The survey results from more than1,200 hospitals (56 percent of Americans live within 25 miles of three or more of these hospitals) reveal significant findings about the state of healthcare quality and safety in the nation's hospitals. The survey asks hospitals about their awareness and action on 30 "Safe Practices for Better Healthcare" endorsed by the National Quality Forum.
Of all the hospitals responding to the survey:
* Nine in 10 hospitals have implemented procedures to avoid wrong-site surgeries (operating on the wrong part of the body)
* Eight in 10 hospitals require a pharmacist to review all medication orders before medication is given to patients.
Mark McClellan, administrator of the Centers for Medicare and Medicaid Services, stated, "Instead of just talking about improving healthcare quality, The Leapfrog Group has been taking innovative steps to support hospitals in doing it. The Leapfrog Hospital Quality and Safety Survey shows the benefits of better information about quality of care, and is helping Americans get better care and better value."
However, many hospitals still have significant progress to make. Among responding hospitals:
* More than nine in 10 have not implemented computer physician order entry to Leapfrog's standard
* Nine in 10 fail to meet the standards for performing two high-risk procedures: coronary artery bypass graft surgery (90 percent) and abdominal aortic aneurysm repair (96 percent)
* Seven in 10 do not enlist intensivists (ICU specialists) to oversee patient care in the ICU according to Leapfrog's standard
* Five in 10 do not have an explicit protocol to ensure adequate nursing staff, or a policy to check with patients to make sure they understand the risks of their procedures
* Three in 10 lack procedures for preventing malnutrition in patients, and do not vaccinate their healthcare workers against the flu.
The Leapfrog Hospital Quality and Safety Survey is the only national survey that provides as full an assessment of a hospital's quality and safety. The Leapfrog Web site displays each hospital's results, which can be viewed by anyone at no charge, and is updated each month with data from additional hospitals. Survey data are collected and analyzed by Thomson Medstat.
"There are other sources of hospital quality information out there, but what consumers want is relevant information that's free and easy to use," said Debra Ness, president of the National Partnership for Women and Families.
In the 31 regions where Leapfrog members target hospitals for participation in the voluntary survey, 56 percent of the urban, general acute-care hospitals have responded (representing 60 percent of the hospital beds in these areas). However, for those who have not yet participated, Suzanne Delbanco, CEO of The Leapfrog Group, said, "Every hospital in the country that is not publicly reporting on their quality and safety is behind the times and out of touch with the communities they serve. Americans deserve to be able to make the best decisions about their healthcare."
The Leapfrog Hospital Quality and Safety Survey collects data from hospitals on their progress toward implementing practices in four categories:
1. Computerized Physician Order Entry (CPOE): Do physicians enter patient prescriptions and other orders into computers linked to error prevention software?
2. ICU Physician Staffing (IPS): Are intensive care units staffed by trained ICU specialists (intensivists)?
3. Evidence-Based Hospital Referral: How well do hospitals perform five high-risk procedures and care for two high-risk neonatal conditions?
4. Leapfrog Safe Practices Score: How well are hospitals progressing on the other 27 National Quality Forum Safe Practices?
For additional detail on these four "leaps," visit http://www.leapfroggroup.org.
Leapfrog Top Hospitals 2006
Akron General Medical Center (Akron OH)
Brigham and Women's Hospital (
Clarian Health --
Clarian Health --
Lahey Clinic (
Spectrum Health -- Butterworth Campus (
St Vincent Hospital & Health Services (
University Hospitals of Cleveland (
University of North Carolina Hospitals at Chapel Hill (
UPMC Presbyterian Part of UPMC Presbyterian Shadyside (
Vanderbilt University Hospitals (
Top Children's Hospitals
Children's Hospital (
Children's Hospital of
Children's Hospitals and Clinics --
Children's Hospitals and Clinics -- Saint Paul (
Lucile Salter Packard Children's Hospital @ Stanford (
Miller Children's Hospital (
Source: The Leapfrog Group