Transcript Slide 1

The
Leapfrog
Hospital Recognition Program
A program of The Leapfrog Group
Overview of
The Leapfrog Group
The Leapfrog Group:
Mission
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The Leapfrog Group was formed in 2000 by a
passionate group of Fortune 500 companies following
the release of the Institute of Medicine’s (IOM) report
To Err is Human.
From the beginning, The Leapfrog Group as been
committed to leveraging the purchasing power of its
members to make giant leaps in the safety, quality, and
affordability of health care in the U.S. by:
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Supporting informed healthcare decisions by those who
use and pay for health care
Promoting high-value health care through incentives and
rewards
The Leapfrog Group:
Core Principles
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Transparency: Leapfrog publically reports results of The
Leapfrog Hospital Survey and works with others to
strengthen public reporting efforts at the state and
national level.
Standard Measurement & Practices: Leapfrog
advocates for the standardization of measurement
because of its role in helping purchasers and consumers
discern variation in performance and the standardization
of practices because it improves safety and quality.
Incentives & Recognition: Leapfrog believes that the
highest performing hospitals should be recognized and
rewarded. Leapfrog’s Top Hospital award and Hospital
Recognition Program puts this idea into practice.
Overview of
The Leapfrog Hospital Survey
The Leapfrog Hospital Survey
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The Leapfrog Hospital Survey measures and publicly
reports hospital performance on national safety, quality,
and efficiency standards.
Standards focus on processes, structures, and outcomes.
The Survey results are publically displayed at
www.leapfroggroup.org/cp and used to inform the health
care decisions of purchasers and consumers.
Leapfrog has harmonized many of its standards with The
Joint Commission, CMS, and other state and national
organizations to minimize the burden of reporting for
hospitals.
2011 Leapfrog Hospital Survey Database
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1106 hospitals from 45 states*
reporting on over 12 million
admissions
Hospitals range in size from <25 to
>1000 inpatient beds
220,000+ total inpatient beds in the
database
*As of August 31, 2011
Overview of
The Leapfrog Hospital Recognition Program
Leapfrog Hospital Recognition Program
Leapfrog Hospital Recognition Program (LHRP) utilizes the
publicly reported results of The Leapfrog Hospital Survey to
identify and reward hospitals that achieve quality and
resource use goals derived from national benchmarks.
LHRP scores hospitals in three areas of performance:
Quality
Resource Use
Value
Quality Score
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The Quality score represents 65% of the overall Efficiency Score.
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The Quality score is based on a hospital’s performance on the
following national quality standards:
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Common Acute Conditions (AMI, Pneumonia, and Normal Deliveries)
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Outcomes for High Risk Procedures (CABG, PCI, AVR, AAA, Pancreatectomy,
Esophagectomy, Bariatric Surgery, and High-risk Deliveries
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Hospital Acquired Conditions (pressure ulcers, injuries, and central-line
associated blood stream infections)
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Computerized Physician Order Entry (CPOE)
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ICU Physician Staffing (IPS)
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NQF Safe Practices
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Leapfrog’s Never Events Policy
Resource Use Score
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The Resource Use score is 35% of the overall Efficiency Score.
The Resource Use score is based on a hospital’s average length of
stay (risk adjusted and tempered by 14-day re-admission) for the
following:
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Common Acute Conditions (AMI and Pneumonia)
Outcomes on High Risk Procedures (CABG and PCI)
In addition, the Resource Use score includes the following measures
which have been shown to significantly impact length of stay and/or
cost of care:
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Hospital Acquired Conditions (pressure ulcers, injuries, and
central-line associated blood stream infections)
Normal Newborn Deliveries
CPOE
ICU Physician Staffing
Value Score
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The Value score is a combination of Quality (65%) and
Resource Use (35%).
Health plans and purchasers who license LHRP, use the Value
score to determine whether a hospital is placed in the
Attainment or Improvement category of rewards.
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Attainment is reserved for hospitals whose score represents “top
performance” when compared to their peers in a market or
nationwide.
Improvement is for hospitals that have not attained “top
performance” when compared to their peers, but demonstrate
improvement in Quality and/or Resource Use.
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Hospitals can use their value score to rank themselves among
other Leapfrog hospitals.
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The Value score is also used to determine Leapfrog Top
Hospitals
LHRP Scoring Methodology
Measure Scores
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A numerical score of 0-100 is calculated for each measure
that applies to a hospital’s score. If a hospital does not
perform a procedure, they receive a score of N/A for that
measure.
Standard Weights
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A measure weight is then applied to each numerical score. If
a measure does not apply to a hospital, the weight for that
measure is distributed across applicable measures.
Calculating Quality, Resource Use,
& Value
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The sum of each weighted score is then combined
into three composite scores:
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Quality
Resource Use
(Quality x 65% = Resource Use x 35%)
Understanding Your LHRP Scores
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The scatter plot illustrates how a hospital compares to others
in the state and nation on Quality and Resource Use (in each
category a higher score is better).
Understanding Your LHRP Scores
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The Value Score
comparison illustrates
how a hospital
compares to others in
the nation. Each decile
represents a range of
value scores from 0-100
rounded to the nearest
whole number.
How To Use Your LHRP Report
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Use the color-coded measure scores to identify areas of
excellence and opportunities for improvement
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Use the color-coded measure scores to prioritize
quality improvement initiatives
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Use the color-coded measure scores and scatter plot to
engage your board of directors in a dialogue around
quality and resource use.
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Use the state and national averages to set goals for
improvement
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Use the value comparison to set goals for improvement
For More Information
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About LHRP and LHRP Reports visit
www.leapfroggroup.org/lhrpreports
About The Leapfrog Hospital Survey visit
www.leapfroghospitalsurvey.org
About Leapfrog visit
www.leapfroggroup.org