How To Use This Report Your LHRP Scores For More Information Summary Report for SAMPLE HOSPITAL September 24, 2013 About the Leapfrog Hospital Recognition Program The Leapfrog Hospital Recognition Program™ (LHRP) is a comprehensive hospital pay-for-performance program that focuses on the most important national patient safety, quality, and resource use standards. These standards are taken directly from The Leapfrog Hospital Survey which serves as the database for the Leapfrog Hospital Recognition Program. Through LHRP, a hospital is scored for its performance on each of Leapfrog’s 18 standards. Individual scores, which range from 0 (lowest performance) to 100 (highest performance), are then compared against state and national averages. Scores for each hospital are calculated using the LHRP Scoring Methodology (see www.leapfroggroup.org/lhrpreports for details) and then rolled up into three composite scores: Quality, Resource Use, and Value. The three composite scores are used in national Quality and Resource Use comparisons and the Value decile rankings. LHRP uses data collected through The Leapfrog Hospital Survey each year to evaluate hospital performance in numerous clinical focus areas: • Computerized Physician Order Entry (CPOE) • ICU Physician Staffing (IPS) • Evidence-Based Hospital Referrals (AVR, AAA, Pancreatectomy, Esophagectomy, and High-risk Newborn Deliveries) • Maternity Care (Early Elective Deliveries, Episiotomy, Maternity Care Quality) • Managing Serious Errors (CLABSI, CAUTI, Never Events, Hospital-Acquired Pressure Ulcers, and Hospital-Acquired Injuries) • Readmissions for Common Acute Conditions (AMI, Heart Failure, and Pneumonia) • Length of Stay Composites for Common Acute Conditions (AMI, Heart Failure, Pneumonia) • Safe Practices LHRP Reports are available for all hospitals that completed The 2013 Leapfrog Hospital Survey. The 2013 LHRP Reports contain data collected from 1,324 hospitals in all 50 states, including the District of Columbia. For more information about The Leapfrog Hospital Survey or Leapfrog Hospital Recognition Program, please visit www.leapfroggroup.org or contact [email protected]. Page 1 of 4 © 2013 The Leapfrog Group, www.leapfroggroup.org How To Use This Report Summary Report for SAMPLE HOSPITAL Your LHRP Scores For More Information September 24, 2013 This report contains detailed information about how your hospital compares to others in the state and across the country on 18 performance standards. For each standard, your hospital earned a score from 0-100. These scores were calculated by applying the Leapfrog Hospital Recognition Program (LHRP) Scoring Methodology to the data you submitted to The 2013 Leapfrog Survey. Information about the LHRP Scoring Methodology is included in this report. The Quality score is based on a hospital's performance on the following national quality standards: •Computerized Physician Order Entry (CPOE) •ICU Physician Staffing (IPS) •Evidence-Based Hospital Referrals (AVR, AAA, Pancreatectomy, Esophagectomy, and High-risk Newborn Deliveries) •Maternity Care (Early Elective Deliveries, Episiotomy, and Maternity Care Quality) •Managing Serious Errors (CLABSI, CAUTI, Never Events Policies, HospitalAcquired Pressure Ulcers, and Hospital-Acquired Injuries) •NQF Safe Practices The Resource Use score is based on a hospital's performance on the following national quality standards: •Computerized Physician Order Entry (CPOE) •ICU Physician Staffing (IPS) •Early Elective Deliveries •Readmission Composite for Common Acute Conditions (AMI, Heart Failure, Pneumonia) •Length of Stay Composite for Common Acute Conditions (AMI, Heart Failure, Pneumonia) •Managing Serious Errors (CLABSI, CAUTI, Hospital-Acquired Pressure Ulcers, and Hospital-Acquired Injuries) The Value score is a combination of Quality (65%) and Resource Use (35%). For example, if your overall Quality score was 60 and your overall Resource Use score was 40, your Value Score would be: (60 × 65%) + (40 × 35%) = 39 + 14 = 53. To find answers to frequently asked questions, a description of LHRP scoring changes for 2013, and information about LHRP, visit www.leapfroggroup.org/lhrpreports. Data was submitted to Leapfrog on 8/29/2013 Comparative data in this report is current as of 8/31/2013 Report generated on 9/24/2013 Page 2 of 4 © 2013 The Leapfrog Group, www.leapfroggroup.org How To Use This Report Your LHRP Scores For More Information Summary Report for SAMPLE HOSPITAL September 24, 2013 Your Score State Avg National Avg Quality 56 65 59 Resource Use Value 72 69 60 61 67 59 Summary Scores The scatter plot below illustrates how your hospital compares to others in the state and across the country on Quality and Resource Use. (Please note that a higher Resource Use score is better.) Refer to the National Value Score Comparison chart to better understand how your hospital ranks in overall Value compared to others. The 2013 LHRP Reports contain data collected from 1,324 hospitals in all 50 states, including the District of Columbia. Quality and Resource Use Comparison STATE Hospitals U.S. Hospitals National Value Score Comparison 61 SAMPLE HOSPITAL 80.34011113 FALSE 100 73.95052732 FALSE 90 69.54685555 FALSE Resource Use Score 80 64.82725442 FALSE 70 60.55959258 TRUE 60 55.91171403 50 FALSE 40 FALSE 30 FALSE 20 FALSE 10 FALSE 50.85904992 45.01857588 36.37404169 0 Decile Score Range Top 89 or better 2nd 78 to 89 3rd 68 to 78 4th 62 to 68 5th 55 to 62 6th 47 to 55 7th 41 to 47 8th 33 to 41 9th 21 to 33 10th Less than 21 Your Hospital's Performance ← ← ← ← ← ← ← ← ← ← Banner Good Samaritan Medical Center Banner Good Samaritan Medical Center Banner Good Samaritan Medical Center Banner Good Samaritan Medical Center SAMPLE HOSPITAL Banner Good Samaritan Medical Center Banner Good Samaritan Medical Center Banner Good Samaritan Medical Center Banner Good Samaritan Medical Center Banner Good Samaritan Medical Center 0 0 10 20 30 40 50 Quality Score Page 3 of 4 © 2013 The Leapfrog Group, www.leapfroggroup.org 60 70 80 90 100 Note: Decile score ranges are rounded to the nearest whole number. How To Use This Report Your LHRP Scores For More Information Summary Report for Banner Good Samaritan Medical Center, Phoenix, Arizona September 24, 2013 For hospitals who would like more detailed information on their performance scores, The Leapfrog Group offers two additional types of reports: Basic Plus Reports ($375) include: • Individual scores for each Leapfrog standard compared to state and national averages • Detailed scoring document • Power Point presentation • LHRP Scoring Methodology Premium Reports ($450) include: • Individual scores for each Leapfrog standard compared to a custom comparison group (visit www.leapfroggroup.org/lhrpreports for a complete list of comparison groups) • Individual scores for each Leapfrog standard compared to state and national averages • Power Point presentation • LHRP Scoring Methodology Quality Measures AAA Quality Pancreatectomy Quality Esophagectomy Quality High-Risk Delivery Quality Maternity Care Process Episiotomy Rate Early Elective Deliveries Never Events Medication Safety (CPOE) ICU Physician Staffing (IPS) Central Line Infection Rate CAUTI Infection Rate Pressure Ulcers Rate Hospital Injuries Rate Readmissions Composite LOS Composite Quality Resource Use VALUE To order a Basic Plus Report or a Premium Report, visit www.leapfroggroup.org/lhrpreports and follow the ordering instructions or contact [email protected]. AVR Quality Hospitals use reports to: • Pinpoint areas of excellence • Identify areas for improvement • Integrate into quality plans • Engage medical staff, administrators, employees, and board members Safe Practices Resource Use Measures National Average 66 70 69 65 66 63 76 60 68 84 47 50 56 56 71 59 63 63 54 49 53 Sample State 41 43 56 49 51 100 78 11 49 68 6 33 74 71 77 67 53 31 28 22 26 More than 500 66 65 64 68 65 59 73 94 59 62 55 52 67 57 50 54 60 58 59 Sample Hospital 81 21 100 43 67 100 15 100 91 76 37 34 100 27 65 71 67 National Measures from The 2013 Leapfrog Hospital Survey 63 77 42 N/A 100 33 Color codes for hospital score relative to national average Page 4 of 4 © 2012 The Leapfrog Group, www.leapfroggroup.org >10 ±10 <10
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