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2016-17 Best Hospitals Honor Roll and Overview

Ever since 1970, patients have been checking into a hospital somewhere in America at a pace slightly faster than one every second, adding up to more than 33 million hospitalizations a year. With so many lives at stake and so many patients on whom to sharpen their skills, hospitals could be expected to meet the most demanding standards for quality and safety.

Yet too many hospitals fail even those whose medical needs are relatively straightforward, as is the case for most patients — uncomplicated heart bypass surgery, a hip joint that needs to be replaced, a cancerous section of colon removed. A hospital that makes treating patients like them its bread and butter is the very definition of a community hospital and should perform at a high standard.

To help consumers find such hospitals for routine inpatient care — nearby hospitals that are likely to be included in their insurance plan’s network — last year we began rating hospital performance in five bellwether procedures and conditions such as heart bypass, hip and knee replacement and heart failure. This year we have added four more surgical procedures, including colon and lung cancer surgery and aortic valve surgery.

The expanded ratings are an important companion to the Best Hospitals national rankings, which since 1990 have helped patients whose care is especially challenging and complex make smart, well-informed choices. Hospitals are ranked in 16 specialties on how well they care for these patients, for whom the stakes may be a matter of life or death. For them, venturing beyond a trusted community hospital to seek care at a truly exceptional medical center, even one hundreds or thousands of miles from home, may be the wisest option.

[See: FAQ: How and Why We Rank and Rate Hospitals.]

The Best Hospitals Honor Roll has been revamped for 2016-17 to take both the national rankings and the procedure and condition ratings into account. Hospitals received points if they were nationally ranked in one of the 16 specialties — the higher they ranked, the more points they got — and how many ratings of “high performing” they earned in the nine procedures and conditions. The top 20 point-getters made up the Honor Roll.

[See: The Honor Roll of Best Hospitals 2016-17.]

2016-17 Best Hospitals Honor Roll

Rank Hospital Points
1 Mayo Clinic, Rochester, Minn. 418
2 Cleveland Clinic 378
3 Massachusetts General Hospital, Boston 371
4 Johns Hopkins Hospital, Baltimore 349
5 UCLA Medical Center 331
6 New York-Presbyterian University Hospital of Columbia and Cornell 296
7 UCSF Medical Center, San Francisco 273
8 Northwestern Memorial Hospital, Chicago 266
9 Hospitals of the University of Pennsylvania-Penn Presbyterian, Philadelphia 252
10 NYU Langone Medical Center, New York 247
11 Barnes-Jewish Hospital/Washington University, St. Louis 241
12 UPMC Presbyterian Shadyside, Pittsburgh 236
13 Brigham and Women’s Hospital, Boston 235
14 Stanford Health Care-Stanford Hospital, Stanford, Calif. 227
15 Mount Sinai Hospital, New York 226
16 Duke University Hospital, Durham, N.C. 222
17 Cedars-Sinai Medical Center, Los Angeles 220
18 University of Michigan Hospitals and Health Centers, Ann Arbor 195
19 Houston Methodist Hospital 191
20 University of Colorado Hospital, Aurora 190

[See: 11 Items to Pack in Your Hospital Bag.]

Best Regional Hospitals

U.S. News created Best Regional Hospitals in 2011 to provide consumers who want to stay close to home with an overall assessment of their region’s hospitals across multiple areas of care. To be recognized regionally, a hospital must have been either nationally ranked in one of the 12 specialties in which objective data primarily determine a hospital’s performance, or received ratings of high performing in four or more of those specialties or the procedures and conditions.

In 2016-17, 504 hospitals were recognized as Best Regional Hospitals. In each state and metropolitan areas with 1 million or more residents, they were numerically ranked if there were at least two Best Regional Hospitals.

The greatest concentration of standout regional hospitals lies in the New York metro area, where New York-Presbyterian University Hospital of Columbia and Cornell was first among 28 regionally ranked centers. In Chicago, Northwestern Memorial Hospital ranked first of 23. In the Los Angeles metro area, a third crowded market, UCLA Medical Center topped the regional list of 21 hospitals.

For patients and their physicians, these rankings and ratings should be seen as just a starting point. Individual diagnosis and personal priorities will dictate their personal best choice. With the latest U.S. News hospital-quality data at their fingertips, they can make their choices with greater confidence.

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2016-17 Best Hospitals Honor Roll and Overview originally appeared on usnews.com

Don’t Settle for Student Loans to Pay for Online Education

Online college programs are becoming a more popular choice for prospective students, with one study finding that more than 6 million students enrolled in at least one online course in fall 2015. The popularity of these courses can be attributed in part to their flexibility with working adults' schedules, students' ability to progress more quickly through online programs and, oftentimes, cheaper tuition. [See 10 low-cost online bachelor's programs for out-of-state students.]Online degrees can be beneficial to many college students, but some studies have shown online learners complete their programs at lower rates than students at traditional brick-and-mortar campuses. Individuals with student loans but no degree comprise two-thirds of defaulted borrowers. Though these numbers are not encouraging, just like for traditional programs, there are ways to reduce how much you'll need to borrow for an online program to ensure you won't become one of these statistics. Don't just settle on borrowing student loans to cover the whole cost of your program and living expenses. Instead, start thinking about how to cut costs and cover your balance in different ways, such as the following. -- Grants and scholarships: Even though you are taking an online course, you can still apply and receive grants and scholarships. But your first step should be to complete the Free Application for Federal Student Aid, commonly referred to as the FAFSA, which will allow you to receive a Pell Grant if your expected family contribution is low enough. The EFC criteria and award amounts are adjusted annually, but the 2017-2018 academic year awards range from $606 to $5,920, which could significantly lower the amount you borrow annually. Your next step is to apply for scholarships. You can start by checking online scholarship search engines, such as the Salt Scholarship Search, College Board's BigFuture and Peterson's. But don't forget to take advantage of local organizations and your school's financial aid office. Both may offer scholarships that you can't find with a national scholarship search. [Review these 10 sites to kick off your scholarship search.]For instance, organizations like the Elks Club, Knights of Columbus or the Rotary Club typically offer scholarships annually to local students. Just because you're going to school online doesn't mean you're ineligible. Visit your local library for scholarship listings, and ask around town. You might be surprised how many local organizations offer scholarships. While these scholarships typically aren't large, every little bit counts. Each dollar you receive in a scholarship is a dollar you don't have to borrow and pay interest on. -- Work-study: Another option for online students may be work-study awards. Not all students enrolled in online programs are eligible, but students at some schools -- including, for example, SUNY Empire State College and Liberty University -- are. Work-study awards are not given upfront like scholarships and grants. In most cases, they are an offer to earn up to the awarded amount if you secure an eligible work-study job. While there is a misconception that all work-study jobs must be on campus, students can work for off-campus, nonprofit or public employers as long as the work is in the public's interest. You may be able to work for a for-profit employer if the job is relevant to your course of study. No matter who the outside employer is, it will need to have an established agreement with your college for you to receive work-study funds. Remember, to be eligible for federal financial aid, you must be enrolled and pursuing a degree or certificate. If you're not working toward a credential, Pell Grants and work-study won't be option, but you may still be able to take advantage of private scholarships -- just be sure to read the eligibility criteria carefully. [Explore what to know about financial aid in online programs.]-- Pay as you go: One of the great benefits to enrolling online is the flexible schedule, which can allow you to complete your college coursework around your responsibilities. But prospective students often overlook using their part- or full-time job earnings as an option for paying for college. Almost 80 percent of college students in 2015 worked at least part time while attending classes, according to the National Center for Education Statistics. By budgeting and thinking strategically about your college costs, you can likely reduce your dependence on student loans by paying a portion out of pocket. Many -- but not all -- online programs are less expensive than traditional programs and often have shorter payment periods. Six, eight or 10 weeks are common course durations. Because of the frequency of payments in an online setting, you may be well-placed to pay as you go and possibly avoid borrowing altogether. Attending college online and avoiding student loans may be challenging, but if you are willing to put in the effort, you can limit the amount you need to borrow. More from U.S. News Q&A: Understanding Student Loan Discharge Eligibility Student Loan Refinancing Isn't Right for All Borrowers
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