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Top Hospitals 

Due to significant differences in how Top Hospitals were identified in the 2006 and 2007
Surveys, the two lists should not be compared. Since Leapfrog added new measures to the
2007 survey and made necessary modifications to the Top Hospitals criteria, some of last year’s
Top Hospitals do not satisfy this year’s criteria. The complete 2007 list and a detailed
explanation of the Top Hospitals methodology and the differences between the 2006 and 2007
lists can be found at http://www.leapfroggroup.org/news/leapfrog_news/Top_Hospitals.
“Leapfrog Top Hospitals demonstrate an exceptional level of performance on quality and patient
safety measures and serve as a model for other hospitals,” said Suzanne Delbanco, CEO, The
Leapfrog Group. “However, all of the participating hospitals deserve praise for their willingness
to raise the veil on how well they perform on vital quality and safety practices.”
New in this year’s Survey results is information about bariatric and aortic valve surgery. In
addition, Leapfrog now considers surgeon experience in rating these and the other high-risk
surgeries that are part of Evidence-Based Hospital Referral. To gauge surgeon experience, we
asked hospitals what percentage of their surgeons meet the expert-defined standard of volume
(number of procedures done each year) for the each of the EBHR procedures. Meeting
Leapfrog’s recommended thresholds for surgeon experience is difficult for most hospitals.
This year, hospitals also reported for the first time on their level of transparency as measured by
their participation in other public quality reporting efforts. The Survey’s Transparency Indicator
reveals that an impressive 96% participate in at least one reporting effort in addition to the
Leapfrog Survey.
The Survey results from 1,285 hospitals reveal significant findings about the state of health care
quality and safety in the nation’s hospitals, including:
Computerized Physician Order Entry (CPOE):
• Only ten percent have fully implemented CPOE (another four percent plan to
implement it by 2008), representing slow progress since Leapfrog began tracking
implementation in 2002, when the figure was 2.5 percent.
ICU Physician Staffing (IPS):
• Among hospitals with one or more ICUs, 29 percent enlist intensive care specialists
to manage patients in the ICU, and another six percent plan to do so by 2008. This is
a significant jump since 2002 when just 10 percent met the Leapfrog standard.
• Leapfrog estimates that more than 20,000 lives are saved annually based on current
implementation of the IPS staffing leap; over 54,000 could be saved if the IPS
standard were implemented in all urban hospitals with ICUs.
Evidence-Based Hospital Referral (EBHR):
• 32 percent have neonatal intensive care units that meet Leapfrog’s specifications for
certain high-risk deliveries.
• 24 percent meet the standard for bariatric surgery [new to the Survey this year].
• 7 percent meet the standard for pancreatic cancer resection.
• 5 percent meet the standard for esophageal cancer surgery.
• 3 percent meet the standard for percutaneous coronary interventions.
• 1 percent meet the standard for aortic valve replacement [new to the Survey this
year].

 

2007 Leapfrog Top Hospitals List

33 Adult Facilities
Alta Bates Summit Medical Center- Summit Campus (Oakland CA)
Baystate Medical Center (Springfield MA)
Beth Israel Deaconess Medical Center (Boston MA)
Brigham and Women’s Hospital (Boston MA)
California Pacific Medical Center - Pacific Campus (San Francisco CA)
Evanston Hospital (Evanston IL)
Hamot Medical Center (Erie PA)
Harper-Hutzel Hospital (Detroit MI)
Henry Ford Hospital (Detroit MI)
James Cancer Hospital and Solove Research Institute (Columbus OH)
Lahey Clinic (Burlington MA)
Lehigh Valley Hospital (Allentown PA)
Massachusetts General Hospital (Boston MA)
Mayo Clinic Jacksonville - Saint Luke’s Hospital (Jacksonville FL)
Mayo Clinic Rochester - Saint Mary’s Hospital (Rochester MN)
Montefiore Medical Center: Moses Division (Bronx NY)
Montefiore Medical Center: Weiler Division (Bronx NY)
Park Nicollet Methodist Hospital (Saint Louis Park MN)
Saint Mary's Health Care (Grand Rapids MI)
Saint Thomas Hospital (Nashville TN)
Sinai Hospital (Baltimore MD)
Spectrum Health - Butterworth Campus (Grand Rapids MI)
Stanford Hospital and Clinics (Stanford CA)
Summa Health Systems Hospitals -- Akron City Hospital (Akron OH)
University of California - UCLA Medical Center (Los Angeles CA)
University of Maryland Medical Center (Baltimore MD)
University of North Carolina Hospitals at Chapel Hill (Chapel Hill NC)
UPMC Presbyterian Part of UPMC Presbyterian Shadyside (Pittsburgh PA)
Valley Hospital (Ridgewood NJ)
Vanderbilt University Hospital (Nashville TN)
Vassar Brothers Medical Center (Poughkeepsie NY)
Virginia Mason Medical Center (Seattle WA)
William Beaumont Hospital (Royal Oak MI)
8 Children’s Hospitals
Children's Healthcare of Atlanta at Egleston (Atlanta GA)
Children's Hospital of Michigan (Detroit MI)
Children's Hospital of Orange County (Orange CA)
Children’s Hospitals and Clinics of Minnesota - Minneapolis (Minneapolis MN)
Children’s Hospitals and Clinics of Minnesota – Saint Paul (Saint Paul MN)
Children’s National Medical Center (Washington DC)
Cook Children's Medical Center (Fort Worth TX)
Miller Children's Hospital (Long Beach CA)
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