The 20 hospitals with the highest dissatisfaction rates in America

Here are the twenty hospitals in America with the lowest recommendation rates by patients whom they serve, according to data from the official HCAHPS survey, accessed October 2013 from the Medicare data website:

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What is "HCAHPS"? HCAHPS is best explained by their own fact sheet:

The HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) Survey is the first national, standardized, publicly reported survey of patients' perspectives of hospital care... While many hospitals have collected information on patient satisfaction for their own internal use, until HCAHPS there were no common metrics and no national standards for collecting and publicly reporting information about patient experience of care. Since 2008, HCAHPS has allowed valid comparisons to be made across hospitals locally, regionally and nationally.

Why is HCAHPS important? The answer is "money". Again, from the fact sheet:

HCAHPS and Hospital Value-Based Purchasing. The FY 2014 Hospital Value-Based Purchasing (Hospital VBP) program links a portion of IPPS hospitals' payment from CMS to performance on a set of quality measures, which include the Clinical Process of Care Domain, which accounts for 45% of a hospital’s Total Performance Score (TPS); the Patient Experience of Care Domain, 30% of TPS; and the new Outcome Domain, 25% of TPS. The HCAHPS Survey is the basis of the Patient Experience of Care Domain.

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Dr. Alex Mohseni invited to speak at Brault’s Healthcare Leadership Forum about the future of Emergency Medicine services and how ED groups can adapt using telemedicine.

Dr. Mohseni presented on the topic of how Emergency Medicine groups could expand their scope of practice to the virtual space to and how to do so in a financially viable way.

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How to connect openai to zapier to twilio so that you can interface with GPT3 via SMS

I created an SMS interface to openAI's gpt3 API so that I can send an SMS prompt to openai and get an SMS response. Result looks like this: There may be better/easier ways of doing this, but this is how I figured it out. I'm assuming some degree of familiarity w/ Zapier here: 1. Buy a phone number in Twilio to use for this. This only costs $1/mo 2. In Zapier, create a new zap where the trigger is "Webhooks by Zapier" (Premium option). Choose your event as "Catch Hook". This will generate a webhook URL that is custom for this workflow. We are doing this because when you send the SMS to the Twilio phone number, you want it to **instantly** trigger the zapier workflow and not wait the 5-15 min it takes for Twilio to trigger on its own, so for that you need the webhook: 3. Copy the webhook URL from zapier and paste it into Twilio in the "A Messages Comes In" webhook section for that phone number 4. You will then need to send a test message so that Zap...

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