Transcript Slide 1

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
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.
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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
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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
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Regions Drive
Survey Data
Collection
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45 Regional Roll
Outs invite
hospitals to
complete the
survey
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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)
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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
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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.
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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
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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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Visit us on the Web
http://campaignforaction.org
Follow us on twitter
http://twitter.com/championnursing
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