Outcomes measures include errors, accidents, and injuries that this
hospital has publicly reported.
|
Dangerous object left in patient’s body
What's This?
Dangerous object left in patient’s body
A surgeon can accidentally leave an object inside a
patient’s body during surgery. Most times the object
is a surgical sponge, which can quickly get
infected. This problem doesn’t happen often, but if
it does happen it can be extremely dangerous. Many
patients become severely ill, disabled, or even die.
This number represents the number of times dangerous
objects were left inside patients for every 1,000
people discharged.
|
0.000
|
0.256
|
0.011
|
0.000
|
CMS
|
07/01/2022 - 06/30/2024
|
|
Air or gas bubble in the blood
What's This?
Air or gas bubble in the blood
An air or gas bubble (air embolism) stops blood from
flowing through the body. This serious mistake can
happen during surgery or other procedures, like
getting an injection. If blood flow is blocked, a
patient can suffer a stroke or die.
This number represents the number of times patients
had an air or gas bubble in the blood for every
1,000 people discharged.
|
0.050
|
0.050
|
0.001 |
0.000
|
CMS
|
07/01/2022 - 06/30/2024
|
|
Patient falls and injuries
What's This?
Patient falls and injuries
One common problem that patients face in the
hospital is a serious injury or death resulting from
a fall or other kind of trauma. Falls can happen
when patients who really can’t walk on their own try
getting out of bed, often to go to the restroom.
Patient falls and injuries increase time in the
hospital, require additional care, and can result in
permanent disability.
This number represents the number of times patients
experienced falls or other types of trauma for every
1,000 people discharged.
|
0.286
|
1.748
|
0.338 |
0.000
|
CMS
|
07/01/2022 - 06/30/2024
|
|
Infection in the blood
What's This?
Infection in the blood
If a patient is in the hospital, he or she may be
given a central line (a tube inserted into the body
to deliver medication and other treatments).
Patients with a central line are at high risk for
developing a dangerous infection in the blood. These
serious infections can lead to other complications,
increase recovery time, and can often lead to death.
This number represents a comparison of the number of
central line-associated infections in the blood that
actually happened at this hospital to the number of
infections expected for this hospital, given the
number of central lines used and other factors like
facility type and size. A number lower than one
means fewer infections than expected; a number more
than one means more infections than expected.
|
0.770 |
2.362 |
0.586 |
0.000 |
2025 Leapfrog Hospital Survey
|
01/01/2024 - 12/31/2024
|
|
Infection in the urinary tract
What's This?
Infection in the urinary tract
If a patient is in the hospital, he or she may
require a urinary catheter. Patients with catheters
are at risk for developing a dangerous infection in
the urinary tract. These serious infections can lead
to other complications, increase recovery time, and
can often lead to death.
This number represents a comparison of the number of
catheter-associated infections in the urinary tract
that actually happened at this hospital to the
number of infections expected for this hospital,
given the number of catheters used and other factors
like facility type and size. A number lower than one
means fewer infections than expected; a number more
than one means more infections than expected.
|
0.083 |
2.399 |
0.522 |
0.000 |
2025 Leapfrog Hospital Survey
|
01/01/2024 - 12/31/2024
|
|
Surgical site infection after colon surgery
What's This?
Surgical site infection after colon surgery
This infection happens after surgery in the part of
the colon where the surgery took place. These
infections can be very serious, and may spread
throughout the body. A patient with this type of
infection often faces a long recovery in the ICU.
Some people even die from the infection.
This number represents a comparison of the number of
infections after colon surgery that actually
happened at this hospital to the number of
infections expected for this hospital, given the
types of patients they care for and other factors
like a patient’s age and type of surgery. A number
lower than one means fewer infections than expected;
a number more than one means more infections than
expected.
|
0.000
|
3.229 |
0.856 |
0.000 |
2025 Leapfrog Hospital Survey
|
01/01/2024 - 12/31/2024
|
|
MRSA Infection
What's This?
MRSA infection
Staph bacteria are common in hospitals, but
Methicillin-resistant Staphylococcus aureus (MRSA)
is a type of staph bacteria that is resistant to
(cannot be killed by) many antibiotics. MRSA can be
found in bed linens or medical equipment and can be
spread if providers do not properly wash their hands
between patients. MRSA can cause life-threatening
bloodstream infections, pneumonia and surgical site
infections.
This number represents a comparison of the number of
infections that actually happened at this hospital
to the number of infections expected for this
hospital, given the number of patients they care for
on a daily basis and how widespread MRSA infection
is in their local community. A number lower than one
means fewer infections than expected; a number more
than one means more infections than expected.
|
0.750 |
2.685 |
0.689 |
0.000 |
2025 Leapfrog Hospital Survey
|
01/01/2024 - 12/31/2024
|
|
C. diff. Infection
What's This?
C. diff infection
Clostridium difficile (C. diff) is a bacterium that
can cause diarrhea, abdominal pain, loss of
appetite, and fever. Most C. diff cases occur in
patients taking or having recently taken
antibiotics, and fully killing the bacteria in an
infected patient can be very difficult. C. diff can
spread via contaminated equipment or by providers
who fail to properly wash their hands between
patients.
This number represents a comparison of the number of
infections that actually happened at this hospital
to the number of infections expected for this
hospital, given the number of patients they care for
on a daily basis and how widespread C. diff
infection is in their local community. A number
lower than one means fewer infections than expected;
a number more than one means more infections than
expected.
|
0.313 |
1.486 |
0.370 |
0.000 |
2025 Leapfrog Hospital Survey |
01/01/2024 - 12/31/2024
|
|
Death from treatable serious complications
What's This?
Death from treatable serious complications
Sometimes after surgery, patients can develop
serious complications while they are in the
hospital. They might catch pneumonia, have a heart
attack, or lose function in their kidneys or liver.
These problems are serious but can be treated by a
good hospital team. If the hospital doesn’t manage
the patient’s complications correctly, the patient
could die.
This number represents the number of surgical
patients that died for every 1,000 people who had a
serious treatable complication after surgery.
|
196.99
|
235.51
|
177.47
|
84.66
|
CMS
|
07/01/2021 - 06/30/2023
|
|
Harmful Events
What's This?
Harmful Events
Patients can experience complications and
potentially harmful events following a surgery , a
procedure, or childbirth. . When all of these errors
are examined together, it gives a better picture of
a hospital’s ability to keep its patients safe.
This number represents the number of times patients
experienced dangerous safety-related adverse events
for every 1,000 people discharged.
|
1.14
|
3.10
|
1.00
|
0.53
|
CMS
|
07/01/2021 - 06/30/2023
|
|
Dangerous bed sores
What's This? *
Dangerous bed sores
A bed sore is a sore or wound on the skin that forms
when a patient lays or sits in one position for too
long without being moved. Advanced bedsores (also
known as stage 3 or 4 pressure ulcers) can become
large and very deep. They can reach a muscle or bone
and cause severe pain and serious infection. This
can lead to longer hospital stays, amputation, or
even death.
This number represents the number of times patients
experienced dangerous bed sores for every 1,000
people discharged.
|
0.64
|
7.50
|
0.64
|
0.05
|
CMS
|
07/01/2021 - 06/30/2023
|
|
Collapsed lung
What's This? *
Collapsed lung
A collapsed lung is when air leaks out of the lung
and goes into the area between the lungs and the
chest wall. It can happen when a doctor or nurse is
inserting a catheter, a feeding tube, or even a
pacemaker. This kind of lung injury can be serious
and can cause severe chest pain and other
complications.
This number represents the number of times patients
experienced collapsed lungs for every 1,000 people
discharged.
|
0.18
|
0.65
|
0.25
|
0.10
|
CMS
|
07/01/2021 - 06/30/2023
|
|
Falls causing broken
hips
What's This? *
Falls causing broken hips
Patients in the hospital, especially those who are
older or have weaker bones, are at risk of breaking
their hip if they fall. Broken hips can delay a
patient’s recovery time, require longer hospital
stays, and cause depression when patients lose their
ability to move.
This number represents the number of times patients
experienced hip fractures for every 1,000 people
discharged.
|
0.23
|
0.56
|
0.29
|
0.15
|
CMS
|
07/01/2021 - 06/30/2023
|
|
Blood Leakage
What's This? *
Blood Leakage
If blood vessels become injured during surgery, they
may leak excess blood within the body. In some
cases, the blood leak will clump up or clot. In
other cases, the blood leak is active and ongoing.
Both blood clots and internal bleeding can cause
significant damage to the body’s organs, potentially
leading to organ failure or even death.
This number represents the estimated number of times
patients experienced blood leakage during a
procedure for every 1,000 people who had surgery.
|
2.08
|
5.53
|
2.42
|
1.01
|
CMS
|
07/01/2021 - 06/30/2023
|
|
Kidney injury after
surgery
What's This? *
Kidney injury after surgery
After major surgery, particularly heart surgery,
some patients may experience kidney failure. In
serious cases, kidney failure can lead to the need
for dialysis, an artificial way of replacing the
kidneys’ function. In the most extreme cases, a
patient may need a kidney transplant or risk death.
Patients who are older or have other pre-existing
health problems are at a greater risk of
experiencing kidney failure.
This number represents the estimated number of times
patients experienced kidney failure for every 1,000
people who had surgery.
|
1.96
|
4.60
|
1.69
|
0.74
|
CMS
|
07/01/2021 - 06/30/2023
|
|
Serious breathing
problem
What's This? *
Serious breathing problem
After surgery some patients can develop a serious
breathing problem. Their lungs either cannot take in
enough oxygen or cannot get rid of carbon dioxide.
Without immediate care, the patient can lose
consciousness, fall into a coma, or even die.
This number represents the number of times patients
experienced serious breathing problems for every
1,000 people who had surgery.
|
12.82
|
57.80
|
10.52
|
1.94
|
CMS
|
07/01/2021 - 06/30/2023
|
|
Dangerous blood clot
What's This? *
Dangerous blood clot
A blood clot is a gathering of blood cells in a
vein, which can be caused by damage to tissue during
surgery. Most blood clots form in the leg but the
clot can break away and travel through the
bloodstream to other areas of the body. If the clot
travels to the lungs and gets stuck, it can prevent
oxygen from getting into the blood. This can lead to
chest pain, unconsciousness, and even death.
This number represents the number of times patients
experienced dangerous blood clots for every 1,000
people who had surgery.
|
4.69
|
8.15
|
3.90
|
1.56
|
CMS
|
07/01/2021 - 06/30/2023
|
|
Sepsis infection after
surgery
What's This? *
Sepsis infection after surgery
Sepsis is your body’s extreme reaction to an
infection. All types of surgeries can put a patient
at risk of infection that can lead to sepsis. This
could be infection where the skin was cut, or an
infection that develops after the surgery, like
pneumonia. Sepsis requires immediate treatment or
the patient may experience lifelong complications
including organ failure. Some patients may die if
sepsis is not treated quickly.
This number represents the number of surgical
patients that experienced a sepsis infection for
every 1,000 people who had surgery.
|
7.28
|
12.56
|
5.62
|
1.95
|
CMS
|
07/01/2021 - 06/30/2023
|
|
Surgical wound splits
open
What's This? *
Surgical wound splits open
After a major surgery on the stomach or abdomen
area, the healthcare team must be careful to make
sure that the surgical stitches don’t break open.
This could leave the wound exposed. A surgical wound
splitting open is very painful and puts the patient
at risk for infection.
This number represents the number of times surgical
wounds in the stomach or abdomen area split open for
every 1,000 people who had surgery on their abdomen.
|
1.64
|
4.00
|
1.87
|
1.13
|
CMS
|
07/01/2021 - 06/30/2023
|
|
Accidental cuts and
tears
What's This? *
Accidental cuts and tears
For procedures of the abdomen and pelvis, there is a
chance that the patient will suffer an accidental
cut or tear of their skin or other tissue. This
problem can happen during surgery or a procedure
where doctors use a tube to look into a patient’s
body.
This number represents the number of times patients
experienced accidental cuts and tears in the
abdominal or pelvic region during a procedure for
every 1,000 people discharged.
|
1.03
|
2.41
|
0.89
|
0.28
|
CMS
|
07/01/2021 - 06/30/2023
|
|
* This measure is a part of the Harmful
Events Composite and is not used for scoring.
|
Process measures include the management structures and procedures a
hospital has in place to protect patients from errors, accidents,
and injuries.
| Measure |
The Hospital's Score |
Worst Performing Hospital |
Avg. Performing Hospital |
Best Performing Hospital |
Data Source |
Time Period Covered |
|
Doctors order medications through a computer
What's This?
Doctors order medications through a
computer
Hospitals can use Computerized Physician Order Entry
(CPOE) systems to order medications for patients in
the hospital, instead of writing out prescriptions
by hand. Good CPOE systems alert the doctor if they
try to order a medication that could cause harm,
such as prescribing an adult dosage for a child.
CPOE systems help to reduce medication errors in the
hospital.
Hospitals can earn up to 100 points for using a
well-functioning CPOE system in most areas of the
hospital.
|
100
|
15
|
82.22
|
100
|
2025 Leapfrog Hospital Survey
|
2025
|
|
Safe medication administration
What's This?
Safe medication administration
Using barcodes on medications, nurses can scan the
medication and then the patient’s ID bracelet to
make sure the patient is receiving the right
medications. If the bar codes do not match, this
signals there is an error, giving nurses and doctors
the chance to confirm they have the right patient,
right medication, and right dose. Bar code
medication administration (BCMA) systems are proven
to reduce the risk that a hospital accidentally
gives the wrong medication to a patient.
Hospitals earn up to 100 points for using a
well-functioning bar coding system for all
medication orders, and making sure it is used
properly to keep patients safe.
|
100 |
25 |
85.20 |
100 |
2025 Leapfrog Hospital Survey
|
2025
|
|
Specially trained doctors care for ICU patients
What's This?
Specially trained doctors care for ICU
patients
A critical care unit or Intensive Care Unit (ICU) is
a special part of the hospital that provides care
for extremely ill patients. Hospitals should have
special doctors called intensivists working in the
ICU. Intensivists are physicians with advanced
training in intensive or critical care. They learn
to manage problems in the ICU and help to reduce
errors. There are higher death rates in hospitals
where ICU patients are not cared for by
intensivists.
Hospitals can earn up to 100 points for staffing
their ICUs with intensivists.
|
100
|
5
|
67.86
|
100
|
2025 Leapfrog Hospital Survey
|
2025
|
|
Effective leadership to prevent errors
What's This?
Effective leadership to prevent errors
Errors are much more common if hospital leaders
don’t make patient safety a priority. Leaders must
make sure that all hospital staff knows what they
need to work on and that they are held accountable
for improvements. The hospital should also budget
money towards improving safety.
Hospitals can earn up to 120 points for having
leadership structures that increase awareness of
patient safety issues and holding leadership
accountable for improvements.
|
120.00
|
46.15
|
117.60
|
120.00
|
2025 Leapfrog Hospital Survey
|
2025
|
|
Staff work together to prevent errors
What's This?
Staff work together to prevent errors
A hospital that has a strong culture of safety has a
well-functioning team with good leaders who catch
errors before they can harm a patient. Patients are
less likely to experience mistakes if hospital staff
works together. Staff should also be comfortable
speaking up when they sense an error might happen.
Hospitals can earn up to 120 points for measuring
culture of safety, providing feedback to staff, and
creating new plans to prevent errors.
|
120.00
|
0.00
|
117.27
|
120.00
|
2025 Leapfrog Hospital Survey
|
2025
|
|
Nursing and Bedside Care for Patients
What's This?
Nursing and Bedside Care for PatientsStudies show better staffing practices have a
meaningful impact on the quality and safety of
patient care. When hospitals have more nurses and
assistive personnel, patients are more likely to
have better experiences and improved health
outcomes. Without enough nurses, patients might face
complications, longer hospital stays, and even
death.
Hospitals can earn up to 100 points for this measure
for staffing their hospitals with enough nurses
(RNs), licensed practical nurses (LPNs), and
unlicensed assistive personnel (UAPs).
|
100
|
15
|
79.09
|
100
|
2025 Leapfrog Hospital Survey
|
01/01/2024 - 12/31/2024
|
|
Handwashing
What's This?
Handwashing
Healthcare workers can help stop infection and
illness by carefully cleaning their hands. When
hospital staff does not carefully wash their hands,
they can spread germs from one patient to another
and cause someone to become seriously ill.
Hospitals can earn up to 100 points for having a
handwashing policy and evaluating how hospital
workers follow that policy.
|
100
|
15
|
76.81 |
100
|
2025 Leapfrog Hospital Survey
|
2025
|
|
Communication with nurses
What's This?
Communication with nurses
Patients’ perspectives of care are an important part
of patient safety. The Communication with Nurses
measure summarizes how well patients feel that their
nurses explained things clearly, listened carefully
to them, and treated them with courtesy and respect.
Effective communication between nurses and patients
can be reassuring to patients and can prevent errors
like medication mix-ups or misdiagnoses.
Based on a scale of zero-100, this number represents
a comparison of patients’ perspectives of how
effectively nurses at this hospital communicated
with patients relative to patients’ perspectives of
how effectively nurses at other hospitals
communicated with their patients. Higher scores
indicate more effective communication than lower
scores.
|
90
|
76
|
90.37
|
97
|
CMS
|
10/01/2023 - 09/30/2024
|
|
Communication with doctors
What's This?
Communication with doctors
Patients’ perspectives of care are an important part
of patient safety. The Communication with Doctors
measure summarizes how well patients feel their
doctors explained things clearly, listened carefully
to them, and treated them with courtesy and respect.
Effective communication between doctors and patients
can be reassuring to patients and can help prevent
errors like medication mix-ups or misdiagnoses.
Based on a scale of zero-100, this number represents
a comparison of patients’ perspectives of how
effectively physicians at this hospital communicated
with patients relative to patients’ perspectives of
how effectively physicians at other hospitals
communicated with their patients. Higher scores
indicate more effective communication than lower
scores.
|
84
|
75
|
89.99
|
97
|
CMS
|
10/01/2023 - 09/30/2024
|
|
Responsiveness of hospital staff
What's This?
Responsiveness of hospital staff
Patients’ perspectives of care are an important part
of patient safety. The Responsiveness of Hospital
Staff measure looks at patients’ feedback on how
long it takes for a staff member to respond when
they request help. If a patient is in pain,
experiencing new symptoms, or cannot reach the
bathroom himself, it is important that hospital
staff respond quickly to address the situation.
Based on a scale of zero-100, this number represents
a comparison of patients’ perspectives of how
quickly the staff at this hospital typically
responds to patients’ requests for help relative to
patients’ perspectives of how quickly the staff at
other hospitals typically respond to their patients’
requests. Higher scores indicate a faster response
time than lower scores.
|
82
|
62
|
81.81
|
96
|
CMS
|
10/01/2023 - 09/30/2024
|
|
Communication about medicines
What's This?
Communication about medicines
Patients’ perspectives of care are an important part
of patient safety. The Communication about Medicines
measure reflects patients’ feedback on how often
hospital staff explained the purpose of any new
medicine and what side effects that medicine might
have. Effective communication about medicine
prevents misunderstandings that could lead to
serious problems for a patient.
Based on a scale of zero-100, this number represents
a comparison of patients’ perspectives of how
effectively this hospital communicated with patients
about their medications relative to patients’
perspectives of how effectively other hospitals
communicated with their patients. Higher scores
indicate more effective communication than lower
scores.
|
71
|
59
|
74.64
|
88
|
CMS
|
10/01/2023 - 09/30/2024
|
|
Communication about discharge
What's This?
Communication about discharge
Patients’ perspectives of care are an important part
of patient safety. The Communication about Discharge
measure summarizes how well the hospital staff
communicated with patients about the help they would
need at home after leaving the hospital. The measure
also summarizes how often patients reported that
they were given written information about symptoms
or health problems to watch for during their
recovery. Educating patients on the steps they need
to take during their recovery at home reduces the
chances that a patient will need to be readmitted to
the hospital.
Based on a scale of zero-100, this number represents
a comparison of patients’ perspectives of how
effectively this hospital communicated with patients
about the help they would need after discharge
relative to patients’ perspectives of how
effectively other hospitals communicated with their
patients. Higher scores indicate more effective
communication than lower scores.
|
84
|
67
|
85.48
|
94
|
CMS
|
10/01/2023 - 09/30/2024
|