Is Inova the Best Regional Hospital System in America? How about Virginia’s Others?

Inova Fairfax Medical Campus

by James C. Sherlock

Answer: Inova is at least in the mix for that title.

Fewer than 14% of the hospitals in the country have 5-star quality ratings from Medicare. Another 29% are rated 4-stars.

Inova operates five hospitals. Three of them are rated 5-stars (of 9 in the state) and two 4-stars by Medicare.

Inova has an exemplary board structure and members. Which matters. A lot. Management at the headquarters and at each hospital reflects that board oversight.

We are lucky to have them.

All state acute care and critical access hospitals are in this spreadsheet. We will look at Virginia high performers.

Best Multi-Hospital Systems.  In order of system quality performance

  1. Inova
  2. Sentara
  3. Riverside
  4. HCA

Five-star hospitals.

It is notable that two of Virginia’s seven critical access hospitals were awarded 5 stars for quality. Great work there. Inova’s three and Sentara’s two were notable.

  • Carilion Giles Community Hospital (Critical Access)
  • Inova Fair Oaks Hospital
  • Inova Loudoun Hospital
  • Inova Mount Vernon Hospital
  • LewisGale Hospital Alleghany
  • Riverside Doctors’ Hospital of Williamsburg
  • Sentara Martha Jefferson Hospital
  • Sentara Williamsburg Regional Medical Center
  • Smyth County Community Hospital (Critical Access)

Four-Star Hospitals.

Virginia has 27 4-star hospitals. So 36 out of 81 (44%) of Virginia acute care and critical access hospitals are 5- or 4-star. Nationwide, 39% are. The four-star hospitals (*=independent):

  • Augusta Health*
  • Bon Secours St Francis Medical Center
  • Bon Secours St Marys Hospital
  • Centra Southside Community Hospital, Inc
  • Chesapeake General Hospital*
  • Cjw Medical Center (HCA)
  • Henrico Doctors’ Hospital (HCA)
  • Inova Alexandria Hospital
  • Inova Fairfax Hospital
  • John Randolph Medical Center (HCA)
  • LewisGale Hospital Montgomery (HCA)
  • Mary Immaculate Hospital (Bon Secours)
  • Novant Prince William Medical Center
  • Reston Hospital Center (HCA)
  • Riverside Shore Memorial Hospital
  • Riverside Walter Reed Hospital
  • Sentara Careplex Hospital
  • Sentara Halifax Regional Hospital
  • Sentara Leigh Hospital
  • Sentara Norfolk General Hospital
  • Sentara Northern Virginia Medical Center
  • Sentara Princess Anne Hospital
  • Sentara Rmh Medical Center
  • Shenandoah Memorial Hospital (Valley Health)
  • Stafford Hospital, LLC (Mary Washington)
  • University of Virginia Medical Center*
  • Virginia Hospital Center*

Inova Fairfax Campus.

Inova’s flagship Fairfax Hospital is rated four stars even in the midst of transitioning during COVID in partnership with the University of Virginia Medical School to a more complete teaching and research facility, which will let it offer the most advanced treatments through participation in trials.

It is also rated as one of the top regional hospitals in America by U.S. News in a remarkable 23 types of care and has been a Leapfrog patient safety hospital with straight A’s five years in a row.

The Fairfax campus includes Inova Fairfax Hospital, Inova Heart and Vascular Institute, Inova Schar Cancer Institute, Inova Neurosciences Institute, Inova Children’s Hospital and Inova Women’s Hospital.

The campus is also home to Northern Virginia’s only Level 1 Trauma Center and offers organ transplant programs for Heart, Lung, Kidney and Pancreas. It is the site of the UVA School of Medicine Inova Campus and the VCU School of Pharmacy Inova Campus.

HCA. HCA provides four trauma centers, two in Richmond, one in Reston and one in Blacksburg. All four hospitals are rated four stars.

Sentara Leigh. Ranked the #2 teaching hospital in America 2021 by Fortune/IBM Watson Health. I can personally vouch for the quality of that facility. They train interns and residents from EVMS.

Sentara RHM (Harrisonburg) #9 and Reston Hospital Center #17. Top 20 Medium Community Hospitals 2021 Fortune/IBM Watson Health.

Riverside Shore Memorial. Special “well done.” In Onancock, way up on the Eastern Shore, this hospital holds a 4-star quality rating and is the state’s only 5-star patient survey rating.

Systems that run critical access hospitals. Thanks to Ballad (2), Bon Secours, Carilion (2), Valley health (2) and independent Bath County Community.

Ballad. Operating in the Appalachian region of Virginia and Tennessee and doing a good job with a tough hand. Achieved 5-star quality with Smyth County Community Hospital.

Regional quality

  • the Southwest is better served than you may think except for Carilion’s issues.
  • The Northwest is mixed, with some big, high quality hospitals and some smaller ones that need improvement.
  • Northern Virginia, led by Inova, is great.
  • Eastern Virginia has Sentara and Riverside.
  • Central Virginia has no five-star hospitals, but HCA and Bon Secours provide a total of seven 4 stars.  Charlottesville has UVa Medical Center, the state’s highest ranked .

Bottom line.

We are well served as a state. Inova is a star.


Share this article



ADVERTISEMENT

(comments below)



ADVERTISEMENT

(comments below)


Comments

13 responses to “Is Inova the Best Regional Hospital System in America? How about Virginia’s Others?”

  1. Jim, you and I have been pretty tough on Sentara for its monopoly control over the medical marketplace in Hampton Roads south of the James. Normally, one would not predict high quality from a monopolistic enterprise. I’d be interested to see you explore that apparent contradiction. Could Sentara, gasp, be doing better than you and I have given them credit for?

    1. James C. Sherlock Avatar
      James C. Sherlock

      Something is going on. These are far better quality results that they used to get. They have a new CEO. They actually seem to have started to meet their charitable requirements.

      But none of that deals with their business practices, which have been execrable for decades, or their pricing in South Hampton Roads, which reflects their monopoly here. The numbers show we remain one of the two most monopolized communities of this size in America.

      1. Nancy Naive Avatar
        Nancy Naive

        Well, if it’s any consolation to youse guys, a Hampton EMT told me if anything happened to him, kill him before taking him to the Sentara CarePlex.

        My only experience with their ER was a friend who stroked. It was forty-five minutes that I sat in the waiting room before they let me in and talked to me. The first thing the doctor asked me was, “Is she always this way?” To which I replied, “No. She’s had a stroke.” THEN he ordered an MRI.

        As for me, I’d rather be taken to the Rt. 17 Emergency Vet before I’d go to Sentara.

      2. Nancy Naive Avatar
        Nancy Naive

        Well, if it’s any consolation to youse guys, a Hampton EMT told me if anything happened to him, kill him before taking him to the Sentara CarePlex.

        My only experience with their ER was a friend who stroked. It was forty-five minutes that I sat in the waiting room before they let me in and talked to me. The first thing the doctor asked me was, “Is she always this way?” To which I replied, “No. She’s had a stroke.” THEN he ordered an MRI.

        As for me, I’d rather be taken to the Rt. 17 Emergency Vet before I’d go to Sentara.

      3. Nancy Naive Avatar
        Nancy Naive

        Well, if it’s any consolation to youse guys, a Hampton EMT told me if anything happened to him, kill him before taking him to the Sentara CarePlex.

        My only experience with their ER was a friend who stroked. It was forty-five minutes that I sat in the waiting room before they let me in and talked to me. The first thing the doctor asked me was, “Is she always this way?” To which I replied, “No. She’s had a stroke.” THEN he ordered an MRI.

        As for me, I’d rather be taken to the Rt. 17 Emergency Vet before I’d go to Sentara.

        1. James C. Sherlock Avatar
          James C. Sherlock

          I have been with a loved one to the emergency rooms at Virginia Beach General, which is closest, and Norfolk General. Absolutely no comparison. If you live here and are not dying, go to Norfolk General. It is well run, and its status as a Level I trauma center means if they can’t handle it, no one else can. It also means that they have consulting physicians on premises for nearly anything. That is a big deal.

          On the other side of the tunnel, there are two five-star hospitals in Williamsburg.

          Closer to the tunnel and I presume to you, 4-Star Bon Secours Mary Immaculate in Newport News is a good choice. That hospital’s Leapfrog patient safety grades have been straight A’s since 2017. That is also a big deal. Looking at their list of Conditions and Treatments, they won’t do a heart transplant, but will handle virtually anything else.

  2. LarrytheG Avatar

    Why would we trust the “govt” to determine what good quality healthcare is in the first place when not that long ago we did not trust them on nursing homes and Covid, COPN, not to mention climate, and a variety of other issues that folks don’t trust the govt on?

  3. LarrytheG Avatar

    Why would we trust the “govt” to determine what good quality healthcare is in the first place when not that long ago we did not trust them on nursing homes and Covid, COPN, not to mention climate, and a variety of other issues that folks don’t trust the govt on?

  4. LarrytheG Avatar

    Meanwhile in Fredericksburg, the State allowed a second hospital despite the strenuous COPN objections of the existing one.

    Then the original one , despite COPN , was allowed to build a stand-alone ER within one mile of the upstart.

    And now, the upstart has been permitted to build it’s own free standing ER near the original hospital.

    And now , BOTH of them warrant 2 stars on the Medicare star rating:

    https://uploads.disquscdn.com/images/15e794266ebf048f00937fc8cb6f18ff10b9e05dd94e621e4272b1b5f6ac7e06.jpg

    so much for “competition” and also for Va COPN not allowing it!

    1. how_it_works Avatar
      how_it_works

      Are you saying that the rating when down when the other hospital opened?

      1. LarrytheG Avatar

        Seems like MWH was rated higher in years past.

        1. how_it_works Avatar
          how_it_works

          I always had the impression that they weren’t that good compared to the hospitals further north, that impression primarily from what others said about them (I have little experience with MWH).

          1. LarrytheG Avatar

            I’ve had good experiences with them and they use MyChart which I consider important when seeing different providers.

            But they’ve had their detractors especially from folks who move here from NoVa and are familiar with hospitals like Inova.

            The thing is if you live in the Fredericksburg area and have an accident or a stroke or other serious problem – the time it takes to get to the ER is pretty important. fast to a less stellar ER is better than more time enroute to a better ER in certain cases I’m sure.

Leave a Reply