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    The Rankings Game

    Medical dynasty: M.D. Anderson takes No. 1 spot in hospital rankings for sixthstraight year

    Whitney Radley
    Jul 17, 2012 | 2:54 pm
    • File photo
    • M.D. Anderson Cancer Center's six-year run at No. 1 continues.

    The 2012-2013 U.S. News & World Report Rankings for the "Best Hospitals" in the nation are out — and, unsurprisingly, Houston's flourishing medical industry made an impressive showing.

    For the rankings, U.S. News surveyed nearly 10,000 specialists and analyzed data from approximately 5,000 hospitals to determine the best in 16 areas of specialized care.

    M.D. Anderson Cancer Center retains its No. 1 spot for oncology treatment for the sixth year in a row, with national rankings in three other specialties — No. 5 in ear, nose and throat, No. 6 in gynecology and No. 23 in urology — and "high-performing" in four other areas.

    The University of Texas M.D. Anderson Cancer Center retains its No. 1 spot for oncology treatment for the sixth year in a row.

    M.D. Anderson's Children's Cancer Hospital also ranked No. 15 in pediatric cancer on the 2012-2013 Best Children's Hospitals list.

    But the highly-rated cancer center isn't the only local medical facility deserving of accolades: Methodist Hospital ranked No. 1 in the Houston metropolitan area and first overall in Texas, with national rankings in 13 out of 16 specialty areas.

    St. Luke's Episcopal Hospital's Texas Heart Institute fell in at No. 6 among the Best Hospitals for Cardiology and Heart Surgery. The hospital, which landed the No. 2 ranking in Texas, placed nationally in nine other specialties and performed highly in two more.

    Other highly-regarded Houston hospitals include TIRR Memorial Hermann (which ranked No. 3 in rehabilitation), the Menninger Clinic (which ranked No. 4 in psychiatry, up one spot from last year) and Memorial Hermann-Texas Medical Center (which ranked No. 50 in nephrology and performed highly in 11 other specialty categories).

    Four Memorial Hermann facilities made the list of the Most Connected Hospitals that have led the curve in adapting to the digital age and adopting electronic medical records: Memorial Hermann-Texas Medical Center; TIRR Memorial Hermann; Memorial Hermann Northwest Hospital; and Memorial Hermann Memorial City Medical Center.

    Though none of Houston's adult hospitals made the national Honor Roll list, which features the 17 hospitals with scores near the top in at least six specialties, Texas Children's Hospital ranked No. 4 on the Best Children's Hospital Honor Roll list.

    Texas Children's racked up national rankings in 10 pediatric specialties, including cancer, cardiology and heart surgery, diabetes and endocrinology, gastroenterology, neonatology, nephrology, neurology and neurosurgery, orthopedics, pulmonology and urology.

    The true worth of U.S. News & World Report rankings are hotly debated in the medical world — and they are often controversial — but they serve as the centerpiece of advertising for hospitals that make the list.

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    Mood Changer

    How does art heal? Medical Center powers aim to put real research data behindthe phenomenon

    Joel Luks
    Jul 31, 2012 | 1:39 pm
    How does art heal? Medical Center powers aim to put real research data behindthe phenomenon
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    That music has the prowess to affect our mood, psyche and overall state of wellbeing is something that most people innately understand. We reach for music in times of joy, for celebration and for comfort.

    But to what extent can music influence recovery from illness? That's something that the Center for Performing Arts Medicine (CPAM) at The Methodist Hospital is eager to learn.

    CPAM sits at an advantageous position to answer such a question. Nestled within the largest medical center in the country and with access to educators, world-class artists, art training institutions, art therapists, scientists and neurologists, in addition to state-of-the-art equipment, CPAM is primed to nurture collaborative partnerships to advance the field of integrative arts therapies, with the end goal to research and decode innovative strategies into practical, real-life applications.

    And that expands beyond treating performing and visual artists. CPAM seeks to probe further into health, wellness and rehabilitation, as well as to study human performance.

    The study assesses emotional responses through eye contact, facial expressions, body language, energy, enthusiasm and attention and catalogs them alongside specific creative activities.

    In partnership with the Texas Children's Cancer and Hematology Centers' Arts In Medicine program, the National Center for Human Performance, Young Audiences of Houston (YAH) and a $18,000 grant from The Children's Fund, a research project is surveying the impact of an arts integrated component on the general mood of children and their relatives in the hospital domain.

    "What we know is that these programs touch patients and their families, and bring joy and a sense of normalcy to an otherwise tense environment," Todd Frazier, CPAM program director, explains.

    Titled Characterizing Arts in Medicine Performance at the Impact on Audience Engagement and Mood at Texas Children's Cancer Center, the study delves beyond qualitative observations. It assesses emotional responses through eye contact, facial expressions, body language, energy, enthusiasm and attention and catalogs them alongside specific creative activities.

    The goal is to codify the value and effectiveness of precise artistic endeavors to better inform artists and performers on how to design an Arts In Medicine program with the best possible outcomes.

    "We know in our hearts that what we do makes a different . . . But in a research-driven industry, you need these studies to grow arts integrated programs and to secure funding."

    To do just that, the approaches of YAH puppeteer Jean Kuecher, dancer/choreographer Toni Valle from Becky Valls and Company and classical chamber ensemble WindSync will be monitored by a team of "coders" gathered and trained by Dr. Heather Taylor, director of spinal chord injury research at TIRR Memorial Hermann. These coders will be required to study the flow of each program so they can readily identify each segment, transition and interactive component.

    Pre and post performance questionnaires with the children and their parents will attempt to evaluate their temperament, including fear, fatigue, overall mood and physical pain. A pre and post artist interview will archive the experience from the point of view of the service provider.

    The empirical data, in turn, will serve as advocacy material to better inform health administrators of what's possible with an expertly-crafted, research-based program.

    "We know in our hearts that what we do makes a different," Herron says. "We see it and we hear it from children and their parents. But in a research-driven industry, you need these studies to grow arts integrated programs and to secure funding."

    The study should be completed by spring of next year. Herron sees this multi-faceted project as just a beginning, one that will open up more opportunities for further fieldwork in arts integrated models.

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