Readership Research Report Consumer Reports National Research Center: Consumer Insight Group Special Report Impact Report: “How Does Your Doctor Compare?” (CR insert for Massachusetts Subscribers, July 2012) Source: Special Survey of Consumer Reports subscribers residing in Massachusetts Joanne Kane August 2012 Introduction The Consumer Reports Health Ratings Center (CRHRC) and the Massachusetts Health Quality Partners (MHQP) published a Special Health Insert in the July 2012 issue of Consumer Reports. The Special Health Insert included Massachusetts Physician Group Ratings and was distributed to subscribers living in Massachusetts. A grant from the Robert Wood Johnson Foundation funded the project, including a survey to measure the readership and impact of the Special Health Insert. This report summarizes responses to that survey (see Appendix A for the survey). Sample Characteristics and Methodology We sent the survey to 8,750 subscribers to Consumer Reports magazine. Subscribers had to both live in Massachusetts and have a valid email addresses on file to be selected for the survey. The survey launched on June 25, 2012 at noon to 500 subscribers. The remaining 8,250 subscribers received the survey at 3 pm. Subscribers received a brief email inviting them to complete a survey (see Appendix B). Those subscribers who did not complete the survey within a week were sent a reminder email on Monday, July 2, 2012 inviting them to complete the survey. Subscribers who still failed to complete the survey were sent a final reminder on Friday, July 13, 2012. The survey was closed about a month later on August 16, 2012. A total of 707 subscribers (about 8% of the original sample) responded to the survey. Subscribers who opened the email and the survey link received a message from John Santa welcoming them to take the survey and informing them that it was possible to skip any questions they preferred not to answer, but also informing them that having complete information from each subscriber was most useful to the researchers. In exchange for their participation, subscribers were offered an opportunity to enter a drawing for a complimentary extension of their subscription to Consumer Reports Magazine. Respondents ranged in age from 27 to 94 years old. Their mean age was 67 years (sd = 15), and the median age was also 67. Thirty percent of the sample was female (and 70% male)1. About half (54%) of respondents indicated that either they or their spouse was retired. Most (83%) of the respondents had completed college. More than half of those who had completed college (57%) had also completed a graduate program. Ten percent had completed high school, and five percent had completed technical or vocational school. The chart on the next page indicates that respondents’ annual household income is relatively high. Nearly half of the respondents reported an annual household income of $100,000 or higher. Only about 10% of respondents reported an annual household income below $40,000. 1 These percentages are consistent with Jeannie Miller’s ICD report: CR Customer Profiles.xls retrieved from the O:drive on 8/21/2012. 2 Annual Household Income 30 27 25 20 Percent 20 15 14 15 $40k-$59k $60k-$79k 14 10 10 5 0 <$40k $80k-$99k $100k-$149k >=$150k Almost a quarter (23%) of subscribers to Consumer Reports Magazine (CR) in this sample also subscribe to Consumer Reports on Health (CRoH) newsletter. According to the most recent database information2, only about 9% of CR subscribers also subscribe to CRoH, suggesting some self-selection bias in this sample; CR subscribers generally more interested in health (as evinced by their subscription to a health-focused newsletter) seem more likely to have completed this health-related survey than CR subscribers generally less interested in health (non-subscribers to CRoH). Importance of physician group quality information We asked respondents to evaluate the importance of physician group quality information. Ninetythree percent of subscribers reported that physician group quality information was at least somewhat important to them: 33% percent indicated that this type of information was “extremely important,” 43% indicated that the information was “very important,” and 17% indicated that the information was “somewhat important.” Eight percent said physician group quality information was either “not very important” (5%) or “not at all important” (2%). Prior interest and information-seeking Sixty-six percent of subscribers reported that physician group quality was something they had wondered about or researched before receiving the July issue of Consumer Reports. Of those who reported prior interest, half had used a website to help choose a Massachusetts-based health provider for themselves or a family member. 2 Jeannie Miller’s ICD report: Cross-Actives 2012-05.xls retrieved from the O:drive on 8/20/2012. 3 Notice of and interest in special insert Ninety percent of subscribers reported having noticed the special insert in the July 2012 Consumer Reports issue. Nearly everyone who noticed the insert read at least part of it (96%). The four percent who said they had not read at least part of the insert were asked why not. The most common reason given (by 55% of the non-readers) was that they had not yet had time, suggesting that even non-readers were interested in the insert. Twenty-three percent of the nonreaders said they were not interested in the topic, and about 18% said the content was not applicable to them. Three individuals left comments on the survey with other reasons why they did not read the insert: one said their doctor was the best he/she had ever had, one said the magazine was on loan to a friend, and one said that his or her copy of the magazine had not included the special insert we were asking about. Prior awareness of Massachusetts Health Quality Partners (MHQP), MHQP website traffic Most subscribers (80%) were not familiar with Massachusetts Health Quality Partners (MHQP) before reading the special insert. Sixteen percent of subscribers with no prior awareness of MHQP reported having visited the MHQP website as a result of reading about the organization in the insert. Twenty-two percent of subscribers who did have prior awareness of the MHQP reported visiting the website after reading the insert. Readership and perceived usefulness of pieces within the insert We asked respondents to tell us which parts, if any, of the special insert they had read. The second, “Read” column in the table below indicates the percent of respondents who read a given within the insert. We asked those respondents who had read a given piece to tell us how useful it was (columns 3-5). Pieces are listed in the order they appeared in the insert in the table below, and are listed in descending order of readership on the next page. Piece Read Very useful 28 Letter from John Santa (p. 2) 22 HOW DOES YOUR DOCTOR COMPARE? We rate adult, family, and pediatric physician 88 55 groups in the Bay State (pp. 3-8) EXCELLENCE ACROSS THE BOARD (p. 4) 42 52 HOW PRACTICES CAN IMPROVE (p. 5) 46 54 DON’T GET STUCK IN THE WAITING ROOM 47 43 (p. 6) PEDIATRIC PRACTICES, BY THE NUMBERS 16 49 (p. 8) WHAT’S BEHIND THE RATINGS (p. 9) 62 53 RATINGS OF PRACTICES FOR ADULTS (pp. 80 54 10-18) RATINGS OF PRACTICES FOR CHILDREN (pp. 20 50 19-23) Note: usefulness scores may not sum to 100% within a row due to rounding. 4 Somewhat useful 66 Not at all useful 6 33 11 43 41 5 4 50 7 37 14 42 5 37 9 39 11 Piece Read Very useful HOW DOES YOUR DOCTOR COMPARE? We rate adult, family, and pediatric physician 88 55 groups in the Bay State (pp. 3-8) RATINGS OF PRACTICES FOR ADULTS (pp. 80 54 10-18) WHAT’S BEHIND THE RATINGS (p. 9) 62 53 DON’T GET STUCK IN THE WAITING ROOM 47 43 (p. 6) HOW PRACTICES CAN IMPROVE (p. 5) 46 54 EXCELLENCE ACROSS THE BOARD (p. 4) 42 52 Letter from John Santa (p. 2) 22 28 RATINGS OF PRACTICES FOR CHILDREN (pp. 20 50 19-23) PEDIATRIC PRACTICES, BY THE NUMBERS 16 49 (p. 8) Note: usefulness scores may not sum to 100% within a row due to rounding. Somewhat useful Not at all useful 33 11 37 9 42 5 50 7 41 43 66 4 5 6 39 11 37 14 I compared the youngest quartile of readers (younger than 58) to the oldest quartile of readers (older than 74) and found significant differences in the expected direction: 32.5% of youngest respondents read the “Pediatric practices, by the numbers piece” whereas only 15% of the oldest respondents read the piece, χ2(1) =9.49, p<.05. The same pattern of results emerges for the “Ratings of practices for children” piece. Respondents’ use of and reactions to the Ratings Tables We asked those respondents who said they had read at least one of the two Ratings pieces (Ratings of practices for adults and/or Ratings of practices for children) whether they had attempted to look up Ratings information for their doctor’s practice site. Eighty-two percent of readers had done so. Of those 82% who had sought out their own provider’s information, 74% were successful in finding their doctor’s practice site within the Ratings. Of those who found their doctor’s practice site within the Ratings, most (78%) said they were not surprised by the Ratings. Respondents who were surprised generally felt Ratings were too low: most of these respondents (82%) said they would have given “much higher” or “somewhat higher” ratings. Eighteen percent said they would have given somewhat lower ratings. No participants reported that they would have given much lower ratings. We asked subscribers whether they planned to discuss their doctor’s practice site Ratings with their doctor. Twenty-six percent of respondents said they planned to do so, 31% said they did not plan to discuss the Ratings, and 43% reported that they were not sure. Subscribers were invited to share their thoughts on the measures used to evaluate the practice site Ratings. In the first of two questions related to the measures of patient experience, subscribers were asked to select the single most important factor in selecting a doctor. See the table on the next page for the percentage of respondents who identified a given measure as the most important one in selecting a doctor. 5 Measure How well the doctor communicates with patients How well the doctor gives preventative care and advice How well the doctor knows his or her patients Whether patients would recommend the doctor to others Whether patients received timely appointments, care and information Whether patients get courteous and respectful help from the office staff. Percentage 33 21 19 17 10 <1 The second question related to measures of patient experience was similar, except rather than asking subscribers to select the single most important factor in selecting a doctor, we asked subscribers to rank order all six of the measures. See the table below for the average rankordering. Note the results for the two questions related to measures of patient experience are very similar: there is only one reversal between “How well the doctor gives preventative care and advice” and “How well the doctor knows his or her patients” when respondents use ranks. Measure How well the doctor communicates with patients How well the doctor knows his or her patients How well the doctor gives preventative care and advice Whether patients would recommend the doctor to others Whether patients received timely appointments, care and information Whether patients get courteous and respectful help from the office staff. Rank Order 1 2 3 4 5 6 Respondents were invited to leave additional suggestions for performance measures in an openended response item. Some suggested measures included: accessibility for appointments and communications, accuracy and competence, coordination of care, disciplinary action and lawsuits, whether doctors listen to patients, other doctors’ opinions, and patient outcomes (including death). See Appendix C for the open-ended comments respondents made (unedited), and Appendix D for the same comments edited and categorized. Attitude change and behavioral intentions Respondents were asked whether they felt better, roughly the same, or worse about the general state of health care in Massachusetts. A quarter (25%) felt better after having read the insert, 67% felt roughly the same and 3% felt worse. Five percent said they were not sure. We hypothesized that subscribers who read the “Ratings of practices for adults” piece would be more likely to say they planned to change providers within the next six months than subscribers who had not read that piece. We did not specify a causal pathway: individuals considering a change could be more likely to check the Ratings and research alternative doctors, or individuals who happened to read the Ratings could be more likely to consider a change, or both. We did not find a significant difference in intentions to change doctors between individuals who read the piece (6%) and individuals who did not (4%), χ2(1) <1, n/s. Readership of the Ratings pieces was not associated with intentions to change doctors. The factors that did predict intentions to change 6 providers were age, gender, and the interaction between age and gender (F(3, 468) = 9.75, p<.001); younger people and women (young women, in particular) were more likely to express intentions to change providers. We asked respondents who said that they had read the “How does your doctor compare?” piece (which contained strategies for receiving better care from doctors) whether the recommendations in the piece would influence what the reader planned to say or do during future medical appointments. Thirty-nine percent said that the recommendations would change their behavior, 43% said the recommendations might change their behavior, and 17% said that the recommendations would not change their behavior. Demographic differences I tested for demographic differences based on age and gender throughout the survey. Except where noted above in the discussion of readership of pieces focused on pediatricians and in the discussion of intentions to change medical providers, I failed to find statistically significant demographic differences based on age or gender. Summary and Conclusion Respondents to this survey of Massachusetts subscribers were largely representative of Consumer Reports Magazine subscribers in general. The “typical” subscriber was a 67-year-old retired man who was well-educated and fairly affluent. Respondents in this sample were more likely to subscribe to Consumer Reports on Health – a health-focused newsletter from the publisher of Consumer Reports Magazine. Not surprisingly, perhaps, subscribers who opted in to this healthrelated survey seem more interested in health than our typical subscribers. I found few significant differences based on age or gender in my analyses of the survey responses. Nearly all respondents reported that physician group quality information was at least somewhat important to them, and nearly all respondents had read at least one of the pieces in the special insert. Relatively few respondents were familiar with the Massachusetts Health Quality Partners before seeing the insert. The insert drove some traffic to the MHQP website; about 18% of subscribers overall reported visiting the site as a result of reading about the organization in the insert. The two top-read pieces within the insert were “How does your doctor compare?” and the “Ratings of practices for adults.” Readership rates for each piece were around 80%, with about 90% of respondents who looked at each piece saying it was at least somewhat useful to them. Not all respondents were able to find their physician’s group among the Ratings, but most who did tended not to be surprised by the results. The relatively few respondents who were surprised by the results generally felt they were too low; they felt their doctor’s practice group was better than the Ratings implied. 7 Respondents tended to agree, regardless of whether the question was asked as a ranking or a rating item, that the most important measure of patient experience was how well the doctor communicates with patients. Whether or not other patients would recommend the doctor was the fourth most important measure of six; getting courteous and respectful help from office staff was consistently the least important measure. Most respondents said they felt roughly the same about the general state of health care in Massachusetts after looking at the insert than they had before looking at the insert. Few individuals (6%) planned to change their doctor in the next six months after reading part or all of the insert, but many (39%) said that they intended to change what they would say or do during future medical appointments after having read the suggestions in the “How does your doctor compare?” piece. One of the last content-related questions on the survey asked subscribers whether they would like Consumer Reports and the Massachusetts Health Quality Partners to publish health care information unique to Massachusetts every year. Sixty-eight percent of respondents said yes. Twenty-two percent of subscribers wanted to see the information every two to three years; three percent wanted to see the information every three to five years. Only three percent did not want to see health care information unique to Massachusetts at all, and five percent said they were not sure. The response to this survey item, in combination with high readership and perceived usefulness percentages, suggests that readers appreciated the information in the special insert and would be interested in seeing similar information in the future. Most respondents echoed a positive response to the insert in the open-ended response question at the end of the survey (see Appendix E for respondents’ unedited comments). Although a few respondents were unhappy with the Ratings in particular for some reason (most commonly because they could not find a particular practice site listed), most respondents who left comments expressed gratitude for the resource. 8 APPENDIX A: July 2012 Special Insert Survey MASSACHUSETTS SUBSCRIBER SATISFACTION SURVEY Welcome! This survey is designed to help us at Consumer Reports learn more about what subscribers like you thought about the special insert, "How does your doctor compare?", published in the July 2012 issue of the magazine. You may skip any questions you would prefer not to answer, though having complete information from each subscriber is most helpful to us. Your answers will be kept confidential. Sincerely, John Santa, M.D. If you are missing any issues or have questions or problems related to your subscription, please contact our customer service department at 1-800-274-7596. Overall Satisfaction Overall, how satisfied are you with the July 2012 issue of Consumer Reports? Completely satisfied Very satisfied Mostly satisfied Somewhat satisfied Not at all satisfied Importance The July 2012 issue included a special insert, "How does your doctor compare?" which included ratings of physician groups in Massachusetts. How important is this type of physician group quality information to you? Extremely important Very important Somewhat important Not very important Not at all important Curiosity Is physician group quality information something you wondered about or researched before receiving the July issue of Consumer Reports? CONDIT ION Yes No f(’q1b’)==’1’ true false 9 Question “Internet site” Internet site Have you ever used an internet site to help you choose a Massachusetts-based health provider for yourself or a family member? END Yes No Condition f(’q1b’)==’1’ Notice insert? Did you notice the special insert, "How does your doctor compare?" in the July 2012 issue? CONDITION Yes No f(’q2’)==’1’ true false Question “Read part” Read part Did you read part or all of the special insert, "How does your doctor compare?" CONDITION Yes No f(’q5’)==’2’ true false Question “Why not read” Why not read Please tell us why you have not yet read the special insert. Select as many reasons as apply I have not yet had time to read it I am not interested in the content The content is not applicable to me 10 CONDITION Other f(’q6’).any(’4’) true false Question “” END Condition f(’q5’)==’2’ CONDITION Condition f(’q6’).any(’4’) END Please tell us why you have not yet read the special insert. f(’q5’)==’1’ true false Question “” Aware of MHQP? Were you aware of the Massachusetts Health Quality Partners before reading the special insert? Yes No MHQP website Did you visit the Massachusetts Health Quality Partners website as a result of reading about the organization? Yes No 11 SubPieces Which parts, if any, of the special insert did you read? LETTER FROM DR. SANTA (p. 2) HOW DOES YOUR DOCTOR COMPARE? We rate adult, family, and pediatric physician CONDITION groups in the Bay State (pp. 3-8) EXCELLENCE ACROSS THE BOARD (p. 4) HOW PRACTICES CAN IMPROVE (p. 5) DON’T GET STUCK IN THE WAITING ROOM (p. 6) PEDIATRIC PRACTICES, BY THE NUMBERS (p. 8) WHAT’S BEHIND THE RATINGS (p. 9) RATINGS OF PRACTICES FOR ADULTS (pp 10-18) RATINGS OF PRACTICES FOR CHILDREN (pp. 19-23) f(’q8’).size() > 0 true false Question “” How useful were the parts of the insert that you read? LETTER FROM DR. SANTA (p. 2) HOW DOES YOUR DOCTOR COMPARE? We rate adult, family, and pediatric physician groups in the Bay State (pp. 3-8) EXCELLENCE ACROSS THE BOARD (p. 4) HOW PRACTICES CAN IMPROVE (p. 5) DON’T GET STUCK IN THE WAITING ROOM (p. 6) PEDIATRIC PRACTICES, BY THE NUMBERS (p. 8) WHAT’S BEHIND THE RATINGS (p. 9) RATINGS OF PRACTICES FOR ADULTS (pp 10-18) RATINGS OF PRACTICES FOR CHILDREN (pp. 19-23) Precode mask END f(’q8’) Condition f(’q8’).size() > 0 12 Very useful Somewhat useful Not at all useful CONDITION f(’q8’).any(’2’) true false Question “” Will the recommendations on how to interact with your doctor influence what you say or do during future medical appointments? CONDITION END Yes No Maybe Condition f(’q8’).any(’2’) f(’q8’).any(’8’) || f(’q8’).any(’9’) true false Question “” Did you look up Ratings information for your doctor’s practice site? CONDITION Yes No f(’q11’)==’1’ true false Question “” Did you find your doctor’s practice site in the Ratings Tables? COND ITIO N Yes No f(’q12’)==’1’ 13 true false Question “Surprise at Ratings” Surprise at Ratings Were you surprised by the Ratings for your doctor’s practice site? Yes No Rating Discrepancy Our Ratings were based on patient experience. Based on your own experiences as a patient, would you have given your doctor’s practice site higher, lower, or about the same ratings? I I I I I would would would would would have have have have have given given given given given much higher ratings somewhat higher ratings about the same ratings somewhat lower ratings much lower ratings Discuss Will you discuss your doctor’s practice site Ratings with your doctor? END Condition f(’q12’)==’1’ END Yes No Not sure Condition f(’q11’)==’1’ Importance of Measures First Item Consumer Reports and the Massachusetts Health Quality Partners created the practice site Ratings using six measures of patient experience. Please select the one measure you think is most important in selecting a doctor. Whether patients would recommend the doctor to others How well the doctor communicates with patients How well the doctor knows their patients How well the doctor gives preventative care and advice Whether patients receive timely appointments, care and information Whether patients get courteous and respectful help from the office staff 14 Rank Order of Measures Next, please rank-order all six measures used to assess the practice sites. Rank them in order of their importance to you, with 1 being the most important measure and 6 being the least important measure. ____ ____ ____ ____ ____ ____ Whether patients would recommend their doctor to others How well doctors communicate with patients How well doctors know their patients How well doctors give preventative care and advice Timely appointments, care, and information Courteous and respectful help from the office staff Other measures END END Condition f(’q5’)==’1’ Condition f(’q2’)==’1’ CONDITION Condition f(’q8’).any(’8’) || f(’q8’).any(’9’) END What other quality measures, if any, would you like to see the Massachusetts Health Quality Partners and Consumer Reports use in the future to evaluate health care providers? f(’q5’)==’1’ true false Question “More or less positive” More or less positive After reading the special insert, do you feel better, worse, or roughly the same about the general state of health care in Massachusetts? I feel better after reading the insert I feel roughly the same after reading the insert I feel worse after reading the insert Not sure 15 END CONDITION Condition f(’q5’)==’1’ f(’q2’)==’1’ true false Question “Share” Share Have you already shared, or will you share the information from the special insert with friends or family members? Yes No Not sure Regular insert? Would you like Consumer Reports and the Massachusetts Health Quality Partners to publish health care information unique to Massachusetts (similar to what was published in the July special insert) every year? Yes, I would like to see Consumer Reports publish health information END specific to Massachusetts every year. No, but I would like to see Consumer Reports publish health information unique to Massachusetts every 2-3 years. No, but I would like to see Consumer Reports publish health information unique to Massachusetts every 3-5 years. No, I would not like to see Consumer Reports publish health information specific to Massachusetts again in the future at all. Not sure. Condition f(’q2’)==’1’ Change Providers Do you expect to change to a different health provider within the next six months? Yes No Not sure Subscribe to CRO Do you, or anyone in your household, subscribe to Consumer Reports Online? Yes, I do 16 Yes, another does No Subscribe to CRoH Do you, or anyone in your household, subscribe to Consumer Reports on Health newsletter? Yes, I do Yes, another does No Sub Length How long have you subscribed to Consumer Reports? Include any previous subscriptions whether or not they were continuous. Less than six months Six months or more but less than 12 months One year or more but less than two years Two years or more but less than four years Four years or more Likelihood Renewal How likely is it that you will renew your subscription to Consumer Reports when it next becomes due? CONDITION Definitely renew Probably renew Not sure Probably not renew Definitely not renew f(’q22’)==’4’|| f(’q22’)==’5’ true false Question “” If you / your household do not plan to renew your subscription, what, if anything, could we do differently that would cause you to change your mind? 17 END Condition f(’q22’)==’4’|| f(’q22’)==’5’ Recommend to Friends How likely are you to recommend that your colleagues, friends and/or family subscribe to Consumer Reports? Very likely Somewhat likely Not at all likely Retirement Are you and/or your spouse/partner, if any, retired? Yes No Income Please indicate your annual household income by selecting a range. This information is kept confidential, used only for research purposes, and helps us to ensure that we are serving the needs of all our subscribers. Less than $40,000 $40,000-$59,999 $60,000-$79,999 $80,000-$99,999 $100,000-$149,999 $150,000 or more Education Please indicate your highest completed level of education. This information is kept confidential, used only for research purposes, and helps us to ensure that we are serving the needs of all our subscribers. CONDITION Completed Completed Completed Completed Other high school technical or vocational school college graduate school(s) f(’q27’)==’5’ true false Question “Highest Level Education” 18 Highest Level Education END Please tell us your highest completed level of education Condition f(’q27’)==’5’ Gender What is your gender? Male Female YrBorn In what year were you born? Please enter the year using two digits (example: 50 to indicate 1950). Zip Code What is your 5-digit ZIP code? General Comments Thank you for taking part in our online survey. We welcome additional comments about the July 2012 insert or other topics. Drawing Thank you for taking part in our online survey. Upon conclusion of the survey, we will randomly select 10 respondents to receive complimentary extensions of their subscriptions to Consumer Reports magazine. If you wish to take part in the drawing, please provide your contact information below. Your name and email address will only be used to reach you if you are one of the winners. We will never associate your personal information with your answers, and all the information you provide will be kept confidential. First name Last name E-mail address ______________________________ ______________________________ ______________________________ 19 STOP Complete – CONSUMER REPORTS appreciates your participation in this study. Please click the button below to submit your answers. 20 APPENDIX B: July 2012 Special Insert Survey Invitation Dear Consumer Reports subscriber: Please give us feedback on the special insert for Massachusetts by taking about seven minutes to complete a brief survey. The information you provide will be kept completely confidential. Please click: http://survey.confirmit.com/wix/p2175728437.aspx If the hyperlink is not active, please paste the address into your browser. Upon conclusion of the survey, we will select 10 respondents to receive complimentary subscription extensions to Consumer Reports. We will notify all winners via e-mail upon selection and awarding of extensions. Best regards, Joanne Kane Readership Research Associate Consumer Reports 21 APPENDIX C: Additional quality measures respondents would like to see the Massachusetts Health Quality Partners and Consumer Reports use in the future to evaluate health providers. 3 1-Doctor's willingness to speak/return phone calls relating to new health concern issues and establish a course of action and or the need for an office visit. This is especially true for travelers or vacation home owners. 2-To take seriously all patient health concerns, even continuing minor chronic quality of life issues, to a level of diagnosis by a specialist if necessary where a plan of action and options are established from -ie exercise--icing inflamed area--etc. to surgery as a last resort. 1) Accuracy in diagnosing health problems, illness, and/or injury. 2) Effectiveness of prescribed treatment. 1) Accuracy of information and advice. 2) Long-term health outcomes of patients ability, knowledge, peer comparison acceptance of Medicare pts Access to facility, parking, etc. Accurate billing and coordinated care communication with other facilities. i.e. if you go somewhere else for an xray. Although my doctors association was rated, I only see My doctor & have no contact with other association members except for front desk & pre-examination personnel. I think my doctor is the best I have ever had, I am 70 & have had several doctors. My question is can you rate a doctor by rating the association he works with? Although his association had OK ratings as an individual I feel he would have superior ratings. Are they good doctors, do they practice medicine well. Can they refer you to excellent specialists. Attention to dietary history, understanding caloric requirements, weight management and the importance of lifestyle decisions Be aware of the geography of Massachusetts. Most people who live in this area go to Rhode Island for health care. Bedside manner and how well a doctor listen's to concerns. Can’t think of any more. competence and appropriateness of care Complaints, malpractice suits, professional censure or disciplines, patient turnover, how many patients die under their care. Consideration of comparative drug prices available to the patient, and probable cost of prescription. Co-ordination of care with specialists COST Cost! Competition has been removed from the medical and it should be brought back. Who does the best work at the cheapest price? You'll never know because insurance companies are involved. Danvers Family doctors was not included in the study diagnosis ability Difficult to measure, but does patient's health improve or get worse if they stay with the practice. Do doctors really listen to you or do they just have an agenda that they need to achieve do they go beyond the standard tests to avoid malpractice suites and actually work at solving the patient's problems (always being fatigued, always feeling cold when 'normal' people feel warm and hot) Doctor by doctor instead of practice by practice Doctor ratings of those not in any of these groups. Doctors diagnostic and treatment skills. Doctor's training and certifications Does he really listen to you! Does physicians provide price of various tests and services that are not required to diagnose or treat a specific problem? Does this information really matter if the stupid Obamacare goes into law? All would be irrelevant. First let’s try to repeal this whole corrupted demagoguery. Mass health care is a Ponzi scheme and costs are outrageous. 3 Suggestions for additional quality measures are unedited except for spelling and the removal of instances where a respondent simply wrote, “None.” 22 Education, board certification, any discipline action, years in practice effectiveness of recommended treatments Efficiency, Use of electronic medical records, ease of communicating with the office (DR and /or staff) via email etc, Use of "My Chart" type software ( which I find very helpful and efficient ( I have Fallon Senior Plan -Worcester and services from Reliant Medical group) . I am happy with my care, plan, and providers experience & competence follow up care follow-up on reports Health care literacy assessment Health outcome help in getting quick appointments with referrals How a doctor's colleagues would rate them How accessible the doctor is via phone or email. How knowledgeable the health care provider is about current medical information How effectively the doctor communicates with other doctors in his practice and with (other) specialists. How long the practice been in business; mean experience of doctors in years How much a practice relies on seeing the Nurse Practitioner instead of the actual doctor. how much patients feel like equal partners in their health care plans & options how quickly do doctors or their assistants return phone calls? how quickly do doctors answer your emails.? how long do doctors have you wait in exam rooms before they show up? How respectful are physicians toward their patients. Do patients feel that the physician spends enough time with them them/answers all their questions. How they rate the health insurance systems... How to go pick a specialist through the referral system How up to date is the doctor's medical advice. How well a doctor listens Does the doctor ask questions How well doctors coordinate care of specialists for their patients' How willing doctors are to follow established protocols for given symptoms How well the elderly are treated. How well the office manages continuity of care with other physicians how well they keep up on training how many suits against them and how many lost I am not the best respondent for your survey, as I am married to the RN that works for the group of physicians listed in your report. The report itself will be shown to them. Hampshire County, 30 Locust St. Your 6 part Question is stupid!!! Many of the listed items are critical and none deserve to be relegated to 5or 6. I can't think of any at the moment. I didn't read the article at first because I doubted it would have the information I need. It's the doctor that matters, not the clinic. The number one attribute of any doctor is his technical knowledge and technical skill coupled with his ability to make decisions. Everything else is irrelevant as long as you can get in to see them in a timely manner. Your article ignored the most important attributes as I expected it would. I do my own homework before selecting a physician to care for me or a loved one, but thank you very much. I am in the healthcare field and have access to inside quality information from several insurance companies and also have kept a long list of contacts from various specialties that help me navigate the complex system that is our healthcare today. I find recommendations from health care professions who actually see the docs in action more important than recommendations from patients I must mention that I am a physician practicing in one of the better rated practices. You might want to discard my answers as skewed I think an excellent job was completed ! I think that if you are going to rate Drs you should include everyone who is licensed in MA -- this report was not inclusive enough. I think you covered everything. I would like to see hospitals and their information 23 I'm not sure. Something a little less subjective than would you recommend it - I don't care if you'd recommend it or not, I want to know about my doctor. I'm ok with it In case no other place to say this: my doctor is part of a small group affiliated with the group actually named in the Ratings. So the Ratings are not specific enough to the small group I actually see for primary care! Individual doctor patient load; years of practice; credential ratings Information on outcomes of malpractice lawsuits against physicians and providers Issues around coordination of care among various specialists. It is well covered assessment, it looks well right now. Keep it up Knowledge Legal history; accolades from the medical community; research areas; age range of patients Medical care and decisions should not be handled in a media setting more information on how doctors practices/office staff can improve, More information on "Physician Extenders"--Nurse Practitioners and Physician Assistants. Name individual Doctors Non-defensive attitude when questioned; Appropriate referrals for specialists of high quality None - They did a great job in what they have done! None. As a doctor, I felt you may be misleading people with this report. Do not feel your organization especially groups associated with this physician unfriendly state qualify to rate or judge this profession. JW DDS FAGD FICD Not sure, maybe hospital affiliations, lawsuits. I was very happy to see the high ratings my new primary care physician's practice received. I must admit that I chose this physician based on recommendation of a friend I trust Objective measures of results..(I know it may not be practical or realistic to do, but it would be nice.) on line access to patient charts Open versus closed practice, new doctors and retiring doctor information. opinions of other doctors Outcomes Outcomes Outcomes which may only be know by what others say. I do not expect much from doctors, especially young ones. I do not support the configuration of modern primary care. I do support, no appointments, small one man practices with small, experienced staff. I think primary care today is all misshapen. You know what I mean, if you are older than 55. If you are a young American adult you do not have a clue what I mean. Sorry for you. outcomes, wellness, negative things like censure, suits etc Patient to doctor ratio. Too many patients and too few doctors. Patient referrals when needed. Patients appointments 1 to 1-1/2 hours late by doctor from Pharmaceutical Salesmen taking a patients appointment. Doctors should allow one day and a certain time just for salespeople so patients aren't put on hold. One appointment I had with my doctor, I was an hour early and... he was 2-1/2 hours late because information desk never told doctor patient was in the waiting room. Physician's qualifications; complaints filed; stipends or other remunerations from drug or medical device companies PLAIN ENGLISH EXPLANATION OF DIAGNOSIS AND TREATMENTS AND MEDICINES. THE DR. READING THE PATIENT'S RECORD PRIOR TO SEEING THE PATIENT ON FOLLOW UP. AND SPENDING TIME WITH THE PATIENT. Possibly some input form the Physician's own staff. professionalism-does he know his/her stuff? listening-does he/she take time to listen to understand? Quality of advice on life style changes or recommended changes to diet and activity level. Quality of facilities and cleanliness. Quality of the office, exam rooms, etc. 24 Quantitative measures e.g. patient/doctor ratio, strength as diagnostician, lawsuits/complaints Rating physicians on recommending natural or holistic remedies as opposed to pharmaceuticals Recommending unnecessary drugs, tests or procedures Relations with other Drs.. for expertise in special care requirements Same day appointments for urgent care. Some measures of actual clinical effectiveness or ineffectiveness. stability of group doctor and patient turn-over patient to doctor ratio malpractice information The age group of the patients they see. Elderly, middle age or childbearing. How well the doctors interact with their fellow physicians. the care doctors give to their patients. The information the doctors give to their patients. How well doctors know their patient. It is not difficult to understand how important medicine and medical care is to a doctor. Primary care doctors are paid the lesser. This is unfair. Massachusetts should have made U Mass Dartmouth a medical school for primary care doctors and when they promise to work in Mass for at least 10 years give them a reduction in college tuition. Instead of a medical school we have yet another law school!! The criteria used indicate how well physicians connect with patients, but they have little relevance to the physician's judgment, up-to-date knowledge or use of specialists. Although very important, they are qualities that patients often cannot judge. the report does not and cannot assess health care the report lacked information on individual practitioners There are many other primary care physician groups in the area not included in your article. These are all great and very important. I find the use of the Patient Gateway a very useful tool for communicating between appointments This survey was not very helpful. We live 4 miles from the RI border and our adult physicians and pedi physician are located in Providence, RI. I am not sure how you adjust for this with subscribers. Possibly by providing appropriate web sites for border states? This topic is not important to me. I did enjoy the ratings regarding flooring in the July issue. Very comprehensive report. Have never seen anything comparable but have always been interested in the subject. Thanks for the excellent report. Very good article indeed. Waiting time for a phone call from doctors or their nurses. Skill of the doctor. Was able to identity health problem on first visit. What hospital does my Doctor refer patients to? what if any complaints about a certain doctor - what percentage are people happy or upset over their doctor What procedures are standard for a complete physical exam? Whether doctors use email to communicate, and respond to emails Whether OTHER DOCTORS would recommend them. I don't really care whether patients "like" their doctors or not. whether problems are reported to governing/licensing boards ratings of hospitals associated with doctor whether the doctor is primary care or specialist whether the practices were accepting new patients. Knowing a practice is highly rated does little good if they are not accepting new patients. Whether they visit patients in the hospital or use hospitalists. Why wasn't my doctor's practice included? I'm talking about 'Concord Hillside Medical Associates', which is part of Atrius Health. With the technological age in full bloom, I would like to know that my doctor can access on line any info from other doctors or hospitals in order that he/she is fully informed about my total medical history. Would like the physicians I deal with in Franklin County included. You should try to get an appointment with one of the doctors you recommend. this is highly frustrating. None of them are taking new patients 25 APPENDIX D: Additional quality measures respondents would like to see the Massachusetts Health Quality Partners and Consumer Reports use in the future to evaluate health providers. Comments have been split apart and edited for categorization purposes. Comments that do not include suggestions for additional quality measures have been removed. Category Ability Accessibility Accessibility Accessibility Accessibility Accessibility Accessibility Accessibility Accessibility Accessibility Accessibility Accuracy Accuracy and competence Accuracy and competence Accuracy and competence Accuracy and competence Accuracy and competence Accuracy and competence Accuracy and competence Accuracy and competence Accuracy and competence Accuracy and competence Accuracy and competence Accuracy and competence Accuracy and competence Accuracy and competence Accuracy and competence Comment Ability Doctor's willingness to speak on the phone or return phone calls relating to new health concern issues and establish a course of action or the need for an office visit. This is especially true for travelers or vacation homeowners. How accessible the doctor is via phone or email. How quickly do doctors or their assistants return phone calls? How quickly do doctors answer your emails? How long do doctors have you wait in exam rooms before they show up? [Whether] you can get in to see them in a timely manner. I do not support the configuration of modern primary care. I do support, no appointments, small one man practices with small, experienced staff. Same day appointments for urgent care. Waiting time for a phone call from doctors or their nurses. Whether doctors use email to communicate, and respond to emails Whether the practices were accepting new patients. Knowing a practice is highly rated does little good if they are not accepting new patients. You should try to get an appointment with one of the doctors you recommend. This is highly frustrating. None of them are taking new patients Health care literacy assessment Accuracy in diagnosing health problems, illness, and/or injury. Accuracy of information and advice. Knowledge Are they good doctors, do they practice medicine well? Competence and appropriateness of care Diagnosis ability Doctors diagnostic and treatment skills. Competence How knowledgeable the health care provider is about current medical information. How up to date is the doctor's medical advice. The number one attribute of any doctor is his technical knowledge and technical skill coupled with his ability to make decisions. Knowledge Professionalism-does he know his/her stuff? Strength as diagnostician Was able to identity health problem on first visit. 26 Accuracy and competence Accuracy and competence Accuracy and competence Accuracy and competence Alternative medicines Attitude Communication Conflict of interest Conflict of interest Coordinated care Coordinated care Coordination of care Coordination of care Coordination of care Coordination of care Coordination of care Coordination of care Coordination of care Cost Cost Cost Cost Credentials Credentials Disciplinary action and lawsuits Disciplinary action and lawsuits Disciplinary action and lawsuits Disciplinary action and lawsuits Disciplinary action and lawsuits Disciplinary action and lawsuits How well they keep up on training Skill of the doctor. The criteria used indicate how well physicians connect with patients, but they have little relevance to the physician's judgment, up-to-date knowledge or use of specialists. Although very important, they are qualities that patients often cannot judge. The care doctors give to their patients. The information the doctors give to their patients. How well doctors know their patient. Rating physicians on recommending natural or holistic remedies as opposed to pharmaceuticals Non-defensive attitude when questioned PLAIN ENGLISH EXPLANATION OF DIAGNOSIS AND TREATMENTS AND MEDICINES Recommending unnecessary drugs, tests or procedures Stipends or other remunerations from drug or medical device companies Coordinated care communication with other facilities. (E.g. if you go somewhere else for an X-ray.) Coordination of care with specialists Efficiency, Use of electronic medical records, ease of communicating with the office (DR and /or staff) via email etc, Use of "My Chart" type software (which I find very helpful and efficient). How effectively the doctor communicates with other doctors in his practice and with (other) specialists. How well doctors coordinate care of specialists for their patients. How well the office manages continuity of care with other physicians Issues around coordination of care among various specialists. Appropriate referrals for specialists of high quality With the technological age in full bloom, I would like to know that my doctor can access on line any info from other doctors or hospitals in order that he/she is fully informed about my total medical history. Consideration of comparative drug prices available to the patient, and probable cost of prescription. Cost Cost! Competition has been removed from the medical and it should be brought back. Who does the best work at the cheapest price? You'll never know because insurance companies are involved. Does physicians provide price of various tests and services that are not required to diagnose or treat a specific problem? Credential ratings Physician's qualifications How many suits against them and how many lost Information on outcomes of malpractice lawsuits against physicians and providers Legal history Lawsuits Complaints filed Lawsuits/complaints 27 Disciplinary action and lawsuits Disciplinary action and lawsuits Disciplinary action and lawsuits Disciplinary action and lawsuits Disciplinary action and lawsuits Doctor turnover Experience Experience Experience Facility Facility Facility Follow-up Follow-up Follow-up Friends’ opinions Hospital affiliations Hospital affiliations Insurance Insurance Listening Listening Listening Listening Listening Listening Listening Minor issues Minor issues Misc. Misc. Other doctors’ opinions Other doctors’ opinions Other doctors’ opinions Other doctors’ opinions Other doctors’ opinions Other doctors’ opinions Other doctors’ opinions Malpractice information Whether problems are reported to governing/licensing boards ratings of hospitals associated with doctor Complaints, malpractice suits, professional censure or disciplines Any disciplinary action Censure, lawsuits, etc. Open versus closed practice, new doctors and retiring doctor information. Years of practice Experience How long the practice been in business; mean experience of doctors in years Quality of facilities and cleanliness. Quality of the office, exam rooms, etc. Access to facility, parking, etc. Follow up care Follow-up on reports THE DR. READING THE PATIENT'S RECORD PRIOR TO SEEING THE PATIENT ON FOLLOW UP. AND SPENDING TIME WITH THE PATIENT. I was very happy to see the high ratings my new primary care physician's practice received. I must admit that I chose this physician based on recommendation of a friend I trust Hospital affiliations. What hospital does my Doctor refer patients to? Acceptance of Medicare plans Accurate billing Bedside manner and how well a doctor listen's to concerns. Do doctors really listen to you or do they just have an agenda that they need to achieve Does he really listen to you! How much patients feel like equal partners in their health care plans and options How respectful are physicians toward their patients. Do patients feel that the physician spends enough time with them them/answers all their questions? How well a doctor listens. Does the doctor ask questions? Listening-does he/she take time to listen to understand? To take seriously all patient health concerns, even continuing minor chronic quality of life issues. Do they go beyond the standard tests to avoid malpractice suites and actually work at solving the patient's problems (always being fatigued, always feeling cold when 'normal' people feel warm and hot) Research areas; age range of patients Whether they visit patients in the hospital or use hospitalists. How a doctor's colleagues would rate them I find recommendations from health care professionals who actually see the docs in action more important than recommendations from patients Accolades from the medical community Opinions of other doctors Possibly some input form the Physician's own staff. Whether OTHER DOCTORS would recommend them. I don't really care whether patients "like" their doctors or not. How well the doctors interact with their fellow physicians. 28 Other patients’ comments Outcomes Outcomes Outcomes Outcomes Outcomes Outcomes Outcomes Outcomes Outcomes Outcomes Outcomes Patient turnover Patient-doctor ratio Patient-doctor ratio Patient-doctor ratio Patient-doctor ratio Peer comparison Preventive care Preventive care Preventive care Punctuality Qualifications Qualifications Referrals Referrals Referrals Referrals Referrals Retention Special populations Special populations Standard practices Standard practices Technology Technoloy Use of NPs What if any complaints about a certain doctor - what percentage are people happy or upset over their doctor Effectiveness of prescribed treatment. Long-term health outcomes of patients How many patients die under their care Difficult to measure, but does patient's health improve or get worse if they stay with the practice. Effectiveness of recommended treatments Health outcome Objective measures of results. (I know it may not be practical or realistic to do, but it would be nice.) Outcomes Outcomes Outcomes Some measures of actual clinical effectiveness or ineffectiveness. Stability of group doctor and patient turn-over Individual doctor patient load Patient to doctor ratio. Too many patients and too few doctors. Quantitative measures e.g. patient/doctor ratio Patient to doctor ratio Peer comparison Attention to dietary history, understanding caloric requirements, weight management and the importance of lifestyle decisions Wellness Quality of advice on life style changes or recommended changes to diet and activity level. Patients appointments 1 to 1-1/2 hours late by doctor from Pharmaceutical Salesmen taking a patients appointment. Doctors should allow one day and a certain time just for salespeople so patients aren't put on hold. One appointment I had with my doctor, I was an hour early and he was 2-1/2 hours late because information desk never told doctor patient was in the waiting room. Doctor's training and certifications Education, board certification, years in practice [Doctor’s willingness to make referrals for] diagnosis by a specialist if necessary where a plan of action and options are established: [e.g.] exercise, icing inflamed area, to surgery as a last resort Can the doctor refer you to excellent specialists? Help in getting quick appointments with referrals Patient referrals when needed. Relations with other Drs.. for expertise in special care requirements Patient turnover How well the elderly are treated. The age group of the patients they see. Elderly, middle age or childbearing. How willing doctors are to follow established protocols for given symptoms. What procedures are standard for a complete physical exam? These are all great and very important. I find the use of the Patient Gateway a very useful tool for communicating between appointments Online access to patient charts How much a practice relies on seeing the Nurse Practitioner instead of the actual doctor. 29 APPENDIX E: General comments about the July 2012 insert.4 American healthcare is going the wrong way. We do not have technical issues; we have competency issues. Broaden it to include more physicians and groups did not cover our current doctors Do an article on lowering medical costs! Do reviews of Primary Care doctors every 2 years. On alternate years, review common specialists: ophthalmologists, dermatologists, ob/gyns, plastic surgeons, orthopedic surgeons, general surgeons, .. Doctor section was disgusting. You should not be allowed to do this Even though I ranked the 6 qualities of health care, I think they are all important and essential. everything I wanted to know and than some thanks first time, not sure what to make of it exactly, but very interesting great information every time happily, our doctor was in the top group which we would have suspected. Hope you won't be mad if I told my friends about you! I actually thought that you did a great piece and were very detailed. Good job! I almost missed my primary care provider in the listing. My town (Shrewsbury) was listed under "Metro-West." Virtually no one considers this town to be "Metro-West," it is "Central Massachusetts. My first inclination, upon looking at the report, was to assume that my town wasn't being covered by the report for some reason. I belong to a highly specialized managed care group for the disabled, so there is no way I would opt out of it! I enjoy reading Consumer Reports even though I may not be purchasing or investigating anything at the time I feel very isolated here in Franklin County and often wonder if I am getting competent care. You have increased my concern. I may have to go to Springfield for physicians, which seems a shame. I felt I was getting some of the best health care in the nation! I found it extremely informative and... my doctor/health care center was rated one of the best, which, made me very happy with my choices. I have always told my doctors that they are as good as their front desk. I have left 2 practices because of lack of courtesy and follow up. Your ratings bore that out. I like the idea, but it was too superficial. I found that "Consumers Checkbook, Massachusetts" was more useful for me. I meant to write in about this. This sort of thing is much more effective in controlling medical costs than the malicious folly that is ObamaCare. I think that Consumer Reports can do a better job reporting. Recently you rated hospitals -you can't compare small hospital with large hospitals, i.e. Beverly Hospital with Mass general. You also rated a NH hospital high - when they have had several significant safety issues with a communicable disease. You need to go back to the drawing board of your comparisons and do a better job. I was disappointed that my doctor's practice at MGH was apparently not rated. I was disappointed that my physicians group was not included. I was disappointed there was no individual physician ratings. I was excited to see my actual practice included, and pleased to see it rated highly on patient care. I was pleased to find such state-specific information. I was unable to download the special July 2012 insert on my iPad. I prefer to read Consumer Reports on my iPad vs the print edition. I would like to see next year's insert available in electronic form for download. 4 General are unedited except for spelling and the removal of instances where a respondent simply wrote, “None.” 30 I will keep it for reference as of now I have no need for anything other than routine medical care I would have needed info on doctors. One has no idea how good the doctors are in a group. I'm a Massachusetts physician, friendly with my personal physicians. I'm a retired MD and have my own opinions about quality care. In the question asking readers to rate qualities important to them, 1-6, I feel that ALL of these are important. Forced choice wasn't accurate for me. My physicians' group was the highest rated of all, and it took me many years to find such an excellent experience on all of these categories. In your questions you asked "how important" the various ratings were. Though not terribly "important" to me as I am already very mindful of medical services I did find the ratings very interesting and the rating for my doctor's practice was right on and I will certainly mention it to her. Individual doctors should be included by area. Insert not included Insert was somewhat boilerplate. Consumer Reports and their idiotic president support increased government regulation and governmental involvement in healthcare, losing pretty much all credibility on healthcare issues anyway. Stick to household appliances. Instead of publishing the long lists, you could just give the links every year. Interesting, although in our case we already have information about our superb providers Just a wonderfully thorough and helpful report. It was great to find out how good my medical center is. Keep up the good work keep up the good work. keep up the good work. Keep up the great work! Many people in Massachusetts live near bordering states. It would be nice if similar data was available for those states. In general, based on my personal experience, the ratings made sense to me. Massachusetts is too broad an area to compare practices against. County or regional would be more applicable and useful. Methodology may not accurately reflect the ratings-you have incomplete information particularly as to the composition of some practices Most people know if they are getting good service and tend to stay with good offices My doctor and community hospital were not included so the insert had little value for me. My doctor is part of a small group affiliated with the group actually named in the Ratings. So the Ratings are not specific enough to the small group I actually see for primary care! My doctor is THE BEST.......... My doctor's group (and the one I practiced in as a physician) had one of the highest, if not the highest ratings -- about right. My family practice was not included by name in your report which limits its relevance to my particular interests. My health care provider was not listed, so the section was not relevant to me. Nice to see that my health care provider is highly rated. Nothing at this time. OK but if you’re trying to find a good doctor out of group ratings I feel it is one tool but use other methods also. Please add CONCORD INTERNAL MEDICINE ASSOCIATES if possible to your next survey Please expand this report to include some of the smaller medical groups. Please include comparable web site sources for border states to assist those who receive medical care across state lines. We live in Mass. and receive care in RI. Please include geriatric practices next time Rate "concierge" practices 31 See if you can break through the Mass politics to get the important information regarding Dr. skill levels, patient mistakes, technical skills. What else really should matter other than timeliness? Since I belong to work health plan at and use their services at the Massachusetts Institute of Technology most of the information generated in the article did not apply to me. I found it interesting how MA health care rated to others and who was considered good in the state. Someone (the mailman??) removed it before I received it in the mail. Stick to cars and appliances, You cannot measure doctors by the measures you used. Still an avid reader after zillions of years. Stop asking questions that you know very well most people should not answer. Survey supposed to be about physician quality but you discuss only groups. Don't individual physicians have a role in quality. It's no wonder physicians are avoiding primary care. thank you Thank you for doing it. Thank you for doing the research, it will be very helpful to many people thank you for the opportunity to comment/rate/allow input Thank you. Thanks This was an outstanding public service! Thank you. Very enlightening--confirms my own thought about my doctors. Very informative Very informative, I'm sure it will keep the Dr.'s on their toes as well. very pleased with the information. Found a great pediatrician based on the results! Very satisfied with my doctor. We trust the group she is affiliated to. we have moved to Nevada...that is why the Mass. info did not interest us. We will be moving to Colorado (Denver area) soon. Any chance of having something similar covering that area? Wonder if the rankings for MGH West Adult Med may have been due to inability to get appointments. My doctor is terrific, but not accepting new patients, for example Worked in health care my entire career & watched in horror as it seemed to go from a "patient first" philosophy to a "business" philosophy. Would have liked doctor specific info vs. by general practice info Would have liked to see more specialists in the survey you are most welcome You had the town of Wellesley in the wrong county. It is in Norfolk, not Middlesex. You need to cover more physician groups. You rated the Lahey Clinic, Burlington MA much lower than it should be. It is one of the best hospitals in Massachusetts. I totally disagree with the rating which was a '2' in most categories. I have been helped and taken care of by some of the best physicians ever in that hospital. You rated 2 clinics in Fall River MA as excellent, even better than Lahey, however they cannot even come close to Lahey's service. Your scope is too limited 32