The Leap frog organization surveyed the urban US hospitals rated with grades on factors as patient safety measures.
Many urban health centers not organizing the patient safety measures, as the report claims that 11 hospitals in New York City included in the report, only one NYC Health & Hospitals/Metropolitan received an “A” grade from the Leapfrog Group in its spring 2018 report. Additionally, just three of Los Angeles’ 12 hospitals got an “A” while only six of Chicago’s 18 hospitals did.
All hospitals can and should provide safe care, but some still haven’t made the strategic commitment it requires, she said. Patient safety has to be the focus of the entire organization, from leadership to front-line staff, to improve performance.
Leapfrog’s most recent report shows change is possible. Noting that there are five hospitals with A’s for the first time when they previously scored an “F.” Leapfrog which has released hospital safety grades every April and October since 2012, advocates for improved transparency in healthcare. They hope patients will use the safety grades when they choose hospitals.
But there are discrepancies the public needs to consider. Some of the hospitals that received low grades from Leapfrog recognized for strong quality performance by other organizations. For example, Cedars-Sinai Medical Center in Los Angeles and Mount Sinai Hospital in New York both received “C” grades from Leapfrog even though they were recently recognized by U.S. News and World Report as “Best Hospitals.”
The discrepancies point to a frequent expert criticism of rankings and lists. With so many different quality rankings, it’s difficult for patients to decide which sites they should rely on. Hospitals have also questioned the validity of the methodology Leapfrog uses. Cedars-Sinai said in a statement that it doesn’t participate in Leapfrog’s hospital survey because it doesn’t support the method. The hospital claimed penalized with a low grade as a result. Similar to its fall report, Leapfrog’s latest analysis shows wide variation in patient safety performance across hospitals.
Leapfrog graded 2,479 US hospitals
Leapfrog graded 2,479 hospitals this spring of which 750 earned A, 683 scored B, 879 received C 145 got D, and 22 were given F.
Hospitals nationwide can tackle persistent patient safety issues by considering them more in value-based purchasing programs, Binder said. Leapfrog is working with the CMS to integrate patient safety measures into value-based purchasing programs. So hospitals will have additional incentives to focus on patient safety.
Leapfrog calculates the grades using 27 measures, including hand hygiene, falls and pressure ulcers. The data derived from the CMS, Leapfrog’s own hospital survey, and secondary data sources such as the American Hospital Association. Leapfrog has also proposed adding a bar-code medication administration measure.
Most hospitals have a process in place where a clinician scans the bar code on a medication and the patient’s identification badge to ensure the patient is getting the correct medicine. While this should be done at a patient’s bedside, that doesn’t always happen, Binder said.
The Leapfrog survey ask hospitals to have process to ensure bar code medication administration done in front of the patient.