International

Leapfrog Group announces its top hospitals

WASHINGTON, D.C. – Thirty-four urban, eight children’s and three rural hospitals have been named 2009 Leapfrog Top Hospitals, based on results from The Leapfrog Hospital Survey. The survey (found at www.leapfroggroup.org) is a national, public comparison of hospitals on key issues including mortality rates for certain common procedures, infection rates, safety practices, and measures of efficiency.

Qualifying criteria for Leapfrog’s Top Hospital Award list remain virtually the same as 2008, with one added dimension: once hospitals demonstrate top quality, they must also rise to the top of the list on efficiency.

“This year’s class of Top Hospitals not only hits the mark in areas such as medication error prevention and preventing ICU deaths, but they also use their resources wisely, providing excellent and efficient outcomes for patients,” said Leah Binder, CEO, The Leapfrog Group. “Regardless of what happens to healthcare reform, these hospitals are the future.”

This year, Leapfrog recognizes a new category: Top Rural Hospitals. The award winners in 2009 scored in the top decile nationally for efficiency and are located in Georgia and Maine:

• Polk Medical Center; Cedartown GA

• Stephens Memorial Hospital; Norway ME

• Waldo County General Hospital; Belfast ME

“Rural hospitals deserve special recognition as they often have higher hurdles to clear than their larger, urban counterparts in terms of access to capital and other resources,” said Binder, a former administrator of a rural hospital.

In 2009, Top Hospitals in urban settings fulfill the following criteria:

• Fully meet Leapfrog standards for implementing computer physician order entry (CPOE) systems (that have been shown to reduce medication errors by up to 85%), and for passing Leapfrog’s test of their system;

• Fully meet stringent performance standards for complex, high-risk procedures (such as heart bypass surgery) done in that particular hospital;

• Fully meet standards for staffing the ICU, shown to reduce mortality by 40% or more;

• Score in the top decile in the country for efficiency – scored by the Leapfrog Hospital Recognition Program incorporating quality outcomes, length of stay, readmission rates, and incidence of hospital acquired conditions and infections. The efficiency standard applies to heart bypass surgery, heart angioplasty, heart attack and pneumonia patients.

“We know from research that Leapfrog-reporting hospitals are among the best in the country, and they demonstrate through Leapfrog that they set ambitious goals for their performance,” said Binder, pointing to a study by Dr Ashish Jha at Harvard Medical School, published in the peer-reviewed Journal of the Joint Commission in 2008, concluding that Leapfrog hospitals have lower mortality and better quality of care than those that don’t report to Leapfrog.

“Not all hospitals make the top hospital list, but every hospital that participates in Leapfrog deserves credit. They are fundamentally changing the hospital market into one that is highly responsive to the quality, cost and value needs of consumers and large buyers of healthcare,” said David Knowlton, Chair of The Leapfrog Group and President & CEO of the New Jersey Health Care Quality Institute.

This year’s top urban hospitals are located in 13 states – Arizona, California, Illinois, Maryland, Massachusetts, Michigan, Minnesota, New Jersey, Ohio, Pennsylvania, South Carolina, Tennessee and Washington:

• Mayo Clinic Hospital; Phoenix AZ

• California Pacific Medical Center - Davies Campus; San Francisco CA

• California Pacific Medical Center - California Campus; San Francisco CA

• California Pacific Medical Center - Pacific Campus; San Francisco CA

• Kaiser Permanente Anaheim Medical Center; Anaheim CA

• Kaiser Permanente Baldwin Park Medical Center; Baldwin Park CA

• Kaiser Permanente Bellflower/Downey Medical Center; Bellflower CA

• Kaiser Permanente Hayward Hospital; Hayward CA

• Kaiser Permanente Sacramento Hospital; Sacramento CA

• Kaiser Permanente South Sacramento Hospital; Sacramento CA

• Stanford Hospital & Clinics; Stanford CA

• University of California Davis Medical Center; Sacramento CA

• NorthShore University HealthSystem’s Highland Park Hospital;

• Highland Park IL

• Northwestern Memorial Hospital; Chicago IL

• Rush University Medical Center; Chicago IL

• University of Maryland Medical Center; Baltimore MD

• Baystate Medical Center; Springfield MA

• Beth Israel Deaconess Medical Center; Boston MA

• Brigham and Women’s Hospital; Boston MA

• North Shore Medical Center - Union Hospital; Lynn MA

• Norwood Hospital; Norwood MA

• Detroit Receiving Hospital; Detroit MI

• Harper-Hutzel Hospital; Detroit MI

• Mayo Clinic - Methodist Hospital; Rochester MN

• Mayo Clinic Saint Mary’s; Rochester MN

• Regions Hospital; Saint Paul MN

• The Valley Hospital; Ridgewood NJ

• University Medical Center at Princeton; Princeton NJ

• James Cancer Hospital and Solove Research Institute; Columbus OH

• The Ohio State University Hospital; Columbus OH

• Lehigh Valley Hospital; Allentown PA

• Bon Secours St. Francis Health System; Greenville SC

• Vanderbilt University Hospital; Nashville TN

• Virginia Mason Medical Center; Seattle WA

Top pediatric hospitals in 2009 achieved a quality score of 95 or better through Leapfrog’s Hospital Recognition Program and are located in California, District of Columbia, Massachusetts, Minnesota, Ohio, Pennsylvania, and Tennessee:

• Childrens Hospital Los Angeles; Los Angeles CA

• Children’s Hospital of Orange County; Orange CA

• Children’s National Medical Center; Washington DC

• Children’s Hospital Boston; Boston MA

• Children’s Hospitals and Clinics of Minnesota – Minneapolis, MN

• Cincinnati Children’s Hospital Medical Center; Cincinnati OH

• Childrens Hospital of Pittsburgh of UPMC; Pittsburgh PA

• The Monroe Carell Jr. Children’s Hospital at Vanderbilt; Nashville TN

The Leapfrog Group (www.leapfroggroup.org) uses the collective leverage of large purchasers of healthcare to initiate breakthrough improvements in the safety, quality, and affordability of healthcare for Americans. The Leapfrog Group was founded in November 2000 by the Business Roundtable, and is now independently operated with support from its members.

The Leapfrog Hospital Survey, the organization said, is the gold standard for comparing hospitals’ performance on the national standards of safety, quality, and efficiency that are most relevant to consumers and purchasers of care. Hospitals that participate in The Leapfrog Hospital Survey achieve hospital-wide improvements that translate into millions of lives and dollars saved. Leapfrog’s purchaser members use Survey results to inform their employees and purchasing strategies. In 2009, 1206 hospitals across the country completed The Leapfrog Hospital Survey.

Posted Jan. 14, 2010