The Leapfrog Group for Patient Safety: Rewarding Higher Standards
Abstract:Background: The Leapfrog Group is a consortium of more than 145 large health care purchasers committed to a common set of purchasing principles through which to leverage dramatic improvements in the safety, quality, and overall value of health care. Leapfrog purchasers mobilize consumers to seek out higher-quality providers, and they reward higher-quality providers. Leapfrog is primarily operationalized through Regional Roll-Outs—locally led purchaser efforts.
Patient Safety Recommendations: The Leapfrog Group purchasers first focused on three patient safety practices, or "safety leaps," to reduce preventable medical errors—computer physician order entry, evidencebased hospital referral, and intensive care unit (ICU) physician staffing. Leapfrog's leaps are refined and updated annually on the basis of evidence and input from experts in the field.
Impact on Patient Safety: On the basis of survey results from the first 22 Regional Roll-Outs, as of September 2003, 4% of 633 hospitals reporting from the 22 regions fully met the CPOE standard, and an additional 17% of the 633 said they would meet the standard by 2005. Survey results also showed that 22% of the 605 hospitals in the 22 regions with ICUs met Leapfrog's ICU staffing recommendations and that an additional 5% would meet the standard by 2004.
Next Steps: In 2004 Leapfrog will launch new Regional Roll-Outs, bringing Leapfrog consumer education, hospital-specific information, and purchasing strategies to more communities nationwide.
Document Type: Research Article
Publication date: December 1, 2003
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- Published monthly, The Joint Commission Journal on Quality and Patient Safety is a peer-reviewed publication dedicated to providing health professionals with the information they need to promote the quality and safety of health care. The Joint Commission Journal on Quality and Patient Safety invites original manuscripts on the development, adaptation, and/or implementation of innovative thinking, strategies, and practices in improving quality and safety in health care. Case studies, program or project reports, reports of new methodologies or new applications of methodologies, research studies on the effectiveness of improvement interventions, and commentaries on issues and practices are all considered.
David W. Baker, MD, MPH, FACP, executive vice president for the Division of Healthcare Quality Evaluation at The Joint Commission, is the inaugural editor-in-chief of The Joint Commission Journal on Quality and Patient Safety.
Also known as Joint Commission Journal on Quality Improvement and Joint Commission Journal on Quality and Safety
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