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47 FINANCE CMO / CARE DELIVERY The 19 Double 5-Star Hospitals By Heather Punke C MS assigns hospitals two major star ratings: the HCAHPS summary star rating, based exclusively on patient survey scores; and the Overall Hospital Qual- ity Star Rating, which incorporates outcomes measures as well as patient experience scores. Currently, 188 hospitals have a five-star HCAHPS summary star rating, and 83 have a five-star overall hospital quality star rating. e following 19 hospitals are a rare breed, as they are the only hospitals in the nation that currently have the highest possible rating — five stars — in both of those rating programs. ey are listed alphabetically below. Arkansas Surgical Hospital (North Little Rock) Avera Heart Hospital of South Dakota (Sioux Falls) GHS Patewood Memorial Hospital (Greenville, S.C.) Goleta Valley Cottage Hospital (Santa Barbara, Calif.) Hill Country Memorial Hospital (Fredericksburg, Texas) Iowa Specialty Hospital-Belmond Marion Regional Medical Center (Hamilton, Ala.) Mayo Clinic Hospital (Phoenix) Memorial Hospital and Health Care Center (Jasper, Ind.) Nebraska Orthopaedic Hospital (Omaha) Northside Medical Center (Columbus, Ga.) Oklahoma Heart Hospital (Oklahoma City) Sauk Prairie Hospital (Prairie du Sac, Wis.) South County Hospital (Wakefield, R.I.) St. Joseph Mercy Chelsea (Mich.) Surgical Hospital at Southwoods (Youngstown, Ohio) Texas Orthopedic Hospital (Houston) Texas Spine and Joint Hospital (Tyler) UHHS Memorial Hospital of Geneva (Ohio) n The Cost/Benefit of Employed Physicians for 18 Specialties By Laura Dyrda R ecruiting and paying a salary for a new physician in any specialty can be costly for hospitals, but physicians usually generate more rev- enue than they get in salary or income guarantees, according to the Merritt Hawkins "2016 Physician Inpatient/ Outpatient Revenue Survey." Orthopedic surgeons have the high- est cost/benefit for hospitals when comparing average revenue they generate with annual salary. The following is the breakdown of av- erage revenue by specialty after sub- tracting the average salary for that specialty. 1. Orthopedic surgery: $2,249,605 2. Invasive cardiology: $1,923,136 3. Neurosurgery: $1,892,810 4. General surgery: $1,830,973 5. Internal medicine: $1,623,200 6. Hematology/oncology: $1,338,056 7. OB-GYN: $1,307,209 8. Family practice: $1,295,518 9. Urology: $993,659 10. Psychiatry: $984,586 11. Noninvasive cardiology: $969,971 12. Gastroenterology: $967,677 13. Pulmonology: $856,870 14. Ophthalmology: $786,577 15. Neurology: $748,536 16. Otolaryngology: $732,221 17. Nephrology: $437,054 18. Pediatrics: $470,972 Revenue data in this report were based on survey responses from 74 hospital and health system CFOs re- ceived from December 2016 through March 2016. Salary data were pulled from Merritt Hawkins' "2015 Review of Physician and Advanced Practi- tioner Recruiting Incentives" report based on offers made to physicians in 3,128 physician search assignments completed by Merritt Hawkins from April 2014 through March 2015. n Hot or Cool: Water Temperature Does Not Impact Bacteria Removal During Hand Washing, Study Shows By Anuja Vaidya C ool water is as effective as hot water for removing harm- ful bacteria, according to a study conducted by researchers at Rutgers University-New Brunswick (N.J.) and published in the Journal of Food Protection. For the study, researchers put high levels of harmful bacteria on the hands of 21 participants numerous times, over a six-month period. The participants then washed their hands in 60-degree, 79-degree or 100-de- gree water temperatures using 0.5 ml, 1 ml or 2 ml volumes of soap. The study shows that water tem- perature as high as 100 degrees Fahrenheit and as low as 60 degrees Fahrenheit did not have a signifi- cant effect on bacteria reduction during hand washing. Additionally, researchers found no difference be- tween the amount of soap used for reducing bacteria. However, further research is neces- sary to determine how much and what type of soap most impacts bac- teria removal from hands. n