Among other changes to the 2008 Survey:
-- The Leapfrog Survival Predictor -- a new composite measure that
forecasts a patient's odds of dying at a particular hospital from
certain high-risk surgeries;
-- Extending the ICU staffing measure to neuro-ICU's;
-- Questions related to surgeon volume have been dropped, except for
bariatric surgery;
-- Reducing from 30 to 13 the number of Safe Practices evaluated in order
to focus on those that have the strongest evidence, are auditable, and
are not measured in another way in a different section of the Survey.
The Leapfrog Hospital Survey is divided into four areas or "Leaps" of
hospital quality and safety practices:
-- Computer physician order entry;
-- High-risk treatments (coronary artery bypass graft, percutaneous
coronary, intervention, abdominal aortic aneurysm repair, aortic valve
replacement, pancreatic resection, esophagectomy, bariatric surgery);
-- Intensive care unit (ICU) staffing by physicians experienced in critical
care medicine;
-- Leapfrog Safe Practices (e.g. leadership, creating and sustaining a
culture of safety, improving information transfer, medication
management, hospital- associated infections, and care processes).
Hospitals complete the self-administered Survey beginning in April; individual results begin to be posted on The Leapfrog Group Web site in July. Aggregated and analyzed results are published in the fall, along with the annual Leapfrog Top Hospitals list.
The Leapfrog Group
On behalf of the millions of Americans for whom many of the nation's
largest corporations and public agencies buy health benefits, The Leapfrog
Group (http://www.leapfroggrou
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