Health Ratings Methodology Summary Organization: • Leapfrog Group Recognition (s): • Leapfrog Top Hospitals • Leapfrog Hospital Safety Grade Link(s) to organization’s published methodology: o http://www.leapfroggroup.org/sites/default/files/Files/2017LVBPP_ScoringMethodology_090117_Final.pdf o http://www.hospitalsafetygrade.org/media/file/HospitalSafetyGrade_ScoringMethodology_Spring2017_Final2.pdf Data Source(s) and Date Ranges: Data Source Date Range Leapfrog hospital survey 2016 CMS Hospital Compare Most recent normally, but varies with measure Hospitals Utilized: Hospital Inclusions o Approximately 2,000 hospitals participate in the Survey annually (from http://www.leapfroggroup.org/ratings-reports) Hospitals Exclusions: o Hospitals …show more content…
o Measures hospital types in three categories, including Adult, Children’s, and Critical Care. o Measure scoring weights are proportionally redistributed if data for 1 or more measures are missing, and Category weights are proportionally redistributed if data for an entire category’s measures are missing. o Many measures based primarily on Leapfrog survey results, including CPOE, ICU physician staffing, leadership, culture, nursing workforce and hand hygiene. o Two separate measure methodologies for categorical results, and continuous results. o Negative Z-Scores truncated at -5.00 Metrics used for Leapfrog Group Top …show more content…
Significant Changes in Latest Year • 2017 o High Risk Surgeries category was removed, and score is now only based on 4 total categories. o New measure added to the Medication Safety category for Bar Code Medication Administration. All medication and patient records are barcoded and that barcode is used to detect incorrect medications, patients, dosage, time, allergies etc. o NQF Safe practices measures were reduced from 8 to 5. o Medication Reconciliation measure was added. o Greater weight placed on CPOE test results rather than simply CPOE implementation. While use of CPOE is up, efficacy of the system has not improved similarly, therefor higher weight on efficacy will be placed. o Measure volume expectations for Adult Hospitals were slightly reduced with the number of Expected Measures moving from 23, to 18, and the cutoff for N/A measures now set to 8 instead of 11. Metrics used for Leapfrog Group Safety
The pros of the CPOE system included that the prescribing of wrong medications was reduced, there were fewer errors with the patient’s basic information, orders for lab work, blood work, and medications were standardized; and mistakes in the ordering...
Significant areas of the summary report where variances between actual and targeted FTEs were not fl...
This technology assist the nurse in confirming patients identify by confirming the patients’ dose, time and form of medication (Helmons, Wargel, & Daniels, 2009). Having an EHR also comes with a program that allows the medical staff to scan medications so medication errors can be prevented. According to Helmons, Wargel, and Daniels (2009) they conducted an observational study in two medical –surgical units one in the medical intensive care (ICU) and one in the surgical ICU. The researchers watched 386 nurses within the two hospitals use bar code scanning before they administrated patients’ medications. The results of the research found a 58 % decrease in medication errors between the two hospitals because of the EHR containing a bar code assisted medication administration
Myers, J. (2008). Evidence-based performance measures for emergency medical services systems: A model for expanded ems benchmarking a statement developed by the 2007 consortium u.s. metropolitan municipalities' ems medical directors (appendix) read more. Retrieved from http://informahealthcare.com/doi/abs/10.1080/10903120801903793
Q4. Have you noticed any other improvements at your facility in order to meet quality measures such as being more clearer with discharge instructions, follow up calls with the patients to decrease the readmission rates, doctor trainings to enhance doctor-patient communications etc.
These measure help the leaders to communicate effectively with their staff and to achieve the goals of five pillars and the areas that leader need assistance or coaching and to see how leader are doing when it comes to achieving goals and leaders start focus on the goal to provide quality of care to residents. By measuring the performance of leaders, leaders determine what their top priorities should be, work on their weakness so leaders can align training to desired
America's Health Ranking Report by the United Health Foundation is an annual report that focus's on behaviors, the environment and community, public and health policies, clinical care, and outcomes to provide a score that gives us a picture of the nation's overall health. Several measures are used to determine the overall health rankings. In 2013, Tennessee was ranked 42nd, down from 39th in 2012. Dr. Randy Wykoff explains that this is due to a change of the metrics used to calculate this years rankings. What he suggests is that if the same metrics were used in 2012 as in 2013, Tennessee would have been 42nd in 2012 as well. Therefore, Tennessee only looks worse on paper, rather than actually being worse in overall health.
The main quality initiative affected by this workaround is patient safety. The hospital switched to computer medication administration as opposed to paper medication administration documentation because it is supposed to be safer. So, when the nurse gets the “wrong medication” message the computer thinks something is wrong, this is a safety net that is built into the computer system. If the nurse were just to administer the medication without any further checks, he or she would be putting patient safety on the line. The policy involved that pertains to this workaround is the “8 rights of medication administration”, which are: right patient, right medication, right dose, right route, right time, right documentation, right reason, and right response (LippincottNursingCenter®, 2011). Each nurse it taught these eight rights of medication administration in nursing school, therefore it is a nursing policy. When this workaround occurs the nurse should use his/her judgment before “scan overriding” and ensure these eight checks before administering the
...ted is first the bar code label rule in 2002. The FDA requires bar code labels on drugs and healthcare professionals are responsible to use scanning equipment to ensure the right drug, right route, right patient, and right time. The second strategy is to minimize the confusion between drug names. Each year the FDA reviews about 300 drug names from new companies and about one-third of the those names are rejected, due to possible name confusion. Lastly, drug labeling, the FDA requires a standard drug label stating drug facts on more than 100,000 over the counter drugs. The drug facts listed are active ingredients, uses, warnings, dosage, directions, and other information. These policies are important in ensuring patient safety and it is the responsibility of the healthcare professional to uphold them ( Medication Errors: Working to Improve Medication Safety", 2015).
For these reasons, we should be cautious about placing too much emphasis on the four-hour standard. The safety and quality of care, as well as patient experience, are as important as how rapidly care is provided. In December 2016, NHS Improvement announced that from 2017 hospitals would be rated against a new scorecard for A&Es that would include the four-hour standard and further metrics on clinical standards and patient and staff experience. The four-hour standard is likely to remain the focus of attention for the public, politicians, regulators and the
Quality care, safe practices and principles, and accountability constitute the foundation of any health care organization (Huber, 2014). Addressing patient safety issues and improving health care quality may include reorganizing operations to improve efficiency, coordinating care with interdisciplinary team members, and using information technologies (Wang, Cha, Sebek, McCullough, Parsons, Singer, & Shih, 2014). In this paper, I will review my organization’s quality program goals, objectives, and management structure, how quality improvement (QI) projects are selected, managed, and monitored, and how nursing staff are trained and supported in
Reflecting back on the all the information learned this semester, I am amazed at how much I learned. Working in healthcare makes you aware of a lot of the topics that were covered, however, when you apply it to yourself, in a personal relationship, it becomes much more powerful what the impact of each topic is.
...d procedures are now being monitored to improve clinical processes. Ensuring that these processes are implemented in a timely, effective manner can also improve the quality of care given to patients. Management of the processes ensures accountability of the effectiveness of care, which, as mentioned earlier, improves outcomes. Lastly, providing reimbursements based on the quality of care and not the quantity also decreases the “wasting” and overuse of supplies. Providers previously felt the need to do more than necessary to meet a certain quota based on a quantity of supplies or other interventions used. Changing this goal can significantly decrease the cost of care due to using on the supplies necessary to provide effective, high-quality care. I look forward to this implementation of change and hope to see others encouraging an increase in high-quality healthcare.
In the health care industry, gathering information in order to find the best diagnosis route or even determine patient satisfaction is necessary. This is complete by conducting a survey and collecting data. When the information is complete, we then have statistical information used to make administrative decision within the healthcare field. The collection of meaningful statistics is an important function of any hospital or clinic.
Barcodes are used everywhere around us. They are used to track products through shipment, track products at a store and speed up and enhance the checkout process, as well as allowing faster access to information. Barcodes began to be used heavily in the 1970’s. This began a great movement in the consumer industry, speeding up the checkout process and allowing easier inventory tracking. However, just like all technologies, barcodes have been enhanced many times over and are being replaced by better, more efficient systems (Bonsor).