Compare Facilities
The Leapfrog Group 2024 Survey Results
Scroll to compare these 3 selected facilities...
...in all Safety Areas:












Billing Ethics
ChristianaCare - Wilmington Hospital
This hospital provides a detailed bill within 30 days of receiving insurance payments: Yes
This hospital provides access to a representative who can quickly investigate billing errors and establish payment plans: Yes
This hospital sues patients: No
Billing Ethics
ChristianaCare - Christiana Hospital
This hospital provides a detailed bill within 30 days of receiving insurance payments: Yes
This hospital provides access to a representative who can quickly investigate billing errors and establish payment plans: Yes
This hospital sues patients: No
Billing Ethics
ChristianaCare - Union Hospital
This hospital provides a detailed bill within 30 days of receiving insurance payments: Yes
This hospital provides access to a representative who can quickly investigate billing errors and establish payment plans: Yes
This hospital sues patients: No
Informed Consent
ChristianaCare - Wilmington Hospital
All staff involved in the informed consent process achieve the appropriate training: No
Doctors explain expected difficulties and recovery time and allow patients to ask questions: No
Doctors involved in the procedure are listed on the consent form, and patients are notified if the doctor will be absent and if trainees will be involved: Yes
Consent forms are written at a 6th grade reading level: No
Staff ask patients about their preferred language for decision-making and make a trained medical interpreter available if appropriate: Yes
Doctors use the "teach back method" to ensure patients understand what will be performed and what are the risks: No
Informed Consent
ChristianaCare - Christiana Hospital
All staff involved in the informed consent process achieve the appropriate training: No
Doctors explain expected difficulties and recovery time and allow patients to ask questions: No
Doctors involved in the procedure are listed on the consent form, and patients are notified if the doctor will be absent and if trainees will be involved: Yes
Consent forms are written at a 6th grade reading level: No
Staff ask patients about their preferred language for decision-making and make a trained medical interpreter available if appropriate: Yes
Doctors use the "teach back method" to ensure patients understand what will be performed and what are the risks: No
Informed Consent
ChristianaCare - Union Hospital
All staff involved in the informed consent process achieve the appropriate training: No
Doctors explain expected difficulties and recovery time and allow patients to ask questions: No
Doctors involved in the procedure are listed on the consent form, and patients are notified if the doctor will be absent and if trainees will be involved: Yes
Consent forms are written at a 6th grade reading level: No
Staff ask patients about their preferred language for decision-making and make a trained medical interpreter available if appropriate: Yes
Doctors use the "teach back method" to ensure patients understand what will be performed and what are the risks: No
Patient and Family Caregiver Initiated Rapid Response Team
ChristianaCare - Wilmington Hospital
Patient and Family Caregiver Initiated Rapid Response Team
ChristianaCare - Christiana Hospital
Patient and Family Caregiver Initiated Rapid Response Team
ChristianaCare - Union Hospital
Protocol to collect and respond to patient-reported concerns about care
ChristianaCare - Wilmington Hospital
Protocol to collect and respond to patient-reported concerns about care
ChristianaCare - Christiana Hospital
Protocol to collect and respond to patient-reported concerns about care
ChristianaCare - Union Hospital





















Nursing and Bedside Care for Patients
ChristianaCare - Wilmington Hospital
This hospital's total number of nursing hours per patient day is: 8.50
This hospital achieved Magnet status, nationally recognized for nursing excellence.
Nursing and Bedside Care for Patients
ChristianaCare - Christiana Hospital
This hospital's total number of nursing hours per patient day is: 8.26
This hospital achieved Magnet status, nationally recognized for nursing excellence.
Nursing and Bedside Care for Patients
ChristianaCare - Union Hospital
This hospital's total number of nursing hours per patient day is: 9.65
Nursing Care for Patients
ChristianaCare - Wilmington Hospital
This hospital's total number of RN nursing hours per patient day is: 5.40
Nursing Care for Patients
ChristianaCare - Christiana Hospital
This hospital's total number of RN nursing hours per patient day is: 5.54
Nursing Care for Patients
ChristianaCare - Union Hospital
This hospital's total number of RN nursing hours per patient day is: 6.38
Percentage of Nursing Staff who are Registered Nurses (RNs)
ChristianaCare - Wilmington Hospital
This hospital's proportion of RN nursing hours per patient day to total nursing hours per patient day is: 63.53% (where a higher percentage is better).
Percentage of Nursing Staff who are Registered Nurses (RNs)
ChristianaCare - Christiana Hospital
This hospital's proportion of RN nursing hours per patient day to total nursing hours per patient day is: 67.05% (where a higher percentage is better).
Percentage of Nursing Staff who are Registered Nurses (RNs)
ChristianaCare - Union Hospital
This hospital's proportion of RN nursing hours per patient day to total nursing hours per patient day is: 66.07% (where a higher percentage is better).
Effective Leadership to Prevent Errors
ChristianaCare - Wilmington Hospital
This hospital scored 120.00 out of 120.00 possible points.
Effective Leadership to Prevent Errors
ChristianaCare - Christiana Hospital
This hospital scored 120.00 out of 120.00 possible points.
Effective Leadership to Prevent Errors
ChristianaCare - Union Hospital
This hospital scored 120.00 out of 120.00 possible points.
Staff Work Together to Prevent Errors
ChristianaCare - Wilmington Hospital
This hospital scored 120.00 out of 120.00 possible points.
Staff Work Together to Prevent Errors
ChristianaCare - Christiana Hospital
This hospital scored 120.00 out of 120.00 possible points.
Staff Work Together to Prevent Errors
ChristianaCare - Union Hospital
This hospital scored 120.00 out of 120.00 possible points.
Handwashing
ChristianaCare - Wilmington Hospital
Hand Hygiene Domain | Performance |
---|---|
Hospital regularly monitors hand hygiene practices | Met the requirement to monitor 100 hand hygiene opportunities monthly using direct observation only. |
Feedback provided to ensure compliance with hand hygiene | Met |
Appropriate training and education provided | Met |
Access to paper towels, soap dispensers, and hand sanitizer maintained | Met |
Culture of good hand hygiene emphasized | Met |
Handwashing
ChristianaCare - Christiana Hospital
Hand Hygiene Domain | Performance |
---|---|
Hospital regularly monitors hand hygiene practices | Met the requirement to monitor 100 hand hygiene opportunities monthly using direct observation only. |
Feedback provided to ensure compliance with hand hygiene | Met |
Appropriate training and education provided | Met |
Access to paper towels, soap dispensers, and hand sanitizer maintained | Met |
Culture of good hand hygiene emphasized | Met |
Handwashing
ChristianaCare - Union Hospital
Hand Hygiene Domain | Performance |
---|---|
Hospital regularly monitors hand hygiene practices | Met the requirement to monitor 100 hand hygiene opportunities monthly using direct observation only. |
Feedback provided to ensure compliance with hand hygiene | Met |
Appropriate training and education provided | Met |
Access to paper towels, soap dispensers, and hand sanitizer maintained | Did Not Meet |
Culture of good hand hygiene emphasized | Met |












Safe Medication Ordering
ChristianaCare - Wilmington Hospital
This hospital's percentage of inpatient medication orders entered electronically: 85% or greater
This hospital's score on the CPOE Evaluation Tool: Full Demonstration of National Safety Standard for Decision Support
Safe Medication Ordering
ChristianaCare - Christiana Hospital
This hospital's percentage of inpatient medication orders entered electronically: 85% or greater
This hospital's score on the CPOE Evaluation Tool: Full Demonstration of National Safety Standard for Decision Support
Safe Medication Ordering
ChristianaCare - Union Hospital
This hospital's percentage of inpatient medication orders entered electronically: 85% or greater
This hospital's score on the CPOE Evaluation Tool: Full Demonstration of National Safety Standard for Decision Support
Medication Reconciliation
ChristianaCare - Wilmington Hospital
This hospital's rate of unintentional discrepancies per medication is: 0.188
Medication Reconciliation
ChristianaCare - Christiana Hospital
This hospital's rate of unintentional discrepancies per medication is: 0.155
Safe Medication Administration
ChristianaCare - Wilmington Hospital
Implementation | Performance |
---|---|
The extent of BCMA implementation throughout the hospital with a focus on medical and/or surgical units (adult and pediatric), labor and delivery units, intensive care units (adult, pediatric, and neonatal), and pre-operative and post-anesthesia care units (adult and pediatric) | 100% |
Compliance with both patient and medication scans at the bedside prior to administering medications | 99% |
The types of decision support that the BCMA system offers | 5 out of 5 |
Structures to monitor and reduce workarounds | 6 out of 8 |
Safe Medication Administration
ChristianaCare - Christiana Hospital
Implementation | Performance |
---|---|
The extent of BCMA implementation throughout the hospital with a focus on medical and/or surgical units (adult and pediatric), labor and delivery units, intensive care units (adult, pediatric, and neonatal), and pre-operative and post-anesthesia care units (adult and pediatric) | 100% |
Compliance with both patient and medication scans at the bedside prior to administering medications | 99% |
The types of decision support that the BCMA system offers | 5 out of 5 |
Structures to monitor and reduce workarounds | 6 out of 8 |
Safe Medication Administration
ChristianaCare - Union Hospital
Implementation | Performance |
---|---|
The extent of BCMA implementation throughout the hospital with a focus on medical and/or surgical units (adult and pediatric), labor and delivery units, intensive care units (adult, pediatric, and neonatal), and pre-operative and post-anesthesia care units (adult and pediatric) | 100% |
Compliance with both patient and medication scans at the bedside prior to administering medications | 99% |
The types of decision support that the BCMA system offers | 5 out of 5 |
Structures to monitor and reduce workarounds | 6 out of 8 |
Medication Documentation for Elective Outpatient Surgery Patients
ChristianaCare - Wilmington Hospital
Documentation | Rate |
---|---|
Medications the patient was taking at home | 90% |
Medications the patient was administered and prescribed during their visit | 100% |
Allergies and adverse reactions | 80% |
Medication Documentation for Elective Outpatient Surgery Patients
ChristianaCare - Christiana Hospital
Documentation | Rate |
---|---|
Medications the patient was taking at home | 83% |
Medications the patient was administered and prescribed during their visit | 100% |
Allergies and adverse reactions | 93% |
Medication Documentation for Elective Outpatient Surgery Patients
ChristianaCare - Union Hospital
Documentation | Rate |
---|---|
Medications the patient was taking at home | 90% |
Medications the patient was administered and prescribed during their visit | 100% |
Allergies and adverse reactions | 83% |














C. difficile Infection
ChristianaCare - Wilmington Hospital
This hospital’s standardized infection ratio (SIR) is: 0.255
C. difficile Infection
ChristianaCare - Christiana Hospital
This hospital’s standardized infection ratio (SIR) is: 0.305
C. difficile Infection
ChristianaCare - Union Hospital
This hospital’s standardized infection ratio (SIR) is: 0.685
Infection in the Blood
ChristianaCare - Wilmington Hospital
This hospital’s standardized infection ratio (SIR) is: 0.327
Infection in the Blood
ChristianaCare - Christiana Hospital
This hospital’s standardized infection ratio (SIR) is: 0.715
Infection in the Blood
ChristianaCare - Union Hospital
This hospital’s standardized infection ratio (SIR) is: 0.502
Infection in the Urinary Tract
ChristianaCare - Wilmington Hospital
This hospital’s standardized infection ratio (SIR) is: 0.278
Infection in the Urinary Tract
ChristianaCare - Christiana Hospital
This hospital’s standardized infection ratio (SIR) is: 0.898
Infection in the Urinary Tract
ChristianaCare - Union Hospital
This hospital’s standardized infection ratio (SIR) is: 0.000
MRSA Infection
ChristianaCare - Wilmington Hospital
This hospital’s standardized infection ratio (SIR) is: 0.000
MRSA Infection
ChristianaCare - Christiana Hospital
This hospital’s standardized infection ratio (SIR) is: 0.560
MRSA Infection
ChristianaCare - Union Hospital
This hospital’s standardized infection ratio (SIR) is: 0.494
Surgical Site Infection After Colon Surgery
ChristianaCare - Wilmington Hospital
This hospital’s standardized infection ratio (SIR) is: 0.594
Surgical Site Infection After Colon Surgery
ChristianaCare - Christiana Hospital
This hospital’s standardized infection ratio (SIR) is: 1.430



Specially Trained Doctors Care for Critical Care Patients
ChristianaCare - Wilmington Hospital
This hospital achieved the standard using on-site intensivist coverage.
Specially Trained Doctors Care for Critical Care Patients
ChristianaCare - Christiana Hospital
This hospital achieved the standard using on-site intensivist coverage.
Specially Trained Doctors Care for Critical Care Patients
ChristianaCare - Union Hospital
This hospital achieved the standard using on-site intensivist coverage.
















Cesarean Sections
ChristianaCare - Christiana Hospital
This hospital's rate of Cesarean sections is 21.9%
Cesarean Sections
ChristianaCare - Union Hospital
This hospital's rate of Cesarean sections is 17.8%
Episiotomies
ChristianaCare - Christiana Hospital
This hospital's rate of episiotomies is 0.5%
Episiotomies
ChristianaCare - Union Hospital
This hospital's rate of episiotomies is 2.3%
Screening Newborns for Jaundice Before Discharge
ChristianaCare - Christiana Hospital
This hospital's rate of screening newborns for jaundice before discharge is 99.5%
Screening Newborns for Jaundice Before Discharge
ChristianaCare - Union Hospital
This hospital's rate of screening newborns for jaundice before discharge is 94.5%
Preventing Blood Clots in Women Undergoing Cesarean Section
ChristianaCare - Christiana Hospital
This hospital's rate of preventing blood clots in women undergoing cesarean section is 98.9%
Preventing Blood Clots in Women Undergoing Cesarean Section
ChristianaCare - Union Hospital
This hospital's rate of preventing blood clots in women undergoing cesarean section is 94.1%
Number of Live Births
ChristianaCare - Christiana Hospital
Number of Live Births
ChristianaCare - Union Hospital
Midwives
ChristianaCare - Christiana Hospital
Midwives
ChristianaCare - Union Hospital
Doulas
ChristianaCare - Christiana Hospital
Doulas
ChristianaCare - Union Hospital
Lactation Services
ChristianaCare - Christiana Hospital
Lactation Services
ChristianaCare - Union Hospital
Vaginal Delivery After Cesarean Section (VBAC)
ChristianaCare - Christiana Hospital
Vaginal Delivery After Cesarean Section (VBAC)
ChristianaCare - Union Hospital
Tubal Ligation
ChristianaCare - Christiana Hospital
Tubal Ligation
ChristianaCare - Union Hospital
Policy to Prevent Early Elective Deliveries
ChristianaCare - Christiana Hospital
This hospital does have a policy to prevent early elective deliveries.
Policy to Prevent Early Elective Deliveries
ChristianaCare - Union Hospital
This hospital does not have a policy to prevent early elective deliveries.



















Carotid Endarterectomy
ChristianaCare - Christiana Hospital
This hospital performed 133 carotid artery surgeries compared to Leapfrog’s standard of 20 procedures annually.
As part of their process for privileging surgeons, this hospital does ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 10 procedures annually for carotid artery surgery.
Carotid Endarterectomy
ChristianaCare - Union Hospital
This hospital performed 2 carotid artery surgeries compared to Leapfrog’s standard of 20 procedures annually.
As part of their process for privileging surgeons, this hospital does not ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 10 procedures annually for carotid artery surgery.
Mitral Valve Repair and Replacement
ChristianaCare - Christiana Hospital
This hospital performed 39 mitral valve repairs and replacements compared to Leapfrog’s standard of 40 procedures annually.
As part of their process for privileging surgeons, this hospital does ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 20 procedures annually for mitral valve repair and replacement.
This hospital does participate in the Society of Thoracic's Surgeons Adult Cardiac Surgery Database.
This hospital's outcome (absence of mortality and major morbidity) for mitral valve repairs and replacements is: As Expected.
Open Aortic Procedures
ChristianaCare - Christiana Hospital
This hospital performed 63 open aortic procedures compared to Leapfrog’s standard of 10 procedures annually.
As part of their process for privileging surgeons, this hospital does ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 7 procedures annually for open aortic procedures.
Bariatric Surgery for Weight Loss
ChristianaCare - Wilmington Hospital
This hospital performed 370 bariatric surgeries for weight loss compared to Leapfrog’s standard of 50 procedures annually.
As part of their process for privileging surgeons, this hospital does ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 20 procedures annually for bariatric surgeries for weight loss.
Esophageal Resection for Cancer
ChristianaCare - Christiana Hospital
This hospital performed 17 esophageal resections for cancer compared to Leapfrog’s standard of 20 procedures annually.
As part of their process for privileging surgeons, this hospital does ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 7 procedures annually for esophageal resection for cancer.
Lung Resection for Cancer
ChristianaCare - Christiana Hospital
This hospital performed 82 lung resections for cancer compared to Leapfrog’s standard of 40 procedures annually.
As part of their process for privileging surgeons, this hospital does ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 15 procedures annually for lung resection for cancer.
Pancreatic Resection for Cancer
ChristianaCare - Christiana Hospital
This hospital performed 17 pancreatic resections for cancer compared to Leapfrog’s standard of 20 procedures annually.
As part of their process for privileging surgeons, this hospital does ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 10 procedures annually for pancreatic resection for cancer.
Rectal Cancer Surgery
ChristianaCare - Wilmington Hospital
This hospital performed 1 rectal cancer surgeries compared to Leapfrog’s standard of 16 procedures annually.
As part of their process for privileging surgeons, this hospital does ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 6 procedures annually for rectal cancer surgery.
Rectal Cancer Surgery
ChristianaCare - Christiana Hospital
This hospital performed 35 rectal cancer surgeries compared to Leapfrog’s standard of 16 procedures annually.
As part of their process for privileging surgeons, this hospital does ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 6 procedures annually for rectal cancer surgery.
Total Knee Replacement Surgery
ChristianaCare - Wilmington Hospital
This hospital performed 1588 total knee replacement surgeries compared to Leapfrog’s standard of 50 procedures annually.
As part of their process for privileging surgeons, this hospital does ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 25 procedures annually for total knee replacement surgeries.
Total Knee Replacement Surgery
ChristianaCare - Christiana Hospital
This hospital performed 139 total knee replacement surgeries compared to Leapfrog’s standard of 50 procedures annually.
As part of their process for privileging surgeons, this hospital does ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 25 procedures annually for total knee replacement surgeries.
Total Knee Replacement Surgery
ChristianaCare - Union Hospital
This hospital performed 70 total knee replacement surgeries compared to Leapfrog’s standard of 50 procedures annually.
As part of their process for privileging surgeons, this hospital does not ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 25 procedures annually for total knee replacement surgeries.
Total Hip Replacement Surgery
ChristianaCare - Wilmington Hospital
This hospital performed 733 total hip replacement surgeries compared to Leapfrog’s standard of 50 procedures annually.
As part of their process for privileging surgeons, this hospital does ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 25 procedures annually for total hip replacement surgeries.
Total Hip Replacement Surgery
ChristianaCare - Christiana Hospital
This hospital performed 201 total hip replacement surgeries compared to Leapfrog’s standard of 50 procedures annually.
As part of their process for privileging surgeons, this hospital does ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 25 procedures annually for total hip replacement surgeries.
Total Hip Replacement Surgery
ChristianaCare - Union Hospital
This hospital performed 42 total hip replacement surgeries compared to Leapfrog’s standard of 50 procedures annually.
As part of their process for privileging surgeons, this hospital does not ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 25 procedures annually for total hip replacement surgeries.














Experience of Patients Undergoing Elective Outpatient Surgery
ChristianaCare - Wilmington Hospital
Performance on the following four domains of the Outpatient and Ambulatory Surgery (OAS) CAHPS Survey make up a hospital’s score on Leapfrog’s “Experience of Patients Undergoing Elective Outpatient Surgery” measure. “Top Box Score” represents the percentage of respondents who gave the most favorable response.
OAS CAHPS Survey Domain | Top Box Score |
---|---|
Facilities and staff | 96% |
Communication about the procedure | 90% |
Patients’ overall rating of the facility | 87% |
Patients willingness to recommend the facility | 87% |
Experience of Patients Undergoing Elective Outpatient Surgery
ChristianaCare - Christiana Hospital
Performance on the following four domains of the Outpatient and Ambulatory Surgery (OAS) CAHPS Survey make up a hospital’s score on Leapfrog’s “Experience of Patients Undergoing Elective Outpatient Surgery” measure. “Top Box Score” represents the percentage of respondents who gave the most favorable response.
OAS CAHPS Survey Domain | Top Box Score |
---|---|
Facilities and staff | 96% |
Communication about the procedure | 89% |
Patients’ overall rating of the facility | 84% |
Patients willingness to recommend the facility | 82% |
Compare Facilities
Patient Rights and Ethics
This hospital provides a detailed bill within 30 days of receiving insurance payments: Yes
This hospital provides access to a representative who can quickly investigate billing errors and establish payment plans: Yes
This hospital sues patients: No
This hospital provides a detailed bill within 30 days of receiving insurance payments: Yes
This hospital provides access to a representative who can quickly investigate billing errors and establish payment plans: Yes
This hospital sues patients: No
This hospital provides a detailed bill within 30 days of receiving insurance payments: Yes
This hospital provides access to a representative who can quickly investigate billing errors and establish payment plans: Yes
This hospital sues patients: No

ACHIEVED THE STANDARD

ACHIEVED THE STANDARD

LIMITED ACHIEVEMENT
All staff involved in the informed consent process achieve the appropriate training: No
Doctors explain expected difficulties and recovery time and allow patients to ask questions: No
Doctors involved in the procedure are listed on the consent form, and patients are notified if the doctor will be absent and if trainees will be involved: Yes
Consent forms are written at a 6th grade reading level: No
Staff ask patients about their preferred language for decision-making and make a trained medical interpreter available if appropriate: Yes
Doctors use the "teach back method" to ensure patients understand what will be performed and what are the risks: No
All staff involved in the informed consent process achieve the appropriate training: No
Doctors explain expected difficulties and recovery time and allow patients to ask questions: No
Doctors involved in the procedure are listed on the consent form, and patients are notified if the doctor will be absent and if trainees will be involved: Yes
Consent forms are written at a 6th grade reading level: No
Staff ask patients about their preferred language for decision-making and make a trained medical interpreter available if appropriate: Yes
Doctors use the "teach back method" to ensure patients understand what will be performed and what are the risks: No
All staff involved in the informed consent process achieve the appropriate training: No
Doctors explain expected difficulties and recovery time and allow patients to ask questions: No
Doctors involved in the procedure are listed on the consent form, and patients are notified if the doctor will be absent and if trainees will be involved: Yes
Consent forms are written at a 6th grade reading level: No
Staff ask patients about their preferred language for decision-making and make a trained medical interpreter available if appropriate: Yes
Doctors use the "teach back method" to ensure patients understand what will be performed and what are the risks: No

ACHIEVED THE STANDARD

ACHIEVED THE STANDARD

ACHIEVED THE STANDARD
More Information
Preventing Patient Harm
This hospital's total number of nursing hours per patient day is: 8.50
This hospital achieved Magnet status, nationally recognized for nursing excellence.
This hospital's total number of nursing hours per patient day is: 8.26
This hospital achieved Magnet status, nationally recognized for nursing excellence.
This hospital's total number of nursing hours per patient day is: 9.65
This hospital's total number of RN nursing hours per patient day is: 5.40
This hospital's total number of RN nursing hours per patient day is: 5.54
This hospital's total number of RN nursing hours per patient day is: 6.38
This hospital's proportion of RN nursing hours per patient day to total nursing hours per patient day is: 63.53% (where a higher percentage is better).
This hospital's proportion of RN nursing hours per patient day to total nursing hours per patient day is: 67.05% (where a higher percentage is better).
This hospital's proportion of RN nursing hours per patient day to total nursing hours per patient day is: 66.07% (where a higher percentage is better).

CONSIDERABLE ACHIEVEMENT

CONSIDERABLE ACHIEVEMENT

CONSIDERABLE ACHIEVEMENT
This hospital scored 120.00 out of 120.00 possible points.
This hospital scored 120.00 out of 120.00 possible points.
This hospital scored 120.00 out of 120.00 possible points.
This hospital scored 120.00 out of 120.00 possible points.
This hospital scored 120.00 out of 120.00 possible points.
This hospital scored 120.00 out of 120.00 possible points.
Hand Hygiene Domain | Performance |
---|---|
Hospital regularly monitors hand hygiene practices | Met the requirement to monitor 100 hand hygiene opportunities monthly using direct observation only. |
Feedback provided to ensure compliance with hand hygiene | Met |
Appropriate training and education provided | Met |
Access to paper towels, soap dispensers, and hand sanitizer maintained | Met |
Culture of good hand hygiene emphasized | Met |
Hand Hygiene Domain | Performance |
---|---|
Hospital regularly monitors hand hygiene practices | Met the requirement to monitor 100 hand hygiene opportunities monthly using direct observation only. |
Feedback provided to ensure compliance with hand hygiene | Met |
Appropriate training and education provided | Met |
Access to paper towels, soap dispensers, and hand sanitizer maintained | Met |
Culture of good hand hygiene emphasized | Met |
Hand Hygiene Domain | Performance |
---|---|
Hospital regularly monitors hand hygiene practices | Met the requirement to monitor 100 hand hygiene opportunities monthly using direct observation only. |
Feedback provided to ensure compliance with hand hygiene | Met |
Appropriate training and education provided | Met |
Access to paper towels, soap dispensers, and hand sanitizer maintained | Did Not Meet |
Culture of good hand hygiene emphasized | Met |
Medication Safety
This hospital's percentage of inpatient medication orders entered electronically: 85% or greater
This hospital's score on the CPOE Evaluation Tool: Full Demonstration of National Safety Standard for Decision Support
This hospital's percentage of inpatient medication orders entered electronically: 85% or greater
This hospital's score on the CPOE Evaluation Tool: Full Demonstration of National Safety Standard for Decision Support
This hospital's percentage of inpatient medication orders entered electronically: 85% or greater
This hospital's score on the CPOE Evaluation Tool: Full Demonstration of National Safety Standard for Decision Support

LIMITED ACHIEVEMENT
This hospital's rate of unintentional discrepancies per medication is: 0.188
This hospital's rate of unintentional discrepancies per medication is: 0.155
Implementation | Performance |
---|---|
The extent of BCMA implementation throughout the hospital with a focus on medical and/or surgical units (adult and pediatric), labor and delivery units, intensive care units (adult, pediatric, and neonatal), and pre-operative and post-anesthesia care units (adult and pediatric) | 100% |
Compliance with both patient and medication scans at the bedside prior to administering medications | 99% |
The types of decision support that the BCMA system offers | 5 out of 5 |
Structures to monitor and reduce workarounds | 6 out of 8 |
Implementation | Performance |
---|---|
The extent of BCMA implementation throughout the hospital with a focus on medical and/or surgical units (adult and pediatric), labor and delivery units, intensive care units (adult, pediatric, and neonatal), and pre-operative and post-anesthesia care units (adult and pediatric) | 100% |
Compliance with both patient and medication scans at the bedside prior to administering medications | 99% |
The types of decision support that the BCMA system offers | 5 out of 5 |
Structures to monitor and reduce workarounds | 6 out of 8 |
Implementation | Performance |
---|---|
The extent of BCMA implementation throughout the hospital with a focus on medical and/or surgical units (adult and pediatric), labor and delivery units, intensive care units (adult, pediatric, and neonatal), and pre-operative and post-anesthesia care units (adult and pediatric) | 100% |
Compliance with both patient and medication scans at the bedside prior to administering medications | 99% |
The types of decision support that the BCMA system offers | 5 out of 5 |
Structures to monitor and reduce workarounds | 6 out of 8 |
Documentation | Rate |
---|---|
Medications the patient was taking at home | 90% |
Medications the patient was administered and prescribed during their visit | 100% |
Allergies and adverse reactions | 80% |
Documentation | Rate |
---|---|
Medications the patient was taking at home | 83% |
Medications the patient was administered and prescribed during their visit | 100% |
Allergies and adverse reactions | 93% |
Documentation | Rate |
---|---|
Medications the patient was taking at home | 90% |
Medications the patient was administered and prescribed during their visit | 100% |
Allergies and adverse reactions | 83% |
Healthcare-Associated Infections
This hospital’s standardized infection ratio (SIR) is: 0.255
This hospital’s standardized infection ratio (SIR) is: 0.305
This hospital’s standardized infection ratio (SIR) is: 0.685
This hospital’s standardized infection ratio (SIR) is: 0.327
This hospital’s standardized infection ratio (SIR) is: 0.715
This hospital’s standardized infection ratio (SIR) is: 0.502
This hospital’s standardized infection ratio (SIR) is: 0.278
This hospital’s standardized infection ratio (SIR) is: 0.898
This hospital’s standardized infection ratio (SIR) is: 0.000
This hospital’s standardized infection ratio (SIR) is: 0.000
This hospital’s standardized infection ratio (SIR) is: 0.560
This hospital’s standardized infection ratio (SIR) is: 0.494
This hospital’s standardized infection ratio (SIR) is: 0.594
This hospital’s standardized infection ratio (SIR) is: 1.430
Critical Care
This hospital achieved the standard using on-site intensivist coverage.
This hospital achieved the standard using on-site intensivist coverage.
This hospital achieved the standard using on-site intensivist coverage.
Pediatric Care

LIMITED ACHIEVEMENT

ACHIEVED THE STANDARD

ACHIEVED THE STANDARD

SOME ACHIEVEMENT

CONSIDERABLE ACHIEVEMENT

ACHIEVED THE STANDARD

LIMITED ACHIEVEMENT
Maternity Care

CONSIDERABLE ACHIEVEMENT
This hospital's rate of Cesarean sections is 21.9%
This hospital's rate of Cesarean sections is 17.8%
This hospital's rate of episiotomies is 0.5%
This hospital's rate of episiotomies is 2.3%
This hospital's rate of screening newborns for jaundice before discharge is 99.5%
This hospital's rate of screening newborns for jaundice before discharge is 94.5%
This hospital's rate of preventing blood clots in women undergoing cesarean section is 98.9%
This hospital's rate of preventing blood clots in women undergoing cesarean section is 94.1%
More Information
Complex Adult Surgery
This hospital performed 133 carotid artery surgeries compared to Leapfrog’s standard of 20 procedures annually.
As part of their process for privileging surgeons, this hospital does ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 10 procedures annually for carotid artery surgery.
This hospital performed 2 carotid artery surgeries compared to Leapfrog’s standard of 20 procedures annually.
As part of their process for privileging surgeons, this hospital does not ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 10 procedures annually for carotid artery surgery.
This hospital performed 39 mitral valve repairs and replacements compared to Leapfrog’s standard of 40 procedures annually.
As part of their process for privileging surgeons, this hospital does ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 20 procedures annually for mitral valve repair and replacement.
This hospital does participate in the Society of Thoracic's Surgeons Adult Cardiac Surgery Database.
This hospital's outcome (absence of mortality and major morbidity) for mitral valve repairs and replacements is: As Expected.
This hospital performed 63 open aortic procedures compared to Leapfrog’s standard of 10 procedures annually.
As part of their process for privileging surgeons, this hospital does ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 7 procedures annually for open aortic procedures.
This hospital performed 370 bariatric surgeries for weight loss compared to Leapfrog’s standard of 50 procedures annually.
As part of their process for privileging surgeons, this hospital does ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 20 procedures annually for bariatric surgeries for weight loss.
This hospital performed 17 esophageal resections for cancer compared to Leapfrog’s standard of 20 procedures annually.
As part of their process for privileging surgeons, this hospital does ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 7 procedures annually for esophageal resection for cancer.
This hospital performed 82 lung resections for cancer compared to Leapfrog’s standard of 40 procedures annually.
As part of their process for privileging surgeons, this hospital does ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 15 procedures annually for lung resection for cancer.
This hospital performed 17 pancreatic resections for cancer compared to Leapfrog’s standard of 20 procedures annually.
As part of their process for privileging surgeons, this hospital does ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 10 procedures annually for pancreatic resection for cancer.
This hospital performed 1 rectal cancer surgeries compared to Leapfrog’s standard of 16 procedures annually.
As part of their process for privileging surgeons, this hospital does ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 6 procedures annually for rectal cancer surgery.
This hospital performed 35 rectal cancer surgeries compared to Leapfrog’s standard of 16 procedures annually.
As part of their process for privileging surgeons, this hospital does ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 6 procedures annually for rectal cancer surgery.
This hospital performed 1588 total knee replacement surgeries compared to Leapfrog’s standard of 50 procedures annually.
As part of their process for privileging surgeons, this hospital does ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 25 procedures annually for total knee replacement surgeries.
This hospital performed 139 total knee replacement surgeries compared to Leapfrog’s standard of 50 procedures annually.
As part of their process for privileging surgeons, this hospital does ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 25 procedures annually for total knee replacement surgeries.
This hospital performed 70 total knee replacement surgeries compared to Leapfrog’s standard of 50 procedures annually.
As part of their process for privileging surgeons, this hospital does not ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 25 procedures annually for total knee replacement surgeries.
This hospital performed 733 total hip replacement surgeries compared to Leapfrog’s standard of 50 procedures annually.
As part of their process for privileging surgeons, this hospital does ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 25 procedures annually for total hip replacement surgeries.
This hospital performed 201 total hip replacement surgeries compared to Leapfrog’s standard of 50 procedures annually.
As part of their process for privileging surgeons, this hospital does ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 25 procedures annually for total hip replacement surgeries.
This hospital performed 42 total hip replacement surgeries compared to Leapfrog’s standard of 50 procedures annually.
As part of their process for privileging surgeons, this hospital does not ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 25 procedures annually for total hip replacement surgeries.

ACHIEVED THE STANDARD

CONSIDERABLE ACHIEVEMENT

CONSIDERABLE ACHIEVEMENT
Elective Outpatient Surgery - Adult
Gastroenterology (Stomach and Digestive)
General Surgery
Neurosurgery
Obstetrics and Gynecology
Ophthalmology (Eyes)
Orthopedic (Bones and Joints)
Otolaryngology (Ear, Nose, Mouth, and Throat)
Plastic and Reconstructive Surgery
Urology (Urinary Tract, Male Reproductive)
Elective Outpatient Surgery - Pediatric
Ophthalmology (Eyes)
Orthopedic (Bones and Joints)
Otolaryngology (Ear, Nose, Mouth, and Throat)
Care for Elective Outpatient Surgery Patients

ACHIEVED THE STANDARD

ACHIEVED THE STANDARD

ACHIEVED THE STANDARD

ACHIEVED THE STANDARD

ACHIEVED THE STANDARD

ACHIEVED THE STANDARD

ACHIEVED THE STANDARD

ACHIEVED THE STANDARD

ACHIEVED THE STANDARD
Performance on the following four domains of the Outpatient and Ambulatory Surgery (OAS) CAHPS Survey make up a hospital’s score on Leapfrog’s “Experience of Patients Undergoing Elective Outpatient Surgery” measure. “Top Box Score” represents the percentage of respondents who gave the most favorable response.
OAS CAHPS Survey Domain | Top Box Score |
---|---|
Facilities and staff | 96% |
Communication about the procedure | 90% |
Patients’ overall rating of the facility | 87% |
Patients willingness to recommend the facility | 87% |
Performance on the following four domains of the Outpatient and Ambulatory Surgery (OAS) CAHPS Survey make up a hospital’s score on Leapfrog’s “Experience of Patients Undergoing Elective Outpatient Surgery” measure. “Top Box Score” represents the percentage of respondents who gave the most favorable response.
OAS CAHPS Survey Domain | Top Box Score |
---|---|
Facilities and staff | 96% |
Communication about the procedure | 89% |
Patients’ overall rating of the facility | 84% |
Patients willingness to recommend the facility | 82% |

SOME ACHIEVEMENT

SOME ACHIEVEMENT

ACHIEVED THE STANDARD
501 W. 14th St.
Wilmington, Delaware 19801
4755 Ogletown-Stanton Road
Newark, Delaware 19718-0002
106 Bow Street
Elkton, Maryland 21921