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WASHINGTON, D.C. -- Fifty-nine U.S. hospitals have been Â named to the first Leapfrog Top Hospitals list, based on today's results from Â the Leapfrog Hospital Quality and Safety Survey, a national rating system that Â offers a broad assessment of a hospital's quality and safety.
The survey results from more than1,200 hospitals (56 percent of Americans live Â within 25 miles of three or more of these hospitals) reveal significant Â findings about the state of healthcare quality and safety in the nation's Â hospitals. The survey asks hospitals about their awareness and action on 30 Â "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, Â stated, "Instead of just talking about improving healthcare quality, The Â Leapfrog Group has been taking innovative steps to support hospitals in doing Â it. The Leapfrog Hospital Quality and Safety Survey shows the benefits of Â 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 Â responding hospitals:
* More than nine in 10 have not implemented computer physician order entry to Leapfrog's standard
* Nine inÂ 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 Â survey that provides as full an assessment of a hospital's quality and safety. Â The Leapfrog Web site displays each hospital's results, which can be viewed by Â anyone at no charge, and is updated each month with data from additional Â hospitals. Survey data are collected and analyzed by Thomson Medstat.
"There are other sources of hospital quality information out there, but Â what consumers want is relevant information that's free and easy to use," said Â Debra Ness, president of the National Partnership for Women and Families.
In the 31 regions where Leapfrog members target hospitals for Â participation in the voluntary survey, 56 percent of the urban, general acute-care hospitals have responded (representing 60 percent of the hospital beds in Â these areas). However, for those who have not yet participated, Suzanne Â Delbanco, CEO of The Leapfrog Group, said, "Every hospital in the country that Â is not publicly reporting on their quality and safety is behind the times and Â out of touch with the communities they serve. Americans deserve to be able to Â make the best decisions about their healthcare."
The Leapfrog Hospital Quality and Safety Survey collects data from Â 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)
Â Â Â Aurora Sinai Medical Center (MilwaukeeWI)
Â Â Â Baystate Medical Center (SpringfieldMA)
Â Â Â Beth Israel Deaconess Medical Center (BostonMA)
Â Â Â Brigham and Women's Hospital (BostonMA)
Â Â Â California Pacific Medical Center -- Pacific Campus (San FranciscoCA)
Â Â Â Cedars-Sinai Medical Center (Los AngelesCA)
Â Â Â Clarian Health -- IndianaUniversityHospital (IndianapolisIN)
Â Â Â Clarian Health -- MethodistHospital (IndianapolisIN)
Â Â Â Cleveland Clinic Foundation (ClevelandOH)
Â Â Â Duke University Hospital (DurhamNC)
Â Â Â Evanston Hospital (EvanstonIL)
Â Â Â Hackensack University Medical (HackensackNJ)
Â Â Â Henry Ford Hospital (DetroitMI)
Â Â Â Kaiser Permanente San Diego Medical Center (San DiegoCA)
Â Â Â Lahey Clinic (BurlingtonMA)
Â Â Â Maine Medical Center (PortlandME)
Â Â Â Massachusetts General Hospital (BostonMA)
Â Â Â Mayo Clinic Rochester -- St Mary's (RochesterMN)
Â Â Â Memorial Health University Medical Center (SavannahGA)
Â Â Â Memorial Hospital (ChattanoogaTN)
Â Â Â Montefiore Medical Center: JackD.WeilerHospital of the Albert Einstein
Â Â Â Â College of Medicine (BronxNY)
Â Â Â Northwestern MemorialHospital (ChicagoIL)
Â Â Â NYU Hospitals Center (New YorkNY)
Â Â Â Oregon Health & Science University Hospitals and Clinics (PortlandOR)
Â Â Â Robert Wood Johnson University Hospital (New BrunswickNJ)
Â Â Â Sentara Norfolk General Hospital (NorfolkVA)
Â Â Â Sinai Hospital (BaltimoreMD)
Â Â Â Spectrum Health -- Butterworth Campus (Grand RapidsMI)
Â Â Â St FrancisHospital & MedicalCenter (Hartford CT)
Â Â Â St Thomas Hospital (NashvilleTN)
Â Â Â St Vincent Hospital & Health Services (IndianapolisIN)
Â Â Â St Joseph Hospital -- Orange (OrangeCA)
Â Â Â Sutter Memorial Hospital (SacramentoCA)
Â Â Â Swedish Medical Center -- First Hill (SeattleWA)
Â Â Â The JohnsHopkinsHospital (BaltimoreMD)
Â Â Â The OhioStateUniversityMedicalCenter (ColumbusOH)
Â Â Â UCSF Medical Center / Moffitt-LongHospitals (San FranciscoCA)
Â Â Â University Hospitals of Cleveland (ClevelandOH)
Â Â Â University of California -- UCIMedicalCenter (OrangeCA)
Â Â Â University of CaliforniaDavisMedicalCenter (SacramentoCA)
Â Â Â University of MarylandMedicalCenter (BaltimoreMD)
Â Â Â University of North Carolina Hospitals at Chapel Hill (Chapel HillNC)
Â Â Â University of WisconsinHospitals and Clinics Authority (Madison WI)
Â Â Â UPMC Presbyterian Part of UPMC Presbyterian Shadyside (PittsburghPA)
Â Â Â Valley Hospital (RidgewoodNJ)
Â Â Â Vanderbilt University Hospitals (NashvilleTN)
Â Â Â Vassar Brothers Medical Center (PoughkeepsieNY)
Â Â Â Virginia Mason Medical Center (SeattleWA)
Â Â Â Wake Med Raleigh Campus (RaleighNC)
Â Top Children's Hospitals
Â Children's Hospital (ColumbusOH)
Â Â Â Children's Hospital Los Angeles (Los AngelesCA)
Â Â Â Children's Hospital of OrangeCounty (OrangeCA)
Â Â Â Children's Hospital of Wisconsin (MilwaukeeWI)
Â Â Â Children's Hospitals and Clinics -- Minneapolis (MinneapolisMN)
Â Â Â Children's Hospitals and Clinics -- Saint Paul (Saint PaulMN)
Â Â Â Cincinnati Children's HospitalMedicalCenter (CincinnatiOH)
Â Â Â Lucile Salter Packard Children's Hospital @ Stanford (Palo AltoCA)
Â Â Â Miller Children's Hospital (Long BeachCA)
Source: The Leapfrog Group
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