Every year, hospitals are ranked or rated by public and private organizations that aim to identify centers that provide high-quality health care. Although the reports are intended to help guide consumers in determining where to seek care, these ranking systems often yield conflicting information or, worse, misinformation for patients and their clinicians.1 As an example, the US News & World Report Best Hospitals rankings correlate poorly with the Leapfrog Hospital Safety Grades (spearman correlation, 0.28) and the Centers for Medicare & Medicaid Services (CMS) Star Ratings (spearman correlation, 0.33).1 This conflicting information may lead hospitals and health systems to misdirect resources toward improving rankings on a particular measure and potentially miss opportunities to improve health and health care delivery.