hospital safety as a priority: an opportunity for nurses to lead presented by: the leapfrog group
TRANSCRIPT
![Page 1: Hospital Safety as a Priority: An Opportunity for Nurses to Lead Presented by: The Leapfrog Group](https://reader033.vdocuments.mx/reader033/viewer/2022060122/55957fe21a28abc7318b4605/html5/thumbnails/1.jpg)
Hospital Safety as a Priority: An
Opportunity for Nurses to Lead
Presented by: The Leapfrog Group
October 31, 2012
![Page 2: Hospital Safety as a Priority: An Opportunity for Nurses to Lead Presented by: The Leapfrog Group](https://reader033.vdocuments.mx/reader033/viewer/2022060122/55957fe21a28abc7318b4605/html5/thumbnails/2.jpg)
Susan Reinhard, PhD, RN, FAAN
Senior Vice President & Director,
AARP Public Policy Institute;
Chief Strategist, Center to Champion
Nursing in America
2
![Page 3: Hospital Safety as a Priority: An Opportunity for Nurses to Lead Presented by: The Leapfrog Group](https://reader033.vdocuments.mx/reader033/viewer/2022060122/55957fe21a28abc7318b4605/html5/thumbnails/3.jpg)
Patricia A. Polansky, RN, MS
Director of Policy and Communications
Center to Champion Nursing in America
3
www.campaignforaction.org/webinars
![Page 4: Hospital Safety as a Priority: An Opportunity for Nurses to Lead Presented by: The Leapfrog Group](https://reader033.vdocuments.mx/reader033/viewer/2022060122/55957fe21a28abc7318b4605/html5/thumbnails/4.jpg)
4
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.
![Page 5: Hospital Safety as a Priority: An Opportunity for Nurses to Lead Presented by: The Leapfrog Group](https://reader033.vdocuments.mx/reader033/viewer/2022060122/55957fe21a28abc7318b4605/html5/thumbnails/5.jpg)
Leah Binder
President and CEO,
The Leapfrog Group
![Page 6: Hospital Safety as a Priority: An Opportunity for Nurses to Lead Presented by: The Leapfrog Group](https://reader033.vdocuments.mx/reader033/viewer/2022060122/55957fe21a28abc7318b4605/html5/thumbnails/6.jpg)
Marsha Manning, RN, BSN, MLIR
Manager, Health Care Plans for
General Motors Global Compensation
and Benefits
Board Member, The Leapfrog Group
![Page 7: Hospital Safety as a Priority: An Opportunity for Nurses to Lead Presented by: The Leapfrog Group](https://reader033.vdocuments.mx/reader033/viewer/2022060122/55957fe21a28abc7318b4605/html5/thumbnails/7.jpg)
A Silent Epidemic?
![Page 8: Hospital Safety as a Priority: An Opportunity for Nurses to Lead Presented by: The Leapfrog Group](https://reader033.vdocuments.mx/reader033/viewer/2022060122/55957fe21a28abc7318b4605/html5/thumbnails/8.jpg)
![Page 9: Hospital Safety as a Priority: An Opportunity for Nurses to Lead Presented by: The Leapfrog Group](https://reader033.vdocuments.mx/reader033/viewer/2022060122/55957fe21a28abc7318b4605/html5/thumbnails/9.jpg)
• 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
![Page 10: Hospital Safety as a Priority: An Opportunity for Nurses to Lead Presented by: The Leapfrog Group](https://reader033.vdocuments.mx/reader033/viewer/2022060122/55957fe21a28abc7318b4605/html5/thumbnails/10.jpg)
• 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
![Page 11: Hospital Safety as a Priority: An Opportunity for Nurses to Lead Presented by: The Leapfrog Group](https://reader033.vdocuments.mx/reader033/viewer/2022060122/55957fe21a28abc7318b4605/html5/thumbnails/11.jpg)
• Public reporting/engaging consumers
• Benefits design and contracting
• Value based purchasing
• Direct communication between purchasers and hospitals
• Drive a market for nursing priorities
![Page 12: Hospital Safety as a Priority: An Opportunity for Nurses to Lead Presented by: The Leapfrog Group](https://reader033.vdocuments.mx/reader033/viewer/2022060122/55957fe21a28abc7318b4605/html5/thumbnails/12.jpg)
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
![Page 13: Hospital Safety as a Priority: An Opportunity for Nurses to Lead Presented by: The Leapfrog Group](https://reader033.vdocuments.mx/reader033/viewer/2022060122/55957fe21a28abc7318b4605/html5/thumbnails/13.jpg)
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.
![Page 14: Hospital Safety as a Priority: An Opportunity for Nurses to Lead Presented by: The Leapfrog Group](https://reader033.vdocuments.mx/reader033/viewer/2022060122/55957fe21a28abc7318b4605/html5/thumbnails/14.jpg)
![Page 15: Hospital Safety as a Priority: An Opportunity for Nurses to Lead Presented by: The Leapfrog Group](https://reader033.vdocuments.mx/reader033/viewer/2022060122/55957fe21a28abc7318b4605/html5/thumbnails/15.jpg)
![Page 16: Hospital Safety as a Priority: An Opportunity for Nurses to Lead Presented by: The Leapfrog Group](https://reader033.vdocuments.mx/reader033/viewer/2022060122/55957fe21a28abc7318b4605/html5/thumbnails/16.jpg)
Shows variation
Relevant
Unbiased
![Page 17: Hospital Safety as a Priority: An Opportunity for Nurses to Lead Presented by: The Leapfrog Group](https://reader033.vdocuments.mx/reader033/viewer/2022060122/55957fe21a28abc7318b4605/html5/thumbnails/17.jpg)
![Page 18: Hospital Safety as a Priority: An Opportunity for Nurses to Lead Presented by: The Leapfrog Group](https://reader033.vdocuments.mx/reader033/viewer/2022060122/55957fe21a28abc7318b4605/html5/thumbnails/18.jpg)
![Page 19: Hospital Safety as a Priority: An Opportunity for Nurses to Lead Presented by: The Leapfrog Group](https://reader033.vdocuments.mx/reader033/viewer/2022060122/55957fe21a28abc7318b4605/html5/thumbnails/19.jpg)
Shows variation
Relevant
Unbiased
![Page 20: Hospital Safety as a Priority: An Opportunity for Nurses to Lead Presented by: The Leapfrog Group](https://reader033.vdocuments.mx/reader033/viewer/2022060122/55957fe21a28abc7318b4605/html5/thumbnails/20.jpg)
![Page 21: Hospital Safety as a Priority: An Opportunity for Nurses to Lead Presented by: The Leapfrog Group](https://reader033.vdocuments.mx/reader033/viewer/2022060122/55957fe21a28abc7318b4605/html5/thumbnails/21.jpg)
Shows variation
Relevant
Unbiased
![Page 22: Hospital Safety as a Priority: An Opportunity for Nurses to Lead Presented by: The Leapfrog Group](https://reader033.vdocuments.mx/reader033/viewer/2022060122/55957fe21a28abc7318b4605/html5/thumbnails/22.jpg)
![Page 23: Hospital Safety as a Priority: An Opportunity for Nurses to Lead Presented by: The Leapfrog Group](https://reader033.vdocuments.mx/reader033/viewer/2022060122/55957fe21a28abc7318b4605/html5/thumbnails/23.jpg)
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
![Page 24: Hospital Safety as a Priority: An Opportunity for Nurses to Lead Presented by: The Leapfrog Group](https://reader033.vdocuments.mx/reader033/viewer/2022060122/55957fe21a28abc7318b4605/html5/thumbnails/24.jpg)
![Page 25: Hospital Safety as a Priority: An Opportunity for Nurses to Lead Presented by: The Leapfrog Group](https://reader033.vdocuments.mx/reader033/viewer/2022060122/55957fe21a28abc7318b4605/html5/thumbnails/25.jpg)
• 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
![Page 26: Hospital Safety as a Priority: An Opportunity for Nurses to Lead Presented by: The Leapfrog Group](https://reader033.vdocuments.mx/reader033/viewer/2022060122/55957fe21a28abc7318b4605/html5/thumbnails/26.jpg)
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)
![Page 27: Hospital Safety as a Priority: An Opportunity for Nurses to Lead Presented by: The Leapfrog Group](https://reader033.vdocuments.mx/reader033/viewer/2022060122/55957fe21a28abc7318b4605/html5/thumbnails/27.jpg)
• 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
![Page 28: Hospital Safety as a Priority: An Opportunity for Nurses to Lead Presented by: The Leapfrog Group](https://reader033.vdocuments.mx/reader033/viewer/2022060122/55957fe21a28abc7318b4605/html5/thumbnails/28.jpg)
• 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
![Page 29: Hospital Safety as a Priority: An Opportunity for Nurses to Lead Presented by: The Leapfrog Group](https://reader033.vdocuments.mx/reader033/viewer/2022060122/55957fe21a28abc7318b4605/html5/thumbnails/29.jpg)
• 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
![Page 30: Hospital Safety as a Priority: An Opportunity for Nurses to Lead Presented by: The Leapfrog Group](https://reader033.vdocuments.mx/reader033/viewer/2022060122/55957fe21a28abc7318b4605/html5/thumbnails/30.jpg)
• 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
![Page 31: Hospital Safety as a Priority: An Opportunity for Nurses to Lead Presented by: The Leapfrog Group](https://reader033.vdocuments.mx/reader033/viewer/2022060122/55957fe21a28abc7318b4605/html5/thumbnails/31.jpg)
• 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.
![Page 32: Hospital Safety as a Priority: An Opportunity for Nurses to Lead Presented by: The Leapfrog Group](https://reader033.vdocuments.mx/reader033/viewer/2022060122/55957fe21a28abc7318b4605/html5/thumbnails/32.jpg)
• 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
![Page 33: Hospital Safety as a Priority: An Opportunity for Nurses to Lead Presented by: The Leapfrog Group](https://reader033.vdocuments.mx/reader033/viewer/2022060122/55957fe21a28abc7318b4605/html5/thumbnails/33.jpg)
• Pressure ulcer—Stage 3 and 4
• Falls and trauma
• Central Line-Associated Bloodstream Infection
• Iatrogenic Pneumothorax
• Postoperative:
– Respiratory failure
– Clots
– Wound Dehiscence
![Page 34: Hospital Safety as a Priority: An Opportunity for Nurses to Lead Presented by: The Leapfrog Group](https://reader033.vdocuments.mx/reader033/viewer/2022060122/55957fe21a28abc7318b4605/html5/thumbnails/34.jpg)
![Page 35: Hospital Safety as a Priority: An Opportunity for Nurses to Lead Presented by: The Leapfrog Group](https://reader033.vdocuments.mx/reader033/viewer/2022060122/55957fe21a28abc7318b4605/html5/thumbnails/35.jpg)
![Page 36: Hospital Safety as a Priority: An Opportunity for Nurses to Lead Presented by: The Leapfrog Group](https://reader033.vdocuments.mx/reader033/viewer/2022060122/55957fe21a28abc7318b4605/html5/thumbnails/36.jpg)
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
![Page 37: Hospital Safety as a Priority: An Opportunity for Nurses to Lead Presented by: The Leapfrog Group](https://reader033.vdocuments.mx/reader033/viewer/2022060122/55957fe21a28abc7318b4605/html5/thumbnails/37.jpg)
37
![Page 38: Hospital Safety as a Priority: An Opportunity for Nurses to Lead Presented by: The Leapfrog Group](https://reader033.vdocuments.mx/reader033/viewer/2022060122/55957fe21a28abc7318b4605/html5/thumbnails/38.jpg)
38
Visit us on the Web
http://campaignforaction.org
Follow us on twitterhttp://twitter.com/championnursing
Join us on Facebook
http://www.facebook.com/championnursing