Castlight Health Conducts First-of-Its-Kind Analysis of The Leapfrog Hospital Survey’s Safety and Quality Data, Examining Factors Such As Medication Errors, Maternity Care and High-Risk SurgeriesWASHINGTON – July 18, 2014 – The Leapfrog Group (Leapfrog) today issued the Results of 2013 Leapfrog Hospital Survey, an in-depth examination of seven key areas of hospital quality and safety: medication errors, maternity care, high-risk surgeries, Intensive Care Unit (ICU) physician staffing, serious adverse events, safety practices, and hospital-acquired conditions (HACs) – including infections in ICUs, pressure ulcers, and injuries. The report, prepared by Castlight® Health, is based on hospital performance data gathered through the Leapfrog Hospital Survey of 1,437 U.S. hospitals in 2013, the highest hospital participation rate to date in the annual survey. The report is available at www.LeapfrogGroup.org/HospitalSurveyReport. Key findings include:
- More hospitals are adopting computerized physician order entry (CPOE) to reduce medication errors, with 616 hospitals fully meeting Leapfrog’s standard, a 65 percent increase from 2012. But some problems with performance of the systems persist, such as failure to alert on potentially fatal medication errors.
- Dramatic improvement in areas of maternity care – especially in reducing early elective deliveries, with the average rate of early elective deliveries declining from 11.2 percent in 2012 to 4.6 percent in 2013. However, too many high-risk babies are being delivered at hospitals that aren’t optimally equipped to care for them. In 2013, less than 24 percent of hospitals fully met Leapfrog’s high-risk delivery standard, a decline from 37 percent in 2011.
- Surprisingly high variance in predicted survival rates for high-risk procedures across hospitals, as well as in hospital-acquired injury and infection rates. For example, the predicted mortality rate varies five-fold for esophagectomies; six-fold for abdominal aortic aneurysm (AAA) repair; and 131 out of 1,302 reporting hospitals have hospital-acquired injury rates of over one in 1,000, which is considered alarmingly high.
- Better compliance with ICU physician staffing standards, shown to decrease mortality by as much as 40 percent. Notably, 41.7 percent of reporting hospitals fully meet this standard in 2013, compared to 39 percent in 2012.
- Strong adoption of Leapfrog’s Never Events policy, with 80 percent of hospitals committing to abide by Leapfrog’s five principles when a Never Event occurs in their facility.
- Review publicly available Leapfrog Survey data to better understand the quality and safety of the hospitals that serve their employees and their families.
- Leverage Leapfrog Survey data when considering or innovating benefit design, particularly for those specific procedures examined in the report: childbirth, abdominal aortic aneurysm (AAA) repair, aortic valve replacement (AVR), pancreatectomy, and esophagectomy.
- Consider the Leapfrog Survey results for hospital-acquired infection rates and ICU staffing in evaluation of high value providers, such as for a Center of Excellence program or Reference-Based Benefits program.
- Urge hospitals to participate in the Leapfrog Hospital Survey to support greater transparency in health care and the movement toward value-based care.
- Utilize a platform such as Castlight to educate and inform employees on how to find the safest and highest-quality care at the best price.
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