Leapfrog Group Hospital Ratings
A recent report from the Leapfrog Group has rated
hospitals across the country. The Leapfrog Group is an independent, national not-for-profit organization of employer
purchasers of health care. The Leapfrog Group is a voluntary program
aimed at mobilizing employer purchasing power to alert America’s health
industry about health care safety, quality and customer value.
An A, B, C, D, or F score assigned to a hospital based on
expert analysis of infections, injuries, and medical and medication errors that
cause harm or death during a hospital stay—looked closely at how safe hospitals
are for patients.
Locally, on Long Island, 5 hospitals scored an A and now have
bragging rights to being the “safest” hospitals on Long Island, in New York and
maybe in the country.
One of these hospitals was reported by another group last
spring as one of the worst hospitals in patient safety while at the same time
winning an award for Excellence in Patient Safety from yet another group.
The CEO of a Midwestern hospital that scored low expressed reservations about how the Leapfrog Group compiles and
validates the data it uses to compile scores.
A well known California hospital disputes
their F score because they say one
patient death in 2010 unfairly lowered its grade from a C to an F.
The senior vice president for a 101-year-old hospital, says
he "patently disagrees" with his hospital's F grade, saying that's
not reflected in current federally reported data. "Much of what Leapfrog is using is three
or four years old," he says, "and is based on some proprietary
methodology, capriciously assigning adverse grades to someone."
Hospitals across the country scoring an A have a very
different outlook. They boast to their commitment to patient’s safety, quality
care and committed staff.
Years ago I went to a meeting and on the plane I read a
magazine listing top hospitals. I didn’t
see a hospital that I knew was always winning awards. When I saw a top administrator from this
hospital, I mentioned that his hospital wasn’t listed. He grabbed the magazine from my hands and sat
in a corner reading it. Upon his return
just minutes later, he shared that this magazine is trash and their scoring
doesn’t mean a thing.
Using these rating tools, whether it’s about your local
hospital or physician, patient safety and quality care is a two way street and
by being vigilant as patients or family members we can help control the
outcomes. Going into a hospital with an
F rating might even keep you on guard and with good reason. Ratings are a tool. I know of too many people who were injured or
died in “the best” hospitals.
1 comment:
As has been said, there are lies, damn lies, and statistics. And then there's marketing.
These types of reports never sync up. I don't know if an accepted standard exists and even if it did, whose statistics are they relying on to reach these conclusions? How were these statistics gathered? From whom? By whom?
As a cancer veteran, I rely on the opinions of the physicians and patients I trust. Some of the most insightful, curious, and effective physicians I've met never make it to the best doctors lists.
I may base my care decisions on anecdotal evidence but I'll never base it absolutely on a marketing survey.
Just my .02 ...
- J.
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