The Leapfrog Hospital Survey is a national, evidence-based survey of hospital safety, quality, and efficiency. Annually over 1700 hospitals report to the Leapfrog Hospital Survey on certain aspects of care found to be of most important to consumers. Leapfrog’s survey has three overall focus areas:
- How patients fare – Leapfrog asks hospitals to report on how patients in their hospital fare while undergoing certain high risk surgical procedures, high-risk newborn deliveries, normal newborn deliveries, and any acquired an injuries or infections.
- Resources used to care for those patients – Leapfrog asks hospitals to report their readmission rates for certain conditions and procedures such as heart bypass surgery, chronic obstructive pulmonary disease, heart failure, pneumonia, acute myocardial infarction, and total hip or knee replacement surgery.
- Management practices that promote safety and quality – Leapfrog asks hospital to report on things that their administration and leadership team have adopted to promote safety and quality. For example computerized physician order entry (CPOE) system, which are used so doctors can order medication electronically, have been shown to reduce medication errors by up to 85% because they contain decision support tools designed to alert doctors to potential drug to drug interactions, allergies and other common prescribing errors. Hospitals have also been asked to report on their Bar Code Medication Administration (BCMA) System. This type of electronic scanning is used to prevent patient medication errors by scanning the patient’s identification bracelet and then medication prescribed to make sure there is a match before administering.
Leapfrog uses a cell phone bar ratings system so people can see a hospital’s progress in meeting our safety and quality standards:
|Progress Towards Meeting LeapFrog's Standards|
Willing to Report
Fully Meets Standards
Methodist Healthcare 2016 LeapFrog Group Hospital Ratings
What These Indicators Mean & Why They're Important to You
Doctors order medications through a computer
Patients should choose a hospital that uses computerized prescriber order entry (CPOE) systems to order medications, tests, and procedures. CPOE systems are computer systems designed to alert doctors and other prescribers to potentially serious problems with their instructions.
Safe Medication Administration
This type of electronic scanning is used to prevent patient medication errors by scanning the patient’s identification bracelet and then medication prescribed to make sure there is a match before administering.
Specially trained doctors care for ICU patients
Patients should choose a hospital with an intensive care unit (ICU) that is staffed by doctors and other caregivers who have special training in critical care medicine. These doctors are called 'intensivists'.
Steps to Avoid Harm
Patients should choose a hospital that has a high Leapfrog Safe Practices Score. This means the hospital has put in place procedures to reduce 8 common, preventable medical mistakes. Methodist Le Bonheur Healthcare is committed to outstanding patient care. Registered nurse staffing is one component that influences the quality and safety of care. Nursing staffing is based on each clinical unit's unique circumstances (e.g., physical plant, patient conditions, experience of staff), the staffing levels recommended by specialty nursing organizations, and most important, the intensity of care and changing needs of our patients.
Managing Serious Errors
Patients should choose a hospital that has implemented Leapfrog's policy on managing and reporting events (or "never events") such as surgery on the wrong body part or death due to contaminated drugs or devices.
Appropriate Use of Antibiotics
Improving antibiotic use is an important patient safety issue. Antibiotics that are inappropriately prescribed can lead to side effects, clostridium difficile infections, resistant organisms, longer hospital stays, and even death. Patients should choose a hospital that has an antibiotic stewardship program in place dedicated to improving antibiotic appropriateness and reducing unwanted adverse events associated with antibiotics.
Clostridium difficile is a bacteria that can cause abdominal pain, diarrhea, fever and decrease appetite. This infection can occur in patients taking antibiotics. You should choose a hospital that has a rate (number) less than one meaning that they have fewer infections.
Methicillin-resistant Staphylococcus aureus (MRSA) is a type of bacteria that cannot be killed by many antibiotics. You should choose a hospital that has a rate (number) less than one meaning that they have fewer infections for this type of bacteria.
Surgical Site Infection following Major Colon Surgery
Steps must be taken by the hospital staff to prevent infection when having major colon surgery. The appropriate antibiotic must be given before surgery and on time and the skin area where the incision will be made must be cleaned appropriately.
Central Line Infections in ICU
Patients should choose a hospital that has a lower rate of central line-associated bloodstream infections. Hospitals are compared to the rates of hospitals for the same ICU type.
Urinary Catheter Infections in ICU
Patients should choose a hospital that has a lower rate of urinary catheter tract infections. Hospitals are compared to the rates of hospitals for the same ICU type.
Hospital Acquired Pressure Ulcers
A patient should choose a hospital that has a low rate of Pressure Ulcers (bedsores). Pressure Ulcers are caused by infrequent moving or turning of a patient while hospitalized.
Hospital Acquired Injuries
A patient should choose a hospital that has a low rate of hospital injuries such as falls and other traumatic injuries (broken or dislocated bones, burns or crushing injuries). These types of injuries can be avoided.
Rate of Early Elective Deliveries
Normal newborn deliveries between 37 and 39 weeks completed gestation. These early deliveries can result in an increase in the newborn’s length of stay and possible admission to the intensive care unit. This can also increase the cost to the patient. An expectant mother should choose a facility with a lower rate of early elective deliveries.
Rate of Episiotomies
An episiotomy is an incision in the perineum during childbirth. The current medical guidelines recommend this procedure only in certain cases. An expectant mother should choose a facility with a lower rate of episiotomies.
Maternity Care Processes
A patient that will be delivering a baby should choose a hospital that adheres to evidence that promotes a healthy outcome for both the mother and the baby. This includes delivering the baby at the appropriate developmental age, using an appropriate delivery method, and following recommended processes of care.
Patients having a high-risk delivery should choose a hospital that follows the recommended processes of care and also has lots of experience in caring for infants born with a very-low birthweight (less than 1500 grams).
Aortic Valve Replacement
Patients undergoing aortic valve replacement should choose a hospital that has a high success rate for aortic valve replacements and also has lots of experience with the procedure.
Abdominal Aortic Aneurysm
Patients undergoing an abdominal aortic aneurysm repair should choose a hospital that is predicted to have the best odds of having their patients survive the surgery.
Patients undergoing a pancreatic resection or pancreatectomy should choose a hospital that is predicted to have the best odds of having their patients survive the surgery.
Patients undergoing an esophageal resection or esophagectomy should choose a hospital that is predicted to have the best odds of having their patients survive the surgery.
Readmission for Common Acute Conditions and Procedures
Patients that receive high quality care during their hospitalization and during the preparation for their discharge from the hospital should have improved outcomes in their activities of daily living, functionality and overall survival. A patient should choose a hospital that has a low 30 day readmission rate for the following Common Acute Conditions and procedures, acute myocardial infarction (AMI), heart failure (HF), pneumonia (PN), chronic obstructive pulmonary disease (COPE), coronary artery bypass graft (CABG) and total hip and total knee replacement surgery. A readmission (30-day readmission) is defined as any patient discharged from a hospital and then admitted back into the hospital again within 30 days of their discharge.