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Clinical Crossroads Update
March 7, 2012

Update: A 37-Year-Old Man Trying to Choose a High-Quality HospitalReview of Hospital Quality Indicators

JAMA. 2012;307(9):965. doi:10.1001/jama.2012.210

In a Clinical Crossroads article published in December 2009,1 Michael Howell, MD, discussed Mr A, a 37-year-old man looking for a new physician and health care system. Mr A was diagnosed as having Prinzmetal angina and a hypercoagulable state in 2006 after an ST-elevation myocardial infarction (MI). After Mr A's MI, his cardiologist, who had been assigned because he was on call the night of Mr A's MI, transferred hospitals. Mr A then sought a physician and hospital of high caliber in close proximity to his home. Mr A's top priority was to find the right cardiologist, and he also valued a strong cardiology department in a reputable hospital. In the search to make the right decision, Mr A spoke with physician friends, read about hospitals on the Internet, and researched the qualifications of specific physicians.

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