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The Leapfrog Hospital Survey

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Leapfrog Hospital SurveyThe Leapfrog Hospital Survey is divided into eight sections. The first section asks you to provide general information about your hospital.  Sections two, three, five, and six are meant to determine whether or not your hospital has fully implemented or plans to implement fully The Leapfrog Group’s recommended quality and safety practices (leaps) including: Computer Physician Order Entry, Evidence-Based Hospital Referral, ICU Physician Staffing, and thirteen of the remaining National Quality Forum Safe Practices. Sections four and seven are meant to demonstrate a hospital’s adoption of key safety practices.  The eighth and final section provides additional opportunity for hospitals to be recognized for having a Never Events policy and for other public reporting initiatives. 

Each of these sections has the same format:

1.     General discussion about The Leapfrog Group safety leap(s) for that area. [in this hardcopy only] Where appropriate, there are references that provide more detailed information about each leap and other supporting information that you may need to complete the survey questions.

2.     Survey questions that indicate your organization’s status vis-à-vis implementing each leap.

3.     Affirmation of accuracy by your hospital’s CEO/ chief administrative officer or his/her authorized agent of the information provided. These statements affirm the accuracy of the description of your hospital’s current practices or plans.

A 1999 report by the Institute of Medicine (IOM) found that up to 98,000 Americans die every year from preventable medical errors made in hospitals. The report recommended that large healthcare purchasers provide more market reinforcement for quality and safety. The Leapfrog Group (Leapfrog), a growing consortium of Fortune 500 companies and other large private and public healthcare purchasers founded by The Business Roundtable, launched a national effort in November 2000 to reward hospitals for advances in patient safety and quality and to educate employees, retirees, and families about the importance of hospitals’ efforts in this area. Leapfrog purchasers provide health benefits to millions of Americans and spend billions on healthcare annually.   

Leapfrog initially identified three quality and safety practices (leaps) as the focus for hospital recognition and reward. They are Computer Physician Order Entry (CPOE), ICU Physician Staffing (IPS), and Evidence-Based Hospital Referral (EBHR). Our research indicates that implementing these leaps in non-rural hospitals could save more than 65,000 lives and prevent as many as 900,000 serious medication errors each year.

In February 2007, the National Quality Forum (NQF) updated and released the Safe Practices for Better Healthcare 2006 Update, identifying 30 practices that, if adopted, would have major positive impact on the safety of patients in healthcare settings. These 30 practices include the original three leaps. The Safe Practices leap now contains 13 of the other 27 Safe Practices. This leap is applicable to both urban and rural acute-care hospitals, as is the EBHR leap for hospitals which offer any of those high-risk services on an elective basis. Leapfrog continues to focus on non-rural hospitals for implementation of the CPOE and IPS leaps. 

Leapfrog Hospital SurveyThe four leaps are outlined in this hospital survey, which asks hospitals to self-report their status relative to those leaps. In 2007, Leapfrog began providing additional recognition to hospitals that have implemented a Never Events policy consistent with Leapfrog’s Serious Reportable Events “Never Events” Policy Statement and to hospitals that participate in other public reporting initiatives.  

Beginning In 2008, Leapfrog asks hospitals responding to the survey to indicate their performance on a series of quality-of-care process measures, resource utilization measures, and other safety performance measures. These new measures either augment the EBHR leap or demonstrate the manifestation of key safety practices. 

The new measures in 2008 focus on the following areas of care:

·         Process measures: Acute Myocardial Infraction (AMI) and Pneumonia

·         Resource utilization measures: Select EBHR procedures, AMI, and Pneumonia

·         Other safety measures: rates of two hospital-acquired conditions 

How Leapfrog Uses the Survey Results

Leapfrog purchasers will use the survey responses to (1) educate and inform enrollees about patient safety and the importance of comparing provider performance on Leapfrog’s quality and safety leaps and (2) recognize and reward providers that have implemented the leaps. This means that purchasers will share the survey responses with their employees and use the survey results in their contracting discussions with health plans and providers. The Leapfrog Group will share the responses from all hospitals with the public on its Web site. The Web display of hospitals’ results is made available to aid consumers in their decisions about where to receive care. External organizations who wish to use the data, for other purposes such as consumer education tools, market analysis, or contracting decisions,  must license the data from The Leapfrog Group for a fee. The revenue from data licenses is used to support the ongoing administration of the Leapfrog survey and Leapfrog’s data dissemination efforts.  For those hospitals that choose not to respond to a request to complete the survey, the publicly reported survey results will read: “Hospital did not submit this information.”

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Last Updated ( Sunday, 27 April 2008 01:40 )  

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