, including being named “Best Hospital 2025–2026” by U.S. News & World Report for consecutive years. Every recognition reflects the trust our patients place in us, the honor we value most. For leading-edge primary, urgent and specialty care delivered through a personalized approach for every stage of life, choose El Camino Health.

El Camino Health. Our strength is your health.

Lexi, 2 years old. Received in utero surgery for spina bifida at 25 weeks.

When Lexi was still in her mother’s womb, fetal surgeons and neurosurgeons at Nationwide Children’s Hospital repaired a spinal defect that would have a ected her ability to walk. Today, she’s a happy 2-year-old who can walk on her own.

Every day, Nationwide Children’s helps children like Lexi take a step towards a better quality of life. See

On Medicine’s Front Lines On Medicine’s Front Lines

The health headlines you need to know about

What Is a U.S. News Best Hospital?

The best hospital for you or a loved one depends on the type of care you need. For a rare bone condition or a lung transplant, for instance, you may need to travel to a hospital that earned a top 50 national ranking for orthopedics or pulmonology, respectively. But for a common procedure or condition like a hip replacement or COPD, you are likely to find that a hospital close to home is highly rated by U.S. News.

WHY DOES U.S. NEWS RATE HOSPITALS?

The quality of health care provided by hospitals to patients across the nation varies widely. U.S. News delves into various quality measures to publish rankings and ratings of hospitals that assist millions of patients annually. These patients face the prospect of surgery or specialized hospital care that can pose a risk due to such factors as age, physical condition or the type of illness. The rankings and ratings are a tool to help consumers make important health care decisions, in conjunction with advice from medical practitioners.

HOW DID U.S. NEWS DETERMINE THE RANKINGS AND RATINGS?

U.S. News’s Best Hospitals project evaluates U.S. adult hospitals annually on how they provide 37 different types of care. The rankings of 15 medical specialties use a variety of quality measures to identify the hospitals that excel at handling the most complex and difficult cases. The ratings of 22 common procedures and conditions are based entirely on objective quality indicators, such as patient outcomes and nurse staffing levels. We also publish

For more information

an Honor Roll of the hospitals that excel in many types of care, as well as rankings of general hospitals by state and major metro area.

WHAT ARE BEST HOSPITALS BADGES AND EMBLEMS?

Hospitals that earn top 50 rankings in a specialty have a gold Best Hospitals award “badge” (logo) on their U.S. News profile page, with information about how many such rankings they won. General hospitals that excel in a large number of common procedures and conditions have a silver “Best Regional Hospitals” silver badge and may be ranked in their state and/or metro area. Hospitals that place in the top 10% for a specialty but not in the top 50, or that achieve the highest possible rating for a common procedure or condition, have a High Performing Hospitals emblem on their profile page.

Hospitals that earn a badge or emblem may obtain permission, for a fee, to display the badge or emblem via websites and other media from BrandConnex, U.S. News’s licensing agent. Current and future rankings, ratings and awards are not affected by such purchases or by any other promotional fees.

• The evaluation of hospitals in your area: https:bit.ly/USN-area

• For detailed information about a specific hospital: https://bit.ly/USN-search

• About U.S. News’s hospital evaluations, including Best Children’s Hospitals and Best Hospitals for Maternity Care as well as Best Hospitals: https://bit.ly/USN-FAQ

• Detailed methodology reports about the Best Hospitals specialty rankings https://bit.ly/USN-2526 and the procedures and conditions ratings https://bit.ly/USN-ratings

• Hospitals that earn a badge or emblem may contact usnews@BrandConnex.com for information about using U.S. News Best Hospitals badges and emblems.

The Promise and Challenges of AI in Medicine

Artificial intelligence is transforming medicine, offering advancements in diagnostics, treatment, drug development and patient care. But that doesn’t mean it’s without potential challenges and ethical considerations to ensure responsible, effective use.

by Cheyenne Buckingham ©

rtificial intelligence, or AI, is a contentious topic in today’s world, but both health care professionals and researchers are enthusiastic about its potential to revolutionize patient care—from diagnosis and treatment to how doctors correspond with their patients.

AWhile recent advancements have catapulted AI into the spotlight, the technology isn’t new. It has been around for more than 70 years, with the first medical applications emerging in the 1970s. Since then, the technology has helped doctors diagnose conditions and identify appropriate treatments. It’s also assisted radiologists in interpreting microscopic abnormalities on imaging scans, including mammograms and other routine cancer screenings.

Fast forward to today: AI is more sophisticated than ever before, and it will only continue to become more knowledgeable. Just recently, the first AI-designed drug, Rentosertib, made its way through several clinical trials, showing promise as an effective treatment for idiopathic pulmonary fibrosis (IPF), a chronic, progressive lung disease that makes it challenging to breathe.

AI also assists scientists with drug repurposing, or identifying which readily available medications can be used—alone or in combination with others—to treat rare diseases, including certain cancers and neurological conditions. In radiology, AI offers radiologists a second set of eyes that surpass human capabilities.

Yet despite the technology’s impressive prospects, AI—much like humans—can make mistakes, which is why it’s best used (for now) as a collaborative tool for physicians and researchers. In other words, providers and scientists alike still need to keep a careful eye on its decision-making abilities.

How Is AI Used in Medicine?

The use cases for AI in medicine are rapidly expanding as the technology improves. In fact, your doctor likely already uses AI during your office visits.

Administrative tasks “One area that has made a big difference in patient care is ambient documentation, in which AI listens to a conversation between the doctor and the patient and produces notes in real time,” says Dr. David Westfall Bates, the co-director of the Center for Artificial Intelligence and Bioinformatics and the

Learning Healthcare System at Mass General Brigham.

In some instances, the physician can have key takeaways from the appointment and next steps drafted and ready to send by the end of the visit. “AI scribes provide some immediate quick wins, from an organizational perspective, and also decrease the epidemic of clinician burnout that we’re seeing today,” says Brenton Hill, the head of operations and general counsel for the Coalition for Health AI (CHAI)

Data suggest that tools like these can reduce a physician’s time spent documenting a patient’s electronic health record (EHR) by as much as 16%. That said, AI scribes have been known to record notes incorrectly sometimes, which is why the physician needs to review the script before logging it into the patient’s medical records or sending follow-up notes via the patient portal.

Artificial intelligence tools can also be used to generate letters and scripts for insurance companies, says Bates. Essentially, AI can help physicians execute the administrative elements of their job in a more timely and efficient manner.

Disease detection and diagnosis AI offers clinical support by aiding in diagnosis. It analyzes patterns in patient data and presents them to health care professionals to help guide informed decisions.

“AI algorithms are being tested for their ability to consolidate and analyze a variety of patients’ data, such as medical histories, lab and imaging results and genetic information, to predict when disease might arise,” says Dr. Andrew Hantel, a health services researcher, hematologic oncologist and ethics consultant at Dana-Farber Cancer Institute and Harvard Medical School. “AI can enhance interpretation of images used in diagnosis or treatment. When used by trained physicians, AI tools can improve the speed and accuracy of some diagnoses.”

For example, tools like Google’s DeepMind have successfully identified breast cancer in mammograms, explains Thomas Swalla, CEO of Dotmatics, a software company that connects science, data and decision-making.

A 2020 study found that Google’s DeepMind AI system outperformed six human radiologists when it came to identifying breast cancer on the screen, and newer research has shown similar results. This suggests that the tool can be used to help reduce false negatives and false positives.

their own unique genetic makeup, meaning how you fare on a medication could be vastly different from another person.

Using AI to make personalized treatment recommendations based on a patient’s genome can help physicians make better choices for their patients, potentially saving them the distress of having to rule out multiple medications or therapies through trial and error.

“AI algorithms have the potential to help synthesize different data sources to recommend treatments that account for genetic data, co-occurring conditions and estimated risk,” Hantel says. These algorithms are still in the testing phase, so they aren’t widely used yet in the clinical setting.

Robotics Robots can assist physicians in a variety of ways. For example, AI-powered robots are currently being tested for use in surgery to enhance precision and reduce the need for invasive procedures when possible. “Robotics can help surgeons better assess their operations in real time,” Hantel says.

Robotics can also be employed to help with logging notes in the patient portal, cleaning hospital rooms and examining images such as MRIs and X-rays.

Drug development AI is helping design life-saving drugs, such as Rentosertib. “AI-based algorithms are being used to predict the structure of different human proteins and how they interact with a variety of chemical compounds to identify promising candidates, reduce research costs and shorten the time to clinical trials,” says Hantel.

AI can help physicians better support patients.

Bates adds that AI is particularly strong at reading pathology slides, which are tiny pieces of tissue placed on glass for doctors to examine under a microscope and check for signs of disease. “This is the way most cases of cancer are diagnosed,” he says.

Personalized treatments “AI will be used a lot in the future, I believe, to personalize treatments for patients,” Bates says. When treating a specific condition, such as hypertension, a doctor will likely start you on a medication that most people respond well to. But each person has

At Dotmatics, Swalla is seeing AI accelerate early-stage drug discovery by modeling and predicting how molecules will behave before they’re synthesized in the lab. “Scientific intelligence platforms, like our own Dotmatics Luma, enable scientists to simulate, iterate and analyze compound designs faster and more intelligently, reducing both time and cost across the design-make-test-decide cycle.”

AI for Doctors and Patients

The benefits of AI in medicine are far-reaching for both physicians and patients. Perhaps the most important is this: AI can help doctors support their patients more effectively and more consistently.

To start, AI holds enormous potential to reduce doctor burnout. A 2025 survey found that 54% of physicians believe AI could help ease stress and burnout, which is a notable rise from 44% in 2023. That optimism matters: doctors today are stretched thinner than ever.

Consider this: a 2022 study estimated that a primary care physician would need 26.7 hours in a sin-

gle day to deliver all guideline-recommended care to their patients. That math alone makes it clear why exhaustion and errors happen. When clinicians are expected to be superhuman, mistakes become inevitable. This is where AI steps in—not as a replacement, but as a partner. Think of it as the med student who never sleeps: it can handle all of the relentless data review, pattern recognition and administrative load that siphon precious hours away from direct patient care.

For patients, however, one of the greatest promises of AI-supported healthcare is improved access. People in underserved communities— especially rural areas—often struggle to reach high-quality care. A Pew Research Center survey found that nearly one in four rural residents reported lacking easy access to good doctors and hospitals. That gap in care can mean delayed diagnoses, and untreated conditions as well as unnecessary suffering.

At CHAI, Hill notes that patient advocacy groups are already voicing excitement about working with AI developers to close these gaps. Tools such as large language models could play a pivotal role: answering common medical questions, delivering reliable health information and guiding patients in deciding when to seek care. Imagine someone living two hours from the nearest hospital—AI could help them distinguish between a situation that truly requires an emergency room visit and one that can safely be managed at home or with a local clinic.

“There’s a large gap of data that’s made available for these developers to train on,” Hill says. Patient data protection laws, such as the Health Insurance Portability and Accountability Act (HIPAA), inhibit developers from training their algorithms on patient medical records.

In addition, hospitals and clinics in rural areas are often less likely to provide data to developers, Hill says. This means AI tools may not work well for populations they haven’t been trained on, making them less accurate or useful in those settings.

“AI models require large, high-quality datasets, but medical data is inconsistent, incomplete and fragmented across systems,” explains Hantel.

Additionally, when it comes to chronic disease management, AI tools can be an invaluable resource. Apps can help patients log their symptoms and provide real-time dietary recommendations to help them improve their health.

“AI can also aid in how medical information is conveyed to patients, especially those with lower health literacy or who speak a different language than their care team,” says Hantel. Moreover, wearable devices that use AI can continuously monitor data and flag health risks earlier, helping a patient get ahead of serious symptoms or complications.

The Limitations of AI in Medicine

While AI has demonstrated immense promise for improving care, it comes with its own set of drawbacks and challenges. The biggest barrier right now is the amount of training needed to get AI tools up to speed so that they can deliver reputable and safe advice to patients.

Plus, training and distributing AI models nationwide is costly, which can raise the risk of widening existing health disparities.

“Building and deploying AI systems is expensive and time-consuming, so smaller practices and resource-limited settings won’t get AI tools as quickly or broadly,” says Hantel.

AI, as of right now, isn’t immune to biases. Bates brought up a real-life example of an AI scheduling tool for chronic disease patients that predicted Black and Hispanic patients would have higher no-show rates. Based on this data, the algorithm recommended overbooking these groups of people, leading to patients spending an inordinate amount of time sitting in the waiting room even though they had an appointment that day.

And from the patient’s point of view, there are concerns around data privacy. “Increased reliance on digital data and cloud-based AI systems raises concerns about data breaches and confidentiality,” Hantel says.

The Future for AI in Medicine

AI will likely always require humans to monitor its decisions and processes. The hope for this sophisticated technology is that, one day soon, it will elevate patient care, enhance research for drug development, educate physicians and streamline administrative tasks. “However, this needs to be done in a way that is intentionally inclusive so that AI does not worsen pre-existing biases and injustice in how medicine is practiced,” Hantel says.

There may also need to be regulations on how heavily physicians rely on AI, as overdependence could diminish their clinical skills. And Hantel says that checks and balances are also important. This way, AI can’t dehumanize care or use patient and hospital data for profit rather than health as the ultimate goal.

The next few years will be pivotal. If developed and deployed responsibly, AI could transform healthcare into a system that is not only more efficient, but also more compassionate and equitable. The opportunity isn’t just to upgrade medicine—it’s to reimagine it for the better. l

The Future of Health, Backed by Science

Find hospitals delivering trusted heart and stroke care, guided by the American Heart Association.

For over 100 years, the American Heart Association has driven progress in heart and brain health, so high-quality care is within reach wherever you live. Today, hospitals across the country are putting that science into practice with consistent, research-based care for heart disease and stroke.

These hospitals are part of something bigger: changing the future of health for everyone, everywhere. Their efforts reflect a century of innovation and a relentless push for better health.

The new Commitment to Quality award honors hospitals achieving high performance across three or more Get With The Guidelines® programs – showcasing a system-wide commitment to real-time data, evidence-based care and teamwork across specialties.

See how the American Heart Association measures hospital performance and find trusted care near you.

This content is produced by or on behalf of our sponsor; it is not written by and does not necessarily reflect the view of U.S. News & World Report editorial staff. Learn more at mediakit.usnews.com.

A Big Thanks to Our Sponsors.

These organizations are sponsors of American Heart Association’s health care quality improvement programs.

Every 34 seconds, someone in America dies of cardiovascular disease. Heart disease and stroke remain the No. 1 and No. 5 leading cause of death, respectively.

Nearly 47% of U.S. adults have high blood pressure, 72% have unhealthy weight and 57% have Type 2 diabetes or prediabetes. More than 2,800 hospitals participate in Get With The Guidelines, a 20-plus year effort to bring research-based, equitable care to heart and stroke patients. Cardiovascular diseases, including heart disease and stroke, claim more lives in the U.S. than all forms of cancer and accidental deaths – the No. 2 and No. 3 causes of death –combined.

To find out more, visit usnewsbrandfuse.com/ AmericanHeartAssociation.

AMERICAN HEART ASSOCIATION’S COMMITMENT TO QUALITY AWARD

Key to the Awards

ONew to 2025, the American Heart Association is recognizing hospitals across the country for their dedication to guideline-directed quality care for their stroke and cardiovascular patients. Hospitals with this designation have received silver or higher awards in three or more Get With The Guidelines modules this year.

before first hospital arrival to PCI ≤ 120 minutes for transferred STEMI patients for two or more consecutive, calendar years (Gold Plus) or one calendar year (Silver Plus), in addition to current Gold or Silver Get With The Guidelines – CAD status.

STEMI: Receiving Gold or Silver A C

GET WITH THE GUIDELINES — STROKE, HEART FAILURE, RESUSCITATION, AFIB

Gold Plus Achievement B B

These hospitals are recognized for two or more consecutive calendar years of 85% or higher adherence on all achievement measures and 75% or higher adherence to an additional set of quality measures in heart failure and/or stroke.

Gold Achievement AN A A A

These hospitals are recognized for adherence for two or more consecutive calendar years of 85% or higher adherence on all achievement measures applicable to each program (75% or higher adherence to the identified composite score for rural measures).

Silver Plus Achievement D D

These hospitals are recognized for one calendar year of 85% or higher adherence on all achievement measures and 75% or higher adherence to an additional set of quality measures in heart failure and/or stroke.

Silver Achievement C L C L C C

These hospitals are recognized for one calendar year of 85% or higher adherence on all achievement measures applicable to each program (75% or higher adherence to the identified composite score for rural measures).

GET WITH THE GUIDELINES — CORONARY ARTERY DISEASE

STEMI: Receiving Gold Plus or Silver Plus BD

These hospitals are recognized for compliance to FMC at or

These hospitals are recognized for two or more consecutive, calendar years (Gold) or one calendar year (Silver) of 75% compliance on each performance measure and 50% on arrival to first facility to PCI ≤ 120 minutes for patients transferred for primary PCI.

STEMI: Referring Gold Plus or Silver Plus BD

These hospitals are recognized for compliance to Door In / Door Out in 30 minutes or less for transferred STEMI patients for two or more consecutive, calendar years (Gold Plus) or one calendar year (Silver Plus), in addition to current Gold or Silver Get With The Guidelines – CAD status.

STEMI: Referring Gold or Silver A C

These hospitals are recognized for two or more consecutive, calendar years (Gold) or one calendar year (Silver) of 75% or higher compliance on each performance measure.

Rural Coronary Artery Disease: NSTE_ACS NL and STEMI NL

These hospitals are recognized for one calendar year (Silver) or two calendar years (Gold) of 75% or higher adherence to the identified composite score rural measures.

NSTEMI: Gold or Silver AC

These hospitals are recognized for achieving 65% adherence to Dual Antiplatelet prescription at discharge and 85% or higher compliance on each of the four performance measures for two or more consecutive calendar years (Gold) or one calendar year (Silver).

TARGET: AORTIC STENOSISTM

Target: Aortic Stenosis™ Honor Roll K

These hospitals are recognized for 75% or higher achievement score on percentage of patients with a class I indication for aortic valve replacement who receive definitive treatment (valve replacement) within 90 days of initial diagnosis & 50% or higher achievement score on percentage of echoes with potential severe aortic stenosis who have all necessary evaluation and testing completed to clarify severity and determine whether a Class 1 indication exists.

*These hospitals received Get With The Guidelines®-Resuscitation awards from the American Heart Association for two or more patient populations.

Find Your Hospital Listed Alphabetically By State

For a searchable map of hospitals by region and across the U.S.,

ALABAMA

Medical Center South, Montgomery

Brookwood Baptist Health, Birmingham

Brookwood Medical Center, Birmingham

Coosa Valley Medical Center, Sylacauga

Cullman Regional Medical Center, Cullman

DeKalb Regional Medical Center, Fort Payne

East Alabama Medical Center, Opelika,

Huntsville Hospital, Huntsville

Marshall Medical Centers, Guntersville

Mobile Infirmary, Mobile

North Baldwin Infirmary, Bay Minette

Northeast Alabama Regional Medical Center, Anniston

Riverview Regional Medical Center, Gadsden

Shelby Baptist Medical Center, Alabaster

Southeast Health Medical Center, Dothan

Tanner Medical Center/East Alabama, Wedowee

Thomas Hospital, Fairhope

UAB Medicine Enterprise, Birmingham

Health Providence, Mobile

USA Health University Hospital, Mobile

Whitfield Regional Hospital, Demopolis

ALASKA

Alaska Native Tribal Health Consortium, Anchorage

Bristol Bay Area Health Corporation, Dillingham

Peninsula Hospital, Soldotna

Memorial Hospital, Fairbanks

ARIZONA

Scottsdale Campus,

Thunderbird Medical Center, Glendale

Deer Valley Medical Center,

HonorHealth John C. Lincoln Medical Center, Phoenix

HonorHealth Mountain Vista Medical Center, Mesa

HonorHealth Scottsdale Osborn Medical Center, Scottsdale

HonorHealth Scottsdale Shea Medical Center, Phoenix

HonorHealth Scottsdale Thompson Peak Medical Center, Scottsdale

HonorHealth Sonoran Crossing Medical Center, Phoenix

Mayo Clinic Arizona, Phoenix

St. Joseph’s Hospital and Medical Center, Phoenix

Summit Healthcare Association, Show Low

Tempe St. Luke’s Hospital, Tempe

Tucson Medical Center, Tucson

Valleywise Health Medical Center, Phoenix

Verde Valley Medical/Northern Arizona Healthcare, Cottonwood

Yuma Regional Medical Center, Yuma

ARKANSAS

Arkansas Methodist Medical Center, Paragould

Ashley County Medical Center, Crossett

Baptist Health Medical Center - Arkadelphia, Arkadelphia

Baptist Health Medical Center - Conway, Conway

Baptist Health Medical Center - Hot Spring County, Malvern

Baptist Health Medical Center - Little Rock, Little Rock

Baptist Health Medical Center-North Little Rock, Little Rock

Baptist Health-Fort Smith, Fort Smith

Baptist Memorial Hospital Crittenden, West Memphis

BAXTER HEALTH, Mountain Home

Bradley County Medical Center, Warren

CHI St. Vincent Hot Springs, Hot Springs

CHI St. Vincent Infirmary, Little Rock

CHI St. Vincent Medical Center North, Sherwood

CHI St. Vincent Morrilton, Morrilton

Chicot Memorial Medical Center, Lake Village

Conway Regional Medical Center, Conway

CrossRidge Community Hospital, Wynne

Dallas County Medical Center, Fordyce

Dardanelle Regional Medical Center, Dardanelle

Delta Memorial Hospital, Dumas

Fulton County Hospital, Salem

Great River Medical Center, Blytheville

Izard Regional Hospital, Calico Rock

Johnson Regional Medical Center, Clarksville

Lawrence Memorial Hospital, Walnut Ridge

Mena Regional Health System, Mena

Mercy Hospital Booneville, Booneville

Mercy Hospital Fort Smith, Fort Smith

Mercy Hospital Northwest Arkansas, Rogers

Mercy Hospital Paris, Paris

Mercy Hospital Waldron, Waldron

NEA Baptist Memorial Hospital, Jonesboro

North Arkansas Regional Medical Center, Harrison

Ozarks Community Hospital, Gravette

Piggott Community Hospital, Piggott

Saint Mary’s Regional Medical Center, Russellville

Siloam Springs Regional Hospital, Siloam Springs

South Arkansas Regional Hospital, El Dorado

South Mississippi County Regional Medical Center, Osceola N

St. Bernards Five Rivers Medical Center, Pocahontas

St. Bernards Medical Center, Jonesboro

Stone County Medical Center, Mountain View

UAMS Medical Center, Little Rock

Wadley Regional Medical Center at Hope, Hope

Washington Regional Medical Center, Fayetteville

White River Health System, Batesville

White River Medical Complex ER, Cherokee Village

CALIFORNIA

Adventist Health - Glendale, Glendale

Adventist Health and Rideout, Marysville

Adventist Health Bakersfield, Bakersfield

Adventist Health Hanford, Hanford

Adventist Health Howard Memorial, Willits

Adventist Health Lodi Memorial, Lodi

Adventist Health Sierra Vista, San Luis Obispo

Adventist Health Simi Valley, Simi Valley

Adventist Health St. Helena, St Helena

Adventist Health Tulare, Tulare

Adventist Health Ukiah Valley, Ukiah

Adventist Health White Memorial Montebello, Montebello

Adventist Health White Memorial, Los Angeles

Alameda Hospital, Alameda

Alta Bates Summit Medical Center | Summit Campus, Oakland

Antelope Valley Medical Center, Lancaster

Arrowhead Regional Medical Center, Colton

Bear Valley Community Healthcare District, Big Bear Lake

California Hospital Medical Center, Los Angeles

California Pacific Medical Center | Davies & Van Ness Campuses, San Francisco

Cedars-Sinai Medical Center, Los Angeles

Centinela Hospital Medical Center, Inglewood

Chinese Hospital, San Francisco

Chino Valley Medical Center, Chino

CHOC Children’s Hospital, Orange

Clovis Community Medical Center, Clovis

Community Hospital of the Monterey Peninsula, Monterey

Community Memorial Hospital, Ventura

Community Regional Medical Center, Fresno

Corona Regional Medical Center, Corona

Dameron Hospital, Stockton

Desert Regional Medical Center, Palm Springs

Desert Valley Hospital, Victorville

Dignity Health - Glendale Memorial Hospital and Health Center, Glendale

Dignity Health Bakersfield Memorial Hospital, Bakersfield

Dignity Health Dominican Hospital, Santa Cruz

Dignity Health French Hospital Medical Center, San Luis Obispo

Dignity Health Marian Regional Medical Center, Santa Maria

Dignity Health Mercy Hospital of Folsom, Folsom

Dignity Health Mercy Hospitals of Bakersfield, Bakersfield

Dignity Health Mercy Medical Center Merced, Merced

GWTG – CAD

STEMI REFERRING:

B Gold Plus Referring

A Gold Referring

D Silver Plus Referring

C Silver Referring

GWTG – RURAL CAD: NSTE_ACS N Gold Achievement L Silver Achievement

GWTG – RURAL CAD: STEMI

N Gold Achievement

L Silver Achievement

Dignity Health Mercy Medical Center Redding, Redding C B

Dignity Health Northridge Hospital Medical Center, Northridge B

Dignity Health Sequoia Hospital, Redwood City B

Dignity Health Sierra Nevada Memorial Hospital, Grass Valley BN

Dignity Health St. John’s Hospital Camarillo, Camarillo B

Dignity Health St. John’s Regional Medical Center, Oxnard B

Dignity Health St Joseph’s Medical Center, Stockton D B

Dignity Health, Mercy Mt. Shasta, Mount Shasta ND

Doctors Hospital of Manteca, Manteca B

Doctors Medical Center Modesto, Modesto B

Eden Medical Center, Castro Valley B

Eisenhower Health, Rancho Mirage B K

El Camino Health, Mountain View and Los Gatos, Mountain View B

Emanate Health-Queen of the Valley Hospital, West Covina B

Emanuel Medical Center, Turlock C D

Encino Hospital Medical Center, Encino B

Enloe Medical Center, Chico B B

Fairchild Medical Center, Yreka ND

Garden Grove Hospital Medical Center, Garden Grove B B

Garfield Medical Center, Monterey Park B

Good Samaritan Hospital, San Jose B

Healdsburg Hospital, Healdsburg N

Hemet Global Medical Center, Hemet A

Henry Mayo Newhall Hospital, Valencia B

Hi Desert Medical Center, Joshua Tree N

Hoag Hospital Irvine, Irvine B

Hoag Memorial Hospital Presbyterian, Newport Beach B B

Huntington Beach Hospital, Huntington Beach B

Hospital, Pasadena B JFK Memorial Hospital, Indio

John Muir Medical Center - Concord, Concord

John Muir Medical Center - Walnut Creek, Walnut Creek O A B B

Kaiser Foundation Hospital - Antioch, Antioch B

Kaiser Foundation Hospital - Baldwin Park, Baldwin Park B

Kaiser Foundation Hospital - Downey, Downey B

Kaiser Foundation Hospital - Fontana, Fontana B

Kaiser Foundation Hospital - Fremont, Fremont

Kaiser Foundation Hospital - Fresno, Fresno

Kaiser Foundation Hospital - Los Angeles, Los Angeles

Kaiser Foundation Hospital - Manteca, Manteca

Kaiser Foundation Hospital - Modesto, Modesto

Kaiser Foundation Hospital - Moreno Valley, Moreno Valley

Kaiser Foundation Hospital - Oakland, Oakland

Kaiser Foundation Hospital - Ontario, Ontario B

Kaiser Foundation Hospital - Orange CountyAnaheim and Irvine, Anaheim B

Kaiser Foundation Hospital - Panorama City, Panorama City B

Kaiser Foundation Hospital - Redwood City, Redwood City B

Kaiser Foundation Hospital - Richmond, Richmond

Kaiser Foundation Hospital - Riverside, Riverside B

Kaiser Foundation Hospital - Roseville, Roseville D B

Kaiser Foundation Hospital - Sacramento, Sacramento

Kaiser Foundation Hospital - San Diego, San Diego

Kaiser Foundation Hospital - San Francisco, San Francisco

Kaiser Foundation Hospital - San Jose, San Jose

Kaiser Foundation Hospital - San Leandro, San Leandro B

Kaiser Foundation Hospital - San Marcos, San Marcos D

Kaiser Foundation Hospital - San Rafael, San Rafael

Kaiser Foundation Hospital - Santa Clara, Santa Clara

GWTG – CAD NSTEMI: A Gold C Silver

TARGET: AORTIC STENOSIS : K Target: Aortic StenosisTM Honor Roll

* These hospitals received Get With The Guidelines®-Resuscitation awards from the American Heart Association for two or more patient populations. O Hospitals with this designation have received silver or higher awards in three or more Get With The Guidelines modules this year.

Kaiser Foundation Hospital - Santa Rosa, Santa Rosa

Kaiser Foundation Hospital - South Bay, Harbor City

Kaiser Foundation Hospital - South Sacramento, Sacramento

Kaiser Foundation Hospital - South San Francisco, South San Francisco

Kaiser Foundation Hospital - Vacaville, Vacaville

Kaiser Foundation Hospital - Vallejo, Vallejo

Kaiser Foundation Hospital - Walnut Creek, Walnut Creek

Kaiser Foundation Hospital - West Los Angeles, Los Angeles

Kaiser Foundation Hospital - Woodland Hills, Woodland Hills

Kaiser Foundation Hospital - Zion, San Diego

Kaweah Delta Health Care District, Visalia

Keck Hospital of USC, Los Angeles

Kern County Hospital Authority, Bakersfield

La Palma Intercommunity Hospital, La Palma

Loma Linda University Children’s Hospital, Loma Linda

Loma Linda University Medical Center Murrieta, Murrieta

Loma Linda University Medical Center, Loma Linda

Lompoc Valley Medical Center, Lompoc

Long Beach Medical Center, Long Beach

Los Angeles General Medical Center, Los Angeles

Los Robles Regional Medical Center, Thousand Oaks

MarinHealth Medical Center, Greenbrae

Orange

PIH

PIH

Providence Cedars Sinai Tarzana Medical Center, Tarzana

Providence Holy Cross Medical Center, Mission Hills

Providence Little Company of Mary Medical Center - San Pedro, San Pedro

Providence Little Company of Mary Medical Center - Torrance, Torrance

Providence Petaluma Valley Hospital, Petaluma

Providence Saint John’s Health Center, Santa Monica

Providence Saint Joseph Medical Center, Burbank

Providence Santa Rosa Memorial Hospital, Santa Rosa

Providence St. Mary Medical Center, Apple Valley

GWTG – STROKE:

Gold Plus Achievement

Silver Plus Achievement

GWTG – RURAL STROKE :

Achievement

Silver Achievement

Queen of the Valley Medical Center, Napa

Redlands Community Hospital, Redlands

Regional Medical Center of San Jose, San Jose

Riverside Community Hospital, Riverside B

Riverside University Health System-Medical Center, Moreno Valley

Ronald Reagan UCLA Medical Center, Los Angeles

Saddleback Memorial Medical Center, Laguna Hills

Saint Agnes Medical Center, Fresno

Salinas Valley Health Medical Center, Salinas

San Antonio Regional Hospital, Upland

San Dimas Community Hospital, San Dimas B

San Gorgonio Memorial Hospital, Banning D

San Joaquin General Hospital, French Camp B

San Ramon Regional Medical Center, San Ramon

Santa Barbara Cottage Hospital, Santa Barbara B

Santa Clara Valley Medical Center, San Jose B

Santa Monica-UCLA Medical Center Orthopedic and Hospital, Santa Monica

Santa Ynez Valley Cottage Hospital, Solvang

Scripps Green Hospital, La Jolla

Scripps Memorial Hospital Encinitas, Encinitas

Scripps Memorial Hospital La Jolla, La Jolla B

Scripps Mercy Hospital Chula Vista, Chula Vista B

Scripps Mercy Hospital San Diego, San Diego B

Sharp Chula Vista Medical Center, Chula Vista B

Sharp Coronado Hospital, Coronado B

Sharp Grossmont Hospital, La Mesa

Sharp Memorial Hospital, San Diego

Shasta Regional Medical Center, Redding B B

Sherman Oaks Hospital, Sherman Oaks

Sierra View Medical Center, Porterville

Sonoma Valley Hospital, Sonoma

Southwest Healthcare System-Inland Valley Medical Center and Rancho Springs Medical Center, Wildomar B

St. Bernardine Medical Center, San Bernardino

St. Elizabeth’s Community Hospital, Red Bluff

St. Francis Medical Center, Lynwood

St. Joseph Hospital, Eureka, Eureka

St. Joseph Hospital, Orange

St. Jude Medical Center, Fullerton

St. Louise Regional Hospital, Gilroy

St. Mary Medical Center, Long Beach

Stanford Health Care, Stanford

Stanford Health Care Tri-Valley, Pleasanton

Stanford Medicine Childrens Health, Palo Alto

Sutter Amador Hospital, Jackson

Sutter Auburn Faith Hospital, Auburn

Sutter Davis Hospital, Davis

Sutter Delta Medical Center, Antioch

Sutter Lakeside Hospital, Lakeport

Sutter Medical Center, Sacramento, Sacramento

Sutter Roseville Medical Center, Roseville

Sutter Santa Rosa Regional Hospital, Santa Rosa

Sutter Solano Medical Center, Vallejo

Sutter Tracy Community Hospital, Tracy

Tahoe Forest Hospital, Truckee

Temecula Valley Hospital, Temecula

Torrance Memorial Medical Center, Torrance

GWTG – HEART FAILURE:

Gold Plus Achievement

Gold Achievement

Silver Plus Achievement

Silver Achievement

GWTG – RURAL HEART FAILURE:

Silver Achievement

GWTG – RESUSCITATION :

Gold Achievement

Silver Achievement

GWTG – AFIB:

Gold Achievement

Silver Achievement

GWTG – CAD STEMI RECEIVING:

Tri-City Medical Center, Oceanside

Twin Cities Community Hospital, Templeton

UC San Diego Health - East Campus, San Diego

UC San Diego Health, San Diego

UCI Health - Lakewood, Lakewood

UCI Health Fountain Valley, Fountain Valley

UCI Health-Los Alamitos, Los Alamitos

UCI Medical Center, Orange

UCLA West Valley Medical Center, West Hills

UCSF Health Saint Francis Hospital, San Francisco

UCSF Health St. Mary’s Hospital, San Francisco

University of California San Francisco (UCSF), San Francisco

University of California, Davis Medical Center, Sacramento

USC Arcadia Hospital, Arcadia

USC Norris Comprehensive Cancer Center, Los Angeles

VA Loma Linda Hospital, Loma Linda

Valley Presbyterian Hospital, Van Nuys

Ventura County Medical Center/Santa Paula Hospital, Ventura

Washington Health, Fremont

West Anaheim Medical Center, Anaheim

Wilma Chan Highland Hospital Campus, Oakland

Woodland Memorial Hospital, Woodland

COLORADO

CommonSpirit St. Anthony Hospital, Lakewood

CommonSpirit St. Anthony North Hospital, Westminster

CommonSpirit St. Francis Hospital, Colorado Springs

Gunnison Valley Health, Gunnison

HCA HealthONE Aurora, Aurora

HCA HealthONE Mountain Ridge, Thornton

HCA HealthONE Rose, Denver

HCA HealthONE Swedish Medical Center, Englewood

Intermountain Health Good Samaritan Hospital, Lafayette

Intermountain Health - Lutheran Hospital, Wheat Ridge

Intermountain Health Platte Valley Hospital, Brighton

Intermountain Health St. Mary’s Regional Hospital, Grand Junction

North Colorado Medical Center, Greeley

Parkview Medical Center, Pueblo

Saint Joseph Hospital, Denver

Sky Ridge Medical Center, Lone Tree

UCHealth Greeley Hospital, Greeley

UCHealth Highlands Ranch Hospital, Highlands

UCHealth Longs Peak Hospital, Longmont

UCHealth

UCHealth

UCHealth Memorial Hospital North, Colorado Springs

UCHealth Pikes Peak Regional Hospital, Woodland Park

UCHealth Poudre Valley Hospital, Fort Collins

UCHealth University of Colorado Hospital, Aurora

GWTG – CAD

STEMI REFERRING:

B Gold Plus Referring

A Gold Referring

D Silver Plus Referring

C Silver Referring

GWTG – RURAL CAD: NSTE_ACS

N Gold Achievement

L Silver Achievement

GWTG – RURAL CAD: STEMI

N Gold Achievement

L Silver Achievement

CONNECTICUT

Bridgeport Hospital, Bridgeport

Charlotte Hungerford Hospital, Torrington

Connecticut Children’s Medical Center, Hartford

Danbury Hospital, part of Nuvance Health, Danbury

Day Kimball Hospital, Putnam

Greenwich Hospital, Greenwich

Griffin Hospital, Derby

Hartford Hospital, Hartford

Lawrence + Memorial Hospital, New London

Manchester Memorial Hospital, Manchester

Middlesex Hospital, Middletown

Midstate Medical Center, Meriden

Norwalk Hospital part of Nuvance Health, Norwalk

Saint Francis Hospital and Medical Center, Hartford

Sharon Hospital, Sharon

St. Vincent’s Medical Center, Bridgeport

Stamford Hospital, Stamford

The Hospital of Central Connecticut, New Britain

UCONN Health / John Dempsey Hospital, Farmington

Waterbury Hospital, Waterbury

William W. Backus Hospital, Norwich

Hospital, Windham

DELAWARE

Bayhealth Medical Center - Kent General Hospital, Dover

Bayhealth Sussex Campus, Milford

Healthcare, Lewes

Newark

Hospital - Wilmington, Wilmington

Nanticoke, Seaford

DISTRICT OF COLUMBIA

Howard University Hospital, Washington

Georgetown University Hospital,

FLORIDA

Advent Health Heart of Florida, Davenport

Altamonte Springs, Altamonte Springs

Apopka, Apopka

AdventHealth Carrollwood, Tampa

AdventHealth Celebration, Celebration

AdventHealth Dade City, Dade City

AdventHealth Daytona Beach, Daytona Beach

AdventHealth DeLand, DeLand

AdventHealth East Orlando, Orlando

AdventHealth Fish Memorial, Orange City

AdventHealth Kissimmee, Kissimmee

AdventHealth New Smyrna Beach, New Smyrna Beach

AdventHealth North Pinellas, Tarpon Springs

AdventHealth Ocala, Ocala

AdventHealth Orlando, Orlando

GWTG – CAD NSTEMI: A Gold C Silver

TARGET: AORTIC STENOSIS : K Target: Aortic StenosisTM Honor Roll

* These hospitals received Get With The Guidelines®-Resuscitation awards from the American Heart Association for two or more patient populations. O Hospitals with this designation have received silver or higher awards in three or more Get With The Guidelines modules this year.

AdventHealth Palm Coast Parkway, Palm Coast

AdventHealth Palm Coast, Palm Coast

AdventHealth Sebring, Sebring

AdventHealth Tampa, Tampa

AdventHealth Waterman, Tavares

AdventHealth Wesley Chapel, Wesley Chapel

AdventHealth Winter Garden, Winter Garden

AdventHealth Winter Park, Winter Park

AdventHealth Zephyrhills, Zephyrhills

Ascension St. Vincent’s St. Johns County, St Johns

Baptist Hospital of Miami, Miami

Baptist Hospital, Pensacola

Baptist Medical Center - Beaches (Baptist Health), Jacksonville Beach

Baptist Medical Center - Jacksonville (Baptist Health), Jacksonville

Baptist Medical Center - South (Baptist Health), Jacksonville

Baptist Medical Center Clay, Fleming Island

Baptist Medical Center Nassau, Fernandina Beach

Bartow Regional Medical Center, Bartow

BayCare Wesley Chapel, Wesley Chapel

Bayfront

Bethesda Hospital East, Boynton Beach

Bethesda Hospital West, Boynton Beach

Boca Raton Regional Hospital, Boca Raton

Broward Health Coral Springs, Coral Springs

Broward

Cleveland Clinic

Good Samaritan Medical Center, West Palm

Gulf Breeze Hospital, Gulf Breeze

Gulf Coast Medical Center, Fort Myers

Halifax Health - UF Health Medical Center of Deltona, Deltona

Halifax Health Medical Center of Daytona Beach, Daytona Beach

Halifax Health Medical Center of Port Orange, Port Orange

HCA FL Orange Park Hospital, Orange Park

HCA Florida Bayonet Point Hospital, Hudson

HCA Florida Blake Hospital, Bradenton

HCA Florida Brandon Hospital, Brandon

HCA Florida Citrus Hospital, Inverness

HCA Florida Englewood Hospital, Englewood

HCA Florida Fawcett Hospital, Port Charlotte

HCA Florida Fort Walton-Destin Hospital, Fort Walton

HCA Florida JFK North

GWTG – STROKE: B Gold Plus Achievement A Gold Achievement D Silver Plus Achievement C Silver Achievement

GWTG – RURAL STROKE :

Gold Achievement

Silver Achievement

HCA Florida Kendall Hospital, Miami

HCA Florida Lake Monroe Hospital, Sanford

HCA Florida Largo Hospital, Largo

HCA Florida Lawnwood Hospital, Fort Pierce

HCA Florida Memorial Hospital, Jacksonville

HCA Florida North Florida Hospital, Gainesville

HCA Florida Northside Hospital, St. Petersburg

HCA Florida Northwest Hospital, Margate

HCA Florida Oak Hill Hospital, Brooksville

HCA Florida Ocala Hospital, Ocala

HCA Florida Osceola Hospital, Kissimmee

HCA Florida Palms West Hospital, Loxahatchee B

HCA Florida Pasadena Hospital, South Pasadena D

HCA Florida Raulerson Hospital, Okeechobee N

HCA Florida Sarasota Doctors Hospital, Sarasota B

HCA Florida South Shore Hospital, Sun City Center B

HCA Florida South Tampa Hospital, Tampa B

HCA Florida St. Lucie Hospital, Port Saint Lucie B

HCA Florida St. Petersburg Hospital, Saint Petersburg B

HCA Florida Trinity Hospital, Trinity B

HCA Florida West Hospital, Pensacola B

HCA Florida West Marion Hospital, A part of HCA Florida Ocala Hospital, Ocala B

HCA Florida Westside Hospital, Plantation B

Hendry Regional Medical Center, Clewiston L L

Hialeah Hospital Primary Stroke, Hialeah

Holmes Regional Medical Center, Melbourne

Holy Cross Hospital, Fort Lauderdale

Homestead Hospital, Homestead

HSA PGH, LLC, Hialeah

Jackson Memorial Hospital, Miami

Jackson North Medical Center, North Miami Beach

Jackson South Medical Center, Miami

Johns Hopkins All Children’s Hospital, St. Petersburg

Jupiter Medical Center, Jupiter

Lakeland Regional Health Medical Center, Lakeland

Lakewood Ranch Medical Center, Bradenton

Lee Memorial Hospital, Fort Myers

Lower Keys Medical Center, Key West

Memorial Hospital, Bradenton

Mariners Hospital, Tavernier

Clinic Florida, Jacksonville

Mease Countryside Hospital, Safety Harbor

Mease Dunedin Hospital, Dunedin

Memorial Hospital Miramar, Miramar

Memorial Hospital Pembroke, Pembroke Pines

Memorial Hospital West, Pembroke Pines

Memorial Regional Hospital, Hollywood

Morton Plant Hospital, Clearwater

Morton Plant North Bay Hospital, New Port Richey

Mount Sinai Medical Center, Miami Beach

NCH Healthcare System, Naples

NCH North Naples Hospital, Naples

Nicklaus Children’s Hospital, Miami

Orlando Health - Dr. P. Phillips Hospital, Orlando

Orlando Health - Orlando Regional Medical Center, Orlando

Orlando Health - South Lake Hospital, Clermont

Orlando Health Arnold Palmer Hospital for Children, Orlando

Orlando Health Horizon West Hospital, Winter Garden

GWTG – HEART FAILURE: B Gold Plus Achievement

Gold Achievement D Silver Plus Achievement C Silver Achievement

GWTG – RURAL HEART FAILURE: L Silver Achievement

GWTG – RESUSCITATION : A Gold Achievement C Silver Achievement

GWTG – AFIB: A Gold Achievement C Silver Achievement

GWTG – CAD STEMI RECEIVING: B Gold Plus Receiving A Gold Receiving D Silver Plus Receiving

C Silver Receiving

Orlando Health Inc. - Health Central Hospital, Ocoee

Orlando Health St. Cloud Hospital, Saint Cloud

Oviedo Medical Center, Oviedo

Palm Bay Hospital, Palm Bay

Palm Beach Gardens Medical Center, Palm Beach Gardens

Physicians Regional Healthcare System, Naples

Physicians Regional Medical Center - Collier Boulevard, Naples

Sacred Heart Bay, Panama City

Sacred Heart Health System, Pensacola

Santa Rosa Medical Center, Milton

Sarasota Memorial Health Care System, Sarasota

Sarasota Memorial Hospital - Venice, North Venice

South Miami Hospital, South Miami

St. Anthony’s Hospital, St. Petersburg

St. Joseph’s Hospital - South, Riverview

St. Joseph’s Hospital, Tampa

St. Marys Medical Center, West Palm Beach

St. Vincent’s Medical Center-Clay County, Middleburg

St. Vincent’s Medical Center, Jacksonville

Steward Florida Medical Center, Fort Lauderdale

Tallahassee Memorial HealthCare, Tallahassee

Tampa General Hospital, Tampa

UF Health Flagler Hospital, Saint Augustine

UF Health Jacksonville, Jacksonville

UF Health Leesburg Hospital, Leesburg

UF Health Shands Hospital, Gainesville

UF Health Spanish Plains Hospital, The Villages

University of Miami Health System, Miami

Viera Hospital, Viera

Wellington Regional Medical Center, Wellington

Boca Medical Center, Boca Raton

Kendall Baptist Hospital, Miami

Haven Hospital, Winter Haven

GEORGIA

Gordon, Calhoun

Atrium Health Navicent Baldwin, Milledgeville

Atrium Health Navicent The Medical Center, Macon

Candler Hospital, Savannah

Coffee Regional Medical Center, Douglas

Colquitt Regional Medical Center, Moultrie

Crisp Regional Health Services, Cordele

Doctors Hospital Augusta, Augusta

Effingham Health System, Springfield

Emory Decatur Hospital, Decatur

Emory Hillandale, Lithonia

Emory Johns Creek Hospital, Duluth

Emory Saint Joseph’s Hospital, Atlanta

Emory University Hospital Midtown, Atlanta

Emory University Hospital, Atlanta

Grady Health System, Atlanta

Hamilton Medical Center, Dalton

Houston Healthcare - Warner Robins, Warner Robins

John D. Archbold Memorial Hospital, Thomasville

GWTG – CAD

STEMI REFERRING:

B Gold Plus Referring

A Gold Referring

D Silver Plus Referring

C Silver Referring

GWTG – RURAL CAD: NSTE_ACS

N Gold Achievement

L Silver Achievement

GWTG – RURAL CAD: STEMI

N Gold Achievement

L Silver Achievement

Memorial University Medical Center, Savannah

Morgan Medical Center, Madison

Northeast Georgia Medical Center- Habersham, Demorest

Northeast Georgia Medical Center, Barrow, Winder

Northeast Georgia Medical Center, Braselton, Braselton

Northeast Georgia Medical Center, Lumpkin, Dahlonega

Northeast Georgia Medical Center, Gainesville

Northside Hospital Atlanta, Atlanta

Northside Hospital Cherokee, Canton

Northside Hospital Duluth, Duluth

Northside Hospital Forsyth, Cumming

Northside Hospital Gwinnett, Lawrenceville

Phoebe Putney Memorial Hospital, Albany

Phoebe Sumter Medical Center, Americus

Phoebe Worth Medical Center, Sylvester

Piedmont Athens Regional Medical Center, Athens

Piedmont Augusta Hospital, Augusta

Piedmont Cartersville Medical Center, Cartersville

Piedmont Columbus Midtown, Columbus

Piedmont Columbus Northside, Columbus

Piedmont Eastside Medical Center, Snellville

Piedmont Fayette Hospital, Fayetteville

Piedmont Henry Hospital, Stockbridge

Piedmont Hospital, Atlanta

Piedmont Macon Medical Center, Macon

Piedmont Mountainside Hospital, Jasper

Piedmont Newnan Hospital, Newnan

Piedmont Newton Hospital, Covington

Piedmont North Hospital, Macon

Piedmont Rockdale Hospital, Conyers

Piedmont Walton Hospital, Monroe

SGMC Health, Valdosta

Southeast Georgia Health System, Brunswick

Southern Regional Medical Center, Riverdale

St. Francis - Emory Healthcare, Columbus

St. Joseph’s Hospital, Savannah

St. Mary’s Good Samaritan Hospital, Greensboro

St. Mary’s Hospital, Athens

St. Mary’s Sacred Heart Hospital, Lavonia

Stephens County Hospital, Toccoa

Tanner Medical Center/Carrollton, Carrollton

Tanner Medical Center/Villa Rica, Villa Rica

Tift Regional Medical Center, Tifton

Union General Hospital, Blairsville

Upson Regional Medical Center, Thomaston

Wellstar Cobb Hospital, Austell

Wellstar Douglas Hospital, Douglasville

WellStar Kennestone Regional Hospital, Marietta

Wellstar MCG Health, Augusta

WellStar North Fulton Hospital, Roswell

WellStar Paulding Hospital, Hiram

WellStar Spalding Regional Hospital, Griffin

WellStar West Georgia Medical Center, LaGrange

GUAM

Guam Memorial Hospital, Tamuning

Guam Regional Medical City, Dededo

GWTG – CAD NSTEMI: A Gold C Silver

TARGET: AORTIC STENOSIS : K Target: Aortic StenosisTM Honor Roll

* These hospitals received Get With The Guidelines®-Resuscitation awards from the American Heart Association for two or more patient populations. O Hospitals with this designation have received silver or higher awards in three or more Get With The Guidelines modules this year.

HAWAII

Adventist Health Castle, Kailua

Hilo Medical Center, Hilo

Kaiser Foundation Hospital - Moanalua, Honolulu

Kona Community Hospital, Kealakekua

Kuakini Medical Center, Honolulu

Maui Memorial Medical Center, Wailuku

North Hawaii Community Hospital, Kamuela

Pali Momi Medical Center, Aiea

Samuel Mahelona Memorial Hospital, Kapaa

Straub Benioff Medical Center, Honolulu

The Queen’s Medical Center Punchbowl, Honolulu

The Queen’s Medical Center West O’ahu, Ewa Beach

Wilcox Medical Center, Lihue

IDAHO

Eastern Idaho Regional Medical Center, Idaho Falls

Portneuf Medical Center, Pocatello

Saint Alphonsus Regional Medical Center, Boise

ILLINOIS

Advocate Christ Medical Center, Oak Lawn

Advocate Condell Medical Center, Libertyville

Advocate Good Samaritan Hospital, Downers Grove

Advocate Good Shepherd Hospital, Barrington

Advocate Illinois Masonic Medical Center, Chicago

Advocate Lutheran General Hospital, Park Ridge

Advocate Sherman Hospital, Elgin

Advocate South Suburban Hospital, Hazel Crest

Advocate Trinity Hospital, Chicago

Alton Memorial Hospital - BJC Healthcare, Alton

Ascension Alexian Brothers, Elk Grove Village

Ascension Saint Alexius, Hoffman Estates

Ascension Saint Joseph Chicago, Chicago

Blessing Hospital, Quincy

Carle BroMenn Medical Center, Normal

Carle Eureka Hospital, Eureka

Carle Foundation Hospital, Urbana

Carle Health Methodist Hospital, Peoria

Cook County Health, Chicago

Decatur Memorial Hospital, Decatur

Endeavor Health Edward Hospital, Naperville

Endeavor Health Elmhurst Hospital, Elmhurst

Endeavor Health Evanston Hospital, Evanston

Endeavor Health Glenbrook Hospital, Glenview

Endeavor Health Highland Park Hospital, Highland Park

Endeavor Health Northwest Community Hospital, Arlington

Endeavor Health Swedish Hospital, Chicago

Fairfield Memorial Hospital, Fairfield

FHN Memorial Hospital, Freeport

Franciscan Health Olympia Fields, Olympia Fields

Gibson Area Hospital and Health Services, Gibson City

Hamilton Memorial Hospital, McLeansboro

Herrin Hospital, Herrin

Hillsboro Area Hospital, Hillsboro

Horizon Health, Paris

Humboldt Park Health, Chicago

GWTG – STROKE:

B Gold Plus Achievement

A Gold Achievement

D Silver Plus Achievement

C Silver Achievement

GWTG – RURAL STROKE :

N Gold Achievement

L Silver Achievement

Insight Hospital & Medical Center, Chicago

Javon Bea Hospital – Riverside, Rockford

John and Mary E. Kirby Hospital, Monticello

Loyola University Medical Center, Maywood

MacNeal Hospital, Berwyn

Marshall Browning Hospital, Du Quoin

Mason District Hospital, Havana

Memorial Hospital of Carbondale, Carbondale

Memorial Hospital, Carthage

Mercy Harvard Hospital, Harvard

Mount Sinai Hospital, Chicago

Northwestern Medicine Central DuPage Hospital, Winfield

Northwestern Medicine Delnor Hospital, Geneva

Northwestern Medicine Huntley Hospital, Huntley

Northwestern Medicine Kishwaukee Hospital, Dekalb

Northwestern Medicine Lake Forest Hospital, Lake Forest

Northwestern Medicine McHenry Hospital, McHenry

Northwestern Medicine Palos Hospital, Palos Heights

Northwestern Memorial Hospital, Chicago

OSF HealthCare Little Company of Mary Medical Center, Evergreen Park

OSF HealthCare Saint Anthony’s Health Center, Alton B

OSF Saint Anthony Medical Center, Rockford

OSF Saint Francis Medical Center, Peoria

OSF St. Joseph Medical Center, Bloomington

Red Bud Regional Hospital, Red Bud

Medical Center, Chicago B

Riverside Medical Center, Kankakee B

Rush Copley Medical Center, Aurora

Rush Oak Park Hospital, Oak Park

Rush University Medical Center, Chicago

Saint Joseph Hospital - Elgin, Elgin

Saint Joseph Medical Center- Joliet, Joliet

Saint Mary of Nazareth Hospital, Chicago

Sarah Bush Lincoln Fayette County Hospital, Vandalia

Sarah Bush Lincoln Health Center, Mattoon

Silver Cross Hospital, New Lenox

Springfield Memorial Hospital, Springfield

SSM Health Good Samaritan, Mount Vernon

St. Joseph Memorial Hospital, Murphysboro

UChicago Medicine AdventHealth Bolingbrook, Bolingbrook

UChicago Medicine AdventHealth GlenOaks, Glendale Heights

UChicago Medicine AdventHealth Hinsdale, Hinsdale

UChicago Medicine AdventHealth La Grange, La Grange

UChicago Medicine, Chicago

UI Health, Chicago

Wabash General Hospital, Mount Carmel

INDIANA

Ascension St. Vincent Anderson, Anderson

Ascension St. Vincent Hospital, Indianapolis

Baptist Health Floyd, New Albany

Columbus Regional Hospital, Columbus

Community Heart and Vascular, Indianapolis

Community Hospital - North, Indianapolis

Community Hospital East, Indianapolis

Community Hospital of Anderson, Anderson

Community Hospital, Community Healthcare System, Munster

GWTG – HEART FAILURE:

B Gold Plus Achievement

A Gold Achievement

D Silver Plus Achievement

C Silver Achievement

GWTG – RURAL HEART FAILURE:

L Silver Achievement

GWTG – RESUSCITATION : A Gold Achievement

C Silver Achievement

GWTG – AFIB: A Gold Achievement C Silver Achievement

GWTG – CAD STEMI RECEIVING:

B Gold Plus Receiving

A Gold Receiving

D Silver Plus Receiving

C Silver Receiving

Community Howard Regional Hospital, Kokomo

Community South, Indianapolis

Deaconess Gateway Hospital, Newburgh

Deaconess Gibson Hospital, Princeton

Deaconess Hospital, Evansville

Elkhart General Hospital, Elkhart

Eskenazi Health, Indianapolis

Franciscan Health - Crown Point, Crown Point

Franciscan Health Indianapolis, Indianapolis

Franciscan Health Lafayette East, Lafayette

Franciscan Health Michigan City, Michigan City

Good Samaritan Hospital, Vincennes

Indiana University Health Arnett, Lafayette

Indiana University Health Ball Memorial Hospital, Muncie

Indiana University Health Bedford Hospital, Bedford

Indiana University Health Bloomington Hospital, Bloomington

Indiana University Health Frankfort Hospital, Frankfort

Indiana University Health Jay Hospital, Portland

Indiana University Health Methodist Hospital, Indianapolis

Indiana University Health Morgan Hospital, Martinsville

Indiana University Health North Hospital, Carmel

Indiana University Health West Hospital, Avon

Indiana University Health White Hospital, Monticello

Lutheran Hospital, Fort Wayne

Memorial Hospital and Health Care Center, Jasper

Memorial Hospital, South Bend

Methodist Hospitals, Inc., Gary

Parkview Kosciusko Hospital, Warsaw

Parkview Randallia Hospital, Fort Wayne

Parkview Regional Medical Center, Fort Wayne

Parkview Whitley Hospital, Columbia City

Reid Health Connersville, Connersville

Reid Health, Richmond

Riley Hospital for Children at Indiana University Health, Indianapolis

St. Catherine Hospital, Inc., East Chicago

St. Mary Medical Center, Hobart

Terre Haute Regional Hospital, Terre Haute

Union Hospital - Clinton, Clinton

Union Hospital, Terre Haute

IOWA

Adair County Health System, Greenfield

Cass Health, Atlantic

CHI Health Mercy Hospital Council Bluffs, Council Bluffs

CHI-Iowa Corp d/b/a MercyOne Des Moines Medical Center, Des Moines

Clarinda Regional Health Center, Clarinda

Davis County Hospital and Clinics, Bloomfield

Genesis Health System- Davenport, Davenport

Greater Regional Health, Creston

Hancock County Memorial Hospital, Britt

Hegg Health Center, Rock Valley

Henry County Health Center, Mount Pleasant

Iowa Specialty Hospital Belmond, Belmond

Iowa Specialty Hospital Clarion, Clarion

Jackson County Regional Health Center, Maquoketa

Keokuk County Hospital and Clinics, Sigourney

GWTG – CAD

STEMI REFERRING:

B Gold Plus Referring

A Gold Referring

D Silver Plus Referring

C Silver Referring

GWTG – RURAL CAD: NSTE_ACS

N Gold Achievement

L Silver Achievement

GWTG – RURAL CAD: STEMI

N Gold Achievement

L Silver Achievement

Mahaska Health, Oskaloosa

Mary Greeley Medical Center, Ames

Mercy Medical Center-Cedar Rapids, Cedar Rapids

MercyOne Clinton Medical Center, Clinton

MercyOne Dubuque Medical Center, Dubuque

MercyOne North Iowa Medical Center, Mason City

MercyOne Siouxland Medical Center, Sioux City

MercyOne Waterloo Medical Center, Waterloo

Methodist Jennie Edmundson Hospital, Council Bluffs

Montgomery County Memorial Hospital, Red Oak

Myrtue Medical Center, Harlan

Pocahontas Community Hospital, Pocahontas

Sioux Center Health, Sioux Center

St. Anthony Regional Hosptial, Carroll

UnityPoint Health-Trinity Muscatine, Muscatine

University of Iowa Health Care Medical Center Downtown, Iowa City

University of Iowa Hospitals and Clinics, Iowa City

UPH Allen Hospital, Waterloo

UPH Finley Hospital, Dubuque

UPH Iowa Methodist Medical Center, Des Moines

UPH St Luke’s Hospital Cedar Rapids, Cedar Rapids

UPH St. Luke’s Sioux City, Sioux City

UPH Trinity Bettendorf, Bettendorf

UPH Trinity Regional Medical Center, Fort Dodge

KANSAS

AdventHealth Shawnee Mission, Shawnee Mission

AdventHealth South Overland Park, Overland Park

Amberwell Health Hiawatha, Hiawatha

Ascension Via Christi St. Francis, Wichita

Cheyenne County Hospital, Saint Francis

CommonSpirit St. Catherine Hospital Garden City, Garden City

Community HealthCare System, Onaga

Gove County Medical Center, Quinter

Hays Medical Center, Hays

Hutchinson Regional Medical Center, Hutchinson

Lawrence Memorial Hospital, Lawrence

Nemaha Valley Community Hospital, Seneca

Newman Regional Health, Emporia

North Central Kansas Medical Center, Concordia

Olathe Medical Center, Olathe

Overland Park Regional Medical Center, Overland Park

Providence Medical Center, Kansas City

Rooks County Health Center, Plainville

Saint Luke’s South Hospital, Overland Park

Salina Regional Health Center, Salina

Stormont-Vail HealthCare, Topeka

The University of Kansas Health System St. Francis Campus, Topeka

The University of Kansas Health System, Kansas City

Wesley Medical Center, Wichita

KENTUCKY

ARH Our Lady of the Way, Martin

Baptist Health Corbin, Corbin

Baptist Health Deaconess Madisonville, Madisonville

GWTG – CAD NSTEMI: A Gold C Silver

TARGET: AORTIC STENOSIS : K Target: Aortic StenosisTM Honor Roll

* These hospitals received Get With The Guidelines®-Resuscitation awards from the American Heart Association for two or more patient populations.

O Hospitals with this designation have received silver or higher awards in three or more Get With The Guidelines modules this year.

Baptist Health Hardin, Elizabethtown

Baptist Health LaGrange, LaGrange

Baptist Health Lexington Hospital, Lexington

Baptist Health Louisville, Louisville

Baptist Health Paducah, Paducah

Baptist Health Richmond, Richmond

Barbourville ARH Hospital, Barbourville

Bourbon Community Hospital, Paris

Carroll County Memorial Hospital, Carrollton

CHI Saint Joseph Health System - Saint Joseph London, London

Clark Regional Medical Center, Winchester

Deaconess Henderson Hospital, Henderson

Ephraim McDowell Fort Logan Hospital, Stanford

Ephraim McDowell James B. Haggin Hospital, Harrodsburg

Ephraim McDowell Regional Medical Center, Danville

Frankfort Regional Medical Center, Frankfort

Georgetown Community Hospital, Georgetown

Harlan ARH Hospital, Harlan

Harrison Memorial Hospital, Cynthiana

Hazard ARH Regional Medical Center, Hazard

Highlands ARH Regional Medical Center, Prestonsburg

King’s Daughters Medical Center, Ashland

Lake Cumberland Regional Hospital, Somerset

Mary Breckinridge ARH Hospital, Hyden

McDowell ARH Hospital, McDowell

Mercy Health Lourdes Hospital, Paducah

Mercy Health Marcum and Wallace Hospital, Irvine

Middlesboro ARH Hospital, Middlesboro

Morgan County ARH Hospital, West Liberty

Murray Calloway County Hospital, Murray

Norton Audubon Hospital, Louisville

Norton Brownsboro Hospital, Louisville

Norton Hospital, Louisville

Owensboro Health, Owensboro

Paintsville ARH Hospital, Paintsville

Pikeville Medical Center, Inc., Pikeville

Saint Joseph East, Lexington

Saint Joseph Hospital, Lexington

St. Elizabeth Edgewood, Edgewood

St. Elizabeth Ft. Thomas, Fort Thomas

The Medical Center at Albany, Albany

The Medical Center at Bowling Green, Bowling Green

The Medical Center at Caverna, Horse Cave

The Medical Center at Scottsville, Scottsville

TJ Health Columbia, Columbia

TJ Samson Community Hospital, Glasgow

TriStar Greenview Regional Hospital, Bowling Green

UK HealthCare, Lexington

UK St. Claire, Morehead

UofL Health - Jewish Hospital, Louisville

UofL Health - Mary & Elizabeth Hospital, Louisville

UofL Health - UofL Hospital, Louisville

Whitesburg ARH Hospital, Whitesburg

GWTG – STROKE:

GWTG – HEART FAILURE:

LOUISIANA

CHRISTUS Coushatta Health Care Center, Coushatta

CHRISTUS Ochsner St. Patrick Hospital, Lake Charles B

East Jefferson General Hospital, Metairie

Glenwood Regional Medical Center, West Monroe

Lake Charles Memorial Health System, Lake Charles

Lakeview Hospital, Covington

Leonard J. Chabert Medical Center, Houma

Manning Family Children’s, New Orleans

North Oaks Medical Center, Hammond

Ochsner Baptist, New Orleans

Ochsner Lafayette General Medical Center, Lafayette

Ochsner LSU Health Monroe, Monroe

Ochsner LSU Health Shreveport, Shreveport

Ochsner Medical Center - Kenner, Kenner

Ochsner Medical Center - New Orleans, New Orleans

Ochsner Medical Center Westbank, Terrytown, LA, Gretna

Our Lady of Lourdes Regional Medical Center, Lafayette

Our Lady of the Lake Regional Medical Center, Baton Rouge

Rapides Regional Medical Center, Alexandria

Slidell Memorial Hospital East, Slidell

Slidell Memorial Hospital Main, Slidell

St. Charles Parish Hospital, Luling

St. Frances Cabrini Hospital, Alexandria

St. Francis Medical Center, Monroe

St. James Parish Hospital, Lutcher

St. Tammany Parish Hospital, Covington

Thibodaux Regional Health System, Thibodaux

Touro, New Orleans

University Medical Center New Orleans (UMCNO), New Orleans

West Jefferson Medical Center, Marrero

Willis Knighton Pierremont, Shreveport

WK Bossier Health Center, Bossier City

MAINE

Bridgton Hospital, Bridgton

Central Maine Medical Center, Lewiston

Eastern Maine Medical Center, Bangor

Houlton Regional Hospital, Houlton

Maine Medical Center, Portland

MaineGeneral Medical Center, Augusta

Pen Bay Medical Center, Rockport

Rumford Hospital, Rumford

MARYLAND

Adventist HealthCare Shady Grove Medical Center, Rockville

Adventist HealthCare White Oak Medical Center, Silver Spring

Ascension Saint Agnes Hospital, Baltimore

Atlantic General Hospital, Berlin

CalvertHealth Medical Center, Prince Frederick

Carroll Hospital Center, Westminster

ChristianaCare - Union Hospital, Elkton

Doctors Community Medical Center, Lanham

Frederick Health Hospital, Frederick

Greater Baltimore Medical Center, Baltimore

Holy Cross Germantown Hospital, Germantown

GWTG – RESUSCITATION

GWTG – CAD

GWTG – AFIB:

GWTG – RURAL STROKE

GWTG – RURAL HEART FAILURE:

Holy Cross Hospital, Silver Spring

Johns Hopkins Bayview Medical Center, Baltimore

Johns Hopkins Howard County Medical Center, Columbia

Luminis Health Anne Arundel Medical Center, Annapolis

MedStar Franklin Square Medical Center, Baltimore

MedStar Good Samaritan Hospital, Baltimore

MedStar Harbor Hospital, Baltimore

MedStar Southern Maryland Hospital Center, Clinton

MedStar St. Mary’s Hospital, Leonardtown

MedStar Union Memorial Hospital, Baltimore

Mercy Medical Center, Baltimore

Meritus Medical Center, Hagerstown

Northwest Hospital, Randallstown

Sinai Hospital of Baltimore, Baltimore

Suburban Hospital Johns Hopkins Medicine, Bethesda

The Johns Hopkins Hospital, Baltimore

TidalHealth Peninsula Regional, Salisbury

University of Maryland Baltimore Washington Medical Center, Glen Burnie

University of Maryland Capital Region Medical Center, Largo

University of Maryland Charles Regional Medical Center, La Plata

University of Maryland Medical Center, Baltimore

University of Maryland Shore Medical Center at Easton, Easton

University of Maryland St. Joseph Medical Center, Towson

University of Maryland Upper Chesapeake Medical Center, Bel Air

UPMC Western Maryland, Cumberland

MASSACHUSETTS

Addison Gilbert Hospital, Gloucester

Baystate Franklin Medical Center, Greenfield

Baystate Medical Center, Springfield

Baystate Wing Hospital, Palmer

Berkshire Medical Center, Pittsfield

Beth Israel Deaconess Hospital - Milton, Milton

Beth Israel Deaconess Hospital - Needham, Needham

Beth Israel Deaconess Hospital-Plymouth, Plymouth

Beth Israel Deaconess Medical Center, Boston

Beverly Hospital, Beverly

BMC-Brighton, Brighton

Boston Medical Center, Boston

Boston Medical Center - South, Brockton

Brigham and Women’s Faulkner Hospital, Boston

Brigham and Women’s Hospital, Boston

Cape Cod Hospital, Hyannis

Cooley Dickinson Hospital, Northampton

Emerson Health, Concord

Fairview Hospital, Great Barrington

Falmouth Hospital, member Cape Cod Healthcare, Falmouth

Holy Family Hospital - Haverhill, Haverhill

Holy Family Hospital - Methuen, Methuen

Holyoke Medical Center, Holyoke

Lahey Hospital & Medical Center, Burlington, Burlington

Lawrence General Hospital, Lawrence

Lowell General Hospital - Main Campus, Lowell

Massachusetts General Hospital, Boston

Melrose-Wakefield Hospital, Melrose

GWTG – CAD

STEMI REFERRING:

B Gold Plus Referring A Gold Referring D Silver Plus Referring

C Silver Referring

GWTG – RURAL CAD: NSTE_ACS

Mercy Medical Center, Springfield

MetroWest Medical Center - Framingham, Framingham

Milford Regional Medical Center, Milford

Mount Auburn Hospital, Cambridge

Newton-Wellesley Hospital, Newton

North Adams Regional Hospital, North Adams

Saint Anne’s Hospital, Fall River

Saint Vincent Hospital, Worcester

Salem Hospital, Salem B

Southcoast Health Charlton Memorial Hospital, Fall River B

Southcoast Health St. Luke’s Hospital, New Bedford B

Southcoast Health Tobey Hospital, Wareham B

Sturdy Memorial Hospital, Attleboro B

Tufts Medical Center, Boston B

UMass Memorial - Marlborough Hospital, Worcester B

UMASS Memorial HealthAlliance-Clinton Hospital, Fitchburg B

UMass Memorial Medical Center, Worcester B

MICHIGAN

Aspirus Iron River Hospital, Iron River D Beacon Kalamazoo, Kalamazoo C B

Bronson Methodist Hospital, Kalamazoo B

Chelsea Hospital, Chelsea C

Corewell Health Beaumont Grosse Pointe Hospital, Grosse Pointe B

Corewell Health Beaumont Troy Hospital, Troy B

Corewell Health Big Rapids Hospital, Big Rapids LD BN

Corewell Health Farmington Hills Hospital, Farmington Hills B

Corewell Health Gerber Hospital, Fremont L BN

Corewell Health Grand Rapids Hospitals- Blodgett, Grand Rapids B D

Corewell Health Grand Rapids Hospitals - Butterworth Hospital, Grand Rapids B B

Corewell Health Greenville Hospital, Greenville LD L

Corewell Health Lakeland Hospitals, Saint Joseph B

Corewell Health Ludington Hospital, Ludington

Corewell Health Pennock Hospital, Hastings

Corewell Health Reed City Hospital, Reed City

Corewell Health Trenton Hospital, Trenton

Corewell Health William Beaumont University Hospital, Southfield

Corewell Health Zeeland Hospital, Zeeland

Corewell Health’s Beaumont Hospital, Dearborn, Dearborn

Covenant HealthCare, Saginaw

DMC Detroit Receiving Hospital, Detroit

DMC Harper University Hospital, Detroit

DMC Huron Valley-Sinai Hospital, Commerce Township

DMC Sinai-Grace Hospital, Detroit

Eaton Rapids Medical Center, Eaton Rapids

Garden City Hospital, Garden City

Henry Ford Health - Genesys, Grand Blanc

Henry Ford Hospital and Health Network, Detroit

Henry Ford Jackson Hospital, Jackson

Henry Ford Macomb Hospital, Clinton Township

Henry Ford Providence Novi Hospital, Novi

Henry Ford Providence Southfield, Southfield B

Henry Ford Rochester Hospital, Rochester

Henry Ford St. John Hospital, Detroit

Henry Ford West Bloomfield Hospital, West Bloomfield

GWTG – CAD NSTEMI:

GWTG – RURAL CAD: STEMI

Gold Achievement

Silver Achievement

TARGET: AORTIC STENOSIS : K Target: Aortic StenosisTM Honor Roll

* These hospitals received Get With The Guidelines®-Resuscitation awards from the American Heart Association for two or more patient populations. O Hospitals with this designation have received silver or higher awards in three or more Get With The Guidelines modules this year.

Henry Ford Wyandotte Hospital, Wyandotte

Hurley Medical Center, Flint

Lake Huron Medical Center, Port Huron

Mackinac Straits Health System, Saint Ignace

McKenzie Health System, Sandusky

McLaren Bay Region, Bay City

McLaren Central Michigan, Mount Pleasant

McLaren Flint, Flint

McLaren Greater Lansing, Lansing

McLaren Lapeer Region, Lapeer

McLaren Macomb, Mount Clemens

McLaren Northern Michigan, Petoskey

McLaren Oakland, Pontiac

McLaren Port Huron Hospital, Port Huron

Memorial Healthcare, Owosso

Munson Medical Center, Traverse City

MyMichigan Medical Center - Alpena, Alpena

MyMichigan Medical Center- Gladwin, Gladwin

MyMichigan Medical Center Clare, Clare

MyMichigan Medical Center Midland, Midland

MyMichigan Medical Center Saginaw, Saginaw

MyMichigan Medical Center West Branch, West Branch

ProMedica Charles and Virginia Hickman Hospital, Adrian

ProMedica Monroe Regional Hospital, Monroe

Scheurer Health, Pigeon

Trinity Health Ann Arbor, Ypsilanti

Trinity Health Grand Rapids, Grand Rapids

Trinity Health Livonia, Livonia

Trinity Health Muskegon Hospital, Muskegon

Trinity Health Oakland, Pontiac

Trinity Health Shelby Hospital, Shelby

UMH-Sparrow, Lansing

University

Ann Arbor

MINNESOTA

Northwestern Hospital, Minneapolis

Aspirus St. Luke’s Hospital, Duluth

CentraCare St. Cloud Hospital, Saint Cloud

Essentia Health East. St. Mary’s Medical Center, Duluth

Essentia Health-St. Joseph’s Medical Center, Brainerd

Fairview Range Medical Center, Hibbing

Grand Itasca Clinic and Hospital, Grand Rapids

Hennepin Healthcare System, Inc., Minneapolis

Lakeview Memorial Hospital, Stillwater

M Health Fairview Lakes Medical Center, Wyoming

M Health Fairview Northland Medical Center, Princeton

M Health Fairview Southdale Hospital, Edina

M Health Fairview St. John’s Hospital, Maplewood

M Health Fairview University of Minnesota Medical Center, Minneapolis

Mayo Clinic Health System- Mankato, Mankato

Clinic Hospital - Rochester, Rochester

Mercy Hospital, Coon Rapids

GWTG – STROKE:

Murray County Medical Center, Slayton

North Memorial Health Hospital, Robbinsdale

Owatonna Hospital, Owatonna

Park Nicollet Methodist Hospital, Saint Louis Park

Regions Hospital, Saint Paul

United Hospital, Saint Paul

MISSISSIPPI

Baptist Medical Center - Attala, Kosciusko N

Baptist Medical Center Leake, Carthage L

Baptist Memorial Healthcare - Yazoo, Yazoo City

Baptist Memorial Hospital - Desoto, Southaven

Baptist Memorial Hospital - Golden Triangle, Columbus

Baptist Memorial Hospital - North Mississippi, Oxford BL

Baptist Memorial Hospital - Union County, New Albany N

Baptist Memorial Hospital Calhoun, Calhoun City

Copiah County Medical Center, Hazlehurst

Delta Health-The Medical Center, Greenville

Forrest General Hospital, Hattiesburg

Greenwood Leflore Hospital, Greenwood

Highland Community Hospital, Picayune

Jefferson Davis Community Hospital, PRENTISS

Marion General Hospital, Columbia

Memorial Health System- Gulfport, Gulfport

Merit Health Madison, Canton

Merit Health Wesley, Hattiesburg

Methodist Olive Branch Hospital, Olive Branch

Mississippi Baptist Medical Center, Jackson

North Mississippi Medical Center - Iuka, IUKA

North Mississippi Medical Center, Tupelo

Ochsner Medical Center Hancock, Bay Saint Louis

Ochsner Rush Medical Center, Meridian

Pearl River County Hospital, Poplarville

River Oaks Hospital, Jackson

S. E. Lackey Memorial Hospital, Forest

Singing River Gulfport, Gulfport

Singing River Hospital Ocean Springs, Ocean Springs

Singing River Hospital Pascagoula, Pascagoula

South Central Regional Medical Center, Laurel

St. Dominic Memorial Hospital, Jackson

Stone County Hospital, Wiggins

University of Mississippi Medical Center, Jackson

Walthall General Hospital, Tylertown

Winston Medical Center, Louisville

MISSOURI

Barnes-Jewish Hospital, Saint Louis

Barnes-Jewish St. Peters Hospital, Saint Peters

Bates County Memorial Hospital, Butler

Belton Regional Medical Center, Belton

Boone Hospital Center, Columbia

Bothwell Regional Health Center, Sedalia

Cameron Regional Medical Center, Cameron

Capital Region Medical Center, Jefferson City

Carroll County Memorial Hospital, Carrollton

Cass Regional Medical Center, Harrisonville

Centerpoint Medical Center, Independence

GWTG – RURAL STROKE :

GWTG – HEART FAILURE:

Gold Plus Achievement

Silver Achievement

GWTG – RURAL HEART FAILURE:

GWTG – RESUSCITATION :

Gold Achievement

Silver Achievement

GWTG – AFIB:

Achievement

Achievement

Christian Hospital, St. Louis

Citizens Memorial Hospital, Bolivar

Cox Barton County Hospital, Lamar

Cox Medical Center Branson, Branson

Cox Monett Hospital, Monett

CoxHealth Medical Center South, Springfield

Freeman Health System, Joplin

Golden Valley Memorial Healthcare, Clinton

Hannibal Regional Hospital, Hannibal

Harrison County Community Hospital, Bethany

Hedrick Medical Center, Chillicothe

Lafayette Regional Health Center, Lexington

Lake Regional Health System, Osage Beach

Lee’s Summit Medical Center, Lees Summit

Liberty Hospital, Liberty

Mercy Hospital Jefferson, Crystal City

Mercy Hospital Joplin, Joplin

Mercy Hospital Lebanon, Lebanon

Mercy Hospital Lincoln, Troy

Mercy Hospital Perry, Perryville

Mercy Hospital South, Saint Louis

Mercy Hospital Southeast, Cape Girardeau

Mercy Hospital Springfield, Springfield

Mercy Hospital St. Louis, St. Louis

Mercy Hospital Washington, Washington

Missouri Baptist Medical Center, Saint Louis

Missouri Baptist Sullivan Hospital, Sullivan

Missouri Delta Medical Center, Sikeston

Mosaic Life Care d/b/a Heartland Health, Saint Joseph

Mosaic Medical Center- Albany, Albany

Mosaic Medical Center-Maryville, Maryville

NKC Health, North Kansas City

Ozarks Medical Center, West Plains

Parkland Health Center, Farmington

Phelps Health, Rolla

Poplar Bluff Regional Medical Center, Poplar Bluff

Progress West Hospital, O Fallon

Ray County Hospital and Healthcare, Richmond

Research Medical Center, Kansas City

Saint Francis Medical Center, Cape Girardeau

Saint Luke’s East Hospital, Lees Summit

Saint Luke’s Hospital of Kansas City, Kansas City

Saint Luke’s North Hospital, Kansas City

SSM Health Cardinal Glennon Children’s Hospital, St Louis

SSM Health DePaul Hospital, Bridgeton

SSM Health Saint Louis University Hospital, Saint Louis

SSM Health St. Joseph Hospital -St. Charles, Saint Charles

SSM Health St. Mary’s Hospital, St. Louis

SSM Health, St. Clare Hospital, Fenton

SSM St. Joseph Hospital Lake St. Louis, Lake St Louis

St. Joseph Medical Center, Kansas City

St. Luke’s Hospital, Chesterfield

St. Mary’s Health Center, Jefferson City

St. Mary’s Medical Center, Blue Springs

University Health Truman Medical Center, Kansas City

University of Missouri Health Care, Columbia

Washington County Memorial Hospital, Potosi

Western Missouri Medical Center, Warrensburg

Wright Memorial Hospital, Trenton

Referring

Referring

Referring

MONTANA

Beartooth Billings Clinic, Red Lodge

Benefis Health System, Great Falls

Billings Clinic, Billings

Bitterroot Health, Hamilton

Bozeman Health, Bozeman

Cabinet Peaks Medical Center, Libby

Logan Health Medical Center, Kalispell

Mountainview Medical Center, White Sulphur Springs

Providence St. Patrick Hospital, Missoula

Roundup Memorial Healthcare, Roundup

Ruby Valley Medical Center, Sheridan

St. James Healthcare, Butte

St. Luke Community Healthcare, Ronan

St. Peter’s Hospital, Helena

St. Vincent Healthcare, Billings

Stillwater Billings Clinic, Columbus

Wheatland Memorial Healthcare, Harlowton

NEBRASKA

Bellevue Medical Center, Bellevue

Bryan Medical Center, Lincoln

CHI Health Creighton University Medical Center Bergan Mercy, Omaha

CHI Health Good Samaritan Hospital, Kearney

CHI Health Immanuel Medical Center, Omaha

CHI Health St. Elizabeth, Lincoln

CHI Health St. Francis Medical Center, Grand Island

Columbus Community Hospital, Columbus

Cozad Community Hospital, Cozad

Crete Area Medical Center, Crete

Faith Regional Health Services, Norfolk

Gothenburg Health, Gothenburg

Great Plains Health, North Platte

Jefferson Community Health & Life, Fairbury

Jennie M. Melham Memorial Medical Center, Broken Bow

Johnson County Hospital, Tecumseh

Kearney Regional Medical Center, Kearney

Kimball Health Services, Kimball

Mary Lanning Healthcare, Hastings

Methodist Fremont Health, Fremont

Nebraska Medical Center, Omaha

Nebraska Methodist Hospital, Omaha

Regional West Medical Center, Scottsbluff

NEVADA

Carson Tahoe Regional Medical Center, Carson City

Centennial Hills Hospital Medical Center, Las Vegas

Dignity Health St. Rose Dominican HospitalSan Martin Campus, Las Vegas

Dignity Health St. Rose Dominican Hospital - Siena Campus, Henderson

ER at Blue Diamond, Las Vegas

ER at Cadence, Henderson

ER at McCarran NW, Reno

ER at Spanish Springs, Sparks

North Vista Hospital, North Las Vegas

* These hospitals received Get With The Guidelines®-Resuscitation awards from the American Heart Association for two or more patient populations.

O Hospitals with this designation have received silver or higher awards in three or more Get With The Guidelines modules this year.

Northern Nevada Medical Center, Sparks

Renown Regional Medical Center, Reno

Saint Mary’s Regional Medical Center, Reno

Sierra Medical Center, Reno

Southern Hills Hospital & Medical Center, Las Vegas

Summerlin Hospital Medical Center, Las Vegas

Sunrise Hospital & Medical Center, Las Vegas

University Medical Center of Southern Nevada, Las Vegas

NEW HAMPSHIRE

Catholic Medical Center, Manchester

Concord Hospital - Franklin, Franklin

Concord Hospital- Laconia, Laconia

Concord Hospital, Concord

Dartmouth-Hitchcock Medical Center, Lebanon

Elliot Hospital, Manchester

Exeter Hospital, Exeter

Parkland Medical Center, Derry

Portsmouth Regional Hospital, Portsmouth

St. Joseph Hospital, Nashua

Wentworth-Douglass Hospital, Dover

NEW JERSEY

AtlantiCare Regional Medical Center, Pomona

Chilton Medical Center, Pompton Plains

Barnabas Medical Center, Livingston

Heart and Lung Center, Browns Mills

Englewood Hospital and Medical Center, Englewood

Hackensack Meridian Bayshore Medical Center, Holmdel

Hackensack Meridian Health Jersey Shore University Medical Center, Neptune

Hackensack Meridian JFK University Medical Center, Edison

Hackensack Meridian Ocean University Medical Center, Brick

Hackensack Meridian Palisades Medical Center, North Bergen

Hackensack Meridian Pascack Valley Medical Center, Westwood

Hackensack Meridian Raritan Bay Medical Center, Perth Amboy

Hackensack Meridian Riverview Medical Center, Red

Hackensack Meridian Southern Ocean Medical Center, Manahawkin

Washington Township Hospital, Turnersville

Jersey City Medical Center, Jersey City

Monmouth Medical Center, Long Branch

Morristown Medical Center, Morristown

Newton Medical Center, Newton

Overlook Medical Center, Summit

Penn Medicine Princeton Medical Center, Plainsboro

Robert Wood Johnson University Hospital Somerset, Somerville

Robert Wood Johnson University Hospital, New Brunswick

Saint Clare’s Health, Denville

Saint Clare’s Hospital, Dover General, Dover

Saint Michaels Medical Center, Newark

Saint Peter’s University Hospital, New Brunswick

Shore Medical Center, Somers Point

St. Joseph’s University Medical Center, Paterson

St. Joseph’s Wayne Medical Center, Wayne

St. Luke’s Warren Hospital, Phillipsburg

St. Mary’s General Hospital, Passaic

The Valley Hospital, Ridgewood

University Hospital, Newark

Virtua Marlton Hospital, Marlton

Virtua Memorial Hospital of Burlington County, Mt. Holly

Virtua Our Lady of Lourdes Hospital, Camden

Virtua Voorhees Hospital, Voorhees

NEW MEXICO

Christus St. Vincent Regional Hospital, Santa Fe

Gallup Indian Medical Center, Gallup

Lovelace Medical Center, Albuquerque

PHC-Las Cruces, Inc. dba Memorial Medical Center, Las Cruces

Presbyterian Healthcare Services, Albuquerque

Presbyterian Rust Medical Center, Rio Rancho

University of New Mexico Hospitals, Albuquerque

NEW YORK

Albany Medical Center, Albany

Arnot Ogden Medical Center, Elmira

Auburn Community Hospital, Auburn

Bassett Medical Center, Cooperstown

BronxCare Health System, Bronx

Brookdale University Hospital Medical Center, Brooklyn

Catholic Health - Kenmore Mercy Hospital, Buffalo

Catholic Health - Mercy Hospital of Buffalo, Buffalo

Catholic Health - Mount St. Mary’s Hospital, Lewiston

Catholic Health- Sisters of Charity Hospital, Buffalo

Cayuga Medical Center, Ithaca

Cohen Children’s Medical Center, New Hyde Park

Columbia Memorial Hospital, Hudson

Crouse Hospital, Syracuse

Ellis Medicine, Schenectady

F.F. Thompson Hospital, Canandaigua

Flushing Hospital Medical Center, Flushing

Garnet Health Medical Center - Catskills, Harris

Garnet Health Medical Center, Middletown

Gates Vascular Institute / Buffalo General Medical Center, Buffalo

Geneva General Hospital, Geneva

Willingboro Hospital, Willingboro

Glen Cove Hospital, Glen Cove

Glens Falls Hospital, Glens Falls

Good Samaritan Hospital, a member of WMC Health, Suffern

Good Samaritan University Hospital, West Islip

Guthrie Corning Hospital, Corning

Guthrie Cortland Medical Center, Cortland

HealthAlliance: Broadway Campus a Member of the WMC Health Network, Kingston

Highland Hospital, Rochester

Huntington Hospital, Huntington

Interfaith Medical Center, Brooklyn

Jamaica Hospital Medical Center, Richmond Hill

Lenox Hill Hospital, New York

Lewis County Health System, Lowville

LIJ Medical Center at Forest Hills, Forest Hills

LIJ Valley Stream, Valley Stream

Long Island Jewish Medical Center, Queens

Maimonides Medical Center, Brooklyn

Maimonides Midwood Community Hospital, Brooklyn

Mather Hospital Northwell Health, Port Jefferson

Mercy Hospital, Rockville Centre

MidHudson Regional Hospital of WMC Health, Poughkeepsie

Montefiore Medical Center - Moses Campus, Bronx

Montefiore Mount Vernon Hospital, Mount Vernon

Montefiore Nyack Hospital, Nyack

Montefiore St. Luke’s Cornwall, Newburgh

Mount Sinai Brooklyn, Brooklyn

Mount Sinai Morningside, New York

Mount Sinai Queens, Astoria

Mount Sinai South Nassau, Oceanside

Mount Sinai West, New York

Nassau University Medical Center, East Meadow

NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn

NewYork-Presbyterian Hudson Valley Hospital, Cortlandt Manor

NewYork-Presbyterian Queens, Flushing

NewYork-Presbyterian/Columbia University Medical Center, New York

NewYork-Presbyterian/Lower Manhattan Hospital, New York

NewYork-Presbyterian/The Allen Hospital, New York

NewYork-Presbyterian/Weill Cornell Medical Center, New York

NewYork-Presbyterian/Westchester, Bronxville

North Shore University Hospital, Manhasset

Northern Dutchess Hospital, Rhinebeck

Northern Westchester Hospital, Mount Kisco

NYC Health + Hospitals/Bellevue, New York

NYC Health + Hospitals/Elmhurst, Elmhurst

NYC Health + Hospitals/Harlem, New York

NYC Health + Hospitals/Jacobi, Bronx

NYC Health + Hospitals/Kings County, Brooklyn

NYC Health + Hospitals/Lincoln, Bronx

NYC Health + Hospitals/Metropolitan, New York

NYC Health + Hospitals/North Central Bronx, Bronx

NYC Health + Hospitals/Queens, Jamaica

NYC Health + Hospitals/South Brooklyn Health, Brooklyn

NYC Health + Hospitals/Woodhull, Brooklyn

NYU Langone Hospital - Brooklyn, Brooklyn

NYU Langone Hospital - Long Island, Mineola

NYU Langone Hospital - Suffolk, Patchogue

GWTG – CAD

STEMI REFERRING:

B Gold Plus Referring

A Gold Referring

D Silver Plus Referring

C Silver Referring

GWTG – RURAL CAD: NSTE_ACS N Gold Achievement L Silver Achievement

GWTG – RURAL CAD: STEMI

N Gold Achievement

L Silver Achievement

NYU Langone Hospitals, New York

Olean General Hospital, Member: Upper Allegheny Health System, Olean

Peconic Bay Medical Center Northwell Health, Riverhead

Phelps Hospital, Northwell Health, Sleepy Hollow

Plainview Hospital, Plainview

Richmond University Medical Center, Staten Island

Rochester Regional Health at Newark Wayne Community Hospital, Newark

Rochester Regional Health at Rochester General Hospital, Rochester

Rochester Regional Health at United Memorial Medical Center, Batavia

Rome Health, Rome

Saint Joseph’s Medical Center, Yonkers

Samaritan Hospital, Troy

Samaritan Medical Center, Watertown

Saratoga Hospital, Saratoga Springs

SBH Health System, Bronx

Soldiers & Sailors Memorial Hospital, Penn Yan

South Shore University Hospital, Bay Shore

St. Catherine of Siena Hospital, Smithtown

St. Charles Hospital, Port Jefferson

St. Francis Hospital and Heart Center, Roslyn

St. James Hospital, Hornell

St. John’s Episcopal Hospital, Far Rockaway

St. John’s Riverside Hospital, Yonkers

St. Joseph Hospital, Bethpage

St. Joseph’s Health, Syracuse B

St. Lawrence Health at Canton-Potsdam Hospital, Potsdam D

St. Peter’s Hospital, Albany

Staten Island University Hospital - Prince’s Bay, Staten Island

Staten Island University Hospital, Staten Island

Stony Brook Southampton Hospital, Southampton

Stony Brook University Hospital, Stony Brook

Syosset Hospital, Syosset

The Brooklyn Hospital Center, Brooklyn

The Mount Sinai Hospital, New York

UHS Wilson Medical Center, Johnson City

University Hospital at Downstate - Downstate Health Sciences University, Brooklyn

University of Vermont Healthnetwork-Champlain Valley Physician’s Hospital, Plattsburgh

Upstate University Hospital, Syracuse

UR Medicine Strong Memorial Hospital, Rochester

Vassar Brothers Medical Center, Poughkeepsie

Westchester Medical Center, Valhalla

White Plains Hospital, White Plains

Wyckoff Heights Medical Center, Brooklyn

Wynn Hospital, Utica

NORTH CAROLINA

Alleghany Health, Sparta

Angel Medical Center, Franklin

Annie Penn Hospital, Reidsville

Atrium Health Cabarrus, Concord

Atrium Health Cleveland, Shelby

Atrium Health Kings Mountain, Kings Mountain

GWTG – CAD NSTEMI: A Gold

TARGET: AORTIC STENOSIS : K Target: Aortic StenosisTM Honor Roll

* These hospitals received Get With The Guidelines®-Resuscitation awards from the American Heart Association for two or more patient populations.

O Hospitals with this designation have received silver or higher awards in three or more Get With The Guidelines modules this year.

Atrium Health Lincoln, Lincolnton

Atrium Health Mercy, Charlotte

Atrium Health Pineville, Charlotte

Atrium Health Stanly, Albemarle

Atrium Health Union, Monroe

Atrium Health University City, Charlotte

Atrium Health Wake Forest Baptist High Point Medical Center, High Point

Atrium Health Wake Forest Baptist Lexington Medical Center, Lexington

Atrium Health Wake Forest Baptist Medical Center, Winston-Salem

Atrium Health’s Carolinas Medical Center, Charlotte

Blue Ridge Regional Hospital, Spruce Pine

Caldwell UNC Health Care, Lenoir

Cape Fear Valley Medical Center, Fayetteville

CarolinaEast Medical Center, New Bern

CaroMont Regional Medical Center, Gastonia

Carteret Health Care, Morehead City

Central Carolina Hospital, Sanford

Columbus Regional Healthcare, Whiteville

Cone Health Alamance Regional Hospital, Burlington

Duke Raleigh Hospital, Raleigh

Duke Regional Hospital, Durham

Duke University Hospital, Durham

Durham VA HealthCare System, Durham

ECU Health Beaufort Hospital - A Campus of ECU Health Medical Center, Washington

ECU Health Bertie Hospital, Windsor

ECU Health Chowan Hospital, Edenton

ECU Health Duplin Hospital, Kenansville

ECU Health Edgecombe Hospital, Tarboro

ECU Health Medical Center, Greenville

ECU Health North Hospital, Roanoke Rapids

ECU Health Roanoke-Chowan Hospital, Ahoskie

FirstHealth Montgomery Memorial Hospital, Troy

FirstHealth Moore Regional Hospital - Hoke, Raeford

FirstHealth Moore Regional Hospital - Richmond, Rockingham

FirstHealth Moore Regional Hospital, Pinehurst

Frye Regional Medical Center, Hickory

Hugh Chatham Memorial Hospital, Elkin

Iredell Memorial Hospital, Statesville

Lake Norman Regional Medical Center, Mooresville

Maria Parham Medical Center, LLC, Henderson

Mission Hospital McDowell, Marion

Mission Hospitals, Inc., Asheville

Northern Regional Hospital, Mount Airy

Novant Health Ballantyne Medical Center, Charlotte

Novant Health Brunswick Medical Center, Bolivia

Novant Health Forsyth Medical Center, Winston-Salem

Novant Health Huntersville Medical Center, Huntersville

Novant Health Kernersville Medical Center, Kernersville

Novant Health Matthews Medical Center, Matthews

Novant Health Mint Hill Medical Center, Charlotte

Novant Health New Hanover Regional Medical Center,

Novant Health Presbyterian Medical Center, Charlotte

GWTG – STROKE:

Gold Plus Achievement A Gold Achievement D Silver Plus Achievement

Silver Achievement

GWTG – RURAL STROKE :

Gold Achievement

Silver Achievement

Novant Health Rowan Medical Center, Salisbury

Novant Health Thomasville Medical Center, Thomasville

Onslow Memorial Hospital, Jacksonville D

Sentara Albemarle Medical Center, Elizabeth City N

St. Luke’s Hospital, Columbus

The Moses H Cone Memorial Hospital, Greensboro

The Outer Banks Hospital, Nags Head

UNC Health Blue Ridge, Morganton

UNC Health Johnston, Smithfield

UNC Health Lenoir, Kinston

UNC Health Nash, Rocky Mount

UNC Health Pardee, Hendersonville

UNC Health Wayne, Goldsboro

UNC Hospitals, Chapel Hill

UNC REX Healthcare, Raleigh

UNC REX Holly Springs Hospital, Holly Springs

Wake Forest Baptist Health Wilkes Medical Center, North Wilkesboro

WakeMed Health & Hospitals - Cary Campus, Cary

WakeMed Health & Hospitals - Raleigh Campus, Raleigh

Wesley Long Hospital, Greensboro

NORTH DAKOTA

Altru Health System, Grand Forks B

Ashley Medical Center, Ashley L

CHI Lisbon Health, Lisbon

CHI Mercy Health - Valley City, Valley City

CHI St. Alexius Dickinson, Dickinson

CHI St. Alexius Health Bismarck, Bismarck

Community Memorial Hospital, Turtle Lake

Essentia Health - Fargo, Fargo

First Care Health Center, Park River

Heart of America Medical Center, Rugby

Jacobson Memorial Hospital Care Center, Elgin

Jamestown Regional Medical Center, Jamestown

Langdon Prairie Health, Langdon

Mountrail County Medical Center, Stanley

Northwood Deaconess Health Center, Northwood

Oakes Community Hospital, Oakes

Pembina County Memorial Hospital, Cavalier

Sanford Bismarck Medical Center, Bismarck

Sanford Medical Center Fargo, Fargo

Sanford Medical Center Mayvile, Mayville

SMP Health - St Kateri, Rolla

South Central Health Wishek, Wishek

Southwest Healthcare Services, Bowman

St. Andrew’s Health Center, Bottineau

Tioga Medical Center, Tioga

Towner County Medical Center, Cando

Trinity Health Kenmare Hospital, Kenmare

Trinity Health, Minot

Unity Medical Center, Grafton

West River Health Services, Hettinger

OHIO

Adena Regional Medical Center, Chillicothe

Ashtabula County Medical Center, Ashtabula

GWTG – HEART FAILURE: B Gold Plus Achievement

Gold Achievement D Silver Plus Achievement C Silver Achievement

GWTG – RURAL HEART FAILURE: L Silver Achievement

GWTG – RESUSCITATION :

Gold Achievement

Silver Achievement

GWTG – AFIB: A Gold Achievement

Silver Achievement

GWTG – CAD STEMI RECEIVING:

Atrium Medical Center, Middletown

Aultman Alliance Community Hospital, Alliance

Aultman Hospital, Canton

Bethesda Butler Hospital, Hamilton

Blanchard Valley Health System, Findlay

Cincinnati Children’s, Cincinnati

Cleveland Clinic Akron General Medical Center, Akron

Cleveland Clinic Avon Hospital, Avon

Cleveland Clinic Euclid Hospital, Euclid

Cleveland Clinic Fairview Hospital, Cleveland

Cleveland Clinic Hillcrest Hospital, Mayfield Heights

Cleveland Clinic Marymount Hospital, Garfield Heights

Cleveland Clinic Medina Hospital, Medina

Cleveland Clinic Mercy Hospital, Canton

Cleveland Clinic South Pointe Hospital, Warrensville Heights

Cleveland Clinic Union Hospital, Dover

Cleveland Clinic, Cleveland

Clinton Memorial Hospital, Wilmington

Coshocton Regional Medical Center, Coshocton

East Liverpool City Hospital, East Liverpool

Firelands Regional Medical Center, Sandusky

Fisher Titus Medical Center, Norwalk

Genesis Healthcare System, Zanesville

Good Samaritan Hospital, Cincinnati

Holzer Health System, Gallipolis

Kettering Health Dayton, Dayton

Kettering Health Greene Memorial, Xenia

Kettering Health Hamilton, Hamilton

Kettering Health Main Campus, Dayton

Kettering Health Miamisburg, Miamisburg

Kettering Health Troy, Troy

Knox Community Hospital, Mount Vernon

Licking Memorial Hospital, Newark

Lima Memorial Health System, Lima

McCullough Hyde Memorial Hospital, Oxford

Mercer Health, Coldwater

Mercy Health - Anderson Hospital, Cincinnati

Mercy Health – Fairfield Hospital, Fairfield

Mercy Health - St. Elizabeth Youngstown Hospital, Youngstown

Mercy Health Clermont Hospital, Batavia

Mercy Health St. Charles Hospital, Oregon

Mercy Health West Hospital, Cincinnati

Mercy St. Vincent Medical Center, Toledo

Mercyhealth- Urbana Hospital, Urbana

Miami Valley Hospital, Dayton

Miami Valley South, Centerville

Mount Carmel Health System, Columbus

Mount Carmel St. Ann’s, Westerville

Ohio State University Wexner Medical Center, Columbus

Doctors Hospital, Columbus

OhioHealth Mansfield Hospital, Mansfield

OhioHealth

Ohiohealth Pickerington Methodist Hospital, Pickerington

Pomerene Hospital, Millersburg

ProMedica Flower Hospital, Sylvania

ProMedica Memorial Hospital, Fremont N

ProMedica Toledo Hospital, Toledo B K

Soin Medical Center, Beaver Creek B

Southwest General Health Center, Middleburg Heights O B A A B

Springfield Regional Medical Center, Springfield B

St. Rita’s Medical Center, Lima B

Summa Health System - Akron Campus, Akron B

The Christ Hospital, Cincinnati A

The Jewish Hospital Mercy Health, Cincinnati B B

The MetroHealth System, Cleveland O A B

The Ohio State University Wexner Medical Center East Hospital, Columbus B

The University of Toledo Medical Center, Toledo B B

TriHealth Bethesda North Hospital, Cincinnati B B

UC Health – University of Cincinnati Medical Center, Cincinnati B B

UC Health – West Chester Hospital, West Chester B B

UH Rainbow Babies and Children’s Hospital, Cleveland C *

University Hospitals Ahuja Medical Center, Beachwood B

University Hospitals Cleveland Medical Center, Cleveland B

University Hospitals Conneaut Medical Center, Conneaut N

University Hospitals Elyria Medical Center, Elyria B

University Hospitals Geauga Medical Center, Chardon B

University Hospitals Geneva Medical Center, Geneva BN

University Hospitals Parma Medical Center, Parma B

University Hospitals Portage Medical Center, Ravenna B

University Hospitals Samaritan Medical Center, Ashland BN

University Hospitals St. John Medical Center, Westlake B

University Hospitals Tripoint Medical Center/ University Hospitals West Medical Center, Painesville B

Upper Valley Medical Center, Troy B Western Reserve Hospital, LLC, Cuyahoga Falls

Wilson Health, Sidney

Wooster Community Hospital, Wooster

Wyandot Memorial Hospital, Upper Sandusky

OKLAHOMA

Ascension St. John Medical Center, Tulsa

Cherokee Nation Health Services WW Hastings Hospital, Tahlequah

Comanche County Memorial Hospital, Lawton

Duncan Regional Hospital, Duncan

Fairview Regional Medical Center, Fairview

Hillcrest Hospital South, Tulsa

Hillcrest Medical Center, Tulsa

Integris Baptist Medical Center Portland Avenue, Oklahoma City

INTEGRIS Baptist Medical Center, Oklahoma City

INTEGRIS Southwest Medical Center, Oklahoma City

Jackson County Memorial Hospital, Altus

Memorial Hospital of Texas County, Guymon

Mercy Hospital Ada, Ada

Mercy Hospital Ardmore, Ardmore

Mercy Hospital Oklahoma City Comprehensive Stroke Center, Oklahoma City

Norman Regional Health System, Norman

Northeastern Health System, Tahlequah

Okeene Municipal Hospital, Okeene

Oklahoma State University Medical Trust dba Oklahoma State University Medical Center, Tulsa

* These hospitals received Get With The Guidelines®-Resuscitation awards from the American Heart Association for two or more patient populations. O Hospitals with this designation have received silver or higher awards in three or more Get With The Guidelines modules this year.

(OKLAHOMA CONTINUED)

OU Health University of Oklahoma Medical Center, Oklahoma City

Saint Francis Hospital Muskogee, Muskogee

Saint Francis Hospital South, Tulsa

Saint Francis Hospital Vinita, Vinita

Saint Francis Hospital, Tulsa

St. Anthony Hospital, Oklahoma City

St. Mary’s Regional Medical Center, Enid

Stillwater Medical Center, Stillwater

OREGON

Asante Rogue Regional Medical Center, Medford

Asante Three Rivers Medical Center, Grants Pass

Bay Area Hospital, Coos Bay

Good Samaritan Regional Medical Center, Corvallis

Hillsboro Medical Center, Hillsboro

Kaiser Sunnyside Medical Center, Clackamas

Kaiser Westside Medical Center, Hillsboro

Legacy Emanuel Medical Center, Portland

Legacy Good Samaritan Medical Center, Portland

Legacy Meridian Park Medical Center, Tualatin

Legacy Mount Hood Medical Center, Gresham

OHSU, Portland

PeaceHealth Sacred Heart Medical Center RiverBend, Springfield

Providence Medford Medical Center, Medford

Providence Portland Medical Center, Portland

Providence St. Vincent Medical Center, Portland

Providence Willamette Falls Medical Center, Oregon City

Salem Hospital, Salem

Samaritan Albany General Hospital, Albany

Samaritan Lebanon Community Hospital, Lebanon

Samaritan North Lincoln Hospital, Lincoln City

Samaritan Pacific Communities Hospital, Newport

Santiam Hospital, Stayton

Sky Lakes Medical Center, Klamath Falls

St. Anthony Hospital, Pendleton

St. Charles Madras, Madras

St. Charles Medical Center, Bend

St. Charles Prineville, Prineville

Wallowa Memorial Hospital, Enterprise

PENNSYLVANIA

Abington-Lansdale Hospital, Lansdale

ACMH Hospital, Kittanning

AHN Wexford Hospital, Wexford

Allegheny General Hospital, Pittsburgh

Allegheny Valley Hospital, Natrona Heights

Bryn Mawr Hospital, Bryn Mawr

Butler Memorial Hospital, Butler

Canonsburg Hospital, Canonsburg

Chester County Hospital, West Chester

Chestnut Hill Hospital, Philadelphia

Conemaugh Memorial Medical Center, Johnstown

Conemaugh Meyersdale Medical Center, Meyersdale

Conemaugh Nason Medical Center, Roaring Spring

Doylestown Hospital, Doylestown

Einstein Medical Center Montgomery, East Norriton

GWTG – STROKE:

GWTG – HEART FAILURE:

Gold Plus Achievement

Gold Achievement

Silver Plus Achievement

Silver Achievement

Evangelical Community Hospital, Lewisburg

Forbes Hospital, Monroeville

Geisinger Community Medical Center, Scranton

Geisinger Jersey Shore Hospital, Jersey Shore

Geisinger Lewistown Hospital, Lewistown

Geisinger Medical Center Muncy, Muncy

Geisinger Medical Center, Danville

Geisinger St. Luke’s Hospital, Orwigsburg

Geisinger Wyoming Valley, Wilkes Barre

Grand View Health, Sellersville

Grove City Medical Center, Grove City

Heritage Valley Beaver, Beaver

Heritage Valley Sewickley, Sewickley

Holy Redeemer Hospital, Meadowbrook

Independence Health Frick Hospital, Mount Pleasant

Independence Health Latrobe Hospital, Latrobe

Independence Health Westmoreland Hospital, Greensburg

Indiana Regional Medical Center, Indiana

Jeanes Hospital - Temple University Health System, Philadelphia

Jefferson Abington Hospital, Abington

Jefferson Einstein Philadelphia Hospital, Philadelphia

Jefferson Hospital, Clairton

Methodist Hospital, Philadelphia

Northeast, Philadelphia

Medical Center, Wynnewood

Lehigh Valley Health Network Cedar Crest, Allentown

Lehigh Valley Health Network Muhlenberg, Bethlehem

Lehigh Valley Hospital- Hazleton, Hazleton

Lehigh Valley Hospital - Schuylkill, Pottsville

Lehigh Valley Pocono, East Stroudsburg

Bucks Hospital, Bristol

LVH Hecktown Oaks, Easton

Meadville Medical Center, Meadville

Mercy Fitzgerald Hospital, Darby

Monongahela Valley Hospital, Monongahela

Nittany Medical Center, State College

Hospital, Philadelphia

Paoli Hospital, Paoli

Penn Highlands DuBois, DuBois

Penn Medicine Lancaster General Hospital, Lancaster

Penn Presbyterian Medical Center, Philadelphia

Penn State Health Hampden Medical Center, Enola

Penn State Health Holy Spirit Medical Center, Camp Hill

Penn State Health Lancaster Medical Center, Lancaster

Penn State Health Milton S. Hershey Medical Center, Hershey

Penn State Health St. Joseph Medical Center, Reading

Pennsylvania Hospital, Philadelphia

Phoenixville Hospital, Phoenixville

Pottstown Hospital, Pottstown

Reading Hospital-Tower Health, West Reading

Riddle Hospital, Media

Robert Packer Hospital, Sayre

Roxborough Memorial Hospital, Philadelphia

Saint Vincent Health System, Erie

Sharon Regional Medical Center, Sharon

St. Clair Health, Pittsburgh

St. Luke’s Allentown Campus, Allentown

St. Luke’s Carbon Campus, Lehighton

GWTG – RESUSCITATION :

Achievement

GWTG – AFIB:

Gold Achievement

GWTG – RURAL STROKE

GWTG – RURAL HEART FAILURE:

Silver Achievement

Silver Achievement

GWTG – CAD STEMI RECEIVING: B Gold Plus Receiving

Gold Receiving

Silver Plus Receiving C Silver Receiving

St. Luke’s Hospital - Anderson Campus, Easton

St. Luke’s Hospital – Easton Campus, Easton

St. Luke’s Hospital-Miners Campus, Coaldale

St. Luke’s Hospital Quakertown Campus, Quakertown

St. Luke’s Hospital Sacred Heart, Allentown

St. Luke’s Monroe Campus, Stroudsburg

St. Luke’s University Hospital, Bethlehem

St. Mary Medical Center, Langhorne

Suburban Community Hospital, Norristown

Temple University Hospital, Philadelphia

The Children’s Hospital of Philadelphia, Philadelphia

The Hospital of the University of Pennsylvania, Philadelphia

Thomas Jefferson University Hospital, Philadelphia

UPMC Altoona, Altoona

UPMC Bedford, Everett

UPMC Carlisle, Carlisle

UPMC East, Monroeville

UPMC Hamot, Erie

UPMC Hanover, Hanover

UPMC Health - Harrisburg, West Shore and Community Osteopathic, Harrisburg

UPMC Lititz, Lititz

UPMC Memorial,

UPMC

UPMC Muncy, Muncy

UPMC Northwest, Seneca

UPMC Presbyterian,

UPMC Shadyside, Pittsburgh

UPMC Somerset,

UPMC St. Margaret,

UPMC Wellsboro, Wellsboro

Warren General Hospital, Warren

Memorial Hospital, Honesdale

Waynesboro Hospital, Waynesboro

PUERTO RICO

RHODE ISLAND

GWTG – CAD

STEMI REFERRING:

B Gold Plus Referring

A Gold Referring

D Silver Plus Referring

C Silver Referring

GWTG – RURAL CAD: NSTE_ACS

N Gold Achievement

L Silver Achievement

GWTG – RURAL CAD: STEMI

N Gold Achievement

L Silver Achievement

SOUTH CAROLINA

Aiken Regional Medical Center, Aiken

AnMed, Anderson

Beaufort Memorial Hospital, Beaufort

Bon Secours St. Francis Eastside, Greenville

Bon Secours St. Francis Hospital, Charleston

Bon Secours St. Francis-Downtown, Greenville

Carolina Pines Regional Medical Center, Hartsville

Cherokee Medical Center, Gaffney

Coastal Carolina Hospital, Hardeeville

Colleton Medical Center, Walterboro

Conway Medical Center, Conway

East Cooper Medical Center, Mount Pleasant

ER at Sweetwater - Extension of Aiken Regional Medical Centers, North Augusta

Hilton Head Hospital, Hilton Head

Lexington Medical Center, West Columbia

McLeod Health Loris, Loris

McLeod Health Seacoast, Little River

McLeod Regional Medical Center, Florence

Mount Pleasant Hospital, Mount Pleasant B

MUSC Health - Lancaster Medical Center, Lancaster N

MUSC Health, Charleston B

MUSC-Orangeburg, Orangeburg

Newberry County Memorial Hospital, Newberry L L

Pelham Medical Center, Greer

Piedmont Medical Center, Rock Hill

Prisma Health Baptist Easley Hospital, Easley

Prisma Health Baptist Hospital, Columbia B

Prisma Health Baptist Parkridge Hospital, Columbia B

Prisma Health Greenville Memorial Hospital, Greenville B

Prisma Health Greer Memorial Hospital, Greer B

Prisma Health Hillcrest Hospital, Simpsonville B

Prisma Health Laurens County Hospital, Clinton B

Prisma Health Oconee Memorial Hospital, Greenville BN

Prisma Health Richland Hospital, Columbia

Prisma Health Tuomey Hospital, Sumter

Ralph H. Johnson VA Medical Center, Charleston

Roper Hospital, Charleston

Roper St. Francis Berkeley Hospital, Summerville

Self Regional Healthcare, Greenwood

Spartanburg Regional Medical Center - Church Street Campus, Spartanburg B B

Summerville Medical Center, Summerville B

Tidelands Georgetown Memorial Hospital, Georgetown N

Tidelands Waccamaw Community Hospital, Murrells Inlet B

Trident Medical Center, North Charleston B

Union Medical Center, Union L

SOUTH DAKOTA

Avera McKennan, Sioux Falls

Monument Health Rapid City Hospital, Rapid City

Sanford USD Medical Center, Sioux Falls

TENNESSEE

Baptist Memorial Hospital Memphis, Memphis

Baptist Memorial Hospital-Carroll County, Huntingdon ND

GWTG – CAD NSTEMI: A Gold C Silver

TARGET: AORTIC STENOSIS : K Target: Aortic StenosisTM Honor Roll

* These hospitals received Get With The Guidelines®-Resuscitation awards from the American Heart Association for two or more patient populations. O Hospitals with this designation have received silver or higher awards in three or more Get With The Guidelines modules this year.

Blount Memorial Hospital, Maryville

Bristol Regional Medical Center, Bristol

CHI Memorial Hospital Chattanooga, Chattanooga

CHI Memorial Hospital Hixson, Hixson

Childrens Hospital at Erlanger, Chattanooga

Cookeville Regional Medical Center, Cookeville

Cumberland Medical Center, Crossville

East Tennessee Children’s Hospital, Knoxville

Erlanger Baroness Hospital, Chattanooga

Erlanger East Hospital, Chattanooga

Fort Sanders Regional Medical Center, Knoxville

Hawkins County Memorial Hospital, Rogersville

Highpoint Health-Riverview with Ascension Saint Thomas, Carthage

Highpoint Health - Sewanee with Ascension Saint Thomas, Sewanee

Holston Valley Medical Center, Kingsport

Jackson-Madison County General Hospital, Jackson

Johnson City Medical Center, Johnson City

LeConte Medical Center, Sevierville

Maury Regional Medical Center, Columbia

Methodist Germantown Hospital, Germantown

Methodist Medical Center, Oak Ridge

Methodist North Hospital, Memphis

Methodist South Hospital, Memphis

Methodist University Hospital, Memphis

Morristown-Hamblen Healthcare System, Morristown

Newport Medical Center, Newport

Parkridge East Hospital, Chattanooga

Parkwest Medical Center, Knoxville

Roane Medical Center, Harriman

Saint Francis Hospital, Memphis

Saint Thomas Midtown Hospital, Nashville

Saint Thomas Rutherford Hospital, Murfreesboro

Saint Thomas West Hospital, Nashville

St. Francis Hospital - Bartlett, Bartlett

Starr Regional Medical Center, Athens

Sumner Regional Medical Center, Gallatin

Tennova Healthcare Clarksville, Clarksville

Tennova LaFolletteMedical Center, La Follette

The University of Tennessee Medical Center, Knoxville

TriStar Centennial Medical Center, Brentwood

TriStar Horizon Medical Center, Dickson

TriStar Skyline Medical Center, Nashville

TriStar Southern Hills Medical Center, Nashville

TriStar Stonecrest Medical Center, Smyrna

TriStar Summit Medical Center, Hermitage

Turkey Creek Medical Center, Knoxville

Vanderbilt Tullahoma - Harton Hospital, Tullahoma

University Medical Center, Nashville

Wilson County Hospital, Lebanon

Medical Center, Franklin

TEXAS

AdventHealth - Central Texas, Killeen

Providence, Waco

Seton Hays, Kyle

GWTG – STROKE: B Gold Plus Achievement

A Gold Achievement

D Silver Plus Achievement

C Silver Achievement

GWTG – RURAL STROKE : N Gold Achievement L Silver Achievement

Ascension Seton Medical Center Austin, Austin

Ascension Seton Williamson, Round Rock

Baptist Health System, San Antonio B

Baptist Hospitals of Southeast Texas, Beaumont B

Baylor Scott & White - The Heart Hospital Baylor Denton, Denton A K

Baylor Scott & White All Saints Medical Center - Fort Worth, Fort Worth B

Baylor Scott & White Heart and Vascular Hospital - Dallas, Dallas B A K

Baylor Scott & White Medical Center - Brenham, Brenham N

Baylor Scott & White Medical Center - Buda, Buda D

Baylor Scott & White Medical Center - Centennial, Frisco B A B

Baylor Scott & White Medical Center - College Station, College Station B A B

Baylor Scott & White Medical Center - Grapevine, Grapevine B

Baylor Scott & White Medical Center - Hillcrest, Waco C B

Baylor Scott & White Medical Center - Irving, Irving B

Baylor Scott & White Medical Center - Lake Pointe, Rowlett

Baylor Scott & White Medical Center - Lakeway, Lakeway B B

Baylor Scott & White Medical Center - Marble Falls, Marble Falls BN

Baylor Scott & White Medical Center - McKinney, McKinney B C B

Baylor Scott & White Medical Center - Pflugerville, Pflugerville B

Baylor Scott & White Medical Center - Plano, Plano B

Baylor Scott & White Medical Center - Round Rock, Round Rock B B

Baylor Scott & White Medical Center - Taylor, Taylor N

Baylor Scott & White Medical Center - Temple, Temple B A B K

Baylor Scott & White Medical Center - Waxahachie, Waxahachie B

Baylor Scott & White The Heart Hospital - Plano, Plano B A B K

Baylor St. Luke’s Medical Center, Houston C B

Baylor University Medical Center - Dallas, Dallas B

Ben Taub Hospital, Houston O B A A B

BSA Health System, Amarillo B

Carrollton Regional Medical Center, Carrollton A A B

CHI St Luke’s Health Brazosport, Lake Jackson B

CHRISTUS Good Shepherd Health System - Longview, Longview B

CHRISTUS Good Shepherd Health System-Marshall, Marshall N

CHRISTUS Mother Frances Hospital - Sulphur Springs, Sulphur Springs BN

CHRISTUS Mother Frances Hospital - Tyler, Tyler B

Christus Mother Frances Jacksonville, Jacksonville LD

Christus Mother Frances Winnsboro, Winnsboro N

CHRISTUS Santa Rosa - New Braunfels, New Braunfels D

CHRISTUS Santa Rosa Hospital-Westover Hills, San Antonio D

Christus Santa Rosa San Marcos, San Marcos D

CHRISTUS Southeast Texas Health System-St. Elizabeth, Beaumont B

CHRISTUS Spohn Hospital - Alice, Alice N

CHRISTUS Spohn Hospital - Beeville, Beeville N

CHRISTUS Spohn Hospital - Kleberg, Kingsville N

CHRISTUS Spohn Hospital Corpus Christi - Shoreline, Corpus Christi B

Christus Spohn Hospital Corpus Christi - South, Corpus Christi B

CHRISTUS St. Michael Health System, Texarkana B

CHRISTUS St. Michael Hospital - Atlanta, Atlanta B L ND

Citizens Medical Center, Victoria A B

Coleman County Medical Center, Coleman N

Corpus Christi Medical Center, Corpus Christi D

Covenant Medical Center, Lubbock B

GWTG – HEART FAILURE:

B Gold Plus Achievement A Gold Achievement

D Silver Plus Achievement

C Silver Achievement

GWTG – RURAL HEART FAILURE:

L Silver Achievement

GWTG – RESUSCITATION : A Gold Achievement C Silver Achievement

GWTG – AFIB: A Gold Achievement C Silver Achievement

GWTG – CAD

STEMI RECEIVING: B Gold Plus Receiving A Gold Receiving

D Silver Plus Receiving

C Silver Receiving

Cuero Regional Hospital, Cuero

Dallas Regional Medical Center, Mesquite

Del Sol Medical Center, El Paso

Dell Children’s Medical Center, Austin

Dell Seton Medical Center at The University of Texas, Austin

Doctors Hospital at Renaissance, Edinburg

Glen Rose Medical Center, Glen Rose

Graham Regional Medical Center, Graham

Harlingen Medical Center, Harlingen

HCA Houston Healthcare - Clear Lake, Webster

HCA Houston Healthcare - Conroe, Conroe

HCA Houston Healthcare - Kingwood, Kingwood

HCA Houston Healthcare - Mainland, Texas City

HCA Houston Healthcare - Medical Center (Park Plaza), Houston

HCA Houston Healthcare - Northwest, Houston

HCA Houston Healthcare - Pearland, Pearland

HCA Houston Healthcare - Southeast, Pasadena

HCA Houston Healthcare Tomball, Tomball

Hendrick Medical Center South, Abilene

Hendrick Medical Center, Abilene

Houston Methodist Baytown Hospital, Baytown

Houston Methodist Clear Lake Hosptial, Houston

Houston Methodist Hospital, Houston

Houston Methodist Sugar Land Hospital, Sugar Land

Houston Methodist The Woodlands Hospital, The Woodlands

Houston Methodist West Hospital, Houston

Houston Methodist Willowbrook Hospital, Houston

Hunt Regional Healthcare, Greenville

Huntsville Memorial Hospital, Huntsville

Jasper Memorial, Jasper

JPS Health Network, Fort Worth

Knapp Medical Center, Weslaco

Las Palmas Medical Center, El Paso

Lyndon B Johnson Hospital, Houston

Lynn County Healthcare System, Tahoka

Medical City Children’s Hospital Dallas, Dallas

Medical City Frisco, Frisco

Medical City Plano, Plano

Memorial Hermann - Texas Medical Center, Houston

Memorial Hermann Cypress Hospital, Cypress

Memorial Hermann Greater Heights Hospital, Houston

Memorial Hermann Katy Hospital, Katy

Memorial Hermann Memorial City Medical Center, Houston

Memorial Hermann Northeast Hospital, Humble

Memorial Hermann Pearland Hospital, Pearland

Memorial Hermann Southeast Hospital, Houston

Memorial Hermann Southwest Hospital, Houston

Memorial Hermann Sugar Land Hospital, Sugar Land

Memorial Hermann The Woodlands, The Woodlands

Methodist Charlton Medical Center, Dallas

Methodist Dallas Medical Center, Dallas

Methodist Hospital | Metropolitan, San Antonio

Methodist Hospital | Northeast, San Antonio

Methodist Hospital | Stone Oak, San Antonio

Methodist Hospital Hill Country, Fredericksburg

Methodist Hospital, San Antonio

Methodist Mansfield Medical Center, Mansfield

Methodist Richardson Medical Center, Richardson

Midland Memorial Hospital, Midland

GWTG – CAD STEMI REFERRING: B Gold Plus Referring A Gold Referring D Silver Plus Referring

C Silver Referring GWTG – RURAL CAD: NSTE_ACS

Gold Achievement

Silver Achievement

GWTG – RURAL CAD: STEMI

Gold Achievement L Silver Achievement

Mission Regional Medical Center, Mission

Moore County Hospital District, Dumas

Nacogdoches Memorial Hospital, Nacogdoches

North Texas Medical Center, Gainesville

Northwest Texas Healthcare System, Amarillo

Palo Pinto General Hospital, Mineral Wells

Pampa Regional Medical Center, Pampa

Paris Regional Health, Paris

Parkland Health & Hospital System, Dallas

Peterson Health, Kerrville

Resolute Baptist Hospital, New Braunfels

Rio Grande Regional Hospital, McAllen

Seton Medical Center Harker Heights, Harker Heights

Shannon Medical Center, San Angelo

South Texas Health System Edinburg, Edinburg

South Texas Health System McAllen Medical Center, McAllen

St. David’s Georgetown Hospital, Georgetown

St. David’s Medical Center, Austin

St. David’s North Austin Medical Center, Austin

St. David’s Round Rock Medical Center, Round Rock

St. David’s South Austin Medical Center, Austin B

St. Joseph Health Regional Hospital, Bryan

St. Joseph Medical Center, Houston

St. Luke’s Health-Memorial Lufkin, Lufkin

St. Luke’s Health – The Woodlands Hospital, The Woodlands

Texas Health Allen, Allen

Texas Health Alliance, Fort Worth

Texas Health Arlington Memorial Hospital, Arlington

Texas Health Cleburne, Cleburne

Texas Health Dallas, Dallas

Texas Health Denton, Denton

Texas Health Fort Worth, Fort Worth

Texas Health Frisco, Frisco

Texas Health Heart & Vascular, Arlington

Texas Health HEB, Bedford

Texas Health Hospital Mansfield, Mansfield

Texas Health Huguley Hospital Fort Worth South, Burleson

Texas Health Plano, Plano

Texas Health Presbyterian Flower Mound, Flower Mound

Texas Health Southwest Fort Worth, Fort Worth

Texas Health Stephenville, Stephenville

Texoma Medical Center, Denison

The Hospitals of Providence East Campus, El Paso

The Hospitals of Providence Sierra Campus, El Paso

The Hospitals of Providence Transmountain Campus, El Paso

Titus Regional Medical Center, MT Pleasant

United Regional Healthcare System, Wichita Falls

University Hospital, San Antonio

University Medical Center of El Paso, El Paso

UT Health East Texas Carthage, Carthage

UT Health East Texas Pittsburg, Pittsburg

UT Health Henderson, Henderson

UT Health Jacksonville, Jacksonville

UT Health Quitman, Quitman

UT Health Tyler, Tyler

UTMB Health, Galveston

UTSouthwestern Medical Center, Dallas

Valley Baptist Medical Center-Brownsville, Brownsville

GWTG – CAD NSTEMI:

TARGET: AORTIC STENOSIS : K Target: Aortic StenosisTM Honor Roll

* These hospitals received Get With The Guidelines®-Resuscitation awards from the American Heart Association for two or more patient populations.

O Hospitals with this designation have received silver or higher awards in three or more Get With The Guidelines modules this year.

Valley Baptist Medical Center-Harlingen, Harlingen

Regional Medical Center, Brownsville

Ward Memorial Hospital, Monahans

Yoakum Community Hospital, Yoakum

UTAH

Ashley Regional Medical Center, Vernal

CommonSpirit Holy Cross Hospital Davis, Layton

Intermountain Layton Hospital, Layton

Intermountain McKay-Dee Hospital, Ogden

Intermountain Medical Center, Murray

Intermountain St. George Regional Hospital, Saint George

Intermountain Utah Valley Hospital, Provo

Lakeview Hospital, Bountiful

Ogden Regional Medical Center, Ogden

Mark’s Hospital, Salt Lake City

Regional Hospital, Orem

Uintah Basin Medical Center, Roosevelt

Uintah Basin Medical Center, Vernal

University of Utah Health, Salt Lake City

VERMONT

Central Vermont Medical Center, Berlin

University of Vermont Medical Center, Burlington

VIRGINIA

Bon Secours Memorial Regional Medical Center, Mechanicsville

Bon Secours Rappahannock General Hospital, Kilmarnock

Bon Secours Richmond Community Hospital, Richmond

Bon Secours St. Francis Medical Center, Midlothian

Bon Secours St. Mary’s Hospital, Richmond

Carilion Roanoke Memorial Hospital, Roanoke

Centra Lynchburg General Hospital, Lynchburg

Chesapeake Regional Medical Center, Chesapeake

Fauquier Hospital, Warrenton

Inova Fair Oaks Hospital, Fairfax

Inova Fairfax Hospital, Falls

Inova Loudoun Hospital, Leesburg

Inova Mount Vernon Hospital, Alexandria

Mary Washington Hospital, Fredericksburg

Riverside Doctor’s Hospital Williamsburg, Williamsburg

Riverside Regional Medical Center, Newport News

Riverside Shore Memorial Hospital, Onancock

Riverside Walter Reed Hospital, Gloucester

Sentara CarePlex Hospital, Hampton

Sentara Leigh Hospital, Norfolk

Sentara Martha Jefferson Hospital, Charlottesville

Sentara Norfolk General Hospital/Sentara Heart Hospital, Norfolk

Sentara Northern Virginia Medical Center, Woodbridge

GWTG – STROKE: B Gold Plus Achievement A Gold Achievement D Silver Plus Achievement C Silver Achievement

GWTG – RURAL STROKE :

Achievement

Silver Achievement

Sentara Obici Hospital, Suffolk

Sentara Princess Anne Hospital, Virginia Beach

Sentara RMH Medical Center, Harrisonburg

Sentara Virginia Beach General Hospital, Virginia Beach

Sentara Williamsburg Regional Medical Center, Williamsburg

Southside Regional Medical Center, Petersburg

Stafford Hospital, Stafford

Twin County Regional Healthcare, Galax

University of Virginia Medical Center, Charlottesville

UVA Haymarket Medical Center, Haymarket

UVA Prince William Medical Center, Manassas

VCU Community Memorial Hospital, South Hill

VCU Health Medical Center, Richmond

Virginia Hospital Center, Arlington

Winchester Medical Center, Winchester

WASHINGTON

Columbia County Health System, Dayton

Confluence Health-Central Washington Hospital, Wenatchee

EvergreenHealth Medical Center, Kirkland

EvergreenHealth Monroe, Monroe

Harbor Regional Health Community Hospital, Aberdeen

Harborview Medical Center, Seattle

Jefferson Healthcare, Port Townsend

Kadlec Regional Medical Center, Richland

Kittitas Valley Healthcare, Ellensburg

Salmon Creek Medical Center, Vancouver B

MultiCare Allenmore Hospital, Tacoma B

MultiCare Auburn Medical Center, Auburn B

MultiCare Capital Medical Center, Olympia

MultiCare Covington Medical Center, Covington

MultiCare Deaconess Hospital, Spokane

MultiCare Good Samaritan Hospital, Puyallup

MultiCare Tacoma General Hospital, Tacoma

MultiCare Valley Hospital, Spokane Valley D

MultiCare Yakima Memorial, Yakima

Newport Hospital and Health Services, Newport

Ocean Beach Hospital, Ilwaco

Othello Community Hospital, Othello

Overlake Medical Center and Clinics, Bellevue

PeaceHealth Southwest Medical Center, Vancouver

PeaceHealth St. John Medical Center, Longview

PeaceHealth St. Joseph Medical Center, Bellingham

PeaceHealth United General Medical Center, Sedro Woolley

Providence Centralia Hospital, Centralia

Providence Holy Family Hospital, Spokane

Providence Regional Medical Center Everett, Everett

Providence Sacred Heart Medical Center, Spokane

Providence St. Peter Hospital, Olympia

Pullman Regional Hospital, Pullman

Saint Anne Hospital, Burien

Saint Anthony Hospital, Gig Harbor

Saint Clare Hospital, Lakewood

Saint Joseph Medical Center, Tacoma

Saint Michael Medical Center, Silverdale

Seattle Children’s Hospital, Seattle

Snoqualmie Valley Hospital, Snoqualmie

GWTG – HEART FAILURE: B Gold Plus Achievement A Gold Achievement D Silver Plus Achievement C Silver Achievement

GWTG – RURAL HEART FAILURE: L Silver Achievement

GWTG – RESUSCITATION : A Gold Achievement C Silver Achievement

GWTG – AFIB: A Gold Achievement C Silver Achievement

GWTG – CAD STEMI RECEIVING: B Gold Plus Receiving

Gold Receiving D Silver Plus Receiving

C Silver Receiving

St. Francis Hospital, Federal Way

Swedish Medical Center - Ballard, Seattle

Swedish Medical Center - Cherry Hill Campus, Seattle

Swedish Medical Center - Edmonds, Edmonds

Swedish Medical Center - First Hill Campus, Seattle

Swedish Medical Center - Issaquah Campus, Issaquah

Three Rivers Hospital, Brewster

Trios Health, Kennewick

TriState Health, Clarkston

University of Washington Medical Center, Seattle

UW Medicine | Valley Medical Center, Renton

VA Puget Sound Health Care System, Seattle Campus, Seattle

Virginia Mason Medical Center - Seattle, Seattle

Willapa Harbor Hospital, South Bend

WEST VIRGINIA

Berkeley Medical Center, Martinsburg

Braxton County Memorial Hospital, Inc., Gassaway

Cabell Huntington Hospital, Huntington

CAMC General Hospital, Charleston

Camden Clark Medical Center, Parkersburg

Greenbrier Valley Medical Center, Ronceverte

Minnie Hamilton Health System, Grantsville

Mon Health Medical Center, Morgantown

Montgomery General Hospital, Montgomery

Potomac Valley Hospital, Keyser

Preston Memorial Hospital, Kingwood

Raleigh General Hospital, Beckley

St. Mary’s Medical Center, Huntington

Stonewall Jackson Memorial Hospital, Weston

Summers County ARH Hospital, Hinton

Summersville Regional Medical Center, Summersville

United Hospital Center, Bridgeport

West Virginia University Hospitals, Morgantown

Wheeling Hospital, Wheeling

WVU Medicine - St. Joseph’s Hospital, Buckhannon

WISCONSIN

Ascension All Saints Hospital, Racine

Ascension Columbia St. Mary’s Hospital Milwaukee, Milwaukee

Ascension Franklin Hospital, Franklin

Ascension NE Wisconsin- St. Elizabeth Campus, Appleton

Ascension SE Wisconsin Hospital - Elmbrook Campus, Brookfield

Ascension St. Francis Hospital, Milwaukee

Aspirus Divine Savior Hospital and Clinics, Portage

Aspirus Eagle River Hospital, Eagle River

Aspirus Langlade Hospital, Antigo

Aspirus Medford Hospital and Clinics, Medford

Aspirus Riverview Hospital & Clinics Inc., Wisconsin Rapids

Aspirus Wausau Hospital, Wausau

Aurora BayCare Medical Center, Green Bay

Aurora Lakeland Medical Center, Elkhorn

Aurora Medical Center - Grafton, Grafton

Aurora Medical Center - Kenosha, Kenosha

Aurora Medical Center- Oshkosh, Oshkosh

Aurora Medical Center Bay Area, Marinette

Aurora Medical Center Burlington, Burlington

Aurora Medical Center Manitowoc County, Two Rivers

Aurora Medical Center Sheboygan County, Sheboygan

Aurora Medical Center Summit, Summit

Aurora Mount Pleasant Medical Center, Mount Pleasant

Aurora Sinai Medical Center, Milwaukee

Aurora St. Luke’s Medical Center, Milwaukee

Aurora St. Luke’s South Shore, Cudahy

Aurora West Allis Medical Center, West Allis

Bellin Health Oconto Hospital, Oconto

Bellin Memorial Hospital, Green Bay

Beloit Memorial Hospital, Beloit

Cumberland Healthcare, Cumberland

Froedtert Hospital, Milwaukee

Froedtert Menomonee Falls Hospital, Menomonee Falls

Froedtert Pleasant Prairie Hospital, Pleasant Prairie

Froedtert West Bend Hospital, West Bend

Gundersen Boscobel Area Hospital and Clinics, Boscobel

Gundersen Lutheran Medical Center, La Crosse

Gundersen Moundview Hospital & Clinics, Friendship

Holy Family Memorial Medical Center, Manitowoc

Howard Young Medical Center, Inc., Woodruff

HSHS St. Clare Memorial Hospital, Oconto Falls

Lafayette Hospital + Clinics, Darlington

Marshfield Medical Center, Marshfield

Mayo Clinic Health System - Eau Claire, Eau Claire

Mayo Clinic Health System - La Crosse, La Crosse

Mercy Health Hospital and Medical Center Walworth, Lake Geneva

Mercy Hospital and Trauma Center, Janesville

Monroe Clinic - SSM Health, Monroe

ProHealth Care, Oconomowoc Memorial Hospital, Oconomowoc

ProHealth Care, Waukesha Memorial Hospital, Waukesha

Richland Hospital, Richland Center

SSM Health St. Clare Hospital, Baraboo

SSM Health St. Mary’s Hospital - Madison, Madison

St. Agnes Hospital, Fond Du Lac

ThedaCare Medical Center - Berlin, Berlin

ThedaCare Medical Center - New London, New London

ThedaCare Medical Center - Shawano, Shawano

ThedaCare Medical Center - Waupaca, Waupaca

ThedaCare Regional Medical Center - Appleton, Appleton

ThedaCare Regional Medical Center - Neenah, Neenah

University of Wisconsin Hospital and Clinics, Madison

UPH Meriter Hospital, Madison

Upland Hills Health, Dodgeville

UW Health East Madison Hospital, Madison

Vernon Memorial Healthcare, Inc., Viroqua

WYOMING

Banner Wyoming Medical Center, Casper

Cheyenne Regional Medical Center, Cheyenne

Three Rivers Health, Basin

This content is available online at https://usnewsbrandfuse.com/AmericanHeartAssociation/

GWTG – CAD

STEMI REFERRING: B Gold Plus Referring A Gold Referring

D Silver Plus Referring

C Silver Referring

GWTG – RURAL CAD: NSTE_ACS

GWTG – RURAL CAD: STEMI

Gold Achievement L Silver Achievement

GWTG – CAD NSTEMI:

Gold

Silver TARGET: AORTIC STENOSIS : K Target: Aortic StenosisTM Honor Roll

* These hospitals received Get With The Guidelines®-Resuscitation awards from the American Heart Association for two or more patient populations. O Hospitals with this designation have received silver or higher awards in three or more Get With The Guidelines modules this year.

The Midwife Solution

by Avital Norman Nathman and Deborah Wage ©

IMAGINE A BUSINESS where your expenses far outpace your competitors, results are worsening and over 80% of failures are preventable. In any other sector, such a performance would trigger a crisis. Stakeholders would demand answers. The operation would either be overhauled—or collapse. So why do we continue to allow the U.S. birth industry to stumble along, despite abysmal outcomes and staggering losses?

For decades, pregnant women who survived traumatic childbirth have shared their stories, highlighting the systemic harms and challenges baked into the current birth system. Yet, year after year, the U.S. continues to underperform, especially for Black and Indigenous women. Black women, in particular, are three times more likely to die from pregnancy-related causes than white women. Their stories—of pain, of injustice, of survival—have been shared widely. But still, the system does not change.

Falling Behind the World

From 2000 to 2023, the global maternal mortality rate dropped by 40%. But the United States has moved in the opposite direction. During the height of the COVID-19 pandemic, U.S. maternal deaths surged by almost 40%. A 2022 report from The Commonwealth Fund showed that the U.S. maternal mortality rate in 2020 was several times the rate in most other highly-resourced countries, at 24 deaths for every 100,000 live births on average, and 55 deaths for every 100,000 births for Black women in particular.

Contrast this with countries like the Netherlands, Australia and Japan. Not only were their maternal mortality rates dramatically lower, they continued to decline during the pandemic.

And it’s not just the outcomes that are grim—so are the costs. A routine, uncomplicated vaginal birth in the U.S. averages close to $9,000. In Australia, it’s closer to $5,000; in Germany, as low as $1,360. Cesarean deliveries here routinely cost almost $14,000, and we tend to have more of them than other similarly resourced countries.

To save more mothers’ lives, the U.S. needs to rethink how we give birth—starting with midwives.

In Australia, they’re less than $8,000. In Germany, $2,400. We are spending the most to deliver some of the worst results.

The Untapped Power of Midwifery

According to a 2024 CDC report, a shocking 84% of pregnancy-related deaths in the U.S. are preventable. So why is this allowed to continue? Why are we writing off these lost lives? Perhaps it has something to do with the fact that, as one maternal health insurance insider put it, “It’s simply cheaper to let women die.”

In any other industry, people would be rushing in to overhaul and fix things, yet we continue to allow potential largescale solutions to flounder. And one of the biggest solutions—the midwifery model of care—continues to lack the support it needs to flourish.

The midwifery model of care, practiced widely and successfully in other nations, remains underutilized and under-supported in the United States. A 2019 study comparing low-risk pregnant patients of midwives and obstetricians at 11 different hospitals found that midwifery patients had significantly lower intervention rates, including an approximately 30-40% lower risk of C-sections.

In states where there is improved access to midwives, there are also significantly lower rates of surgical births, preterm babies and low infant birth weight. Mid-

wives have been consistently shown to provide better quality care and attention and improve mortality rates, so why are they still seen as a “cottage industry” in the U.S.?

Community-Based Change

While the overall big business of birth is flailing, midwives are on the ground in their communities and making improvements. Nowhere is this more important than areas where perinatal care is few and far between, particularly in the South, which is home to the nation’s highest maternal mortality rates.

In southeastern Florida, the Southern Birth Justice Network operates a Mobile Midwife Clinic to bring care directly to expectant mothers. And in Alabama, the state with the highest maternal mortality rate, midwife Stephanie Mitchell created the state’s first midwife-led, freestanding birth center, offering a radically more supportive, accessible model of care. These aren’t fringe efforts. They’re lifelines.

Despite the knowledge that midwives are crucial to addressing this crisis, right now in the U.S., OB-GYNs outnumber midwives three

to one. In New Zealand—a country with one of the lowest maternal mortality rates globally—there are 46 midwives for every eight OB-GYNs attending a live birth. The difference is stark. The outcomes, even more so.

If our current system were a monopoly, it would be guilty of suppressing competition and innovation to the detriment of public health. It is not ser ving families. It is not protecting mothers. It is not saving lives.

The numbers are damning and the solutions are known, so the question remains: how many more women must die, be harmed or carry lifelong trauma before the U.S. embraces change?

Midwifery isn’t a silver bullet, but it is a proven, powerful part of the solution. To combat this crisis, we must welcome all hands on deck. The lives of our mothers—and the future they carry—depend on it. l

Living Longer, Living Better

Longevity is the new buzzword in the wellness world. Want in? These ten science-based strategies can help you stay healthy and vibrant late into life.

by Heidi Godman and Vanessa Caceres ©

NUMBERS MATTER to Jan Sirota, a retired investment banker who lives in Sarasota, Florida. He recently celebrated 12 years of marriage, cycles 40 miles a day and races cars at 150 miles per hour in High Performance Driver Education events.

The number that doesn’t seem to matter? His age. Now 76, he says age is “irrelevant to me. There’s no reason to say that I’ll slow down because I’m getting older.”

Sirota isn’t the only one embracing longevity. In a world where aging is no longer viewed as an inevitable decline but instead a chapter to be optimized, more and more businesses and experts are focusing on helping people live longer, healthier lives. From Silicon Valley  biohackers to supplement startups and global wellness brands, companies are jumping headfirst into the booming longevity movement.

This trend is being fueled by a growing understanding of aging as a biological process—one that might be slowed or even modified. Scientists now study aging with the same rigor once reserved for disease. And while the fountain of youth remains elusive, growing evidence suggests that lifestyle, diet and targeted interventions can meaningfully extend healthspan.

“Certainly genetics play a part in this, and then of course luck,” says Dr. Patricia Harris, clinical chief of the division of geriatrics at the David Geffen School of Medicine at UCLA. “However, I don’t want anyone to think we can’t fight destiny a little bit.”

Age-Related Changes

Some physical and social changes are unavoidable with age. Muscle and bone mass decline. So do sex hormone levels, kidney function, mental sharpness and reaction time. Chronic illnesses such as cardiovascular disease or Type 2 diabetes may also develop as we get older.

And the social toll can be equally impactful. Retirement, adult children leaving home or the loss of close friends or a spouse can lead to isolation, loneliness and even depression—setting off a downward spiral.

“Loneliness is one of the biggest problems I see,” Harris says. “It leads to depression and a loss of motivation to manage health. People become sicker and frailer, which keeps them from getting out and socializing. It increases the risk for an early death.”

The Longevity Prescription

Longevity is measured in lifespan, or how long a person lives. But simply extending life without preserving quality is no longer the goal. Instead, the conversation is shifting to healthspan, or the number of years a person lives free of chronic illness, cognitive decline and physical dependency. It’s about adding life to your years, not just years to your life.

In the U.S., we’ve got room for improvement: The average American spends 12.4 years burdened by disease or disability before death. Is it possible to close that gap? Longevity-focused companies claim it is. From high-end supplements and personalized wearables to full-scale clinics offering $50,000 wellness plans, there’s no shortage of ways to invest in your future self.

But living longer doesn’t need to cost a fortune— and it’s not about getting lucky with your DNA. Genetics only account for about 25% of longevity. The rest? It’s lifestyle. Experts say that simple, consistent changes can yield powerful, lasting benefits. Read on for some of the top to focus on.

10 Ways to Age Well

Research is increasingly demonstrating that the way you take care of yourself today may have a big effect on your health later in life. While there’s no magic formula, these science- and expert-backed strategies can boost your chances of living a healthy, long life.

1

FOLLOW THE BASICS

“Time and again, studies show true benefits of not smoking, keeping weight down and keeping major health conditions like high blood pressure, heart disease or diabetes well controlled,” says Harris. If you haven’t already talked about ways you can improve your personal health numbers, book an appointment to have that conversation with your doctor. (Turns out, more people need to! Only 30% of Americans say they have discussed ways to age well and live longer with their doctor.)

2 OPT FOR A MEDITERRANEAN DIET

Studies have shown that eating a healthy diet in midlife is associated with better health in our older years. “A Mediterranean-style diet is associated with longevity around the globe,” says Dr. Saket Saxena, a geriatrician at Cleveland Clinic. This includes a fair

amount of fruits, vegetables, legumes, seeds, nuts, olive oil and whole grains while keeping sugar, sweetened drinks, refined carbs, red meat and processed meats to a minimum.

One reason why the diet may help the aging process: It lowers inflammation markers and optimizes gut health. And the payoff of tweaking what’s on your plate is impressive: One study found that following a diet like this could extend lifespan by about 10 years.

3

EXERCISE REGULARLY

Exercise reduces stress levels in our bodies, circulates oxygen to all tissues (which is good for the brain!) and builds up strength, so you’re at less risk for frailty and life-threatening falls, explains Harris. Plus, studies have linked midlife fitness with reduced odds for developing chronic disease (like Alzheimer’s disease, stroke and diabetes) later in life.

How much exercise do you need? The standard recommendation is 150 minutes per week of moderate intensity exercise, such as playing a game of tennis, gardening or walking briskly. But if that’s daunting, Harris says to consider that a goal to work toward, not an absolute. “If you get out and walk regularly for three minutes when you hadn’t been walking at all, that’s a real accomplishment.”

4

GET MORE ZZZ’S

Research shows people who get seven to eight hours of sleep a day, go to bed as early as possible and get good quality sleep have longer healthspans than those who don’t. Consistency is also important. Going to bed at roughly the same time every night (so your circadian clock isn’t constantly disrupted) promotes healthy functioning into old age.

5 SOCIALIZE MORE

By staying socially active and connected to friends and loved ones, you may increase your lifespan and healthspan by about three years. It helps fight loneliness, depression and isolation. If you’re far from loved ones, join a club or volunteer to meet new friends. “The number of social interactions in a day or week improves life expectancy, even in people with heart disease and colon cancer,” Harris says. “It doesn’t have to be a best friend. It can be someone in a coffee shop or the person at the cash register in the grocery store.”

6

CHALLENGE YOUR BRAIN

We can’t all race cars like Sirota, but we can try a new hobby, learn another language or take a class at a local college. Some universities allow retirees to audit classes for free, whether in-person or online. “Staying mentally active in some way staves off dementia,” Harris says. “It has to be something that continues to engage your brain as you get older.”

7

CHECK YOUR HEARING

“Hearing impairment can lead to a decline in socialization and mental stimulation. This can have an impact on activity, leading to depression and isolation, which can cause functional decline and reduce longevity,” says Saxena. In fact, the risk of premature death is almost 25% lower for those who use hearing aids compared with people who never use them.

8 REDUCE STRESS

Chronic stress actually ages you from the inside out. Part of that is due to the fact that this ongoing stress raises inflammation throughout the body.

“People with higher levels of inflammation have a more limited life expectancy,” Harris says. To ease stress, try meditating or doing stress-relieving exercises like yoga or tai chi. The good news? Your “biological age” can actually reverse when you reduce stress. Whether it’s travel, games, walks or a chat with friends, find what calms you—and stick with it.

9 LIVE WITH PURPOSE

Greater purpose in life has been linked with a lower risk of stroke, better sleep, healthier weight, higher physical activity levels and lower inflammation in some people. It’s also associated with a reduced risk of cognitive decline and Alzheimer’s disease.

Sirota, who is passing on his business experience to enterprising high schoolers, says this approach to life just makes him feel good. “It gives me incredible joy to help kids,” he says. You can live with purpose by volunteering, helping a family member or doing anything that gives you meaning.

10

LIMIT SUN EXPOSURE

“Extended UV radiation exposure over a lifetime can cause so much DNA damage that it hastens cell aging throughout the body,” says Dr. S. Manjula Jegasothy, an aesthetic dermatologist and clinical associate professor of dermatology at the University of Miami’s Miller School of Medicine and founder of the Miami Skin Institute.

UV exposure also increases the risk of skin cancer. And from an appearance standpoint, UV exposure ages the skin. To stay safe, limit your time in the sun (especially between 10 a.m. and 2 p.m.), wear protective clothing and apply a broad-spectrum sunscreen with an SPF of 15 or higher regularly l

Take the Longevity Test

IT MAY NOT LOOK LIKE MUCH , but one move could reveal a lot about your long-term health. Called the sit-rise test, this (seemingly!) simple challenge asks you to lower yourself to the floor, then stand back up without bracing on your hands, knees, arms or any other support.

In a 12-year study, researchers found that adults who could perform the test unaided had markedly lower risks of early death, especially from heart-related causes, than those who needed help getting up.

Why? This single move checks multiple boxes tied to healthy aging: strength, balance, flexibility and coordination.

The test is easy to try at home—just make sure you’re in a clear, safe space. Can you do it? Whether the answer is yes, no or almost, the insight it offers is worth noting. Think of it as a quick, at-home check-in on your mobility—and a motivator to keep building strength and stability as you age.

LONGEVITY BY THE NUMBERS AOFSNAPSHOT

HOW LONG WE’RE LIVING

Average life expectancy for women in the U.S. 81.1 Years For men, about 5.3 years less. 75.8 Years

The “healthspan gap”: the difference between total lifespan and years lived in good health. 12.4 Years

LIFESTYLE THAT MATTERS

Portion of longevity determined by genes; the rest is shaped by lifestyle and environment.

LIVING ANDLONGER—BETTER.

3 IN 10

The number of Americans who say they have discussed longevity with their doctor. Let’s bump up that number—talk to your physician about what you can do to age well at your next appointment.

SOCIAL MATTERS

Staying socially active and connected to friends and loved ones may increase lifespan and healthspan by about three years.

Volunteering 100 hours per year or more is linked to a lower risk of premature death compared to their peers who did not volunteer.

150–300 MINUTES/WEEK

Recommended amount of moderate-intensity exercise for longevity. 7–8 HOURS IDEAL NIGHTLY SLEEP to reduce risk of early death. 25%

A lack of social connection can increase the risk for premature death as much as smoking up to 15 cigarettes a day. NURSING HOME? of Americans 50+ who would like to stay in their homes as they age 75%

INVESTING IN OUR FUTURE

of consumers have purchased healthy aging products or services

$455.4 BILLION

The estimated global anti-aging market size by 2030 of Americans take vitamins or supplements specifically for longevity. 58% 70%

The Hidden Health Risks of Alcohol

Raising a glass to good health is doing just the opposite.

by Chuck Ingoglia, president and CEO of the National Council for Mental Wellbeing, and Johna Burdeos ©

WHETHER IT’S A CASUAL GLASS OF WINE at dinner or a weekend cocktail with friends, alcohol is a big part of how many of us relax, socialize and unwind. But as new research and health advisories emerge, it’s becoming increasingly clear that the effects of alcohol on our health may be far more serious than we’ve been led to believe, and we may want to rethink our happy hour habit.

In early 2025, then-U.S. Surgeon General Vivek Murthy raised the alarm about alcohol’s link to at least seven kinds of cancer and called for a new health warning on alcoholic beverages. It might be the most consequential public health report since the surgeon general warned about the dangers of cigarettes in 1964.

Why did Murthy’s warning come now? About 178,000 people in the U.S. died from excessive drinking in 2021, compared with 138,000 in 2016, according to the most recent data from the Centers for Disease Control and Prevention. That increase of nearly 30% makes alcohol one of the leading causes of preventable death in this country.

So how much is really too much? And is it true that red wine is actually

good for your heart? Let’s unpack the facts, the myths and the new science that could change how you think about drinking—for good.

Alcohol and

Your Body:

What the Experts Say

You’ve likely already heard that alcohol is linked to liver disease. But what some people don’t realize is that drinking alcohol is associated with many other health

risks. In fact, alcohol is classified as a Group 1 carcinogen—or something that can cause cancer.

According to Dr. Michael Siegel, a professor at Tufts University School of Medicine, alcohol isn’t just a carcinogen, it’s a strong one: “It is in the same category as asbestos, benzene, arsenic, radiation, tobacco, vinyl chloride and plutonium.”

You don’t have to be a heavy drinker to raise your risk of cancer. The U.S. Surgeon General’s advisory says that even one drink a day or less can increase the likelihood of developing certain cancers, including breast (in women), colorectal, esophageal, liver, mouth, throat and voice box.

Why is that? When you drink alcohol, your body breaks it down into a chemical called acetaldehyde, which is a known carcinogen, explains Dr. Nishan Tchekmedyian, deputy physician-in-chief at City of Hope in Orange County, California. “Acetaldehyde can damage DNA and may lead to tumor growth, as well as cell and liver damage.”

And there are other ways that alcohol causes cancer: It produces harmful molecules that increase inflammation and changes hormone levels, including estrogen, which can increase the risk of

breast cancer. Additionally, alcohol can absorb toxic chemicals, like tobacco smoke, making it easier for them to enter the body and increase the risk of mouth and throat cancers.

Beyond Cancer: Other Ways Alcohol Affects Your Health

Drinking doesn’t just raise your cancer risk—it impacts nearly every system in your body:

• Brain: Alcohol disrupts brain communication, affecting your mood, behavior, thinking and coordination. It can kill or damage brain cells, and while acute injury may not be harmful, repeated daily consumption can lead to neurological impairment, explains Siegel.

• Heart: Drinking heavily over time or on one occasion can damage the heart, leading to issues like weakened heart muscles, irregular heartbeat, high blood pressure and stroke.

• Liver Alcohol causes liver injury, which is reversible and

temporary, but not if you continue to drink large amounts chronically, says Siegel. Heavy drinking can lead to long-term liver-related conditions like fatty liver, alcoholic hepatitis, fibrosis and cirrhosis.

• Digestive System: Drinking can weaken the gut lining and disrupt healthy gut bacteria. Alcohol affects the pancreas by triggering toxic substances that may lead to pancreatitis, a painful condition that causes swelling and impairs digestion.

• Immune System: Alcohol weakens your immune system, says Dr. Raj Dasgupta, associate program director of internal medicine at Huntington Health Hospital in California. Chronic drinkers have a higher risk of infections like pneumonia and tuberculosis, but even one episode of heavy drinking can lower immunity for up to 24 hours.

• Mental Health: Alcohol increases your risk for mental health issues like anxiety and depression. It also raises the risk of dependency, accidents and strained relationships over time, adds Dasgupta.

How Much Is Too Much?

The Word on Red Wine

First, some people should avoid alcohol altogether. This includes: those under the age of 21, pregnant women, individuals taking medications that interact with alcohol, those who experience facial flushing or dizziness with alcohol and people with health conditions like high blood pressure and diabetes.

You’ve probably heard that red wine is “heart healthy” because of antioxidants like resveratrol. But that claim is far murkier than it seems. “Cancer risk factors don’t discriminate between types of alcoholic beverages,” says Dr. Tchekmedyian. Even if red wine has antioxidants, the alcohol it contains still increases your cancer risk. Plus, you can get the same antioxidants from foods like grapes, peanuts, blueberries and spinach—without the health risks.

For healthy adults who choose to drink and do not fall into these groups, the U.S. Dietary Guidelines suggest that risks may be minimized by limiting intake to one drink or less per day for women and two drinks or less per day for men. This difference exists because women generally process alcohol differently, leading to higher blood alcohol levels and increased health risks, even with less alcohol, explains Dasgupta.

However, Dasgupta points out that “no type of alcohol is truly ‘healthy,’ but some choices are less risky than others.” Drinks with lower alcohol content and fewer sugars or additives might reduce certain risks, but “drinking less overall is what really matters.”

Still, the guideline is no longer tenable, according to Siegel, given the finding that moderate drinking increases cancer risk. “The new recommendation will likely be for people to avoid alcohol to reduce cancer risk.”

New Hope for Those Struggling With Alcohol

If you or someone you love has struggled to cut back on drinking, know that you are not alone. Nearly

29 million Americans live with what’s known as alcohol use disorder (AUD)—a medical condition where someone can’t control their drinking, even when it causes problems at work, in relationships or to their health.

And here’s something most people don’t realize: there are FDA-approved medications that can help. Three drugs are specifically approved to treat AUD are naltrexone (which reduces cravings and blocks the “reward” feeling from alcohol), acamprosate (which eases cravings and helps people maintain abstinence) and disulfiram (which causes unpleasant reactions like flushing and nausea if alcohol is consumed). Other medications like gabapentin and topiramate, originally used for conditions like seizures, also show promise.

Recently, even popular weight-loss drugs like Ozempic and Wegovy have been studied for alcohol reduction. One study found that people taking semaglutide, the active ingredient in both drugs, drank significantly less and even reduced cigarette use.

So why aren’t more people getting help? Experts believe there’s still a strong bias toward abstinence-only or counseling-based recovery. But just like you wouldn’t treat diabetes without insulin, many believe willpower isn’t enough to overcome a condition, and medication should be part of the conversation for treating alcohol misuse.

Rethinking Your Relationship With Alcohol

You don’t have to hit “rock bottom” to take a second look at your drinking habits. If you’ve noticed any of the following, it might be time to reassess: If you’re drinking more or longer than you planned; thinking about drinking constantly; drinking even though it causes problems at work or home; feeling anxious or low when you’re not drinking; or needing more alcohol to feel the same effect.

The good news? Any reduction helps. As Dr. Dasgupta puts it: “The truth is, any reduction in drinking can have positive effects on your health. And if you choose not to drink at all, that’s not just okay; it’s a really healthy choice.”

What Counts As One

Drink?

The current U.S. Dietary Guidelines suggest up to one drink per day for women and up to two drinks per day for men. But what does that look like? In the U.S., a standard drink contains 0.6 ounces of pure alcohol, which equals: 5 oz

A Rise in Sober Curiosity

As more people become aware of the risks associated with drinking, many are rethinking alcohol’s role in their lives altogether. Enter the growing non-alcoholic movement, a cultural shift that’s turning “sober curious” into a mainstream lifestyle. Drinking less has become popular among younger generations especially, with one survey reporting that 61% of Gen Z and 49% of millennials are trying to drink less.

From zero-proof spirits and craft non-alcoholic beers to sophisticated mocktail menus at high-end restaurants, the options for those choosing to skip alcohol have never been more appealing—or more socially acceptable. “Experimenting with these alternatives can make going alcohol-free feel fun rather than restrictive,” says Millie Gooch, founder of the sober community Sober Girls Society. “You still get the ritual of a nice drink without any of the downsides, which makes social events feel just as celebratory.”

Social media has amplified this message, with influencers and everyday people sharing their “sober journeys,” reframing sobriety not as deprivation but as self-care. And alcohol-free challenges like Dry January and Sober October have helped normalize experimentation, giving people permission to step back and reflect on their relationship with drinking—without pressure or stigma.

Ultimately, the non-alcoholic movement isn’t just about what’s in your glass—it’s about redefining celebration, connection and wellbeing in ways that don’t compromise your health. l

Need Support?

If you’re concerned about your drinking or want to explore treatment options, you can reach out to the Substance Abuse and Mental Health Services Administration hotline (1-800-662HELP), Alcoholics Anonymous (aa.org) or SMART Recovery peer support groups (smartrecovery.org).

2025 THE HEART OF QUALITY PATIENT CARE

As the global professional organization for the entire cardiovascular care team, the American College of Cardiology (ACC) is committed to supporting patients, caregivers and health care professionals by ensuring the highest quality care is delivered to every patient, every time.

ACC Accreditation Services™

ACC Accreditation Services is helping hospitals and health systems improve cardiovascular care processes and patient outcomes to achieve the highest standard of cardiac care. All of the essential components of true process improvement are embedded in ACC’s accreditation programs.

NCDR® (National Cardiovascular Data Registry)

ACC’s suite of NCDR registries is helping hospitals, health systems, centers and practices by providing data-driven insights, analysis and research to inform clinical and operational decisions, allowing the cardiovascular care team to perform at the highest level and to deliver optimal care to every patient, every time.

MedAxiom

MedAxiom, a member-driven network powered by data, is the premier source for cardiovascular organizational performance solutions.

Registry

The following pages list more than 2,000 hospitals, centers and health systems that rely on ACC’s NCDR and Accreditation Services. Patients and caregivers can trust hospitals and centers that participate in the NCDR, receive the ACC’s Accreditation seal of approval, and are recognized with the Chest Pain – MI Registry™ Performance Achievement Award and the HeartCARE Center™ Award for delivering the best cardiovascular patient care.

The following pages list more than 2,000 hospitals, centers and health systems that rely on ACC’s NCDR and Accreditation Services. Patients and caregivers can trust hospitals and centers that participate in the NCDR, receive the ACC’s Accreditation seal of approval, and are recognized with the Chest Pain – MI Registry™ Performance Achievement Award and the HeartCARE Center™ Award for delivering the best cardiovascular patient care.

ACC ACCREDITATION SERVICES

ACCACCREDITATIONSERVICES

Cardiac Cath Lab Accreditation

CardiacCathLabAccreditation

CCChestPainCenterCerti fication

Helps facilities implement all the pre-, peri- and post-procedures that are essential for safe care and efficient scheduling of patients through the cath lab.

Helps fac ilities implement all the pre-, peri- and post-procedures that are essential for safe care and cient sc heduling of patients ough the c at h lab.

™yrtsigeR

CC Chest Pain Center Certification Supports Critical Access Hospitals and FreeStanding EDs in employing scientifically sound quality initiatives and best practices.

HF Heart Failure Accreditation

HFHeartFailureAccreditation

Supports Critical Access Hospitals and FreeStanding EDs in employing sc ienti fically sound quality initiatives and best practices.

EP Electrophysiology Accreditation

EPElectrophysiologyAccreditation

Ensures that requisite protocols, processes and systems are established in the care of patients with heart failure.

Ensures that requisite protocols, processes and systems are established in the care of patients with heart failure.

TV Transcatheter Valve Certification

TVTranscatheterValveCerti fication

Chest Pain Center Accreditation

ChestPainCenterAccreditation

Focuses on efficient and effective emergency care of acute coronary syndrome (ACS) patients in the hospital setting.

Focuses on ef ficient and effective emergency care of acute coronary syndrome (ACS) patients in the spital setting.

Incorporates the most recently compiled guidelines and expert consensus statements to produce the best possible care for the EP patient.

Incorporates the most recentl y compiled guidelines and expert cons ensus statements to produce the best possible care for the EP patient.

NCDR

NCDR

Helps hospital’s multidisciplinary teams meet standards for formalized and shared decision-making in performance of transcatheter valve replacement and repair procedures.

Helps hospital’s mult idisciplinary teams meet standards for for malized and shared decision- making in performance of transc at heter valve replacement and repair procedures.

AFib Ablation Registry™

EEPDeviceImplantRegistry™

E EP Device Implant Registry™

Q CPCAytilauQ™krowteN

Q ACPC Quality Network™

ablation procedures) Assesses the valence, demographics, acute management and outcomes of (AFib) catheter ablation procedures.

(Catheter-based atrial fibrillation ablation procedures) Assesses the prevalence, demographics, acute management and outcomes of patients undergoing atrial fibrillation (AFib) catheter ablation procedures.

(Implantable cardioverter defibrillator and pacemaker procedures)

and pacemaker procedures)

A quality program designed for data collection and collaboration among congenital heart disease centers to improve the quality of care for patients.

A quality program designed for data collection and collaboration among congenital heart disease centers to improve the quality of care for patients.

yrtsigeRICPhtaC®

CathPCI Registry®

(Diagnostic cardiac catheterization and percutaneous coronary intervention)

Assesses the characteristics, treatments and outcomes of cardiovascular disease patients who receive diagnostic catheterization and/or PCI procedures.

(Diagnostic cardiac catheterization and percutaneous coronary intervention) Assesses the characteristics, treatments and outcomes of rdiovascular disease patients who receive diagnostic catheterization and/or PCI procedures.

CP Chest Pain — MI Registry™

CPChestPain—MIRegistry™

(Acute myocardial infarction treatment)

Is a risk-adjusted, outcomes-based quality improvement program for all patient s with chest pain.

(Acute myocardial infarction treatment) Is a risk-adjusted, outcomes-based quality improvement program for all patients with chest pain.

CVCVASCRegistrySuite™

CV CV ASC Registry Suite™

(Procedures performed in ambulatory surgery centers and o ce-based labs) O er big-picture reviews, at-aglance assessments and patient-level drilldowns on procedures such as diagnostic catheterization, PCI, and

(Procedures performed in ambulatory surgery centers and office-based labs) Offer big-picture reviews, at-aglance assessments and patient-level drilldowns on procedures such as diagnostic catheterization, PCI, and defibrillator and pacemaker implants.

Establishes a national standard for understanding patient characteristics, treatments, outcomes, device safety and the overall quality of care for ICD/ CRT-D and select novel pacemaker procedures.

Establishes a national standard for understanding patient characteristics, treatments, outcomes, device safety and the overall quality of care for ICD/ CRT-D and select novel pacemaker procedures.

IM IMPACT Registry®

IMIMPACTRegistry®

(Pediatric and adult congenital treatment procedures) Assesses the prevalence, demographics, management and outcomes of pediatric and adult congenital heart disease patients who undergo diagnostic catheterizations and catheter-based interventions.

(Pediatric and adult congenital treatment procedures) Assesses the prevalence, demographics, management and outcomes of pediatric and adult congenital heart disease patients who undergo diagnostic catheterizations and catheter-based interventions.

tsehCniaP—™yrtsigeR

HONORS

HONORS

Chest Pain — MI Registry™

Performance Achievement Award

PerformanceAchievementAward gnitapicitrap slatipsoh sezingoceR

Chest Pain – MI Registr y that have demonstrated sustained, top-level performance in quality of care and adherence to guideline recommendations.

Recognizes hospitals participating in Chest Pain – MI Registry that have demonstrated sustained, top-level performance in quality of care and adherence to guideline recommendations.

Platinum

L LAAO Registry™

LLAAORegistry™

T CCA/STSTVT™yrtsigeR

Gold

(Left atrial appendage occlusion procedures) Captures data on left atrial appendage occlusion (LAAO) procedures to assess real-world procedural outcomes, short and long-term safety, and comparative effectiveness.

(Left atrial appendage occlusion procedures) Captures data on left atrial appendage occlusion (LAAO) procedures to assess real-world procedural outcomes, short and long-term safety, and comparative e ectiveness.

T STS/ACC TVT Registry™

(Transcatheter valve therapy procedures) Monitors patient safety and real-world outcomes related to transcatheter valve replacement and repair procedures – plus emerging treatments for valve disease patients.

(Transcatheter valve therapy procedures) Monitors patient safety and real-world outcomes related to transcatheter valve replacement and repair procedures – plus emerging treatments for valve disease patients.

Silver

Silver

HeartCARECenter™

HeartCARE Center™

Recognizes hospitals that have demonstrated a commitment to world-class cardiovascular care through comprehensive process improvement, accredit at ion, professional excellence, and community engagement.

Recognizes hospitals that have demonstrated a commitment to world-class cardiovascular care through comprehensive process improvement, disease and procedure-specific accreditation, professional excellence, and community engagement.

Hospitals are listed by state and then by level of engagement with the ACC’s quality and process improvement programs.

Hospitals are listed by state and then by level of engagement with the ACC’s quality and process improvement programs.

THE HEART OF QUALITY PATIENT CARE

ALABAMA

Baptist Health

UAB St. Vincent’s

Abrazo Arizona Heart Hospital

Abrazo Arrowhead Campus

Canyon Vista Medical Center

Carondelet St. Mary’s Hospital

Mayo Clinic Arizona

Northwest Medical Center Houghton

Western Arizona Regional Medical Center

Yavapai Regional Medical Center

Yuma Regional Medical Center

Abrazo Central Campus

Abrazo Scottsdale Campus

Abrazo West Campus

Banner Boswell Medical Center......................

Banner Desert Medical Center

Banner Heart Hospital

Banner University Medical Center

Banner University Medical Center

HonorHealth – Deer Valley Medical Center

Valley View Medical Center

Banner Estrella Medical Center

Carondelet St. Joseph’s Hospital

Cobre Valley Regional Medical Center

– Scottsdale Osborn

Regional Medical Center

Children’s Hospital

Valley

ARKANSAS

CHI St. Vincent Infirmary

Health Fort Smith

Health System of

CALIFORNIA

Participants in ACC’s NCDR Registries, Accreditation Services and Awardees

Marian Regional Medical Center

Mills-Peninsula Medical Center

NorthBay Medical Center.................

Palomar Medical Center ..................

Saint Agnes Medical Center

UC Irvine Health .................................

Adventist Health St. Helena

Cedars-Sinai Health Systems

Community Hospital of the Monterey Peninsula

Community Medical Center – Clovis

Community Memorial Hospital

Desert Regional Medical Center

Dignity Health St. Joseph’s

Center

Emanate Health Medical Center

French Hospital Medical Center

Fresno Community Hospital and Medical Center ...............................

Fresno Heart and Surgical

Kaweah Health

Keck Medical Center of

Los Robles Hospital & Medical Center

MemorialCare Long Beach

Providence St. Joseph

Salinas Valley Health

Hospital ....................................

Sharp Memorial Hospital

Shasta Regional Medical

St. John’s Regional

Adventist Health Glendale

Henry Mayo Newhall

John Muir Medical Center

Kaiser Permanente Fontana

Kaiser Permanente Los Angeles Medical Center

Kaiser Permanente San Francisco Medical Center

Kaiser Permanente Santa Clara Medical Center

Lucile Packard Children’s Hospital at Stanford University ..................................

Marin Health Medical Center

MemorialCare Orange Coast Medical Center

MemorialCare Saddleback Medical Center

Northridge Hospital Medical Center

PIH Health Good Samaritan Hospital

Providence Mission Hospital Medical Center

Providence Saint John’s Health Center

San Antonio Regional Hospital

Santa Barbara Cottage Hospital

Santa Rosa Memorial Hospital ..................

Scripps Memorial Hospital – La Jolla

Scripps Mercy Hospital – San Diego

Sharp Chula Vista Medical Center

Sharp Grossmont Hospital .........................

Sutter Santa Rosa Regional Hospital .......

UCLA West Valley Medical Center

White Memorial Medical Center

Adventist Health Sonora...................................

Children’s Hospital of Orange County

Dignity Health Dominican Hospital

Glendale Memorial Hospital and Health Center ..............................................

John F. Kennedy Memorial Hospital

Kaiser Permanente Downey

Center

Kaiser Permanente Irvine Medical Center....

Kaiser Permanente Oakland

Center

Kaiser Permanente Orange County-Anaheim

Center

Lakewood Regional Medical Center

Martin Luther King Jr. Community

Palmdale Regional Medical Center

PIH Health Whittier Hospital ............................

Providence Little Company of Mary Medical Center ....................................

Providence Saint Joseph Medical Center

Providence St. Jude Medical Center

Rady Children’s Hospital – San

THE HEART OF QUALITY PATIENT CARE

Intermountain Health St.

CommonSpirit St. Anthony

Hospital

Intermountain Health

Good Samaritan Hospital

Intermountain Health Platte Valley Hospital

UCHealth

Avista

CONNECTICUT

Francis Hospital

Bayhealth Hospital,

Campus

Beebe Healthcare...................................

Nemours Children’s Health

St. Francis Hospital

Bayhealth Hospital, Sussex Campus

TidalHealth Nanticoke

DISTRICT OF COLUMBIA

George Washington University Hospital

MedStar Washington

FLORIDA

AdventHealth

Cleveland Clinic

Indian River Hospital

AdventHealth Carrollwood

AdventHealth Heart of Florida

AdventHealth Sebring

AdventHealth Wesley Chapel

AdventHealth Zephyrhills

AdventHealth Dade City

AdventHealth North Pinellas

Manatee Memorial Hospital

Memorial Regional Hospital

South Broward Hospital

St. Joseph’s & St. Joseph’s

Children’s Hospitals

Tallahassee Memorial

Health Jacksonville

HCA Florida West Hospital

Lakeland Regional Health

Center

Morton Plant Hospital

of Central

University of CT Health Center John Dempsey Hospital

Orlando

Health Medical Center

Participants in ACC’s NCDR Registries, Accreditation Services and Awardees

HCA

Jupiter

Lakewood

Mount

Palmetto General

Santa

Tampa

Tampa General Hospital

Tampa General Hospital

UF

Bartow

Broward

Florida Medical Center, a Campus of North

HCA

HCA

HCA

Jackson

Johns

Lower

HCA Florida St. Lucie

HCA Florida Trinity

Heart & Vascular Ambulatory

Jackson West Medical

Lee Health – Golisano Children’s Hospital

Memorial Hospital West/South Broward

Nemours Children’s Hospital

North Shore Medical Center

Bay Hospital ....................................................

Sarasota Memorial Hospital

South Lake Hospital ................................................

South Miami Ambulatory Surgery Center

St. Cloud Regional Medical Center

UCF Lake Nona Medical Center ..........................

West Kendall Baptist Hospital ..............................

Wolfson Children’s Hospital

GEORGIA

Hamilton Medical

Wellstar MCG

Piedmont Augusta ..................

St. Joseph’s Hospital

Memorial Health University

Center

Atrium Health Navicent

The Medical Center ................................

Emory University Hospital Midtown

Northeast Georgia Health System

Phoebe Putney Memorial Hospital

South Georgia Medical Center

Southern Regional Medical Center......

St. Mary’s Health Care Systems

Wellstar Kennestone Regional

Center

Coffee Regional Medical Center

Emory Saint Joseph’s Hospital

Emory University

HCA Houston Healthcare

Robins

St. Luke’s Magic

ILLINOIS

Riverside

OSF

Rush-Copley

THE HEART OF QUALITY PATIENT CARE

OSF HealthCare

Rush Oak Park Hospital ................................

Rush University Medical Center

Saint Joseph Medical Center Joliet

UChicago Medicine AdventHealth

Hinsdale

Advocate Condell Medical Center

Advocate Good Shepherd Hospital

Anderson Hospital

Ascension Saint Mary Hospital........................

Deaconess Regional Healthcare

Genesis Medical Center, Silvis ........................

Gottlieb Memorial Hospital .............................

John H. Stroger Jr. Hospital of Cook County ..................................................

Lurie Children’s Hospital of Chicago

Mount Sinai Hospital..........................................

Sarah Bush Lincoln Health Center

Silver Cross Hospital ..........................................

UW Health SwedishAmerican Hospital

Advocate Children’s Hospital Oak Lawn

Advocate South Suburban Hospital

Trinity Hospital ......................................

OSF

Mercyhealth Javon Bea

Northwestern Memorial

Memorial Hospital........................................

Health Saint Francis Hospital of

2025 IMPROVING HEART FAILURE CARE TOGETHER

Coordinated care for post-discharge heart failure treatment is essential to your quality of life. That’s why we advocate the Partner in Care approach. Find health care facilities, outpatient clinics and medical practices that are committed to the best patient outcomes and display these ACC Heart Failure Accreditation seals.

NORTHEAST

Hackensack University Medical Center

Hackensack, NJ

Outpatient Services Partner: JSUMC Advanced Heart Failure Center Neptune City, NJ

JFK University Medical Center Edison, NJ

Outpatient Services Partner: JFK Cardiovascular Clinic

SOUTH

AdventHealth Tampa Tampa, FL

Outpatient Services Partner: Florida Hospital Physician Group

Augusta Health Fishersville, VA

Outpatient Services Partner: Augusta Health Heart Failure Clinic

Baptist Health Paducah Paducah, KY

Outpatient Services Partner: Baptist Health Paducah Heart Failure Clinic

CHI St. Luke’s Health Memorial Lufkin Lufkin, TX

Outpatient Services Partner: The Heart Institute of East Texas

East Jefferson General Hospital Metairie, LA

Outpatient Services Partner: East Jefferson Heart Clinic

King’s Daughters Medical Center Ashland, KY

Outpatient Services Partner: King’s Daughters Structural and Heart Failure Clinic

Methodist Le Bonheur Germantown Hospital Germantown, TN

Outpatient Services Partner: Sutherland Cardiology Clinic

Methodist University Hospital Memphis, TN

Outpatient Services Partner: University of TN Medical Group Cardiology – Methodist University

Novant Health New Hanover Regional Center Wilmington, NC

United Regional Health Care System Wichita Falls, TX

Outpatient Services Partner: United Regional Health Care System

MIDWEST

Lutheran Hospital of Indiana Fort Wayne, IN

Outpatient Services Partner: Lutheran Hospital Advanced Heart Failure Clinic

Trinity Health Ann Arbor Hospital Ann Arbor, MI

Outpatient Services Partner: Trinity Health Michigan Heart

Outpatient Services Partner: Novant Health Heart & Vascular Institute – Wilmington Main

Spartanburg Medical Center Spartanburg, SC

Outpatient Services Partners: Heart Failure Clinic Cherokee Medical Center Gaffney, SC

Heart Failure Clinic Pelham Medical Center

Greer, SC

Heart Failure Clinic Spartanburg Medical Center

Spartanburg, SC

Heart Failure Clinic Union Medical Center Union, SC

WEST

Billings Clinic Billings, MT

Outpatient Services Partner: Billings Clinic Heart Failure and Recovery Clinic

Loma Linda University Medical Center Loma Linda, CA

Outpatient Services Partner: International Heart Institute Outpatient Clinic

Renown Medical Center Reno, NV

Outpatient Services Partner: Heart Failure Program at Renown

KANSAS

THE HEART OF QUALITY PATIENT CARE

Medical

Mercy Health Lourdes Hospital

Norton Hospital

Saint Joseph East

Baptist Health Corbin

Baptist Health Hardin

Ephraim McDowell

Regional Medical Center

Saint Elizabeth Healthcare

Edgewood

Saint Joseph London

St. Claire Regional Medical Center

Clark Regional Medical Center

Harrison Memorial Hospital

Lake Cumberland Regional Hospital

Meadowview Regional Medical Center

Norton Brownsboro Hospital

Owensboro Health Regional Hospital

T.J. Regional Health

University of Louisville Health –

South Hospital

Baptist Health Deaconess Madisonville,

Baptist Health Richmond

Frankfort Regional Medical Center................

Greenview Regional Hospital

Highlands ARH Regional Medical Center

Murray Calloway County Hospital

Norton Women’s and Children’s Hospital

Sts. Mary & Elizabeth Hospital

Bluegrass Community Hospital

Ephraim McDowell Fort Logan Hospital

Ephraim McDowell James B. Haggin Hospital..

Fleming County Hospital

Georgetown Community Hospital

Hazard ARH Regional Medical Center

Jackson Purchase Medical Center

Norton Children’s Hospital

View Hospital

The Medical Center at Russellville

Three Rivers Medical Center

of Louisville Hospital

UofL Health Shelbyville Hospital

LOUISIANA CHRISTUS Ochsner

Participants in ACC’s NCDR Registries, Accreditation Services and Awardees

University of

MASSACHUSETTS

MICHIGAN

Corewell Health, Grand

Marquette

Trinity Health

McLaren Greater Lansing

MyMichigan Medical

Midland

Trinity Health Muskegon

Henry Ford Macomb Hospital

McLaren Bay Region ..............................

McLaren Flint ...........................................

McLaren Macomb ..................................

McLaren Northern Michigan

Trinity Health Oakland Hospital

Ascension Genesys Hospital .....................

Ascension Providence Hospital

Southfield

Ascension St. John Hospital ......................

Borgess Medical Center .............................

Bronson Methodist Hospital......................

Corewell Health, Dearborn ........................

Corewell Health, Lakeland Hospitals

St. Joseph Hospital ......................................

Corewell Health, Royal Oak .......................

Corewell Health, Troy ..................................

Covenant Healthcare

Harper University Hospital .........................

Henry Ford Health ........................................

Henry Ford Jackson Hospital

McLaren Port Huron Hospital ....................

Michigan Medicine

Munson Medical Center .............................

MyMichigan Medical Center Saginaw

University of Michigan Health – Sparrow

University of Michigan Health – West ......

Ascension Providence Rochester

City Hospital

Hospital

Regional Hospital

MyMichigan Medical Center Alpena

Trinity Health Grand Rapids Hospital

Trinity Health Livonia Hospital.........................

Ascension

MISSOURI

THE HEART OF QUALITY PATIENT CARE

Progress West Healthcare

SSM Health Cardinal Glennon

Children’s Medical

SSM Health St. Clare Hospital

Fenton

SSM Health St. Mary’s Hospital – St. Louis

SSM St. Joseph Hospital – St. Charles

SSM St. Joseph Hospital West

St. Louis Children’s Hospital

St. Luke’s Des Peres Hospital

MONTANA

Intermountain Health St. Vincent

Hospital

Medical Center

Health

NEBRASKA

Children’s Mercy Kansas

Citizens Memorial Hospital

Saint Luke’s East Hospital

Luke’s Northland Hospital

SSM Health DePaul Hospital – St.

SSM Health St. Mary’s Hospital –

City

NEVADA

Participants in ACC’s NCDR Registries, Accreditation Services and Awardees

Cooperman

NEW MEXICO

St. Francis Hospital and

New York-Presbyterian

New York-Presbyterian

Weill Cornell Medical Center

St. Joseph’s Hospital ....................

Cayuga Medical Center at Ithaca

Stony Brook University Hospital

Vassar Brothers Medical Center

Westchester County Health Care Corp. .............................

Wyckoff Heights Medical Center

Bassett Medical Center.........................

Buffalo General Medical Center,

Gates Vascular Institute..........................

Garnet Health ..........................................

Good Samaritan Hospital .....................

Jamaica Hospital Medical Center .......

Mercy Hospital of Buffalo .....................

Montefiore Medical Center..................

Mount Sinai Hospital Morningside ....

New York-Presbyterian Brooklyn

Methodist Hospital.................................

New York-Presbyterian Columbia

University Irving Medical Center

NYU Langone Health – Tisch Hospital

UPMC Chautauqua .................................

Upstate Medical University, SUNY .....

Albany Medical Center Hospital...............

Arnot Ogden Medical Center ...................

Ellis Hospital...................................................

Good Samaritan University Hospital

Maimonides Medical Center Division of Cardiology

New York-Presbyterian Westchester .......

Northwell Health Lenox Hill Hospital.......

Northwell Health North Shore

University Hospital .......................................

Northwell Health Staten Island Hospital

NYU Langone Hospital – Long Island

Richmond University Medical Center.......

Rochester Regional Health System

South Shore University Hospital ...............

St. Peter’s Hospital........................................

NORTH CAROLINA

NORTH DAKOTA

THE HEART OF QUALITY PATIENT CARE

Trinity Medical Center

Cleveland Clinic Mercy Hospital.........

Lima Memorial Health System..............

Marietta Memorial Hospital

Mercy Health St. Rita’s Medical Center

Miami Valley Hospital

Mount Carmel East ................................

Saint Elizabeth Youngstown Hospital

Springfield Regional Medical Center

The Christ Hospital Health Network

Adena Regional Medical Center

Blanchard Valley Hospital............................

Genesis Hospital...........................................

Good Samaritan Hospital

Grant Medical Center ..................................

Kettering Health Dayton

Kettering Health Main Campus.................

Community Hospital ..........................

Lake West Medical Center

Mercy Health Fairfield Hospital

OhioHealth Mansfield Hospital

Riverside Methodist Hospital

The Ohio State University Wexner

Center

Hospitals

Center

University Hospitals Elyria

Center

OKLAHOMA

Participants in ACC’s NCDR Registries, Accreditation Services and Awardees

The American College of Cardiology (ACC) thanks Emergency Medical Service (EMS) professionals for your vital role in caring for patients, including those with heart attacks and other heart-related emergencies. We are especially proud of the EMS agencies that partner with the ACC through our Accredited and Certified Chest Pain Centers and Chest Pain – MI Registry™ to advance our mission of transforming cardiovascular care and improving heart health for all. Your dedication helps ensure the best possible outcome for every patient, no matter where an emergency occurs.

EMS PARTNERS IN CARE WITH PARTICIPATING HOSPITALS

Adair County Ambulance District

Northeast Regional Medical Center

American Medical Response, Inc.

Eastern New Mexico Medical Center

Anderson County Emergency Medical Services –

Anderson County EMS

AnMed

Atrium Health Floyd EMS

Atrium Health Floyd Medical Center

Bath Township Fire Department

Lima Memorial Health System

Beacon Hose Company #1

Waterbury Hospital

Bi-County Ambulance

Adventist Health and Rideout

Broken Arrow Fire Department EMS

Hillcrest Hospital South

Brownsville EMS

Valley Regional Medical Center

Brownsville Fire Department

Valley Baptist Medical Center Brownsville

Cabell County EMS

St. Mary’s Medical Center

Carroll County Fire-Rescue

Twin County Regional Hospital

Cathedral City Fire Department

Desert Regional Medical Center

City of Henderson Fire Department

St. Rose Dominican Hospital Siena Campus

City of Russellville Office –

Russellville Fire Department

Saint Mary’s Regional Health System

Denison Fire Rescue

Texoma Medical Center

East Baton Rouge Parish

Our Lady of the Lake Regional MC

Galax-Grayson Emergency Medical Services

Twin County Regional Hospital

Germantown Fire Department

Methodist Le Bonheur Germantown

Global Medical Response/AMR –

Lifeguard Ambulance Services

HCA Florida West Hospital

Good Fellowship Ambulance

& EMS Training Institute Inc.

Chester County Hospital – Penn Medicine

Harrison County EMS

Harrison Memorial Hospital

KAMP Central Ambulance Services

Mon Health Preston Memorial Hospital

Lawrence County Ambulance Services –

Lawrence County EMS

Southern Tennessee Regional Health Systems –

Lawrenceburg

Lee County EMS

Carolina Pines Regional Medical Center

Leon County Emergency Medical Services

Tallahassee Memorial HealthCare

Lima Fire Department

Lima Memorial Health System

Medic Ambulance Services

NorthBay Medical Center

Mercy EMS

UP Health System Portage

Mercy Regional EMS

Baptist Health Paducah

Ambulance Authority – Central EMS

Fayetteville, AR

Washington Regional Medical Center

Metro EMS

Little Rock, AR

University of Arkansas For Medical Sciences

Unity Health White County Medical Center

CHI St. Vincent Infirmary

Montgomery County Fire & Rescue Service

Adventist HealthCare Shady Grove Medical Center

Morgan County Ambulance Service

Centura St. Elizabeth Hospital – Colorado Plains MC

Murrieta Fire & Rescue

Loma Linda University MC – Murrieta

Normal Fire Department

Carle BroMenn Medical Center

Norton Adult Transport/Norton Healthcare, Inc.

Norton Women’s & Children’s Hospital

Oakwood Fire and Rescue

Clinch Valley Medical Center

Pafford Medical Services

Saline Memorial Hospital

Pleasure Ridge Park Fire Protection District

Sts. Mary and Elizabeth Hospital

Ponca City Fire Department

AllianceHealth Ponca City

Pope County Arkansas –

Pope County Emergency Medical Services

Saint Mary’s Regional Health System

Porter Health Services LLC – Northwest Health EMS

Northwest Health Porter

Riverside Ambulance

Riverside Medical Center

Rural Metro of TN LP – American Medical Response

Prisma Health Blount Medical Center

Shreveport Fire Department

CHRISTUS Ochsner St. Patrick Hospital

Willis Knighton Health

CHRISTUS Highland Medical Center

Terra Alta Community Ambulance Squad, Inc.

Mon Health Preston Memorial Hospital

Town of Richlands – Richlands Fire Rescue

Clinch Valley Medical Center

West Feliciana Parish Hospital

Emergency Medical Services

West Feliciana Hospital

Whitesboro Fire Department

Texoma Medical Center

Winchester Fire and EMS

Winchester Medical Center

WVU Medicine – Camden Clark

WVU Medicine Camden Clark Medical Center

Baptist Health Medical Center – North Little Rock

Baptist Medical Center – Little Rock

Palm Beach Gardens Fire and Rescue

Palm Beach, FL

Jessamine County EMS

Nicholasville, KY

Baptist Health Lexington

Saint Joseph East

Saint Joseph Hospital

Professional Ambulance and Oxygen Services

Cambridge, MA

Powell Emergency Medical Service

Deer Lodge, MT

Union EMS

Monroe, NC

Atrium Health Pineville

Atrium Health Carolinas Medical Center

Novant Health Matthews Medical Center

Novant Health Presbyterian Medical Center

Iredell County EMS

Statesville, NC

Novant Health Huntersville Medical Center

Frye Regional Medical Center

Atrium Health Wake Forest Baptist Medical Center

Catawba Valley Medical Center

Atrium Health Carolinas Medical Center

Novant Health Presbyterian Medical Center

Atrium Health Cabarrus

City of Cleveland Ambulance Service

Cleveland, OH

Fairview Hospital

The MetroHealth System

EmergyCare Erie, PA

UPMC Passavant Hospital

Saint Vincent Health Center

UPMC Hamot

Meadville Medical Center

Sharon Regional Health System

Western Berks Ambulance Association

West Lawn, PA

Penn State Health St. Joseph

City of Sugar Land Fire – EMS

Sugar Land, TX

Houston Methodist Sugar Land Hospital

City of Pharr EMS

Pharr, TX

Doctors Hospital at Renaissance

Rio Grande Regional Hospital

McAllen Heart Hospital

Kanawha County EMS

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Take charge of your well-being and set yourself up for a healthier future

Pain and the Power

of the Mind

Mind-body therapies help you reframe awareness of pain, so you can learn to use your mind to control the discomfort.

by Jake Panasevich, E-RYT and Stacey Colino, ACE-CHC, MS

I©

N 2015, Lesley Paterson broke her shoulder during a practice run the day before the Costa Rica XTERRA triathlon. The injury caused her to lose the ability to use her arm. Not only did Paterson compete in the race, but she also crossed the finish line as the winner. Furthermore, the now five-time world champion triathlete battles with debilitating, chronic Lyme disease. She attributes her ability to persevere, despite experiencing mental and physical pain, to the power of her mind.

“It’s a mindset you develop across years and years,” says Paterson, who now works as an Oscar- and BAFTA-winning screenwriter and producer. “It’s something both you’re born with and you develop and cultivate. I’ve dealt with pain my whole life, or rather sought it out.”

The Mind-Body Connection

Paterson’s ability to navigate pain by leveraging her thoughts is also backed by research. For decades, scientists, doctors and health professionals have researched the mind-body connection, or the way that our thoughts and emotions affect our physical health.

Ellen Langer, a professor of psychology at Harvard University and author of The Mindful Body: Thinking Our Way to Chronic Health, is renowned for her groundbreaking research on the connection between mind and body. In 1979, she conducted the pivotal “counterclockwise” study, in which elderly men were immersed in a retreat and lived as if they were 20 years younger. As a result, the men grew “younger” in

health-related measurements

“We had elderly men live there a week as if they were their younger selves. For example, they spoke of the past in the present tense,” Langer says. “In a period of time, less than a week, their vision, hearing, memory and strength all improved and they looked noticeably younger, without any medical intervention.”

This study is part of a larger body of research that illustrates what Langer calls “mind-body unity.” Other studies have shown that participants’ perceptions of time can accelerate healing and reduce fatigue, underscoring the interplay between mental states and physical well-being.

Mindful Decision Making for Pain Management

When Paterson broke her shoulder, she went through a mental, stepwise approach to continue her race, despite the pain she was experiencing.

“I had broken a shoulder. Of course I’m going to feel pain, but it’s something that you’ve trained your mindset to deal with,” Paterson says. “You break it down into small sections. You say, ‘I’m going to do the swim with one arm. If I get through that, and it’s okay, then we move onto the bike. If I manage to make it a mile on the bike, great.’”

Not only did this attitude help Paterson win the race, but it could have helped her manage her pain. Langer says that being

5 Mind-Body Therapies to Help Ease Pain

MANAGING chronic pain involves more than just addressing the physical symptoms; it requires a holistic approach that incorporates both the mind and body. Here are five effective ways to utilize mindbody techniques for managing chronic pain:

1 MINDFULNESS MEDITATION This practice involves focusing the mind on the present moment without judgment. For chronic pain sufferers, mindfulness meditation can help cultivate awareness of pain sensations without becoming overwhelmed by them. By observing pain without reacting emotionally, individuals can reduce the stress and anxiety often associated with chronic pain and, as a result, decrease the perception of pain intensity.

2 YOGA AND STRETCHING Specific yoga poses and stretches can target areas of the body affected by chronic pain, such as the back, neck or joints. The controlled movements and emphasis on deep breathing can reduce muscle tension, improve circulation and release endorphins, which are natural painkillers. Yoga also supports pain management by encouraging mindfulness and body awareness.

3 BIOFEEDBACK The technique uses electronic monitoring equipment to teach individuals how to control physiological processes such as heart rate, muscle tension and skin temperature. By learning to modify these responses through relaxation techniques, visualization or deep breathing, individuals can reduce pain levels and improve their sense of control over their condition.

4 COGNITIVE BEHAVIORAL THERAPY

CBT is a therapeutic approach that helps individuals identify and change negative thought patterns and behaviors. When applied to chronic pain management, CBT aims to modify the way patients perceive and respond to pain. Techniques such as cognitive restructuring (challenging negative beliefs about pain)

and relaxation training can help patients regain a sense of control and reduce the impact of pain on their daily lives. CBT also addresses factors such as depression and anxiety, which commonly accompany chronic pain and can exacerbate symptoms.

5 PROGRESSIVE MUSCLE RELAXATION

PMR involves tensing and then relaxing muscle groups in a systematic manner. This process helps release physical tension and promotes relaxation throughout the body. By practicing PMR regularly, people can learn to recognize and reduce muscle tension patterns that contribute to their pain. PMR is often combined with deep breathing exercises or guided imagery to enhance its effectiveness in managing pain and promoting overall relaxation.

mindful about making decisions leads to less pain and stress and, therefore, better overall health. This approach aligns with the idea that focusing on specific, achievable goals can empower individuals to overcome challenges. Research indicates that instead of telling someone to “try” a task, encouraging them to “do” it results in significantly better performance.

“Instead of wasting your time trying to make the right decision, make the decision right,” Langer says. “The stress from making decisions comes from the fear of not making the right decision. You can’t know what the right decision is because things are always changing. They look different from different perspectives. Make it work.”

Langer believes that being decisive in the language we use for terms like cancer remission also has a profound effect on the outcome. She says that remission has the built-in expectation that the patient is going to continue to be sick, or the disease will eventually return. This can be stressful. Instead, she suggests it’s reasonable for those in remission to see themselves as cured for potentially better results.

“In some sense, you get what you expect,” Langer explains. “Every single thought has an effect on our bodies. Every movement has an effect on our thoughts. It’s all very subtle.”

Power of Positive Thinking

A broken shoulder isn’t the only physical hurdle that Paterson has had to navigate. She first noticed signs of chronic Lyme disease in 2011. Since then, she’s experienced symptoms ranging in severity such as stomach problems, depression, anxiety and fatigue. She had to take off a full season from competing to work with functional medicine doctors.

“I’ve been through massive highs, massive lows and everything in between,” Paterson says. “It’s always believing that you can be better. That you can find something to progress.”

This mindset could have helped Paterson with pain management. Langer says that research on Parkinson’s disease, multiple sclerosis, arthritis and other chronic pain conditions shows that people find great relief by becoming aware that their pain is on a spectrum. Once

someone realizes their pain doesn’t only get worse but feels better at times, it is crucial to consider why it improves. This is an exercise in mindfulness and helps those who are suffering to stay hopeful and seek out solutions.

Relationship Between Emotions and Physical Pain

Paterson’s symptoms of Lyme disease manifest both mentally and physically, and the two are always interconnected.

According to Tom Walters, a board-certified orthopedic physical therapist and author of Rehab Science: How to Overcome Pain and Heal from Injury, navigating pain is both an exercise in therapy and physical movements.

“Often there’s a fear-avoidance scenario, where you have pain and you get scared to do certain movements because you’re worried it’s going to injure you,” Walters says. “Not being able to do those causes depression. Then you move less, and create more pain. A lot of people get caught in that cycle with both anxiety and depression.”

has an effect on our

Every single thought bodies.

Walters says that your mental health can negatively affect the pain you experience and that everyone has unique experiences with pain. He suggests that if someone is experiencing discomfort for more than three to six months, they may want to consider how their thoughts and emotions could be having an effect.

“There’s some research citing that depression is a stronger predictor of chronic back pain than any physical characteristic,” Walters says. “The mental side is definitely tied to physical pain and injuries.”

Empowering Approach to Pain

These days, Paterson continues to pursue her passions as a triathlete, and alongside her screenwriting and producing, these pursuits help to keep her motivated. They also help her navigate painful moments and actively seek out new challenges to conquer.

“I truly believe that mind work is the essence of success in life,” Paterson says. “I put myself in difficult situations and embrace any kind of failures as a way to grow, learn about myself and get better.” l

What Not to Say to People With Chronic Pain (and What to Say Instead)

AN ESTIMATED 52 million adults in the U.S. have chronic pain, which, by definition, lasts for three or more months, according to the Centers for Disease Control and Prevention. Living with it is far from easy.

As a result, navigating conversations with people suffering from chronic pain can be tricky and delicate. There are questions and statements that may seem innocuous, but to those who live with chronic pain day in and day out, they may be upsetting.

That’s why it’s important to be thoughtful about how we talk to people whose life is marked by chronic pain. Here, what not to tell someone with chronic pain— and what to say instead.

“YOU DON’T LOOK LIKE YOU’RE IN PAIN.”

While you might see this as a compliment, it could be interpreted as disbelief that the person is actually feeling as bad as they do or a suggestion that their pain isn’t real.

One way or another, “it invalidates the person’s experience,” says Meghan Beier, an assistant professor of physical medicine and rehabilitation at Johns Hopkins University School of Medicine. This is especially problematic because people with chronic pain often feel unheard, unseen and misunderstood.

Given that you can’t tell how someone feels like by looking at them, it’s better to ask questions like: “How are you feeling today?” “How can I be supportive?” or “How are you feeling compared to how you usually feel?”

“HAVE YOU TRIED _______?”

Whether the blank is filled with a suggestion to try a specific medication, dietary change or alternative remedy, such as acupuncture, these recommendations are rarely appreciated, experts say.

“A lot of times people try to give solutions rather than listening or showing compassion or empathy to the person with chronic pain,” says Ranak Trivedi, an associate professor of psychiatry and behavioral sciences at Stanford University.

As a result, the suggestions can feel patronizing. A better approach, Trivedi says, is to ask which pain treatments or strategies the person has tried that helped.

“IT MUST BE NICE TO GET SOME TIME OFF OF WORK.”

This phrase is frequently used when someone with chronic pain takes sick days or leave, but it can come across as insensitive, as they are likely struggling and not enjoying their time off.

In situations like this, it’s best to acknowledge that they’re in pain

and ask if there are things you can do that might help them feel a little better, such as spending time outside, says Espinola. In that case, you could offer to go with them or help in a specific way by saying something like, “I’m going to the grocery store. Can I get you anything for dinner?”

“I GUESS YOU’RE GOING TO HAVE TO TOUGHEN UP.”

Some people show the sensitivity of a drill sergeant when dealing with those in pain. Telling someone, “We all experience pain,” “Buck up,” or even, “Put on a happy face” sends the message that their pain is insignificant.

Instead, it’s important to practice empathy, compassion and respect to show your support. You could say: “I’m impressed by how well you’re handling this.”

“AT LEAST IT’S NOT CANCER.”

With a statement like this, you’re essentially comparing the person’s pain with cancer, a life-threatening disease. “What you are really saying is ‘I am judging your health condition against something I find to be really scary,’ rather than validating that the person is suffering,” Trivedi says. “People often don’t realize how much someone with chronic pain is suffering.”

Ultimately, it’s important to avoid “compare and despair” moments, Beier says. It’s an unhelpful thinking style, and it could inadvertently add to the person’s distress. Instead, she adds, it’s better to focus on what the person is telling you and be supportive.

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Your Ultimate Menopause Guide

The symptoms may surprise you, but with the right lifestyle strategies and treatment, this hormonal transition can be an empowering period (pun intended) of your life.

by Christine Comizio, MPH ©

HOT FLASHES in the middle of a big meeting. A sleepless night that leaves you dragging all day. A sudden wave of anxiety that seems to come out of nowhere. If you’re in your 40s or 50s and noticing changes like these, you’re not imagining things—you’re likely moving through one of life’s biggest (and least talked about) transitions: menopause.

This natural shift happens to every woman, but it doesn’t always get the attention it deserves. In fact, many women are caught off guard by the wide range of physical and emotional changes that come with this stage, often wondering if stress, an undiagnosed health condition or something else entirely is to blame.

Because conversations about menopause have historically been pushed aside, it can feel isolating—even though more than half the population will experience it. The good news? You don’t have to just “grin and bear it.” With the right knowledge and tools, you can take charge of this stage of life, ease the symptoms that come with it and feel like yourself again—or even better.

Read on to learn about what happens during menopause, its surprising symptoms and the treatments and lifestyle changes that can help you thrive during this new chapter.

A Look at the Transition

Menopause doesn’t happen overnight. In fact, while the average age for menopause is 51, the transition often starts years earlier with perimenopause, the lead-up to menopause that typically begins in a woman’s 40s (although quite a few women experience it in their 30s). Perimenopause can last anywhere from a few months to 10 years—and no two women experience it quite the same way.

During this phase, your ovaries start to slow the production of estrogen and progesterone, the key hormones that regulate your cycle and support everything from bone health to mood. This shift can cause irregular periods, mood changes, hot flashes and other symptoms.

For some women, periods may become heavier or lighter than usual, and cycles may shorten or lengthen unpredictably.

These changes can sometimes feel disruptive or even alarming, especially if you don’t realize they’re part of the transition.

Before menopause, your ovaries release eggs during ovulation each month and produce most of your body’s estrogen. But as you move through this transition, estrogen production gradually declines—and that’s what drives many of the changes you may feel.

Estrogen is a powerful hormone with effects far beyond reproduction. It helps protect bone density, supports the cardiovascular system, influences metabolism and even plays a role in keeping your skin plump and hydrated. When levels drop, it’s no wonder the ripple effects impact so many areas of health—and are felt across so many different parts of your body!

As estrogen levels continue to fall, menstrual periods eventually stop. Then, once you’ve gone 12 months without a period, you’ve officially reached menopause. After that comes postmenopause, the years that follow. By this time, hormone levels stabilize, but for some women, certain symptoms may linger or come and go.

It’s important to know that menopause can also arrive earlier than expected. If it happens before age 45, it’s known as early menopause; before 40, it’s called premature menopause. Menopause can also come on suddenly due to surgery that removes your ovaries or uterus, cancer

treatments like chemotherapy or radiation or certain medications that lower estrogen levels.

The Symptoms May Surprise You

When you think of menopause, hot flashes might be the first thing that comes to mind—and while they’re certainly common, the list of possible symptoms goes well beyond that. The hormonal shifts that happen during this transition can affect your body and mind in ways that might catch you off guard.

Many women experience hot flashes and night sweats, sudden waves of heat that can leave you flushed and drenched (often at the most inconvenient times.) Sleep disturbances are also common, whether it’s trouble falling asleep, staying asleep or waking up drenched from a night sweat.

Cognitive changes, often described as “brain fog,” can make it harder to concentrate or remember things. Some women report that they feel forgetful or struggle to focus at work or at home.

You may experience mood swings or feelings of

PATIENT POWER

anxiety or irritability that seem to appear out of nowhere. Additionally, vaginal dryness and painful sex may develop, along with urinary symptoms, like needing to go more often or more urgently.

You might also notice your metabolism slowing down. Weight gain, especially around the middle, can feel frustratingly hard to avoid, even if habits haven’t changed.

On top of all of this, joint stiffness, low libido, hair and skin changes (think dry, flaky skin and thinning strands) and severe fatigue can add to the mix, making daily life feel more challenging. And then there are other downright odd symptoms like itchy ears and burning mouth. Some women even report tingling in their hands and feet and changes in taste and body odor—all lesser-known but very real effects of hormonal change.

It’s important to remember that no two menopause experiences are alike. Some women sail through this phase with minimal symptoms, while others find that these changes impact their everyday lives in significant and disruptive ways. And while some symptoms may fade within months, others can persist for years after your last period.

That’s why it’s so valuable to seek out resources, whether that’s a supportive healthcare provider, a trusted friend group or evidence-based information online. The more you know, the more empowered you’ll feel to manage this transition on your own terms—and even view it as a time of renewal rather than decline.

Relief Is Possible

The good news is that you don’t have to just power through. Today, there are many ways to ease menopause symptoms, and most women find that a combination of strategies works best.

Hormone Replacement Therapy For those dealing with hot flashes and night sweats, hormone replacement therapy (HRT) remains the most effective option. HRT works by replenishing estrogen, and sometimes progesterone, to help balance the hormonal changes that cause many of menopause’s most disruptive symptoms.

“Hormone replacement therapy is most effective within five years of onset of menopause because after five years, a woman tends to lose her estrogen receptors,” says Dr. G. Thomas Ruiz, OB-GYN and lead physician at MemorialCare Orange Coast Medical Center in Fountain Valley, California.

There are two main types of hormone therapy. Systemic HRT—which can be taken as a pill, patch, cream, gel or spray—helps address whole-body symptoms like hot flashes, sleep disturbances and mood swings. For women who still have a uterus, estrogen is typically combined with progesterone or progestin to protect the uterine lining.

Local HRT, on the other hand, is applied directly to the vaginal area and doesn’t enter the bloodstream. It delivers low-dose estrogen to the vaginal tissue and is especially useful for easing dryness or urinary discomfort.

How long a woman stays on HRT can vary, and regular check-ins are important to reassess whether the

Debunking the HRT Myth

IN 2002, the Women’s Health Initiative (WHI) study made headlines when it reported that hormone replacement therapy (HRT) increased the chance of breast cancer and other health risks for women. Almost overnight, millions stopped taking it, and doctors became cautious about prescribing it. But here’s what’s important to know:

The WHI research painted an incomplete picture. Most of the women in the study were over 60—well past the typical age of menopause—and many had other health conditions that increased their risks. The findings didn’t reflect the experience of younger women who start HRT closer to the onset of menopause.

Estrogen isn’t linked to breast cancer. In fact, newer research shows that estrogen-only HRT can lower the risk of breast cancer in women who have had a hysterectomy.

The benefits often outweigh the risks. For women who begin HRT in their 40s or 50s—within about 10 years of menopause—HRT has been shown to help protect heart health, support bone strength and improve quality of life when used appropriately and under a doctor’s care.

HRT isn’t one-size-fits-all. If you’re considering it, talk with your doctor about your personal health history, timing and goals so you can make an informed choice that’s right for you.

treatment is still needed. Some women decide to stay on it for just a few years, while others may find such great symptom relief that they prefer not to stop using it. Local vaginal therapy can often be used safely for any duration, depending on symptoms.

However, hormone therapy isn’t the right fit for everyone. Women with a history of hormone-sensitive cancers, blood clots or heart or liver problems may need to explore other options. Navigating these decisions means being your own advocate, says Dr. Octavia Cannon, a provider at Alliance Obstetrics and Gynecology in East Lansing, Michigan and a member of the Board of Directors for the American Medical Women’s Association. “If she’s not able to advocate for herself, that’s when she may need to bring someone with her—a friend, sister or partner—to try to describe the things that she’s been going through,” says Cannon.

Nonhormonal Options Not interested in HRT? You’re not out of luck. Certain medications such as antidepressants (SSRIs and SNRIs) at low doses can ease hot flashes and mood swings. “It’s generally half the dose,” Cannon notes. “However, I often see patients who say, ‘I just feel better. I feel less anxious. I feel my mood is better,’ and they want to go on the full dose, which is absolutely fine.” Supplements may also benefit some women. Every treatment plan is unique. Work with your doctor to choose what fits your needs and medical history.

Small Tweaks Can Make a Big Difference

Changes in your daily routine can go a long way toward easing menopause symptoms and helping you feel more like yourself. Many women find that simple adjustments—from what they eat to how they move— can make hot flashes, sleep issues and mood swings more manageable. One of the first steps is paying attention to what triggers your symptoms. For example, hot flashes can be set off by things like alcohol, certain foods and drinks, warm rooms or even stress. Learning to spot your personal triggers makes it easier to avoid or minimize them. “Don’t

underestimate how caffeine, spicy foods and not drinking enough water every day can affect symptoms,” says Cannon.

What you eat matters too. A balanced diet rich in calcium and vitamin D helps support bone health, which becomes especially important after menopause. Experts recommend about 1,500 milligrams of calcium per day for postmenopausal women. Foods like milk, yogurt, leafy greens, almonds and fortified products can help you meet your needs, and getting 15 minutes of sun exposure a day may give you a vitamin D boost. (For more on the best menopause diets, see page 88.)

Staying active is another key piece of the puzzle. Regular exercise—walking, swimming, dancing, yoga or strength training—can help with hot flashes, improve mood and protect against bone loss.

Shut-eye can also become harder to come by during menopause, so focusing on good sleep hygiene is essential. That might mean keeping your bedroom cool and dark, sticking to a regular bedtime and avoiding screens or caffeine before bed.

Finally, don’t underestimate the power of talking about your experience. Sharing what you’re going through—whether with your doctor, partner or friends and family—can help you feel supported and understood while also helping to squash the stigma around menopause. As Cannon encourages, “Start talking to your daughter who’s 25 about what you’re going through at 55—not to complain, but to inform her.” l

Questions to Ask at Your Next Appointment

NAVIGATING menopause is easier when you go into your doctor’s office prepared. And if your doctor seems dismissive or pushes back on treatment options, don’t hesitate to seek a second opinion —you deserve to feel heard and supported. (Tip: If you’re feeling overwhelmed, bring a partner, friend or family member to help you ask questions and take notes.)

Here are some smart, supportive questions to help you get the care that fits your needs:

• Could my symptoms be due to menopause, or should we check for other conditions?

• What are my options for managing hot flashes, sleep issues or mood swings?

• Is hormone therapy a good fit for me? What are the benefits and risks in my case?

• If HRT isn’t recommended, what nonhormonal treatments could help?

• How can I help to protect my bone and heart health both during and after menopause?

• Are there lifestyle changes you’d suggest for easing my symptoms?

• How often should we check in to reassess my treatment plan?

Walking Toward Better Health W

Putting one foot in front of the other is a simple way to reduce your risk of chronic disease.

by Cedric X. Bryant, PhD, FACSM ©

ALKING is something almost everyone does every day. It doesn’t require fancy equipment, expensive membership or hours of free time. Yet despite how easy it is, many of us aren’t doing it nearly enough. Sitting too much and moving too little has become the norm for many people. But adding more steps to your daily life is one of the most powerful things you can do to improve your health. In fact, walking just a little more each day can help protect you from a slew of chronic diseases while also improving your quality of life.

Let’s take a closer look at the benefits of walking, how many steps are right for you and simple ways to get moving—one foot at a time.

Why Walking Matters

Research shows that walking just 30 minutes a day, five days per week—or about 150 minutes a week in total—can offer enormous health benefits. It supports mental health by reducing stress, easing anxiety and helping to manage depression. Many people also report sleeping better when they walk more during the day. And walking doesn’t only help with how you feel—it also reduces your risk of disease. Studies have found that consistent walking can help prevent heart disease, type 2 diabetes and even some cancers.

Even if you already exercise at the gym or take fitness classes, walking adds another layer of protection. It can help with balance, flexibility and the kind of movement that supports your everyday tasks. Better yet, the benefits begin almost immediately. A brisk walk can lift your mood, give you a burst of energy and help you think more clearly.

How Many Steps Do You Really Need?

You’ve probably heard that 10,000 steps a day is the magic number for good health. While it’s a good target for many people, it’s not the only number that matters.

A mile is roughly 2,000 steps, so walking 10,000 steps means you’re covering about five miles a day. That’s a great goal, but it’s more important to focus on improving your current habits rather than hitting a big number right away.

If you’re currently walking about 4,000 steps a day, increasing your steps by just 20 percent each week is a realistic way to improve your health. For example, aim for 4,800 steps next week, and then 5,800 the week after that. Small increases add up over time and are more likely to become permanent habits.

You also don’t need to carve out a large chunk of time to fit in your daily steps. Even just five minutes of walking every hour can help reduce the health risks that come from too much sitting. So whether you’re walking across the parking lot, around your house or through the grocery store, every step truly does count.

Make It a Habit

Incorporating walking into your daily life is simpler than it may seem, but making it a lasting habit takes patience and consistency. Many people believe it takes 21 days to form a new habit. While that might hold true for simple behaviors, more complex routines (like regular exercise) usually take longer. In fact, research suggests that sticking with an activity like daily walking can often take several months—or even up to almost a year—before it truly becomes second nature. So if you struggle at first, you’re not alone.

The key is to fold walking into your natural rhythm.

Treat it like any other important appointment. Block out time on your calendar the way you would for a meeting or a doctor’s visit. Giving your walks a set place in your schedule not only helps you follow through—it signals to others (and yourself) that your health is a priority.

Making walking enjoyable also increases the chances you’ll stick with it. That might mean queuing up your favorite playlist or podcast, choosing a route with beautiful scenery or inviting a friend along for the conversation. When walking becomes something you look forward to, rather than just another task, it’s more likely to stick.

Of course, becoming someone who walks every day—or someone who moves more in general—doesn’t happen overnight. It’s a gradual shift, built from small, repeated choices. If you’re just starting out, ease into it. Begin with short walks a few times a week and let your routine grow naturally over time. Walking may be the focus, but it doesn’t have to be the only form of

10 Ways to Every Day Walk More

YOU DON’T need to carve out hours of free time to walk more. With a few smart strategies, you can turn everyday moments into opportunities for movement. Here are 10 ways to add more steps into your daily life:

1 Keep your walking shoes within reach. Stash a comfortable pair of walking shoes in your car, by your desk or near the front door. That way, when you find yourself with a few free minutes—whether between meetings or before an appointment—you can easily head out for a refreshing 10-minute stroll. These mini-breaks not only add steps but also help clear your mind.

2 Invite someone to join you. Walking with a friend, coworker or family member makes movement feel less like a chore and more like quality time. A midday walk with a colleague can boost creativity and productivity, while a post-dinner stroll with a loved one offers a chance to connect—and sneak in more steps.

3 Move while your child is at practice. Instead of staying seated in the car or on the sidelines during your child’s activities, take a few laps around the field, gym or nearby neighborhood. It’s a sim-

ple way to stay active while setting a positive example.

4 Use a fitness tracker to stay accountable. Wearable devices like pedometers, smartwatches and fitness rings can help you track your activity and set realistic goals. Whether you’re aiming for 10,000 steps or simply trying to do more than yesterday, having data at your fingertips can be a powerful motivator. Even reaching 7,000 steps a day can meaningfully lower your risk for heart disease and early death.

5 Choose the long way around. Look for chances to add extra steps into your routine. Walk to a restroom on another floor, take a longer route to your coworker’s desk or loop the block before grabbing the mail. These small choices add up without requiring extra time in your day.

6 Park once and walk. When running errands, pick a central parking spot and walk to each store instead of driving between them. If your shopping bags get heavy, drop them off at the car and continue on. This simple change can increase your daily steps while saving on gas and reducing stress.

7 Walk part of your commute. If you drive to work, consider parking a

few blocks away. If you take public transit, get off one stop early. Even five to ten minutes of walking at the start or end of your commute can lift your mood, energize your morning or help you wind down after a long day.

8 Switch up your scenery. Variety makes walking more enjoyable. Try starting your walks from different places—like a friend’s house, a local park or your office—and explore new routes. Changing up the view can make each walk feel like a fresh experience.

9 Turn calls into walking time. Meetings and phone calls don’t always have to be seated. When appropriate, take work meetings on the go or walk around the house while on long calls. You can also turn evening phone chats with friends or family into “walk and talk” sessions—adding movement while deepening connection.

10 Make it a game. Friendly competition can inspire consistency. Challenge your friends, coworkers or family members to a walking goal using a free app to track steps or minutes. Whether it’s teambased or individual, the shared effort and bragging rights can keep everyone moving.

movement you enjoy. Dancing in your kitchen, swimming laps, gardening or biking through the neighborhood all count. What matters most is that you’re moving your body in ways that feel good and fit your life.

Find Your Walking “Why”

Understanding your personal reason for wanting to move more can also help you stay motivated. Maybe you want to feel more energized during the day, find an outlet to help manage stress or go on hikes with your kids. Whatever your “why,” keep it in mind—it’s your anchor. On days when you aren’t feeling in the mood to lace up your sneakers, focusing on your “why” can help inspire you to stick with it.

If you’re still struggling to make walking a habit, social

support can also make a difference. Walk with a friend, join a neighborhood walking group or connect with others through a shared step challenge. Accountability and shared motivation often make movement more enjoyable—and more consistent.

Above all, stay positive and patient. If you miss a walk, don’t see it as failure. Just get back to it the next day. Progress doesn’t require perfection and life is busy and unpredictable, so adjust as needed. If mornings are packed, try walking after dinner. The best time to walk is the one that works for your life. Remember: Habits don’t form overnight, but every walk you take brings you closer to a healthier, more active lifestyle. Step by step, you’re building a routine that supports your well-being—and that’s something worth sticking with. l

Making the Most of Your Fitness Tracker

FITNESS TRACKERS have evolved far beyond step counters. Many now measure heart rate, track sleep, monitor stress and log your body temperature. But no matter how advanced the technology, your tracker is only helpful if you use it consistently—and use it well. Follow these eight tips to get the most out of your device.

• Wear your tracker daily. Wearing it regularly builds awareness and reinforces your health goals. Keeping it charged and ready to go is key, so try plugging it in during routine moments, like while you shower or eat breakfast.

• Set it up properly. Be sure to input your details—age, weight, height and fitness level—accurately. This helps your tracker provide more personalized data, whether it’s step count, heart rate zones or calories burned.

• Be realistic. Set goals that match where you are now, not where you think you should be. If you’re walking 5,000 steps a day, jumping to 10,000 overnight may be more frustrating than moti -

vating. Gradually increase your targets and build from there.

• Make it fun. Many trackers let you join social challenges or form groups with friends and family. These can offer accountability and a boost of motivation on days when you might otherwise skip your walk.

• Don’t stop at counting steps. Explore other features your device offers—such as sleep tracking, GPS mapping for outdoor workouts or syncing with nutrition and hydration apps. The more complete your health picture, the better your progress can be.

• Watch for trends over time. For instance, if your sleep quality dips

after late-night workouts, you might consider exercising earlier in the day. Use the data as a guide, not a judgment.

• Use prompts. Set reminders that support your routine, like prompts to move every hour or go to bed at the same time each night. These small nudges can help you stay consistent without feeling overwhelmed.

• Be kind to yourself. A missed step goal doesn’t mean failure—it simply means tomorrow is a new chance to try again. Your fitness tracker is a tool to support your journey, not a scorecard. Focus on progress, and let that be enough.

Best Diets of 2025

Your goal: to find the plan that will work for you.

by Gretel Schueller ©

N ANY GIVEN DAY, millions of people in the U.S. are trying to lose weight. More than half of Americans reported that they followed a specific eating pattern or diet at some point in the past year, according to the International Food Information Council’s 2024 Food & Health Survey.

OYet, only 20% of dieters will be able to keep their weight off for 12 months. The truth is, dieting is hard. Many fad diets don’t work, and some can even threaten your health. And digging through mounds of information to decipher whether a particular plan lives up to the hype can be overwhelming.

U.S. News Best Diets 2025 cuts through the diet chatter to identify the plans that are most likely to help you reach your goals—whether that’s losing weight, managing a health condition (like high blood pressure or diabetes) or simply wanting to eat healthier. Then, you can decide, in consultation with your doctor or other health professional, which diet is best for you.

Now in its 15th year, U.S. News Best Diets has released its rankings for 38 popular diets across 21 categories based on various criteria, from their healthiness to the likelihood of their helping you lose weight. Many diets, like WeightWatchers, are household names, while others—like the DASH (dietary approaches to stop hypertension) and MIND diets —should be. And for 2025, the health team added 13 new ranked diets, including the menopause diet, Whole30 diet, acid reflux diet, BRAT diet and gluten-free diet.

The focus of healthy eating has evolved beyond weight loss, encompassing overall well-being and chronic disease prevention. So for 2025, U.S. News added 12 new Best Diets categories for evaluation, all focused on specific health and lifestyle needs. We mined medical journals, government reports and other resources and interviewed leading health and nutrition experts to create in-depth profiles for each diet. You can find these at health.usnews.com/bestdiets.

We’re not going to tell you what diet you should be on, but we can help lead you to a winner—the best diet for you.

The Methodology

Our Best Diets panelists consists of 69 experts, including medical doctors, registered dietitian nutritionists, nutritional epidemiologists and weight loss researchers who are leaders in their field. They thoroughly evaluated all 38 diets.

We worked with The Harris Poll to devise the methodology used in this year’s rankings. When considering Best Diets Overall, panelists considered: nutritional completeness; health risks and benefits; long-term sustainability; and evidence-based effectiveness.

Panelists considered each diet’s strengths and weaknesses and the specific goals each diet might be most effective at addressing, which they shared in openended responses. The Best Diets panelists also shared aspects of each diet they particularly liked or disliked and provided advice for those considering the plan. The latest rankings, which feature everything from the Mediterranean diet to the popular keto diet, can help you find the top plan for you. For the full rankings, go to health.usnews.com/bestdiets. l

How the Plans Compare Overall

A Healthier Approach

The Best Diets for Your Health Goals

Whatever your reason for wanting to change your diet, one of these science-backed plans will help you find success.

Best Diets for Menopause

These plans minimize the symptoms of menopause, such as weight gain, hot flashes and bone density declines.

Best Diets for Diabetes

These eating plans were found to be the most effective at managing blood sugar levels for people with diabetes.

Best Diets for Brain Health

These are the best dietary choices to protect and preserve cognitive function for a healthy brain and sharper mind.

Best Diets for Weight Loss

These diets facilitate weight loss at a healthy rate of one to two pounds a week and maintain it for the long term.

Best Fast Weight Loss Diets

These diets fulfill the short-term goal of losing weight quickly (in three months or less), even if it’s not sustainable for the long term.

Best PlantBased Diets

These healthy, plant-based diets range from entirely vegan to those that allow for a flexible mix of plant-forward foods.

Best Diets for Inflammation

These

Best Diets for Mental Health

When it comes to supporting mental well-being and mood, these diets came out on top.

Best Diets for Heart Health

These diets are for people who want to improve heart health, from helping control blood pressure to reducing cholesterol.

WORST FOODS FOR GUT HEALTH

If your digestive health is a priority, these foods should be consumed in moderation.

1 SUGARY FOODS AND DRINKS Excess sugar is one of the worst offenders for gut health. A 2018 study in the journal Nutrients found that mice who were fed a diet high in excess sugar experienced an alteration in the makeup of their gut microbiome as well as increased gut permeability (also known as leaky gut) and increased inflammation. This in turn increased rates of fatty liver disease.

2 ARTIFICIAL SWEETENERS If sugar is harmful to gut health, artificial sweeteners should help you avoid that problem, right? Not so fast. Artificial sweeteners (like stevia, aspartame, sucralose and saccharin) are also some of the biggest culprits when it comes to poor gut health. An array of artificial sweeteners pass through the body undigested, which means they can negatively affect the microflora in your gut, says Lisa Jones, a registered dietitian based in Philadelphia.

3 ALCOHOLIC BEVERAGES Drinking more than the recommended amount of alcohol (two drinks or less a day for men and one drink or less daily for women) can harm your gut microbiome, Jones says. Research published in the journal Gut Microbes in 2020 suggests that drinking alcohol excessively is also associated with dysbiosis, which occurs when the bacteria in your gastrointestinal tract—including your intestines—become unbalanced.

4 FRIED FOODS Saturated fat, a key feature of fried foods, is hard on the gut, making these foods more difficult for your body to digest compared to fresh fruits and

vegetables, Jones says. “The oils that may be used to fry the food are rich in saturated and trans fats, which can bother your gut,” she explains. This can lead to diarrhea, gas and stomach pain.

5 RED MEAT While they might be delicious off the grill on a hot summer day, fatty meats like burgers, sausages and hot dogs can all be problematic. “Diets high in red meat and fats are especially bad for gut health,” says Kim Kulp, a registered dietitian nutritionist specializing in gut health and the owner of Gut Health Connection in the San Francisco Bay Area. “When gut microbes feed on red meat, they release an enzyme that can lead to inflammation.”

6 SALTY FOODS Salty foods can also be detrimental to gut health, notes Dr. Edward Salko, a practicing emergency physician in Kennewick, Washington and the medical director of Personalabs, a direct-to-consumer lab testing and telehealth company based in Fort Myers, Florida. “Salty foods cause bloating, fluid retention, headaches and high blood pressure,” he explains, adding that they can also disrupt protein digestion, which can alter how the gut microbiome functions.

7 ULTRA-PROCESSED FOODS Ultra-processed foods tend to be high in additives, salt and excess sugar, all of which aren’t great for gut health. They’re also typically low in dietary fiber, which is an important micronutrient for maintaining gut regularity and feeding the beneficial bacteria in our gut. Highly processed foods include bacon, ham, pate and sausage; cakes and cookies; processed lunch meats; and soft drinks.

BEST FOODS FOR GUT HEALTH

The best thing to do for your digestive system is focus on a varied, nutritious diet. “Having diversity in your diet can improve the gut microbiota and allow more of the good bacteria to flourish,” explains Amber Core, a registered dietitian at the Ohio State University Wexner Medical Center in Columbus. This is especially important if you are taking antibiotics, which can disrupt your gut health and upset the balance of healthy microbes in your gut. Here, three types of gut-happy foods to fill your plate with.

1 PROBIOTIC FOODS Probiotics are live, health-promoting microbes, mainly bacteria and yeast. Examples of probiotics include lactobacillus (found in fermented foods, such as yogurt), bifidobacterium (found in some dairy products) and saccharomyces boulardii (a type of yeast that’s often found in probiotic supplements).

While probiotics can be sourced from supplements, many (but not all) fermented foods are teaming with probiotics, which can help populate the gut with beneficial microbes. Examples of fermented foods that are rich sources of probiotics include raw sauerkraut, yogurt, kimchi, miso, kefir and kombucha. Make sure to look for a label stating that the product contains live and active cultures. You should also be able to find the full probiotic name on the label.

2 PREBIOTIC FOODS Prebiotics, on the other hand, are plant fibers that the healthy bacteria in the gut feed on. When healthy gut bacteria break down prebiotics, they get energy for themselves. This increases their chance of survival in the gut. A diet high in prebiotic foods improves

digestion, supports the immune system and helps with the absorption of nutrients. Prebiotic-rich foods include certain fruits (bananas, raspberries, apples and kiwis); leeks, onions and garlic; beans and legumes; barley and oats; potatoes; asparagus; and flaxseeds.

3 HIGH-FIBER FOODS Good bacteria also love to chomp down on fiber. Fiber is a type of nondigestible carbohydrate that passes through the body without breaking down into its constituent parts. It helps your body regulate how to use sugar and can keep hunger and blood sugar levels in check.

Good sources of fiber include leafy greens, such as spinach and kale; cruciferous vegetables, such as Brussels sprouts, cauliflower and broccoli; beans, peas, lentils and other legumes; apples, pears, grapes and other fresh fruits; prunes, raisins and other dried fruits; avocados; root vegetables, such as potatoes, carrots and beets; whole grains, such as oats, quinoa, brown rice and whole-wheat bread; popcorn; dates; and nuts and seeds.

THE BOTTOM LINE

The foods that support gut health generally support overall health, but if you’re having stomach problems, you shouldn’t try to self-treat with food or supplements. Make an appointment to see your doctor if you have significant abdominal pain that occurs frequently or lasts more than a day, unexplained weight loss, changes in bowel habits, blood in your stool or a family history of gastrointestinal illnesses. Together, you can decide on the best treatment course to help your gut and your overall health. l

9 Signs of an Unhealthy Gut

THERE CAN BE many, sometimes subtle, signs that your gut isn’t in balance, including these nine clues.

1 FREQUENT STOMACH UPSET

If your stomach often feels upset or you frequently have gas or bloating, that could be a sign that your gut health isn’t optimal.

2 INTOLERANCE OF CERTAIN FOODS

Feeling unwell after eating a specific food could point to an intolerance of that item or a component of it, which could be a sign of a problem in the gut.

3 INTENSE CRAVINGS

Do you suddenly have intense cravings for a specific food? Any changes in cravings could be a sign that your gut needs something to help bring it back into balance.

4 UNINTENDED WEIGHT FLUCTUATIONS

Gaining or losing weight without meaning to could point to an underlying issue in the gut. If your gut isn’t functioning optimally, your body may not be absorbing the nutrients it needs, leading to weight changes and potential nutritional deficiencies. You should talk to a health care provider any time your weight changes significantly.

5 SKIN IRRITATIONS OR AUTOIMMUNE DISORDERS

Your specific blend of gut microbiota can affect how well your immune system functions. As a result, a problem with your digestive health can show up as rashes, skin irritations, an autoimmune disor-

der, such as Crohn’s disease, or a thyroid problem.

6 MIGRAINES OR FREQUENT HEADACHES

If you get a lot of headaches or experience migraines, the problem may be related as much to your gut as to your head. There seems to be a direct line of communication between the gut and the brain, and a disruption in one could lead to problems in the other.

7 DIFFICULTY SLEEPING OR EXCESSIVE FATIGUE

If you don’t have a reason to feel more tired than usual, your lack of energy might be related to your gut. Your circadian rhythm—the sleepwake cycle that means you feel tired at night and alert during the day—is regulated in the brain, which is connected to the gut.

8 IRRITABILITY OR OTHER MOOD CHANGES

Mood changes can be related to a broad range of problems, but it might be worth looking at your diet and your gastrointestinal health for an underlying cause. With your brain and brain chemistry tied to your gut microbiome, a problem there could lead to mood instability as well as potential shifts in your mental health.

9 CHANGES IN BATHROOM HABITS

Having trouble going—or going too often? Both constipation and diarrhea can be signs of problems with your gut health. While it’s not uncommon to experience constipation or diarrhea from time to time, if you develop chronic symptoms or can’t seem to find another reason to explain why it’s occurring, your gut microbiome could be to blame.

How to Put Together a Family Medical History

Your family’s medical past may hold the key to your future health. Learn how to build a complete history and use it to personalize your prevention plan.

by Barbara Sadick ©

UNDERSTANDING your family’s health history can be one of the most powerful tools for protecting your own well-being. By identifying medical patterns and inherited traits, you and your doctor can create a personalized healthcare plan, possibly preventing serious conditions before they start.

That’s exactly what Betsy Adler set out to do. After learning that several of her first cousins had battled cancer—and that three male cousins had died from various forms of the disease—Adler decided to take action. She consulted a genetic counselor, who guided

her through the process of gathering and analyzing her family’s health data. A blood test soon followed, checking for inherited gene mutations that could increase her risk for certain cancers.

“Knowing what medical conditions run in your family can give you a heads-up on medical problems you may be at risk for, and from there you and your doctor can work to ensure your treatment is personalized to target certain risks and to possibly prevent them from occurring,” says Dr. Wendy Chung, a geneticist and chief of the

department of pediatrics at Boston Children’s Hospital.

So what exactly goes into a family medical history— and why does it matter? Let’s take a closer look.

Knowledge Is Power

While lifestyle and environmental factors have the heaviest influence on our health, genetics also play a role. We inherit two copies of each gene, one from each parent. These genes determine traits like eye color and height, but they also influence our likelihood of developing certain illnesses.

Some conditions, such as sickle cell anemia, cystic fibrosis and particular forms of cancer, are caused by genetic mutations. Most families have at least one member who has faced a chronic illness like cancer, heart disease or diabetes.

But relying on family anecdotes isn’t enough. Collecting accurate medical information allows you and your physician to identify hereditary risks, consider early or

more frequent screenings, decide whether genetic testing is warranted and develop a targeted prevention or treatment plan. Although you can’t change your genes, you can adjust your lifestyle and environment. For example, if heart disease or diabetes runs in your family, improving your diet and increasing physical activity can lower your risk. If there’s a pattern of breast or ovarian cancer, particularly in families of Ashkenazi Jewish descent, your doctor may recommend testing for BRCA gene mutations.

Just like Adler, who underwent testing for 71 genetic markers, you too can take proactive steps. “As more genetic tests become available, more people are taking them to investigate their family history of diseases,” says Chung. “The more we discover about genetic medical histories, the more personalized your medical care should become.”

What to Include

A family medical history typically includes chronic illnesses, past treatments and medications, ethnic background, environmental exposures and lifestyle factors such as diet, exercise, alcohol use

Lifestyle and environment have the heaviest influence on health.

Hereditary Health Conditions

MANY HEALTH conditions tend to run in families. If a close relative has been diagnosed with one of the following, you may be at higher risk: Heart Disease & High Blood Pressure: A family history of early heart disease or hypertension raises your risk. Lifestyle changes like improving your diet, exercising, reducing stress and quitting smoking can help.

regular exercise and weight management are key preventive steps. Breast, Ovarian & Colorectal Cancers: Genetic mutations such as BRCA or patterns like multiple early-onset cancers in the family may signal increased risk. Early screening and genetic testing can be lifesaving.

detected early through newborn screening. Carrier testing is available for those with a family history or from higher-risk ethnic groups.

Asthma & Allergies: Asthma often runs in families, especially when allergies are also present. Avoiding known triggers may reduce flare-ups. Diabetes: If a parent has diabetes, your risk is higher. A healthy diet,

Tay-Sachs Disease: Most common in Ashkenazi Jewish, French-Canadian, Cajun and Amish populations, Tay-Sachs can be identified through carrier screening before or during pregnancy.

Obesity: Genes influence appetite, metabolism and body fat distribution, but environment plays a big role too. Healthy habits can counteract inherited tendencies.

Single Gene Disorders: Conditions like Huntington’s disease, Marfan syndrome, and Duchenne muscular dystrophy are rare but often hereditary. If they appear in your family, seek genetic counseling. Sickle Cell Disease & Cystic Fibrosis: These inherited disorders can be

Arthritis: Some types, especially osteoarthritis, may run in families. Symptoms can be managed with medication, physical therapy and weight management.

Genetic counseling 101

GENETIC COUNSELING is a process that helps individuals understand how inherited diseases and conditions might affect them or their families. It’s often the first step when your family medical history raises red flags. Knowing what the process involves—and whether it could be right for you— can help you take the next step with confidence.

Who should consider genetic counseling? You might benefit from genetic counseling if:

• Se veral close relatives have had the same or related types of cancer

• A relative was diagnosed with a genetic condition like cystic fibrosis or Huntington’s disease

• A family member had a disease at an unusually young age

• You’re planning to start a family and have concerns about inherited conditions

What can I expect? A session typically involves a trained genetic counselor reviewing your personal and family health history and assessing your risk for inherited conditions. They should also:

• Create a detailed family health tree

• Discuss whether genetic testing might be appropriate for you

• Explain possible outcomes and what they mean for your health

• Help you make informed decisions about prevention, screening or treatment options

How can I start? Ask your doctor for a referral, or check with major hospitals and cancer centers. Many have dedicated genetic counseling services.

and smoking habits. This history isn’t fixed—it should evolve over time as new information comes to light and additional family members are diagnosed.

To start building your family history, talk to relatives on both sides of your family. Begin with your parents, siblings and children, then expand to grandparents, aunts and uncles, nieces and nephews and cousins. The more distant the relative, the less directly their health may affect you, but broader patterns can still be informative.

“Once you’ve collected family medical history, it can be a clear way to determine whether you and your family need to worry about certain medical conditions,” says Adam Buchanan, a genetic counselor and chair of the department of genomic health at Geisinger Health. “You may see obvious patterns.”

As you gather information, focus on each relative’s relationship to you, date of birth, ethnic background and gender. Record their current age or, if deceased, their age and cause of death. Include any illnesses or chronic conditions they had, when they were diagnosed, any surgeries or hospital stays and any medications they were prescribed. Details about smoking, drinking, diet, exercise, mental health and pregnancy complications can also provide insight into risk patterns.

Don’t worry if you don’t have every piece of information at the start. Even partial details can be valuable. To streamline the process, consider using digital tools or apps designed for family health tracking, which make it easier to organize information and share it securely with healthcare providers. Keeping a binder of written notes or even simple charts can also be effective, especially if multiple relatives are planning to contribute information.

If you are adopted and do not have access to your biological family’s medical history, reach out to the adoption agency if possible, or contact your birth relatives directly if appropriate.

Red Flags to Watch For

Once your family health information is gathered, reviewing it with your doctor can help you identify potential red flags. If a particular disease shows up repeatedly among your relatives, especially if it appears earlier than expected, it could indicate a genetic risk. A family history of multiple related cancers— such as colon, uterine and ovarian cancer—might suggest an inherited syndrome like Lynch syndrome.

These are signs that more frequent checkups or earlier screenings may be recommended. Your doctor might also advise genetic counseling or testing. What’s important is that you don’t wait—act on the information you have.

A Tool for Prevention

A well-documented family medical history is more than just a collection of facts. It’s a tool that can guide healthcare decisions for you and your loved ones. Most doctors are trained to spot patterns that may not be obvious to patients, and those insights could be critical.

“You should want to know your family’s medical history to keep you and your relatives healthy,” says Dr. Chung. “It’s one of the best ways to get ahead of anything that might be coming your way.” l

Best Hospitals

HONOR ROLL

2025-26

The 20 hospitals recognized on the Honor Roll excel in treating patients with complex diagnoses as well as those with relatively routine needs. Selection for the Honor Roll is based on points, which hospitals received for strong rankings and ratings. Hospitals that earned at least 311 out of 555 possible points made this year’s list. Each hospital on the 2025-2026 Best Hospitals Honor Roll, listed below in alphabetical order, is nationally ranked in 10 or more of the 15 Best Hospitals specialties and is rated “high performing” in most of 22 common procedures and conditions (see Page 179 and health.usnews.com/best-hospitals).

AdventHealth Orlando, Fla.

Brigham and Women’s Hospital, Boston

Cedars-Sinai Medical Center, Los Angeles

Cleveland Clinic

Hackensack U. Med. Ctr. at Hackensack Meridian Hlth., Hackensack, N.J.

Hosps. of U. of Pennsylvania-Penn Presbyterian, Philadelphia

Houston Methodist Hospital

Johns Hopkins Hospital, Baltimore

Massachusetts General Hospital, Boston

Mayo Clinic-Arizona, Phoenix

Mayo Clinic-Rochester, Minn.

Mount Sinai Hospital, New York

New York-Presbyterian Hospital-Columbia and Cornell

Northwestern Medicine-Northwestern Memorial Hospital, Chicago

NYU Langone Hospitals, New York

Rush University Medical Center, Chicago

Stanford Health Care-Stanford Hospital, Palo Alto, Calif.

UCLA Medical Center, Los Angeles

UCSF Health-UCSF Medical Center, San Francisco

University of Michigan Health-Ann Arbor

A Guide to the Rankings

How we identified 152 outstanding hospitals in 15 specialties

by Ben Harder ©

FOR MORE THAN three decades, the mission of the U.S. News & World Report Best Hospitals rankings has been to help guide patients, in consultation with their doctors, to the appropriate place when they need a high level of specialty care. These are patients whose surgery or condition is complex, or whose advanced age, physical infirmity or existing medical condition limits their options.

Such people account for a small fraction of hospital patients, but they add up to millions of individuals—and many hospitals may not be able to meet their needs. A hospital ranked by U.S. News in cancer, say, is likely to have the expertise and capability to enroll an elderly patient with a metastatic tumor into a clinical trial for an unproven but innovative treatment.

Some community hospitals can also provide access to such experimental therapies. But not all.

The following pages offer hospital rankings in 15 different specialties, from cancer to urology. Of more than 4,000 hospitals evaluated by U.S. News this year, only 152 performed well enough to be ranked in any specialty.

In 12 of these 15 specialties, analysis of objective data from the federal government and other sources generated the main factors determining whether a hospital was ranked. To capture medical experts’ opinions, we also factored in results from annual surveys of specialist physicians who were asked to name hospitals they consider best in their specialty at handling difficult cases.

Hospitals in the other three specialties (ophthalmology, psychiatry and rheumatology) were ranked solely on the basis

Progress moves us forward

Progress moves us forward

Progress moves us forward

Progress moves us forward

Cedars-Sinai is proud to be ranked #1 in California*, #1 in Los Angeles* and named to U.S. News & World Report’s

Cedars-Sinai is proud to be ranked #1 in California*, #1 in Los Angeles* and named to U.S. News & World Report’s

Cedars-Sinai is proud to be ranked #1 in California*, #1 in Los Angeles* and named to U.S. News & World Report’s

Cedars-Sinai is proud to be ranked #1 in California*, #1 in Los Angeles* and named to U.S. News & World Report’s

“Best Hospitals 2025-26” Honor Roll for the 10th consecutive year. We’re incredibly grateful to all of our employees and the communities we serve for helping us to achieve this vital milestone.

“Best Hospitals 2025-26” Honor Roll for the 10th consecutive year. We’re incredibly grateful to all of our employees and the communities we serve for helping us to achieve this vital milestone.

“Best Hospitals 2025-26” Honor Roll for the 10th consecutive year. We’re incredibly grateful to all of our employees and the communities we serve for helping us to achieve this vital milestone.

“Best Hospitals 2025-26” Honor Roll for the 10th consecutive year. We’re incredibly grateful to all of our employees and the communities we serve for helping us to achieve this vital milestone.

Cedars-Sinai specialties ranked in the top 10 nationally:

Cedars-Sinai specialties ranked in the top 10 nationally:

Cedars-Sinai specialties ranked in the top 10 nationally:

Cedars-Sinai specialties ranked in the top 10 nationally:

Gastroenterology & GI Surgery (#2)

Gastroenterology & GI Surgery (#2)

Gastroenterology & GI Surgery (#2)

Gastroenterology & GI Surgery (#2)

Orthopedics (#5)

Orthopedics (#5)

Orthopedics (#5)

Orthopedics (#5)

Pulmonology & Lung Surgery (#5)

Pulmonology & Lung Surgery (#5)

Pulmonology & Lung Surgery (#5)

Pulmonology & Lung Surgery (#5)

Cardiology, Heart & Vascular Surgery (#6)

Cardiology, Heart & Vascular Surgery (#6)

Cardiology, Heart & Vascular Surgery (#6)

Cardiology, Heart & Vascular Surgery (#6)

Obstetrics & Gynecology (#8, tied)

Obstetrics & Gynecology (#8, tied)

Obstetrics & Gynecology (#8, tied)

Obstetrics & Gynecology (#8, tied)

Diabetes & Endocrinology (#9)

Diabetes & Endocrinology (#9)

Diabetes & Endocrinology (#9)

Diabetes & Endocrinology (#9)

*Tied for #1 rankings

*Tied for #1 rankings

*Tied for #1 rankings

*Tied for #1 rankings

No hospital is best for every patient.

of the annual physician surveys, because reliable objective data aren’t available for those areas of care.

Based on input from experts and medical studies, we have revised the ranking methodologies over time to make the rankings even more useful to consumers.

Beyond the specialty rankings, a set of 22 hospital ratings gives patients information about which hospitals excel in specific procedures, such as hip replacement, or in caring for patients with certain conditions, such as heart attack. This year, two new ratings assess hospitals’ performance in treating heart arrhythmias such as atrial fibrillation and in safely implanting pacemakers. Hospital perfor-

mance in these procedures and conditions can be found in the Best Regional Hospitals rankings (Page 179), designed to help consumers identify hospitals with expertise in numerous areas of care. If you want to learn more, additional detail is available at health.usnews.com/best-hospitals.

To be considered for ranking in most specialties, a hospital had to meet any of four criteria. It had to either: be a teaching hospital; be affiliated with a medical school; have at least 200 beds; or have at least 100 beds and offer at least four out of eight advanced medical technologies.

The hospitals next had to meet a volume requirement in each specialty—a minimum number of Medicare inpatients from 2021 to 2023 who received certain procedures and treatment for specific conditions. A hospital that fell short was still eligible if nominated in the specialty by at least 1% of physicians responding to the expert opinion survey.

At the end of the process, 2,269 hospitals remained candidates for ranking in at least one specialty. Each received a U.S. News score of 0 to 100 based on the four elements, described below. Then, in most specialties, the top 50 hospitals were ranked. Scores and data for the rest are at usnews.com. The four elements and their weights in most specialties are: Patient outcomes (45%): Success at keeping patients alive and getting them home was judged by the proportion of Medicare inpatients with certain conditions in 2021, 2022 and 2023 who died within 30 days of hospital admission or were discharged to another health care facility. Both of these rates were adjusted to account for the severity of patients’ illnesses and the complexity of their care as well as risk-elevating factors such as advanced age, obesity, high blood pressure and poverty (as reflected by whether they received Medicaid).

A widely used approach to so-called risk adjustment was employed to adjust each patient’s risk in calculating odds of a good outcome. To avoid penalizing institutions receiving the sickest patients, we excluded patients transferred in from another hospital from our analysis. A score of 5 indicates the best chance of survival or discharge to home (and 1 the worst) relative to other hospitals.

In three specialties where same-day (a.k.a. outpatient) surgery is common, a third outcome—potentially preventable complications following outpatient surgery—also factored in the rankings.

Patient experience (5%): Most hospitals are required to assess patients’ satisfaction with their experience using a survey known as the Hospital Consumer Assessment of Healthcare Providers and Systems, or HCAHPS. The score reflects how many patients had a positive overall experience during hospitalization.

Other care-related indicators (35%): The balance of patients per nurse and the hospital’s number of patients—an indicator of its degree of experience in a specialty—are examples of these factors.

Expert opinion (12 - 15%): Specialists were asked to name up to five hospitals that they consider best in their area of expertise for patients with the most difficult medical problems. In the 2025 survey alone, responses were tallied from more than 26,000 physicians.

The figures shown in the tables under “% of specialists recommending hospital” are the average percentages of specialists in 2023, 2024 and 2025 who recommended a hospital. In rehabilitation, expert opinion carried a weight of 30%. In the three specialties based entirely on expert opinion, a hospital had to be cited by at least 5% of responding physicians in the last three years of U.S. News surveys in order to be ranked.

Transparency (3%): In four specialties, hospitals are rewarded for participating in nationwide programs that measure their performance and opting to transparently share results with the public.

If you’ve consulted past editions of this U.S. News Best Hospitals guidebook, you may notice that a particular hospital you’re considering has risen or fallen in the rankings. A decline shouldn’t automatically be interpreted as a decline in performance; rather, it may be because of changes to the methodology or because other hospitals improved.

The bottom line is that no hospital— no matter how excellent—is best for every single patient. You’ll want to add your own fact-gathering to ours and consult with your doctor or other health professional as you weigh your options for where to go to get your care. l

A Glossary of Terms

CARF: Accredited by the Commission on Accreditation of Rehabilitation Facilities International as of March 5, 2025.

Completion of care rate: How often a hospital avoids needing to transfer patients to an acute-care hospital during their rehabilitation.

Discharge to home score: Reflects proportion of patients who, at discharge, went home rather than to a nursing home or other facility.

FACT accreditation level: Hospital meets Foundation for the Accreditation of Cellular Therapy standards as of Feb. 13, 2025 for harvesting and transplanting stem cells from a patient’s own bone marrow and tissue (level 1) and from a donor (level 2) to treat cancer.

Flu vaccination rate: Percentage of hospital’s staff who received a seasonal flu vaccine.

NAEC epilepsy center: Designated by the National Association of Epilepsy Centers as of April 8, 2025 as a regional or national referral facility (level 4) for staffing, technology and training in epilepsy care.

NCI cancer center: Designated by the National Cancer Institute as of Feb. 13, 2025 as a clinical or comprehensive cancer hospital.

NIA Alzheimer’s center: Designated by the National Institute on Aging as of June 2, 2025 as an Alzheimer’s Disease Center, indicating high quality of research and clinical care.

Number of patients: Except in rehabilitation, estimated number of Medicare patients in 2021, 2022 and 2023 who received certain high-level care as defined by U.S. News. Based on an adjustment to the number of such patients with traditional Medicare insurance. In obstetrics and gynecology and ear, nose and throat, inpatients and outpatients were included; in other specialties, only inpatients. In geriatrics, only patients ages 75 and older were included. In rehabilitation, only patients treated in 2023 were included.

A Nurse Magnet hospital: Recognized by the American Nurses Credentialing Center as of April 30, 2025 for nursing excellence. Nurse staffing score: Relative balance of nonsupervisory registered nurses (inpatient and outpatient) to average daily number of all patients. Inpatient staffing receives greater weight. Agency and temporary nurses are not counted.

Outpatient outcome score: Reflects proportion of patients who experienced a

potentially preventable complication following outpatient surgery.

Patient experience: Percentage of patients who responded positively to a survey about overall quality of their stay.

Patient services score: Number of services offered out of the number considered important to quality (such as genetic testing in cancer and an Alzheimer’s center in geriatrics).

% of specialists recommending hospital: Percentage of physicians responding to U.S. News surveys in 2023, 2024 and 2025 who named the hospital as among the best in their specialty for especially challenging cases and procedures, setting aside location and cost.

Transparency score: Indicates whether the hospital publicly reports its performance through the American College of Cardiology, the American Heart Association and the Society of Thoracic Surgeons (in cardiology and heart surgery), the American Heart Association (in neurology and neurosurgery) or the Society of Thoracic Surgeons (in pulmonology and lung surgery), and whether the hospital completed a U.S. News survey about maternity care (in obstetrics & gynecology).

Rank: Based on U.S. News score except in ophthalmology, psychiatry and rheumatology, where specialist recommendations determined rank.

Readmission prevention rate: How often a hospital keeps patients from being readmitted to an acute-care hospital within the 30 days following discharge.

Successful discharge rate: How often patients go directly home from this hospital and remain at home, rather than requiring further institutional care.

Survival score: Reflects patient survival rate in the specialty within 30 days of admission.

Technology score: Reflects availability of technologies considered important to a high quality of care, such as PET/CT scanner in pulmonology and diagnostic radioisotope services in urology.

Trauma center: Indicates a Level 1 or 2 trauma center. Such a center can care properly for the most severe injuries.

U.S. News score: Summary of quality of hospital inpatient care. In most specialties, survival is worth 36%, discharge to home 9%, operational quality data such as nurse staffing and patient volume 35%, specialists’ recommendations 15% and patient experience 5%.

BEST HOSPITALS

UCSF MEDICAL CENTER, RANKED NO. 7

(CONTINUED)

van den Brink, M.D., Ph.D. President, City of Hope Los Angeles and City of Hope National Medical Center

Our cancer breakthroughs bring hope to millions every year.

Marcel

Cardiology, Heart & Vascular Surgery

ON PAGE 112)

Guy’s heart stopped twice. Back coaching days later.

“I technically died, and here I am. I’m incredibly lucky. I could not have been in better hands.”

—Guy Monseair, City Island Rowing Coach

“We had an immediate critical decision to make in the race to save Guy’s life. We decided to proceed with emergent quadruple coronary artery bypass surgery despite Guy’s swollen and weak heart resulting from his acute heart attack and cardiac arrest. There are very few health systems in the country with the knowledge base and the skill that we have at Montefiore Einstein for managing these kinds of complex life-threatening conditions.”

—Robert Michler, MD

Surgeon-in-Chief and Chair, Surgery and Cardiothoracic and Vascular Surgery Montefiore Einstein

See Guy’s story at montefiore.org/guy

NORTHEAST

Adventist HealthCare

Shady Grove Medical Center

Rockville, MD

Kevin Richman, MS, AACC

Dennis Friedman, MD, FACC Bayhealth Hospital, Kent Campus Dover, DE

Benjamin Louis Collins, MBA, BSN, RN, AACC

Roberto Scaffidi, MD, FACC

Bayshore Medical Center Holmdel, NJ

Cristina Chonko, AGPCNP-BC, AACC

Shaddy Younan, MD, FACC

CentraState Medical Center Freehold, NJ

Amy Quinlan, DNP, MBA, APN, RCIS, AACC

Robert Kayser, MD, MBA, FACC

ChristianaCare Christiana Hospital Health Services Newark, DE

Jennifer Oldham, MSN, RN, CEN, AACC

Neil Wimmer, MD, MSc, FACC

Conemaugh Memorial Medical Center Johnstown, PA

Sarah Vasilko, PA-C, AACC

Dinesh Sharma, MD, FACC Cooper University Hospital Camden, NJ

Tamara Wolf, MSN, RN, AACC

Phillip Koren, MD, FACC

Hackensack University Medical Center Hackensack, NJ

Tammy Russo, ACNP, AACC

Vaidya J. Pranaychandra, MD, FACC

Inspira Medical Center – Vineland Vineland, NJ

Tricia Crowe, MSN, RN, AACC

Andrew P. Zinn, MD, FACC

Inspira Medical Center – Mullica Hill

Mullica Hill, NJ

Bryan Gill, CVRN-BC, RN, AACC

Ashfaque Unwala, MD, FACC

2025 Recognizing Great Achievements

The American College of Cardiology proudly recognizes hospitals and health care facilities that achieve the HeartCARE Center distinction, along with the CV champions whose leadership makes this achievement possible. This accomplishment is supported by the dedication of physicians and care team members, including credentialed Fellows and Associates of the ACC. To further highlight this honor, the HeartCARE Center award is featured in hospital profiles on the Find Your Heart a Home tool at CardioSmart.org

Jefferson Einstein Philadelphia Hospital Philadelphia, PA

Yolanda Nixon, ACNP-BC, CRNP, MSN, AACC

Sumeet K. Mainigi, MD, FACC

Jersey Shore University Medical Center Neptune, NJ

Jennifer Heck-Kanellidis, DNP, APN-C, HNP, BSN, RN, AACC

Brett Sealove, MD, FACC

JFK University Medical Center

Edison, NJ

Charyl Asuncion, AGPCNP-BC, MSN, AACC

Saleem Husain, MD, FACC

Lahey Hospital and Medical Center

Burlington, MA

Janice Morrissette, BSN, RN, AACC

Frederic S. Resnic, MD, FACC

Lawrence General Hospital Lawrence, MA

Kathy Caredeo, RN, BSN, MSN, AACC

Sunit Mukherjee, MD, FACC

Ocean University Medical Center Brick, NJ

Jennifer Heck-Kanellidis, DNP, APN-C, HNP, BSN, RN, AACC

Ali Moosvi, MD, FACC

Penn Medicine Chester County Hospital West Chester, PA

Ralph Smith, RN, BSN, AACC

Timothy Boyek, MD, FACC

Regional Hospital of Scranton Scranton, PA

Debra Jadick, NP, AACC

Thomas Dzwonczyk, MD, FACC Riverview Medical Center Red Bank, NJ

Elvira Baquerizo, MSN, MBA, APN, NP-C, CCRN, AACC

Ravi Diwan, MD, FACC

Southern Ocean Medical Center Manahawkin, NJ

Jennifer Heck-Kanellidis, DNP, APN-C, HNP, BSN, RN, AACC

Mahesh K. Tekriwal, MD, FACC

St. Francis Hospital and Heart Center

Roslyn, NY

Kristin Michele Pasquarello, MPAS, PA-C, AACC

Thomas W. Pappas, MD, FACC

UPMC Altoona Altoona, PA

Kristi Montrella, ACNP-BC, AACC

George Jabbour, MD, FACC

Wynn Hospital Utica, NY

Stephanie Mathias, BSN, RN, CCRN, AACC

Hugh MacIsaac, MD, FACC

SOUTH

AdventHealth Carrollwood Tampa, FL

Tracy Berg, ARNP, AACC

Humberto Coto, MD, FACC

AdventHealth Dade City Dade City, FL

Deborah Moore, MSN, RCIS, RN, AACC

Aung Tun, MBBS, FACC

AdventHealth Heart of Florida Davenport, FL

Tracy Bruck, DNP, EdS, MSN, RN, CHFN, AACC

Prem Srinivas Subramaniyam, MBBS, FACC

AdventHealth North Pinellas Tarpon Springs, FL

Belinda Michelle Spahn, BSN, CCRN, AACC

Norman S. Abbott, MD, FACC

AdventHealth Ocala Ocala, FL

Lynn Smith, RN, MBA, MHA, AACC

Robert L. Feldman, MD, FACC

AdventHealth Sebring Sebring, FL

Yesica Torres, BSN, RN, CHFN, AACC

Deepti Bhandare, MD, FACC

AdventHealth Tampa, Pepin Heart Institute Tampa, FL

Tracie Hughes, BSN, RN, CCRN-K, AACC

Charles R. Lambert, MD, PhD, MBA, FACC

Please visit CVQuality.ACC.org/HCC to learn how your facility can achieve ACC’s HeartCARE Center recognition.

AdventHealth Wesley Chapel

Wesley Chapel, FL

Allison K. Sutton, APRN, FNP-C, AACC

Asad Sawar, MBBS, FACC

AdventHealth Zephyrhills Zephyrhills, FL

Deborah Moore, MSN, RCIS, RN, AACC

Aung Tun, MBBS, FACC

Augusta Health Fishersville, VA

Willie Roden, MBA, BSN, RN, FACHE, AACC

Kenneth S. Sternberg, DO, FACC

Baptist Health Lexington Lexington, KY

Christopher Bell, APRN, AACC

Azhar Aslam, MD, FACC

Baptist Health Paducah Paducah, KY

Blair Lane Brockman, NP, AACC

Craig J. Beavers, PharmD, FACC

Baptist Memorial Hospital – DeSoto Southaven, MS

Amanda Sesti, MHA, BSN, RN, AACC

Arie Szatkowski, MD, FACC

Baylor St. Luke’s Medical Center Houston, TX

Seth Stephens, ACNP-BC, APRN, CPHQ, DNP, AACC

Emerson C. Perin, MD, FACC

Carilion Roanoke Memorial Hospital Roanoke, VA

Sheree Emore, MSN, FNP-BC, AACC

Gregory Dehmer, MD, MACC

CarolinaEast Medical Center

New Bern, NC

Laura Peters, BS, RT, AACC

Alex Kirby, MD, FACC

CHRISTUS Mother Frances Hospital Tyler, TX

Christine Mendoza, CCRN, BSN, CCRN-CMC, CSC, AACC

Clyde Fagg Sanford, MD, FACC

CHRISTUS Ochsner St. Patrick Hospital Lake Charles, LA

Anna C. Landry, NP, AACC

Michael C. Turner, MD, FACC

CHRISTUS St. Frances Cabrini Hospital Alexandria, LA

Erika D. McCormick, BSN, RN, CCRN, AACC Reymond Meadaa, MD, FACC

Cleveland Clinic Indian River Hospital Vero Beach, FL

Kimberly Nance, RN, BSN, CPHQ, AACC

James Wudel, MD, FACC

East Jefferson General Hospital Metairie, LA

Nicole Jones, MN, APRN, ACNS-BC, CCNS, CHFN, AACC

Ala Mohsen, MBBS, FACC

Frye Regional Medical Center Hickory, NC

Seth A. Call, PA-C, AACC

John Andrew Morrison, MD, FACC

Hamilton Medical Center Dalton, GA

Rachel Lynnette Bennett, BSN, RN, CEN, AACC

Ahsan Achtchi, DO, FACC Hillcrest Hospital South Tulsa, OK

Brian Smith, MS, RCIS, RT, ARRT, AACC

Stanley Kyle Zimmerman, MD, FACC

Jackson–Madison County General Hospital Jackson, TN

Dylan Wilson, BCPS, PharmD, AACC

John W. Baker, MD, FACC

King’s Daughters Medical Center Ashland, KY

Kristy Turley, APRN, AACC

Jerry White, DO, FACC

Lexington Medical Center

West Columbia, SC

Dawn C. Crumpton, BSN, RN, AACC

Robert M. Malanuk, MD, FACC

Medical Center Hospital

Odessa, TX

Rene Rodriguez, DNP, RN, AACC

Manohar Angirekula, MBBS, FACC

Memorial Hermann Texas Medical Center

Houston, TX

Sarah Johnson, MSN, APRN, ACNP-BC, AACC

Richard W. Smalling, MC, PhD, FACC

Memorial Regional Hospital

Hollywood, FL

Grace Corona, MSN, BSN, RN, AACC

Ralph Levy, MD, FACC

Methodist Hospital Texsan

San Antonio, TX

Michael K. Hendricks, MBA, RN, AACC

Obinna G. Isiguzo, MBBS, FACC

Methodist Le Bonheur Germantown Hospital

Germantown, TN

John Signa, BS, CVT, MBA, RTR, AACC

Brian Borkowski, MD, FACC

Methodist University Hospital Memphis, TN

Leesa J. Wright, RN, AACC

Oluwaseun Akinseye, MD, FACC

Mon Health Medical Center

Morgantown, WV

Elizabeth Carpenter, CCRN, AACC

Bradford E. Warden, MD, FACC

Norton Audubon

Louisville, KY

Robert T. Rogers, APRN, AACC

Manish Sharma, MD, FACC

Novant New Hanover

Regional Medical Center

Wilmington, NC

Megan A. Whitley-Herrington, PA-C, AACC

John Rommel, MD, FACC

Our Lady of The Lake Regional Medical Center

Baton Rouge, LA

Dawn Denicola, FNP-C, AACC

Denzil Moraes, MD, MB, BCh, FACC

Spartanburg Medical Center

Spartanburg, SC

Jennifer T. Smith, MSN, RN, CVN, AACC

Nalin Srivastava, MD, FACC

St. Luke’s Health Memorial Hospital

Lufkin, TX

Jamie Huckabee, FNP-C, AACC

Ravinder R. Bachireddy, MD, FACC

St. Mary’s Medical Center

Huntington, WV

Shari Wiley, APRN-BC, FNP, CHFN, AACC

Daniel Snavely, MD, FACC

Tallahassee Memorial HealthCare

Tallahassee, FL

Caitlin Ubilla, BSN, RN, CV-BC, AACC

Thomas Noel, MD, FACC

Texoma Medical Center

Denison, TX

Lisa Smith, MSN, RN, NE-BC, AACC

Scott Turner, DO, FACC

The Hospitals of Providence Sierra Campus

El Paso, TX

Laura Ann Wilson, AGACNP-BC, CCK, AACC

Edward R. Assi, DO, FACC

United Regional Healthcare System

Wichita Falls, TX

Hilary Wolf, PA-C, BS, MPAS, AACC

Fardin Djafari, MD, FACC

UT Health East Texas

Tyler, TX

Francisco Rivera, ACNP, FNP, AACC

Ajay Pachika, MD, FACC

Woodland Heights Medical Center

Lufkin, TX

Richard Fennell, BSN, CCRN, AACC

Vivek Mangla, MD, FACC

WVU Medicine Camden Clark Medical Center

Parkersburg, WV

Kristina S. Brooks, DNP, AACC

David Gnegy, MD, FACC

MIDWEST

Bryan Medical Center

Lincoln, NE

Sarah Schroeder, PhD, ACNP-BC, AACC

John Allen Steuter, MD, FACC

Corewell Health Grand Rapids Hospital

Grand Rapids, MI

John J. Mulder, MPAS, AACC

Ryan Madder, MD, FACC

Lutheran Hospital

Fort Wayne, IN

Megan Trotter, FNP-C, AACC

Vijay Chilakamarri, MD, FACC

Riverside Medical Center

Kankakee, IL

Cheryl Rogers, NP, CCRN, AGPCNP-BC, CHFN, MSA, AACC

Tarun Jain, MD, FACC

WEST

Adventist Health and Rideout Hospital

Marysville, CA

Eric Cooper, BSN, MPA, NE-BC, RN-BC, AACC

Babek Sanei-Fard, MD, FACC

Adventist Health Bakersfield

Bakersfield, CA

Diwata Somera, MSN, RN, CCRN-CMC, AACC

Viral Mehta, MD, FACC

Billings Clinic

Billings, MT

Joslyn Thompson, NP-C, AACC

Claudia Lama Von Buchwald, MD, FACC

Eisenhower Health Medical Center

Rancho Mirage, CA

Sheenah Fernandez, CCRN, MSN, RN, AACC

Philip Patel, MD, FACC

El Camino Health

Mountain View, CA

Kaye Jaramillo, CNS, AACC

Chad Rammohan, MD, FACC

Loma Linda University Medical Center

Loma Linda, CA

Denise Petersen, DNP, FNP-BC, CHFN, AACC

Liset Stoletniy, MD, FACC

Medical Center of Aurora

Aurora, CO

Karen Welter, ACNS-BC, AACC

Christopher Paul Porterfield, MD, FACC

National Jewish Hospital/ Intermountain Health Saint Joseph Hospital

Denver, CO

Dawn Eckler, MSN, NP-C, AACC

Jake Chanin, MD, FACC

Renown Regional Medical Center Reno, NV

Jocelyn Anderson, MMS, PA-C, AACC

Troy Wiedenbeck, MD, FACC

Saint Mary’s Regional Medical Center Reno, NV

Jeremy T. Shea, BSN, CVRN-BC, RN, AACC

Frank Carrea, MD, FACC

ThedaCare Regional Medical Center

Appleton, WI

Dessia Laxton, AGACNP-BC, AACC

Ameer Kabour, MD, MBA, FACC

UCHealth Memorial Hospital Central Colorado Springs, CO

Dawn G. Lovejoy, BSN, RN, AACC

Chris Michael Manhart, DO, FACC

Cardiology, Heart & Vascular Surgery

Diabetes & Endocrinology

Ear, Nose & Throat

Gastroenterology & GI Surgery

50

Geriatrics

50

TURN SEARCHES INTO PATIENTS

EVERY MONTH, MILLIONS OF PATIENTS SEARCH FOR TOP DOCTORS AND HOSPITALS ON U.S. NEWS & WORLD REPORT. WE HELP MAKE SURE THEY FIND — AND CHOOSE — YOU.

LET’S TALK ABOUT HOW WE CAN GET YOU MORE PATIENTS.

SCAN THE QR CODE BELOW TO LEARN MORE.

Neurology & Neurosurgery

At Montefiore Einstein’s new Comprehensive Brain Health Center.

Obstetrics & Gynecology

21

Yourcare,yourbirth, yourway.

At RWJBarnabas Health, we believe that caring for women’s health starts with caring about women. All the more reason we’re proud to share that our hospitals received U.S. News & World Report’s highest rating for best maternity hospitals. This nationwide distinction shows our dedication to the very highest quality in maternity care. Visitrwjbh.org/maternity

CommunityMedicalCenter

MonmouthMedicalCenter

NewarkBethIsraelMedicalCenter

RobertWoodJohnsonUniversityHospital

RobertWoodJohnson UniversityHospitalSomerset

TrinitasRegionalMedicalCenter

Orthopedics

MAYO CLINIC-ROCHESTER, RANKED NO. 3

Orthopedics

46

47

THE BEST HOSPITALS AND PRACTICES OWN THE BONE

The American Orthopaedic Association applauds the following institutions for their achievements and participation in the Own the Bone® quality improvement program:

STAR PERFORMERS

AdventHealth Orthopedic Institute, Central Florida Division - Orlando, FL

Advocate Christ Medical Center - Oak Lawn, IL

Allegheny Health Network (AHN)Jefferson Hospital - Jefferson Hills, PA

* Alliance Medical Group / Waterbury HEALTHWaterbury, CT

Allina Health-Buffalo Hospital - Buffalo, MN

* Astera Health - Wadena, MN

Atrium Health MSKI Fracture Prevention Program - Charlotte, NC

Atrium Health Wake Forest Baptist Medical Center with Advocate Health - Winston Salem, NC

Baptist Orthopedic Hospital at Mission TrailSan Antonio, TX

Baton Rouge Orthopaedic Clinic - Baton Rouge, LA

Berkshire Medical Center - Pittsfield, MA

Bryan Medical Center - Lincoln, NE

Cedars-Sinai Medical Center - Los Angeles, CA

* CentraCare St. Cloud Hospital - St. Cloud, MN

Cleveland Clinic Akron General Osteoporosis and Bone Health Center - Akron, OH

Coastal Orthopedic & Spine InstituteCamarillo, CA

Connecticut Orthopedic Institute's Bone Health Program at St. Vincent's Medical Center - Bridgeport, CT

Cooper Bone and Joint Institute - Camden, NJ

Firelands Physician Group - Sandusky Orthopedics and Pain ManagementSandusky, OH

Froedtert & the Medical College of WisconsinMilwaukee, WI

Grady Health System - Atlanta, GA

* Great Falls Clinic- Bone Health - Great Falls, MT

Hartford HealthCare Bone and Joint InstituteHartford, CT

Henry Ford Hospital - Detroit, MI

Hoag Orthopedic Institute - Irvine, CA

Huntington Hospital - Northwell HealthHuntington, NY

Johnson City Medical Center Hospital (Ballad Health) - Johnson City, TN

JPS Health Network - Fort Worth, TX

Lahey Hospital and Medical CenterBurlington, MA

* Lake Cumberland Orthopedics and Surgical Podiatry - Somerset, KY

Institutions are recognized for at least 75% compliance on at least 5 of the 10 recommended secondary fracture prevention measures over the last year.

Lexington Medical Center - West Columbia, SC

Loyola Medicine - Maywood, IL

Luminis Health - Annapolis, MD

MaineGeneral Orthopaedics - Augusta, ME

Marshfield Clinic Health System - Marshfield, WI

Medical University of South CarolinaCharleston, SC

Memorial Regional Hospital - Hollywood, FL

Mendelson Orthopedic Specialists -

A Synergy Health Partners Practice - Livonia, MI

Mount Sinai South Nassau - Oceanside, NY

Nephrology Associates, SC - Waukesha, WI

NMC Health Orthopedics & Sports SpecialistsNewton, KS

North Central Baptist Hospital - San Antonio, TX

Norton Women's and Children's HospitalLouisville, KY

NYU Langone Hospital- Long Island - Mineola, NY

NYU Langone Orthopedic Hospital - New York, NY

OhioHealth Orthopedic & Sports Medicine

Physicians - Mansfield Hospital - Columbus, OH

Orthopaedic Associates of MichiganGrand Rapids, MI

^Orthopedic Associates of SW Ohio - Dayton, OH

^Park Nicollet Methodist Hospital/TRIA

Orthopaedic Center - Minneapolis, MN

^Prisma Health-Upstate - Greenville, SC

ProHealth Care Oconomowoc Memorial Hospital - Oconomowoc, WI

ProHealth Care Waukesha Memorial HospitalWaukesha, WI

ProMedica Toledo Hospital - Toledo, OH

Regions Hospital - St. Paul, MN

* Reno Orthopedic Center - Reno, NV

Resolute Baptist Hospital - New Braunfels, TX

* Saint Alphonsus Orthopedics & Sports

Medicine- Boise - Boise, ID

^Sanford Medical Center - Fargo - Fargo, ND

Sauk Prairie Healthcare - Prairie du Sac, WI

South Texas Fracture Prevention ClinicSan Antonio, TX

Spartanburg Regional Healthcare SystemSpartanburg, SC

SSM Health Dean Medical Group OrthopedicsMadison, WI

St. Luke's Health System Osteoporosis and Bone Health Program - Boise, ID

St. Peter's Health - Helena, MT

* Steamboat Orthopaedic and Spine InstituteSteamboat Springs, CO

Tahoe Forest Health System - Truckee, CA

Tallahassee Memorial HealthCareTallahassee, FL

The Bone and Joint Center - Albany, NY

The Bone and Joint Center at AdventHealth Zephyrhills - Zephyrhills, FL

The Centers for Advanced Orthopaedics, Mid-Maryland Musculoskeletal Institute (MMI) - Frederick, MD

The Methodist Hospitals, Ortho Spine CenterMerrillville, IN

The Ohio State University Wexner Medical Center - Columbus, OH

^The Queen's Medical Center - Honolulu, HI

The University of Texas at AustinUT Health Austin - Austin, TX

* The University of Texas Medical BranchGalveston, TX

TSAOG Orthopaedics and SpineSan Antonio, TX

University Hospital - San Antonio, TX

University of Chicago - Chicago, IL

University of Cincinnati - Cincinnati, OH

University of Iowa Health Care Department of Orthopaedics - Iowa City, IA

* University of Miami Health SystemOrthopaedic Department - Miami, FL

University of Missouri-Columbia Department of Orthopaedic Surgery - Columbia, MO

^University of Texas Southwestern Medical Center- Dallas, TX

University of Wisconsin Hospitals and ClinicsMadison, WI

UT Health East Texas Orthopedic and Sports Medicine Institute - Tyler, TX

VCU Orthopedics - Richmond, VA

Virtua Voorhees Hospital - Voorhees, NJ

WVU Medicine - Wheeling HospitalWheeling, WV

^WVU Medicine Department of OrthopaedicsMorgantown, WV

^Yale New Haven Hospital Fragility Hip Fracture Program - New Haven, CT

NEWLY ENROLLED INSTITUTIONS

Blanchard Valley Orthopedics & Sports Medicine - Findlay, OH

Bozeman Health - Bozeman, MT

Clear Lake Bone Institute - Webster, TX

Enloe Health - Chico, CA

Excelsior Orthopaedics - Amherst, NY

Fremont Orthopaedics - Lander, WY

Mount Sinai Health System

Department of Orthopedic SurgeryNew York, NY

NeuroSpine Center of WisconsinAppleton, WI

OrthoCincy Orthopaedics and Sports Medicine - Edgewood, KY

OrthoMichigan - Flint, MI

University of Rochester/ Strong Memorial HospitalRochester, NY

University of Utah HealthSalt Lake City, UT

Pulmonology & Lung Surgery

4

Pulmonology & Lung Surgery

49

50

Rehabilitation

1

5

50

What Is a U.S. News Best Hospital?

The best hospital for you or a loved one depends on the type of care you need. For a rare bone condition or a lung transplant, for instance, you may need to travel to a hospital that earned a top 50 national ranking for orthopedics or pulmonology, respectively. But for a common procedure or condition like a hip replacement or COPD, you are likely to find that a hospital close to home is highly rated by U.S. News.

WHY DOES U.S. NEWS RATE HOSPITALS?

The quality of health care provided by hospitals to patients across the nation varies widely. U.S. News delves into various quality measures to publish rankings and ratings of hospitals that assist millions of patients annually. These patients face the prospect of surgery or specialized hospital care that can pose a risk due to such factors as age, physical condition or the type of illness. The rankings and ratings are a tool to help consumers make important health care decisions, in conjunction with advice from medical practitioners.

HOW DID U.S. NEWS DETERMINE THE RANKINGS AND RATINGS?

U.S. News’s Best Hospitals project evaluates U.S. adult hospitals annually on how they provide 37 different types of care. The rankings of 15 medical specialties use a variety of quality measures to identify the hospitals that excel at handling the most complex and difficult cases. The ratings of 22 common procedures and conditions are based entirely on objective quality indicators, such as patient outcomes and nurse staffing levels. We also publish

For more information

an Honor Roll of the hospitals that excel in many types of care, as well as rankings of general hospitals by state and major metro area.

WHAT ARE BEST HOSPITALS BADGES AND EMBLEMS?

Hospitals that earn top 50 rankings in a specialty have a gold Best Hospitals award “badge” (logo) on their U.S. News profile page, with information about how many such rankings they won. General hospitals that excel in a large number of common procedures and conditions have a silver “Best Regional Hospitals” silver badge and may be ranked in their state and/or metro area. Hospitals that place in the top 10% for a specialty but not in the top 50, or that achieve the highest possible rating for a common procedure or condition, have a High Performing Hospitals emblem on their profile page.

Hospitals that earn a badge or emblem may obtain permission, for a fee, to display the badge or emblem via websites and other media from BrandConnex, U.S. News’s licensing agent. Current and future rankings, ratings and awards are not affected by such purchases or by any other promotional fees.

• The evaluation of hospitals in your area: https:bit.ly/USN-area

• For detailed information about a specific hospital: https://bit.ly/USN-search

• About U.S. News’s hospital evaluations, including Best Children’s Hospitals and Best Hospitals for Maternity Care as well as Best Hospitals: https://bit.ly/USN-FAQ

• Detailed methodology reports about the Best Hospitals specialty rankings https://bit.ly/USN-2526 and the procedures and conditions ratings https://bit.ly/USN-ratings

• Hospitals that earn a badge or emblem may contact usnews@BrandConnex.com for information about using U.S. News Best Hospitals badges and emblems.

Urology

5

15

These hospitals are among the best in their specialty for particularly challenging patients, in the view of at least 5% of medical specialists surveyed by U.S. News over the past three years.

Ophthalmology

1

2 Wills Eye Hospital, Thomas Jefferson U. Hospitals, Philadelphia

3 Wilmer Eye Institute, Johns Hopkins Hospital, Baltimore 19.0%

4 Mass Eye and Ear, Massachusetts General Hospital, Boston

5

6

9

Rheumatology

Best Hospitals for Maternity Care

U.S. News’ ratings identified 353 centers that excel—here they are.

When it comes to maternity care for uncomplicated pregnancies, the best hospitals achieve safe outcomes, offer sound care without performing unnecessary interventions and support patients who choose to breastfeed. The hospitals listed here excel in these respects. To identify them, we surveyed maternity centers across the nation and obtained detailed data from more than 800. As always, we recommend consulting with your doctor when deciding which hospital to use.

ALABAMA

CALIFORNIA

CALIFORNIA

continued

Kaiser Permanente Baldwin Park Medical Center, Baldwin Park

Kaiser Permanente Downey Medical Center, Downey

Kaiser Permanente Fontana & Ontario Medical Centers, Fontana V.

Panorama

Permanente Riverside Medical Center, Riverside

Kaiser

Visalia

Loma Linda University Medical Center-Murrieta

Lucile Packard Children’s Hospital Stanford, Palo Alto

Miller Children’s & Women’s Hospital Long

Sutter

Tahoe Forest Hospital District, Truckee

BEST HOSPITALS FOR MATERNITY CARE

CALIFORNIA

COLORADO

UCHealth Highlands Ranch Hospital, Highlands Ranch

CONNECTICUT

FLORIDA

ILLINOIS

continued

Endeavor Health Elmhurst Hospital, Elmhurst

Endeavor Health NorthShore Hospitals, Evanston

Endeavor Health Swedish Hospital, Chicago

Endeavor Health Northwest Community Hospital, Arlington Heights

Northwestern Medicine Central DuPage Hospital, Winfield

Northwestern Medicine Delnor Hospital, Geneva

Northwestern Medicine-McHenry, Huntley, Woodstock Hospitals, McHenry

Northwestern Medicine-Northwestern Memorial Hospital, Chicago

SIH Memorial Hospital of Carbondale

of Chicago Medical Center

INDIANA

Health Floyd, New Albany

Clark Memorial Hospital, Jeffersonville

Indiana University Health Bloomington Hospital, Bloomington

IOWA

KANSAS

KENTUCKY

BEST HOSPITALS FOR MATERNITY CARE

MASSACHUSETTS

MICHIGAN

Corewell Health Gerber Hospital, Fremont

Corewell Health Trenton Hospital, Trenton

Corewell Health Farmington Hills Hospital, Farmington Hills

Corewell Health Grand Rapids Hospitals-Blodgett & Butterworth, Grand

Henry Ford Jackson Hospital, Jackson

Henry Ford West Bloomfield Hospital, West Bloomfield

Henry Ford Wyandotte Hospital, Wyandotte

MINNESOTA

MISSISSIPPI

NEBRASKA

NEW HAMPSHIRE

NEW JERSEY

NORTH CAROLINA

BEST HOSPITALS FOR MATERNITY CARE

NORTH CAROLINA continued

PENNSYLVANIA

SOUTH CAROLINA

TENNESSEE

TEXAS

BEST HOSPITALS FOR MATERNITY CARE

WASHINGTON

WEST VIRGINIA

WISCONSIN

Children’s Health

What parents need to know about protecting their kids’ physical and mental well-being

Taking On Childhood

Concussions

A helmet isn’t always enough to protect your child. Take a deep dive into kids’ head injuries—from warning signs to recovery.

by Annika Urban ©

E’VE COME a long way from the days of brushing off a blow to the head as “just a bump” or letting kids jump back into the game while still dazed. But concussions are still a serious and surprisingly common issue among children.

WMore than 2 million kids age 17 and under in the U.S. experience a concussion each year, according to the Centers for Disease Control and Prevention. While sports are often the culprit, these injuries can also happen on playgrounds, during car accidents, or even result from a fall at home.

So what should parents know? Here’s your guide to understanding, identifying and managing concussions in kids—plus how to help prevent them in the first place.

What Is a Concussion, Really?

A concussion is a traumatic brain injury caused by a blow or jolt to the head that disrupts a person’s normal brain function. While concussions occur frequently during sports, children can sustain them in any setting, including from car

and playground accidents or a fall from heights. When someone experiences a concussion, the sudden movement injures the brain, says Dr. Mathew Stokes, the director of the Neuro-Concussion Clinic at Children’s Health in Dallas, Texas and an associate professor at UT Southwestern Medical Center. The injury causes changes to nerve cells and how they send messages to each other.

Experts describe a concussion as a “software” injury because structurally, the brain looks the same on imaging tests. “But there’s a functional change in how the brain is signaling, what it’s doing that can translate into different types of symptoms,” says Stokes.

Spotting the Symptoms

Only about 10% of concussions involve loss of consciousness, so don’t count on a child “blacking out” as the key sign, says Dr. Cynthia LaBella, the medical director of the Institute for Sports Medicine at the Ann & Robert H. Lurie Children’s Hospital of Chicago and a professor of pediatrics at Northwestern University’s Feinberg School of Medicine.

Because the brain controls so many different functions, symptoms can vary widely. They may include headaches, dizziness, nausea, sensitivity to light or noise, brain fog or

feeling “out of it “ and seizures or repeated vomiting (all of which require medical care).

“A blow to the head and any set of symptoms can signal a possible concussion,” says Gerard Gioia, director of the Safe Concussion Outcome, Recovery & Education (SCORE) Program at Children’s National Hospital in Washington D.C. “A good way to detect a suspected concussion is to use our free smartphone app, called ‘SCORE 4 BrainHealth.’ It guides the user through signs and symptoms and helps to cover the bases, especially if the more common symptoms like headache, dizziness and fatigue are not present initially.”

In some kids, however, symptoms may be more subtle—or nonexistent. And acting in a way that’s uncharacteristic of their personality can also be a sign that a child has sustained a con-

cussion. “Kids may not report any symptoms, but they just aren’t acting like their usual self,” says LaBella. ”Maybe the kid is usually pretty enthusiastic, and suddenly they become very sullen and quiet, or vice versa; a kid who’s usually pretty quiet all of a sudden starts jabbering a lot.”

Diagnosing a Concussion: What Happens at the Doctor’s Office?

There’s no single test to diagnose a concussion. Instead, doctors will generally perform neurological exams and cognitive testing to determine whether a child might have a concussion. They will also take detailed medical histories

of the patients and their family members. Conditions like ADHD, anxiety, depression or migraines—even if not previously diagnosed— can influence symptoms and recovery. Knowing this helps doctors personalize treatment.

As for imaging tests like CT scans or MRIs? They’re not typically used unless there’s concern about a skull fracture or brain bleed. “MRI is often used later on, when we’re trying to understand other factors that are playing into this person’s unusual or atypical or prolonged recovery,” explains Gioia.

More advanced tools for diagnosing a concussion may be on the horizon. Promising blood tests are being developed, including one FDA-approved test that measures proteins released by the brain into the blood— but these are currently focused on adult patients. A multi-institutional study called CARE4Kids is exploring whether bloodwork and brain imaging can help predict which children are more likely to experience longterm symptoms.

There is a major risk in sending a child back into the game after a concussion. “They could get that second impact on top of the concussion, which could result in a very severe or catastrophic injury like brain swelling or brain bleed,” explains LaBella.

Moreover, children that sit out of the game rather than continuing to play generally recover better. “You will have a faster recovery if you pull yourself out and rest right away,” says LaBella. “If you continue to play the rest of the game or the rest of the practice with a concussion, you may avoid getting another hit, but end up worsening your symptoms—and that’s going to prolong recovery.”

Concussion care starts with prevention.

Preventing Childhood Concussions

The best concussion care starts with prevention. Experts agree that the first line of defense in preventing childhood concussions is improved sports technique, including knowing how to fall and strengthening of neck and core muscles.

Enforcing rules that better protect players during competition is also needed. Gioia has been working with a group of experts around the country to produce a “developmental readiness model” that could eventually provide guidance, based on a child’s development. “This information will better guide a family—beyond just age alone—as to which sports and at which level the youth athlete is developmentally ready to learn and play successfully,” says Giola. “We are starting with youth football in determining the right fit for any given player as to whether they are ready to participate in flag, modified tackle or full tackle game. We want kids to have maximal fun and enjoyment while reducing injury risk because of misplacement.”

As for helmets, it’s a common misconception that they can protect kids and adults against concussions.“Helmets were designed, especially in football, to prevent more severe head injuries, particularly skull fractures and intracranial bleeds,” says LaBella.

Stokes points out that in places where there are no restrictions on kids and impact in sports, children at the age of 6 and 7 are playing football in helmets that cause their heads to wobble. At that age, children don’t have the neck strength to hold up their head in a heavy helmet, much less to stabilize their head when it takes a blow or during a hard fall, he says.

Why Early Rest—and Smart Recovery—Matter

Following the rule “when in doubt, sit it out” can be life-changing. If a child has sustained a blow to the head or whiplash, it is always safer to assume they have a concussion than to ignore signs and symptoms or write them off as “just a headache.”

A Look at Active Rehabilitation

While you may have heard that the best way to manage a concussion is to sit in a quiet, dark room, typically this is not the case. Instead, researchers and doctors are seeing positive results from what they call active rehabilitation. “This is a gradual treatment process that takes the person’s specific symptoms into account and gradually returns them to their everyday routines while still managing their symptoms,” says Giola. “There’s been some very good data to show how this improves recovery in kids.”

Stokes explains that for a child who’s been participating in sports regularly, completely cutting out activity can be harmful to their mental and emotional health. “If you take a kid who’s an athlete—whose life is based on playing sports—and you shut them down for two, three weeks, you’ve created a kid who’s now losing their physical conditioning and is starting to develop anxiety and depression because they’re not participating,” he says.

Lifestyle is an important component of active rehabilitation. It’s recommended that during recovery, kids should aim to sleep well at night and avoid day naps, eat three meals a day, stay hydrated and manage stress as much as possible.

How Schools Can Help

Schools also play a pivotal role in a child’s post-concussion recovery. “The school as a partner is very important,”

says Giola. “We have found that students who are out of school for lengthy periods of time do not do as well as students who return to school. But it’s important to provide the student with support.”

Gioia has worked to develop the “STAMP,” which stands for symptom-targeted academic management plan and can help schools be partners in aiding a student’s recovery by recommending specific plans based on a child’s symptoms. “Having a specified person to help guide and monitor the child, such as the guidance counselor, school nurse, athletic

trainer, school psychologist or administrator, is very important,” explains Giola.

The good news? While there are many steps parents and coaches can take to help minimize the chance of a concussion, you shouldn’t panic if your child does take a blow to the head. Experts agree that concussion care is evolving—and improving. With early recognition, thoughtful care and a customized step-by-step plan that maps out their gradual return to full activities, most children recover fully from concussions with no long-term effects. l

WHERE ARE KIDS GETTING HURT?

ACCORDING TO THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC), THESE ARE THE TOP 10 SPORTS WITH THE HIGHEST RATES OF CONCUSSION AMONG YOUNG ATHLETES:

• 63% of concussions in high school football are due to tackling.

• I n sports like soccer and basketball, girls are more likely to suffer sports-related concussions than boys.

• 51% of concussions in girls’ basketball are due to collisions with another athlete.

COULD YOU SAVE A LIFE?

Quick Action Saves Lives

No matter what age recognizing the signs and symptoms and responding can save a life!

if you think you are having a heart attack. DON’T DELAY CALL 911

Chest pressure, squeezing, aching, or burning

Pain that travels down one or both arms

Sudden dizziness

Excessive fatigue or weakness

Anxiety

Cold sweat

Discomfort in back, neck, shoulder, or jaw

Shortness of breath

Nausea or vomiting

A Parent's Guide to Nourishing a Healthy Eater

Aby Jennifer Hyland, RD, CSP, LD ©

S A PARENT, chances are you’ve asked yourself (more than once): Is my kid eating enough? Are they actually getting the nutrients they need? Growing like they should? These are totally normal questions—especially if you’re dealing with a picky eater. Between the mealtime standoffs and the avalanche of advice online, it’s no wonder it can all start to feel like a lot

But don’t worry—you’re not alone. This guide answers the top questions parents have about feeding their kids and offers practical tips to help raise healthy, happy eaters.

How can I tell if my child is eating enough?

Knowing whether your child is consuming enough food is about more than just counting calories. It’s about ensuring they’re getting the right balance of nutrients that will support their growth and development. Here are a few practical ways to evaluate whether your child is eating enough:

l Appetite and meal patterns: A well-nourished child can typically go a few hours between meals without constant hunger. If your kiddo is asking for snacks all the time or seems extra hungry late at night, they might not be eating enough during the day. Aim for meals and snacks every three hours or so.

l Bowel movements: Not-so-fun but super telling. If your child isn’t urinating regularly or is constipated, it could signal a lack of fluids, fiber or food in general.

l Physical signs: Watch for ongoing fatigue, lightheadedness, thinning hair, brittle nails or bruising. These might indicate a nutrient deficiency or low overall calorie intake. If you’re concerned, talk to your pediatrician.

What should be on a preschooler’s plate?

Keep it simple and colorful. Each meal should include at least three different food groups—ideally:

l Protein: Serve up chicken, eggs, beans, tofu or other protein faves.

l Carbohydrates: Whole grain bread and crackers, pasta and potatoes, for example.

l Fruits and vegetables: Have fun with trying new produce!

l A dairy or calcium-rich food: Milk, yogurt and cheese are go-tos.

Don’t forget healthy fats. Kids need fats for brain development and fullness. Add olive oil, avocado, nut butters or full-fat dairy into meals when you can.

How many snacks should I offer throughout the day?

Aim for two snacks—one between breakfast and lunch, and one between lunch and dinner.

l Choose snacks with protein and fiber (like fruit with cheese, hummus and veggies or whole grain crackers with nut butter) to keep your child fuller longer.

l If your child is always asking for snacks, it could be a sign they’re not getting enough at mealtime. Look at their plate and check for a balance of protein, carbs, fat and fiber.

What should I do if my child refuses to finish their meal?

Resist the urge to pressure them. Studies suggest that focusing attention on eating a certain amount of food may promote overeating and result in a lower sensitivity to the amount of calories consumed. In other words, encouraging children to eat more may teach them to overeat.

Instead, let your child have a say in what they eat by offering them a choice, which helps them have a sense of control. Opportunities to make food decisions help build your child’s autonomy and independence, which may result in better cooperation around food and eating. Try asking, “Would you like carrots or cucumbers?” or “Do you want yogurt or cheese with your snack?” This gives your child some control without overwhelming them.

What portion size is right for my child?

Determining the right portion size for your child doesn’t have to be a guessing game, and there's no single answer. The key is balance, not perfection. That said, here are a few tips:

CHILDREN’S HEALTH

l General guidelines: To put together a balanced meal, fill about a quarter of the plate with protein, a quarter with whole grains and the remaining half with fruits and vegetables. This gives a good starting point for meal planning.

l Let your child guide the way: Instead of focusing on exact portion sizes, allow your child’s hunger cues to guide how much they eat. Children are good at listening to their bodies, so let them decide when they’re full.

l Use age-based recommendations: Websites like choosemyplate.gov offer portion size recommendations based on your child’s age. But remember, these are just guidelines—your child’s appetite and needs may vary. You can meet with a registered dietitian for specific recommendations for your child.

How much should my child be drinking?

Hydration often flies under the radar, but it’s just as important as food. Hydration needs vary by age, activity level and climate, but use this advice as a guide.

l Water: Kids ages 2 to 5 should drink one to five cups of water a day, depending on activity and weather. Offer water with and between meals.

l Milk: Two to three cups per day is a good target. Choose

whole or 2% milk unless your pediatrician says otherwise.

l Limit sugary drinks: Juice and sweetened beverages can displace essential fluids and nutrients (and overconsumption can increase the risk of weight gain, type 2 diabetes and more). Stick to water and milk most of the time.

How can I get my kid to eat more fruits and veggies?

It’s no surprise that many kids fall short here. According to the Centers for Disease Control and Prevention, about 50% of kids ages 1 to 5 don’t eat a daily vegetable. Try these five strategies to turn things around:

1 Offer a variety: It is important to expose kids to a variety of foods starting in infancy (when developmentally appropriate at 6 months). There is no literature to support that starting with vegetables will make them less picky. But there is evidence that continued exposure to foods, even if the kids don’t appear to like them, helps develop a more long-term, positive relationship with eating all different flavors and types of foods.

2 Serve pr oduce with each meal: It sounds obvious, but kids can’t learn to like something if they aren’t exposed to it. Try

putting a fruit and a vegetable on the plate every single meal. Your tot may not eat it, and that’s okay. Just continue to offer veggie and fruit choices. And serve them in various ways: with different seasonings and dips, say, or use different cooking methods, like air fried or grilled. It can take multiple exposures sometimes for kids to learn to like a food.

3 S tart with small portions: Especially for younger kids, trying new foods can be overwhelming. If the family is eating broccoli, put one piece on your child’s plate. Then they can have more if they want it. But this is much more manageable than walking up to the table and seeing a large portion of a potentially scary new food.

4 M odel healthy eating: Positive role modeling is hugely important in getting kids to eat. If you aren’t eating the foods yourself, you can't expect your child to chow down on them. Even if you're picky and dislike certain vegetables, say, you should try to put on a good show and set an example of what healthy eating looks like for your children.

5 Mak e it fun: To make eating produce enjoyable for the whole family, have a blind taste test with your children and try a new-to-you fruit or veg. Or take your child to the grocery store or farmer’s market and let them pick out fruits and vegetables themselves. Reminder: You can be honest if you haven’t “learned to like” something yet.

How can I stop the daily food fights?

Picky eating, power struggles, food refusal—we get it. Here’s how to bring peace to the dinner table:

l Offer structure, not pressure: Stick to regular meals and snacks, but let your child decide how much to eat.

l Let your tot join in: Use cookie cutters to make silly shapes out of sandwiches or cheese slices together, or involve your child in preparing meals. The more they’re engaged in making the meal, the more likely they are to enjoy it.

l Use positive reinforcement: Make a point to acknowledge the small victories—like when your child tries a new veggie or drinks a full glass of water. A little celebration goes a long way in encouraging healthy habits! l

Navigating the Youth Mental Health Crisis

First and foremost, know that you’re not alone. These seven resources can provide the support and guidance you need to help your child through their challenges.

by Annika Urban ©

IN AN IDEA WORLD , mental health would be a fundamental part of every child’s health care. But in reality, far too many children miss out on this crucial component—even as mental health challenges among America’s youth continue to grow.

Today, an estimated one in five children in the U.S.—or 20%—experience a mental health disorder. These often include anxiety, depression, ADHD and behavioral challenges, says Kimberly Hoagwood, professor emeritus in the department of child and adolescent psychiatry at the New York University Grossman School of Medicine and NYU Langone’s Hassenfeld Children’s Hospital.

As children transition into young adulthood, the numbers don’t improve. Among individuals ages 18 to 25, one in three report struggling with a mental health condition. “These numbers have gone up, despite all that we know,” Hoagwood says. Suicide, now the third leading cause of death among young people ages 15 to 24, remains a pressing concern.

While these statistics can be overwhelming, Hoagwood and other experts emphasize that help is available—and you don’t have to face it alone. Here are seven resources to get you started.

1. Your Family Doctor

When in doubt, start with your child’s primary care physician or pediatrician. Research shows that 81% of parents who are concerned about their child’s mental health have turned to their pediatrician for advice. “It is their business to understand the mental health liability of

This is important!

Always take your child to the ER or contact 911 or 988 in urgent situations or if you believe they are at risk of harming themselves or others.

a child. And they can channel you into the other places where care can be acquired,” says Dr. John Constantino, a board-certified child and adolescent psychiatrist, as well as the chief of Behavioral and Mental Health at Children’s Healthcare of Atlanta. If you don’t have an appointment lined up and your child isn’t in crisis, you may be able to reach out through your health portal. Need more immediate help? Call your pediatrician’s office, explain your child’s situation and ask for advice.

2. Schools as Support

Many schools offer resources for students struggling with mental health challenges. While school counselors and resource of-

ficers aren’t licensed mental health professionals, they are often well-connected to specialists, support groups and other valuable resources.

“Ask your school counselor, nurse or your teacher for guidance,” says Dr. James Norcross, a professor of psychiatry, chief of both the Texas Child Mental Health Consortium Programs and the Division of Child and Adolescent Psychiatry at UT Southwestern Medical Center and division director of psychiatry at Children’s Health in Dallas. They can also connect your child to in-school resources like yoga, mindfulness clubs and extracurricular activities that can benefit mental health.

3. Telemedicine Resources

If your child has trouble accessing in-person care, telemedicine is a valuable alternative. Virtual mental health services can be affordable or even free, depending on your insurance and provider.

One example is the Texas Child Health Access Through Telemedicine (TCHATT)

program, which provides free telemedicine services to students. “The program allows us to provide care through virtual means to schools, and the referrals come from the schools themselves,” says Norcross. For many children, the comfort of receiving care at home, rather than in an office, can be a welcome option.

4. Crowdsourcing Help for Children

With all of these great resources, don’t forget the power of recommendations and advice from trusted friends and family. Dr. Ron-Li Liaw, mental health in-chief and chair of the Pediatric Mental Health Institute at Children’s Hospital Colorado, calls this “crowdsourcing.”

From conversations with neighbors to Facebook groups, you’ll find recommendations for resources and professionals. It’s important to do your homework, though. Especially when considering recommendations from social media, Liaw emphasized the importance of double checking them against “other national resources that have been vetted for quality.”

5. Online Resources

Many online platforms can provide valuable information and connect you with local professionals. For example, the National Alliance on Mental Illness (NAMI), Mental Health America and Active Minds offer educational resources, symptom checklists and ways to locate providers. These platforms can also connect parents with support groups and offer webinars, podcasts and videos to help guide you.

6. Call Centers

For non-urgent but still critical situations, the 988 mental health crisis helpline is available 24/7. You can call or text for immediate support, and trained professionals will help you navigate the situation and provide resources. It’s also an option for teens who may feel more comfortable texting than speaking on the phone.

However, keep in mind that the 988 helpline cannot prescribe medications or provide long-term therapy. It’s an immediate support resource to help connect you to the right ongoing care.

7. Local Hospitals

Just like you’d go to the ER for a broken bone or another injury, your local children’s or general hospital is the place to go if your child is experiencing a mental health crisis.

Local children’s hospitals are equipped to handle mental health crises and can provide immediate care and referrals. “Go to the emergency room if it’s a crisis, even if it’s after hours,” says Norcross. Emergency rooms can assess your child’s condition, offer stabilization and refer you to the appropriate specialists. l

The best hospitals for youth mental health conditions

U.S. News evaluated 84 hospitals for their care of children and teens in mental and behavioral health conditions such as autism, anxiety, depression, eating disorders, ADHD, gender dysphoria, bipolar, schizophrenia, language and learning disorders and substance abuse and addiction. To learn more, go to http://www.usnews.com/ kids-behavioral-health.

Hospital Data Insights is an analytics platform from U.S. News & World Report based on the data underpinning the Best Hospitals rankings.

Why Hospital Data Insights?

Transform Insights Into Action

•Explore elements to help improve patient care

•Promote brand awareness

• Inform resource allocation

•Discover performance drivers

For more information or to request a free customized demo of your data, get in touch.

custom visualizations

Children’s Hospitals Best HONOR ROLL

This elite list showcases hospitals with unusual breadth of excellence in pediatric specialty care. For each specialty, each hospital that ranked among the top 50 earned points toward the Honor Roll: 25 points for ranking No. 1, 24 points for No. 2 and so on; hospitals ranked among the top 50 but not in the top 20 received 5 points. The 10 hospitals with the most points define the Honor Roll.

Boston Children's Hospital

Children's Hospital Colorado, Aurora

Children's Hospital Los Angeles

Children's Hospital of Philadelphia

Children's National Hospital, Washington, D.C.

Cincinnati Children's, Cincinnati

Nationwide Children's Hospital, Columbus, Ohio

Rady Children's Hospital, San Diego

Seattle Children's Hospital

Texas Children's Hospital, Houston

2025-26

©2025

The Children’s Hospital of Philadelphia.

What Matters in Pediatrics

How we identified 89 outstanding children’s hospitals

by Ben Harder ©

HERE SHOULD anxious parents take a newborn with a life-threatening heart defect, or find ongoing care for a child with failing kidneys or lung-clogging cystic fibrosis? A local hospital’s pediatric department might be perfectly capable of managing ear infections, allergies, flu and other common childhood ailments. But it may not have the expertise to treat severely ill kids. That’s where children’s hospitals come in. There are approximately 200 hospitals in the country that either exclusively treat pediatric patients or possess a

Wpediatric department that functions like a self-contained children’s hospital. Even within that group, some centers are better than others. U.S. News created the Best Children’s Hospitals rankings to help parents, in consultation with their doctors, find those best suited to their child.

The 2025-2026 rankings highlight top children’s centers in 11 specialties: behavioral health, cancer, cardiology and heart surgery, diabetes and endocrinology, gastroenterology and gastrointestinal surgery, neonatology, nephrology, neurology and neurosurgery, orthopedics, pulmonology and lung surgery and urology. This year, 89 hospitals ranked in at least

summary measures appear in the ranking tables on the following pages; more can be found at health.usnews. com/childrenshospitals, which also features data on dozens of additional children’s hospitals.

Almost all of the medical data used in these rankings were obtained by asking hospitals to complete a lengthy online data-collection process. This year, 108 hospitals surveyed by U.S. News provided enough data to be evaluated.

RTI International, a North Carolina-based research firm, oversaw data collection and produced the rankings. Collaborating with RTI staff, scores of pediatric experts serving in working groups helped design the data-collection survey.

Whether and how high an institution was ranked depended on three elements: its clinical outcomes (such as survival and surgical complications), its delivery of care (such as adhering to safe and effective practices) and its resources (such as staffing and technology). Each element contributed onethird of a hospital’s overall score in most specialties. A detailed FAQ about the rankings is available at health.usnews. com/aboutchildrens. Here are the basics:

one specialty, and 10 were named to the Honor Roll for scoring near the top in most or all specialties. Regional rankings for each of seven multi-state regions (Page 198) list hospitals according to the number of specialties in which they were among the best. Judging the excellence of children’s hospitals is challenging, and no single metric or ranking should be viewed as a definitive guide. U.S. News gathered hundreds of data points on each hospital to determine its strengths and weaknesses. Many

Clinical Outcomes These reveal a hospital’s success at keeping kids alive after their treatment, protecting them from infections and complications and improving their quality of life. While tough to measure, outcomes tend to matter most to both families and doctors.

Delivery of Care How well a hospital handles day-to-day care was determined in part by compliance with accepted “best practices,” such as performing neuropsychological evaluation of patients with certain cancers. Another factor: U.S. News surveyed pediatric specialists, asking them to identify up to 10 hospitals they consider best in their area of expertise for kids with complex medical problems.

Resources Surgical volume, nursepatient ratio, clinics and programs for conditions such as asthma and dozens of other measures were considered.

A Word on the Terms

USED IN MORE THAN ONE SPECIALTY

A Nurse Magnet hospital: Hospital recognized by American Nurses Credentialing Center as meeting standards for nursing excellence.

Infection prevention score, ICU: Ability to prevent central-line bloodstream infections in intensive care units.

Infection prevention score, overall: Ability to prevent infections through measures such as hand hygiene and vaccination.

No. of best practices: How well hospital adheres to recommended ways of diagnosing and treating patients, such as documenting blood sugar levels for a high percentage of outpatients (diabetes and endocrinology) and conducting hip exams with ultrasound specialists (orthopedics).

Nurse-patient ratio: Balance of fulltime registered nurses to inpatients.

Patient volume score: Relative number of patients in past year with specified disorders. % of specialists recommending hospital:

Percentage of physician specialists surveyed in 2023, 2024 and 2025 who named hospital among best for very challenging patients.

Procedure volume score: Relative number of tests and nonsurgical procedures in the past one, two or three years, such as implanting radioactive seeds in a cancerous thyroid (diabetes and endocrinology) and using an endoscope for diagnosis (gastroenterology). Surgical procedures are included in orthopedics.

Surgery volume score: Relative number of patients who had specified surgical procedures in past year.

Surgical complications prevention score:

Ability to prevent surgery-related complications and readmissions within 30 days (neurology and neurosurgery, orthopedics, urology).

U.S. News score: 0 to 100 summary of overall performance in specialty.

NA: Not applicable; the service is not provided by hospital.

NR: Indicates that data is not reported or unavailable.

USED IN ONE SPECIALTY

CANCER

Bone marrow transplant survival score:

Survival of stem cell recipients at 100 days. Five-year survival score: Survival five years after treatment for acute lymphoblastic leukemia, acute myeloid leukemia and neuroblastoma.

Palliative care score: How well program meets specified training and staffing standards for children with terminal or life-limiting conditions, and number of cancer patients referred to program.

CARDIOLOGY & HEART SURGERY

Catheter procedure volume score: Relative number of specified catheter-based procedures in past year, such as inserting stents and treating heart rhythm problems. Length of stay after surgery score: Success in minimizing how long certain congenital heart patients spend in the hospital for care related to their heart condition.

Norwood/hybrid surgery survival score: Survival at one year after the first in a series of reconstructive surgeries, evaluated over past four years.

Risk-adjusted surgical survival score: Survival in the hospital and 30 days from discharge after congenital heart surgery, adjusted for operative and patient risk, evaluated over past four years.

DIABETES & ENDOCRINOLOGY

Diabetes management score: Ability to prevent serious problems in children with Type 1 diabetes and to keep blood sugar levels in check.

Thyroid management score: Relative proportions of children treated for underactive thyroid who test normal and of infants who begin treatment by 3 weeks of age.

GASTROENTEROLOGY & GI SURGERY

Liver transplant survival score: One- and three-year survival after liver transplant. Nonsurgical procedure volume score: Relative number of tests and noninvasive procedures. Selected treatments success score: Shown, for example, by high remission rates for inflammatory bowel disease and few complications from endoscopic procedures.

NEONATOLOGY

Infection prevention score, NICU: Ability to prevent central-line bloodstream infections in neonatal ICU.

Keeping breathing tube in place score: Ability to minimize inappropriate breathingtube removal in intubated infants.

Leaves NICU on breast milk score: Relative percentage of infants discharged from NICU receiving some nutrition from breast milk.

NICU temperature management score: Success in managing NICU patients’ temperature at the time of admission and postoperatively.

NEPHROLOGY

Biopsy complications prevention score: Ability to minimize complications after kidney biopsy.

Dialysis management score: Relative proportion of dialysis patients in past two years who tested normal.

Infection prevention score, dialysis: Ability to minimize dialysis-related infection.

Kidney transplant survival score: Based on patient survival and functioning kidney at one and three years.

NEUROLOGY & NEUROSURGERY

Epilepsy management score: Ability to treat children with epilepsy.

Surgical survival score: Survival at 30 days after complex surgery and procedures, such as those involving brain tumors, epilepsy and head trauma.

ORTHOPEDICS

Fracture repair score: A bility to treat complex leg and forearm fractures efficiently.

PULMONOLOGY & LUNG SURGERY

Asthma inpatient care score: Ability to minimize asthmatic children’s asthma-related deaths, length of stay and readmissions. Cystic fibrosis management score: Ability to improve lung function and nutritional status.

Lung transplant survival score: Reflects number of transplants in past two years, one-year survival and recognition by United Network for Organ Sharing.

UROLOGY

Minimally invasive volume score: Relative number of patients in past year who had specified nonsurgical procedures.

Testicular torsion care score: P romptness of emergency surgery to correct twisted spermatic cord.

Behavioral Health

Children’s Medical Center Dallas

Children’s Medical Center Dallas, part of Children’s HealthSM, is consistently named one of the best pediatric hospitals in the nation, and ranked in all eligible specialties by U.S. News & World Report. From our innovative CAR T-cell therapies to our advanced organ transplant program, we continue to make life better for children.

Learn about our nationally ranked care at childrens.com/excellence

Cardiology & Heart Surgery

Diabetes & Endocrinology

Gastroenterology & GI Surgery

Neonatology

Nephrology

“When I was 3, I was diagnosed with a rare kidney disease. My life saving journey with Montefiore Einstein included a kidney transplant at age 8. They saved my life and now I stand with them to bring awareness to pediatric kidney disease.”

The Children’s Hospital at Montefiore Einstein has been at the forefront of advancing treatments for kidney disease in children for over 50 years.

See Alisha’s life saving journey at montefioreeinstein.org/Alisha

Neurology & Neurosurgery

Orthopedics

Pulmonology & Lung Surgery

Urology

2025-26

Best RegionalHospitals

179 Great Care Near Home: Read about how U.S. News identified and ranked the top hospitals state by state.

1 81 The Rankings: See how district hospitals performed in areas of specialty care and in common procedures and conditions.

195 Caring for Whole Communities: U.S. News has recognized hospitals that care for patients from underserved communities.

198 Best Regional Children’s Hospitals: Explore a region-by-region ranking based on performance in 11 specialties.

Great Care Near Home

How we identified and ranked the top hospitals state by state

by Ben Harder ©

IF YOU’RE LIKE MOST people who face hospitalization, you’d likely prefer to stay close to home. Not only is going to a local hospital more convenient, but it could help you avoid a hefty bill for out-ofnetwork care. Additionally, friends and family may be able to visit you if you go to a nearby hospital, and that support can be incredibly important during your recovery. Plus, getting follow-up care from the same medical team will be more practical if you don’t need to travel a great distance.

The U.S. News & World Report Best Regional Hospitals listings showcase about 500 hospitals in the country that offer high-quality care across a range of clinical services. These services include both complex, highly specialized care for the sickest patients—the focus of the Best Hospitals specialty rankings (see Page 100)—and safe, effective treatment for those whose medical needs are more commonplace, such as patients seeking hip or knee replacement surgery for age-related arthritis. The 2025-2026 Best Regional Hospitals rankings, found in their entirety at health.usnews.com/bestregionalhospitals, offer readers in most parts of the country a number of high-quality choices near home.

These evaluations are based on ratings of how well hospitals handle 22 relatively common procedures and conditions in addition to their performance in 11 specialties.* The 22 procedures and conditions are: colon cancer surgery; gynecological cancer surgery; lung cancer surgery; prostate cancer surgery; leukemia, lymphoma and myeloma; heart arrhythmia; heart attack; heart failure; heart

*Cancer; cardiology, heart and vascular surgery; diabetes and endocrinology; ear, nose and throat; gastroenterology and GI surgery; geriatrics; obstetrics and gynecology; neurology and neurosurgery; orthopedics; pulmonology and lung surgery; urology

bypass surgery; heart valve surgery; pacemaker implantation; transcatheter aortic valve replacement; abdominal aortic aneurysm repair; stroke; back surgery; hip replacement; knee replacement; hip fracture; diabetes; kidney failure; pneumonia; and chronic obstructive pulmonary disease. Hospitals are assigned a rating of “high performing,” “as expected” or “evaluated” in each area in which they treated enough patients to be evaluated.

Recognition as a Best Regional Hospital means a hospital earned at least eight “high performing” ratings across the procedures and conditions and met certain other criteria. To learn more, check out the FAQ at health.usnews.com/best-hospitals.

The Best Regional Hospitals appear ranked by state on the following pages. Hospitals are numerically ordered according to the following rules:

1. Hospitals on the Honor Roll (see Page 98) were ranked No. 1 in their state. In states with more than one Honor Roll hospital, all were tied at No. 1.

2. All other hospitals received two points for each of the 11 specialties in which they were ranked among the top 50 and one

point for each of those specialties and each procedure or condition in which it was rated high performing. The two heart valve procedures were treated as one procedure for scoring purposes.

3. A hospital lost one point for each procedure or condition in which it was rated “evaluated.” Again, the valve procedures were scored together.

Based on the same rules, hospitals in major metropolitan areas also were ranked against other top hospitals in the metropolis. Our website displays these rankings for 95 metro areas with approximately 500,000 or more residents.

To help consumers outside the biggest urban centers who are searching for high-

quality care, our website also lists top hospitals in more than 100 U.S. News-defined regions, such as Kentucky’s Bluegrass Region, the Ozarks in Arkansas and the Florida Panhandle.

Our goal with the state and metro area rankings is to identify general medical-surgical hospitals that provide both breadth and quality, so only hospitals that deliver a wide range of clinical services for adults were considered for the Best Regional Hospitals rankings.

Maternal and pediatric care did not factor into these rankings. Hospitals are separately evaluated in maternity care (Page 136), and children’s hospitals are separately ranked by region (Page 198) based on their performance across the 11 children’s specialties (Page 162). How a hospital performed in ophthalmology, psychiatry, rehabilitation and rheumatology did not factor into the Best Regional Hospitals rankings, either. While these four specialties are undeniably important, many hospitals treat few, if any, inpatients in these specialty areas.

Additionally, specialty hospitals such as dedicated cancer centers, surgical hospitals and rehabilitation facilities were not considered for the regional rankings.

Of course, a local hospital doesn’t make sense for every patient. Where you live, the type of care you need, your insurance coverage and other factors will all play a role in determining which type of hospital is preferable for your treatment. That’s why when choosing a hospital, it’s important to consult with your physician or other health professional and talk with family and friends about the hospitals that you’re comparing. Then you can combine your own research with ours to find the best possible care. l

Best Regional Hospitals

To help patients identify top hospitals near home, the table below compares hospitals across 15 areas of complex specialty care that comprise the Best Hospitals rankings (Page 100) plus 22 procedures and conditions.

NATIONALLYRANKED LEUKEMIA& LYMPHOMA*GYNECOLOGICALCANCER SURGERY COLONCANCER SURGERY LUNGCANCER SURGERY PROSTATECANCER SURGERYHEARTARRHYTHMIA HEARTATTACKHEARTFAILUREHEARTBYPASS SURGERY HEARTVALVE SURGERY TAVR† ABDOMINALAORTIC ANEURYSM PACEMAKER IMPLANTATION STROKEBACKSURGERYHIPREPLACEMENTKNEEREPLACEMENTHIPFRACTUREDIABETESKIDNEYFAILUREPNEUMONIACOPD‡

BEST REGIONAL HOSPITALS

COLORADO

*Also includes myeloma. †TAVR: Transcatheter aortic valve replacement. ‡COPD: Chronic obstructive pulmonary disease.

**MedStar Washington Hospital Center is ranked No. 2 and both MedStar Georgetown University Hospital and Johns Hopkins Medicine-Sibley Memorial Hospital are ranked No. 5 (tied) in the Washington, D.C., metro area rankings, which include hospitals in and around the District of Columbia. These three hospitals in D.C. are presented here alphabetically. A footnote indicates that another hospital’s results are included, that the hospital has a different name in one or more areas of care, or both. 6U. of Colorado Cancer Ctr.-UCHealth U. of Colorado Hosp., National Jewish Health 7Smilow Cancer Hospital at Yale New Haven 8MedStar Heart & Vascular Inst. at MedStar Washington Hosp. Ctr. 9Florida Orthopaedic Institute at Tampa General Hospital 10Baptist Health Miami Cancer Institute at Baptist Hospital, Baptist Hlth. Miami Cardiac & Vascular Inst. at Baptist Hosp., Baptist Health Miami Neuroscience Institute at Baptist Hosp., Baptist Health Orthopedic Care at

Hospital 11Sylvester Comp. Cancer Ctr.-U. of Miami Hosp. & Clinics, Desai

BEST REGIONAL HOSPITALS

ILLINOIS

BEST REGIONAL HOSPITALS

1

BEST REGIONAL HOSPITALS

includes myeloma.

TOP 20 IN THE NATION. #1* IN NY-NJ METRO AREA.

Hackensack University Medical Center:

Top 20 nationally

#1* in NY-NJ metro area *Tied

#1 adult & children’s hospitals in NJ

The only nationally ranked cancer center in NJ at John Theurer Cancer Center

• • • • Specialties ranked among the best in the nation for clinical excellence in: Urology

• • • •

Orthopedics

Pulmonology

Diabetes & Endocrinology

Neurology

Geriatrics

Ear, Nose & Throat •

Cardiology, Heart & Vascular Surgery Cancer

Gastroenterology & GI Surgery

Jersey Shore University Medical Center: JFK Johnson Rehabilitation Institute: Top 20 in NY-NJ metro area

Pulmonology & Lung Surgery •

Geriatrics

Top 5 in NJ • • Among the nation’s best physical rehabilitation hospitals • Nationally High Performing in: Cardiology, Heart & Vascular Surgery

BEST REGIONAL HOSPITALS

BEST REGIONAL HOSPITALS

*Also includes myeloma. †TAVR: Transcatheter aortic valve replacement. ‡COPD: Chronic obstructive pulmonary disease. A footnote indicates that another hospital’s results are included, that the hospital

or

37Thomas Jefferson U. Hosps.Sidney Kimmel Comp. Cancer Ctr.-Jefferson Hlth., Thomas Jefferson U. Hosps.-Vickie & Jack Farber Inst. for Neuroscience-Jefferson Hlth., Rothman Orthopaedics at Thomas Jefferson U. Hosps.-Jefferson Hlth., Thomas Jefferson U. Hosps.-Jane & Leonard Korman Respiratory Inst.-Jefferson Hlth.

VERMONT

1

BEST REGIONAL HOSPITALS

*Also includes myeloma. †TAVR: Transcatheter aortic valve replacement. ‡COPD: Chronic obstructive pulmonary disease. A footnote indicates that another hospital’s results are included, that the

Caring for Whole Communities

For the second year in a row, U.S. News has recognized hospitals that treat patients from every stratum of their communities.

by Tavia Binger and Ben Harder ©

Patients with high social needs often face significant obstacles in accessing top-quality healthcare services. At the same time, hospitals that care for a larger proportion of more vulnerable patients are faced with challenges, such as lower reimbursement from certain insurers, which can limit their ability to provide much-needed services to their communities. Yet some hospitals break the mold by demonstrating excellence in quality while also caring for numerous patients from vulnerable communities.

To recognize such hospitals, U.S. News developed a methodology defining the 2025-2026 Best Regional Hospitals for Community Access. The result is this list of 76 hospitals. Hospitals on this list were recognized for excellent performance in both quality and measures related to access to care for historically underserved communities, as described below.

At least 40% of Medicare inpatient visits involved patients living in more socioeconomically deprived neighborhoods. The socioeconomic deprivation of neighborhoods was assessed using Area Deprivation Index data obtained from the Neighborhood Atlas. Both national percentiles, which compare neighborhoods to others in the country, and state deciles, which compare neighborhoods only to others within the same state, were considered. Neighborhoods with national ADI values above 70 (on a scale where 100 indicates the greatest deprivation), or state ADI values above 7 (on a 1-to-10 scale), were classified as more socioeconomically deprived for this analysis. A hospital could meet this criterion if at least 40% of its Medicare patients lived in deprived neighborhoods, according to either state or national ADI.

A sizable Medicaid population. A hospital met this requirement if at least 30% of its patients were insured by Medicaid, or if it achieved the highest category (“Higher than other hospitals”) on a measure of representation of low-income patients, which was based on Medicaid data.

For the access component of this methodology, we identified hospitals that served a higher proportion of three historically underserved communities: people living in more socioeconomically deprived neighborhoods, Medicaid beneficiaries and racial and ethnic minorities. For the quality component, we identified hospitals that were awarded the Best Regional Hospitals recognition.

Hospitals received this recognition if they ranked among the Best Regional Hospitals (see Page 179) and met at least two of the following three criteria:

A patient population that reflects the racial and ethnic diversity of the surrounding community. A hospital met this requirement if at least 20% of its Medicare inpatients receiving elective care were from racial or ethnic minorities, or if it treated a nontrivial Medicare population from one or more of five racial/ethnic minority groups and achieved the highest category (“Comparable to or higher than the community”) for corresponding representation measure(s) published by U.S. News. l

Best Regional Hospitals for Equitable Access

These 76 institutions provide excellent care for underserved communities.

• AHN Forbes Hospital, Monroeville, Pa.

• Advocate Christ Medical Center, Oak Lawn, Ill.

• Advocate Trinity Hospital, Chicago,

• Albany Medical Center, Albany, N.Y.

• Asante Rogue Regional Medical Center, Medford, Ore.

• Ascension Alexian Brothers Hospital, Elk Grove Village, Ill.

• Ascension St. John Medical Center, Tulsa, Okla.

• Banner-University Medical Center Phoenix

• Banner-University Medical Center Tucson, Ariz.

• Barnes-Jewish Hospital, St. Louis

• Bronson Methodist Hospital, Kalamazoo, Mich.

• Cape Fear Valley Medical Center, Fayetteville, N.C.

• Christian Hospital, St. Louis

• Cooper University Health Care-Camden, N.J.

• Corewell Health Dearborn Hospital, Dearborn, Mich.

• CoxHealth Springfield, Mo.

• Dartmouth Hitchcock Medical Center, Lebanon, N.H.

• ECU Health Medical Center, Greenville, N.C.

• Eastern Maine Medical Center, Bangor

• Genesis Healthcare System-Zanesville, Ohio

• Grand Strand Regional Medical Center, Myrtle Beach, S.C.

• HCA Florida Kendall Hospital, Miami

• HCA Houston Healthcare Clear Lake, Webster

• Henry Ford Hospital, Detroit

• Hillcrest Medical Center, Tulsa, Okla.

• Indiana University Health Medical Center, Indianapolis

• Inova Alexandria Hospital, Alexandria, Va.

• Kaiser Permanente Fontana and Ontario Medical Centers, Fontana, Calif.

• Kaiser Permanente South Sacramento Medical Center, Sacramento, Calif.

• Kettering Health Main Campus, Kettering, Ohio

• Lexington Medical Center, West Columbia, S.C.

• Loma Linda University Medical Center, Loma Linda, Calif.

• Long Island Jewish Med. Ctr. at Northwell Health, New Hyde Park, N.Y.

• M Health Fairview University of Minnesota Medical Center, Minneapolis

• Maimonides Medical Center, Brooklyn, N.Y.

• Memorial Medical Center-Modesto, Calif.

• MemorialCare Orange Coast Medical Center, Fountain Valley, Calif.

• Mercy Hospital Fort Smith, Ark.

• Mercy San Juan Medical Center, Carmichael, Calif.

• Methodist Hospitals of Memphis, Tenn.

• MetroHealth Medical Center, Cleveland

• Montefiore Medical Center, Bronx, N.Y.

• Mount Sinai Hospital, New York

• Nebraska Medicine-Nebraska Medical Center, Omaha

• New York-Presbyterian Hospital-Columbia and Cornell

• New York-Presbyterian Queens Hospital, Flushing

• Ochsner Lafayette General Medical Center, Lafayette, La.

• OhioHealth Grant Medical Center, Columbus

• Park Nicollet Methodist Hospital, St. Louis Park

• Prisma Health Richland Hospital, Columbia, S.C.

• Sanford Medical Center Bismarck, N.D.

• Scripps Mercy Hospital, San Diego

• Sharp Chula Vista Medical Center, Chula Vista, Calif.

• South Texas Health System-Edinburg

• Southcoast Hosps.-Fall River, New Bedford & Wareham, Mass.

• St. Agnes Medical Center, Fresno, Calif.

• St. David’s North Austin Medical Center, Texas

• St. Francis Hospital-Tulsa, Okla.

• Stony Brook University Hospital, Stony Brook, N.Y.

• Stormont Vail Hospital, Topeka, Kan.

• Sutter Medical Center-Sacramento, Calif.

• Temple University Hospital, Philadelphia

• Texoma Medical Center, Denison, Texas,

• TidalHealth Peninsula Regional, Salisbury, Md.

• UC Davis Medical Center, Sacramento, Calif.

• UC Irvine Medical Center, Orange, Calif.

• UMass Memorial Medical Center, Worcester, Mass.

• UNC Hospitals, Chapel Hill, N.C.

• UPMC Presbyterian Shadyside, Pittsburgh

• University of Alabama at Birmingham Hospital, Birmingham

• University of Chicago Medical Center

• University of Iowa Health Care Medical Center, Iowa City

• University of Kentucky Albert B. Chandler Hospital, Lexington

• WakeMed Raleigh Campus, Raleigh, N.C.

• Wesley Healthcare Center, Wichita, Kan.

• Yale New Haven Hospital, New Haven, Conn.

Best Regional Children’s Hospitals

For good reasons, parents of kids who need specialty care tend to seek a hospital close to home, usually within the state where they live or in a neighboring state. Designed to help families identify top pediatric centers near home, the region-by-region rankings below compare children’s hospitals on overall performance across 11 pediatric specialties.

Yale New Haven Children’s Hospital, New Haven, Conn.

( - ) indicates hospital is not nationally ranked.

A footnote indicates that another hospital’s results are included, that the hospital has a different name in one or more areas of care, or both. 1Dana-Farber/Boston Children’s Cancer and Blood Disorders Center 2UPMC Children’s and Western Psychiatric Hospitals; UPMC Children’s Hospital of Pittsburgh-Shriners Hospitals for Children Erie 3Johns Hopkins Children’s Center-Kennedy Krieger Institute 4Virginia Congenital Cardiac Collaborative 5Rutgers Cancer Institute; RWJBarnabas Children’s Health; RWJBarnabas Children’s Health

l NATIONALLY RANKED

11 UF Health Shands Children’s Hospital, Gainesville, Fla.

Nemours Children’s Hospital-Florida, Orlando

16 Holtz Children’s Hospital at the University of Miami-Jackson Memorial Medical Center

17 AdventHealth for Children, Orlando, Fla.

6MUSC Children’s Heart Program of South Carolina 7Wolfson Children’s

Heart

Children’s and Kentucky Children’s Hospital Joint Heart Program 9Ann and Robert H. Lurie Children’s Hospital-Prentice Women’s Hospital 10Mayo Clinic-Children’s Minnesota Cardiovascular Collaborative 11St. Louis Children’s HospitalWashington University/Shriners Children’s St. Louis 12Cincinnati Children’s and Kentucky Children’s Hospital Joint Heart Program; Kentucky Children’s Hospital-Shriners Hospitals for Children 13M Health Fairview Masonic Children’s Hospital-Children’s Minnesota 14Advocate Children’s Heart Institute 15Intermountain Primary Children’s HospitalShriners Hospitals for Children-University of Utah

1 Texas Children’s Hospital, Houston

2 Children’s Medical Center Dallas16

3 Dell Children’s Medical Center, Austin, Texas

4 Cook Children’s Medical Center, Fort Worth, Texas

4 Phoenix Children’s Hospital

6 Children’s Memorial Hermann Hospital, Houston17

7 Oklahoma Children’s Hospital OU Health, Oklahoma City

4 Lucile Packard

9 Loma Linda University Children’s Hospital, Loma Linda, Calif.

( - ) indicates hospital is not nationally ranked.

A footnote indicates that another hospital’s results are included, that the hospital has a different name in one or more areas of care, or both.

16Children’s Medical Center Dallas-Scottish Rite for Children 17Children’s Memorial Hermann Hospital/Dunn Behavioral Science Center at UTHealth Houston

18UCLA Mattel Children’s & CHOC Joint Heart Program 19UC Davis Children’s Hospital/Shriners Children’s Northern California