hospital safety as a priority: an opportunity for nurses to lead presented by: the leapfrog group

Hospital Safety as a Priority: An

Opportunity for Nurses to Lead

Presented by: The Leapfrog Group

October 31, 2012

Susan Reinhard, PhD, RN, FAAN

Senior Vice President & Director,

AARP Public Policy Institute;

Chief Strategist, Center to Champion

Nursing in America

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Patricia A. Polansky, RN, MS

Director of Policy and Communications

Center to Champion Nursing in America

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www.campaignforaction.org/webinars

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1. Provide an overview of the work of the Leapfrog Group

and their role in the public reporting of hospital safety

scores.

2. Discuss Magnet status and public reporting of scores

means for hospitals and consumers.

3. Explain Leapfrog’s role in ensuring a prepared nursing

workforce and how that directly influences hospital safety

and the Magnet designation.

4. Motivate you to treat hospital safety as a priority in health

care.

Leah Binder

President and CEO,

The Leapfrog Group

Marsha Manning, RN, BSN, MLIR

Manager, Health Care Plans for

General Motors Global Compensation

and Benefits

Board Member, The Leapfrog Group

A Silent Epidemic?

• More than 180,000 people die every year from hospital

infections, injuries, and errors (Office of Inspector General;

November 2010)

• A Medicare patient has a one-in-four chance of

experiencing injury, harm or death when admitted to a

hospital

• One out of every six of your employees admitted to a

hospital will suffer an adverse event

• Today alone, 493 people will die because of a preventable

hospital error; 20 of them during this presentation

• Founded in 2000 by large employers interested in driving a

market for safety and quality in hospitals

• Annual Leapfrog Hospital Survey reports on hospital

performance

• Public reporting/engaging consumers

• Benefits design and contracting

• Value based purchasing

• Direct communication between purchasers and hospitals

• Drive a market for nursing priorities

Local, Regional, National

• Regions Drive

Survey Data

Collection

• 45 Regional Roll

Outs invite

hospitals to

complete the

survey

• Use various

incentives and

recognition to drive

further

improvements

Shows variation: Show how your performance compares

and contrasts to the broadest spectrum of highs and lows

Relevant: Measure what matters to consumers

Unbiased: Report through an independent arbiter. An

advertisement is not an example of transparency.

Shows variation

Relevant

Unbiased

Shows variation

Relevant

Unbiased

Shows variation

Relevant

Unbiased

The Hospital Safety Score is an A, B, C, D, or F letter grade reflecting how hospitals perform at keeping patients safe from harm and error

• Scores assessed for 2,600 general, acute-care

hospitals

• Data was gathered that is publicly reported at the

national level, including measures reported by the

Center for Medicare Services (CMS) and the annual

Leapfrog Hospital Survey

– Specialty hospitals and hospitals not required to report data

to CMS were not included

• Methodology developed by the Blue Ribbon Expert

Panel

ROLE: The Panel provided guidance to Leapfrog on calculating one numerical score for each general hospital. Leapfrog calculated the final scores and set the letter grades)

• John Birkmeyer (University of Michigan)

• Ashish Jha (Harvard University)

• Lucian Leape (Harvard University)

• Arnold Milstein (Stanford University)

• Peter Pronovost (Johns Hopkins University)

• Patrick Romano (University of California, Davis)

• Sara Singer (Harvard University)

• Tim Vogus (Vanderbilt University)

• Robert Wachter (University of California, San Francisco)

• 600+ Press Mentions in first week after release– Newspaper- 250

– Broadcasting- 190

– Trade publications- 80

– Online news- 75

– Other- 75

– National includes: CNN, ABC News, Kaiser, Modern Healthcare

• 600 hits per minute day one and two (similar to NYT)

• 575,000 Pages Served first 3 days

• 96,000 Web Visits first 3 days

• Overall, it appears consumers do care about patient safety

• Use the Hospital Safety Score as one tool in the process of

selecting a hospital to receive care

– Also consult CMS Hospital Compare, Leapfrog Hospital Survey

results, HealthGrades, etc.

• Talk to a doctor or nurse about hospital safety

• Ask hospital administrators what the hospital is doing to

improve their patient safety record

• Become educated on how to stay safe in the hospital

• Hospital Safety Scores will be rereleased in November,

2012

• Twice a year updates going forward

• Look for: a new app

• The Expert Panel will continue adapt the methodology

before each release of the score

• Leapfrog and the Expert Panel will search for ways to

evaluate hospitals not scored this round, including specialty

hospitals, military/veterans hospitals, and hospitals in

Maryland, Guam, and Puerto Rico

• NURSING WORKFORCE

• A Leapfrog measure: if a hospital does not voluntarily report

to Leapfrog, nursing is not directly accounted for in the

score

• Magnet Status automatically accounts for full credit on

nursing workforce, and is highlighted by Leapfrog as well

• Included senior nursing leadership as part of the hospital

senior management team

• Held the Board and senior administrative leadership

accountable for the provision of financial resources for

nursing services

• Collected and analyzed data of actual unit-specific nurse

staffing levels

• Performed a risk assessment and an evaluation of the

frequency and severity of adverse events that can be

related to nurse staffing.

• Infection prevention

• Culture of Safety

• Hand Hygiene policies

• Medication reconciliation

• Deaths from preventable surgical complications

• CPOE

• Preventing falls and pressure ulcers

• Leadership structures to promote safe practices

• Pressure ulcer—Stage 3 and 4

• Falls and trauma

• Central Line-Associated Bloodstream Infection

• Iatrogenic Pneumothorax

• Postoperative:

– Respiratory failure

– Clots

– Wound Dehiscence

Leah Binder, Leapfrog President & CEO

Marsha Manning, Leapfrog Board Member, Co-Chair of the Board Committee on the

Hospital Safety Score &

Manager, Health Care Initiatives and Employee Benefits Public Policy, General Motors

http://blogs.forbes.com/leahbinder/

The Leapfrog Group

1660 L Street NW Ste. 308

Washington, DC 20036

www.leapfroggroup.org

www.hospitalsafetyscore.org

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