Compare Facilities
The Leapfrog Group 2024 Survey Results
Scroll to compare these 3 selected facilities...
...in all Safety Areas:
Billing Ethics
Orlando Health Lake Mary 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
AdventHealth Altamonte Springs
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
HCA Florida Lake Monroe 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
Orlando Health Lake Mary 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: Yes
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, all forms are at a 9th grade reading level or lower
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: Yes
Informed Consent
AdventHealth Altamonte Springs
All staff involved in the informed consent process achieve the appropriate training: Yes
Doctors explain expected difficulties and recovery time and allow patients to ask questions: Yes
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: At least one form
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: Yes
Informed Consent
HCA Florida Lake Monroe Hospital
All staff involved in the informed consent process achieve the appropriate training: Yes
Doctors explain expected difficulties and recovery time and allow patients to ask questions: Yes
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: Yes
Patient and Family Caregiver Initiated Rapid Response Team
Orlando Health Lake Mary Hospital
Patient and Family Caregiver Initiated Rapid Response Team
AdventHealth Altamonte Springs
Patient and Family Caregiver Initiated Rapid Response Team
HCA Florida Lake Monroe Hospital
Protocol to collect and respond to patient-reported concerns about care
Orlando Health Lake Mary Hospital
Protocol to collect and respond to patient-reported concerns about care
AdventHealth Altamonte Springs
Protocol to collect and respond to patient-reported concerns about care
HCA Florida Lake Monroe Hospital
Nursing and Bedside Care for Patients
Orlando Health Lake Mary Hospital
This hospital's total number of nursing hours per patient day is: 11.01
Nursing and Bedside Care for Patients
AdventHealth Altamonte Springs
This hospital's total number of nursing hours per patient day is: 9.36
Nursing Care for Patients
Orlando Health Lake Mary Hospital
This hospital's total number of RN nursing hours per patient day is: 6.23
Nursing Care for Patients
AdventHealth Altamonte Springs
This hospital's total number of RN nursing hours per patient day is: 5.36
Percentage of Nursing Staff who are Registered Nurses (RNs)
Orlando Health Lake Mary Hospital
This hospital's proportion of RN nursing hours per patient day to total nursing hours per patient day is: 56.58% (where a higher percentage is better).
Percentage of Nursing Staff who are Registered Nurses (RNs)
AdventHealth Altamonte Springs
This hospital's proportion of RN nursing hours per patient day to total nursing hours per patient day is: 57.30% (where a higher percentage is better).
Percentage of Nursing Staff who are Registered Nurses (RNs)
HCA Florida Lake Monroe Hospital
Effective Leadership to Prevent Errors
Orlando Health Lake Mary Hospital
This hospital scored 120.00 out of 120.00 possible points.
Effective Leadership to Prevent Errors
AdventHealth Altamonte Springs
This hospital scored 120.00 out of 120.00 possible points.
Effective Leadership to Prevent Errors
HCA Florida Lake Monroe Hospital
This hospital scored 120.00 out of 120.00 possible points.
Staff Work Together to Prevent Errors
Orlando Health Lake Mary Hospital
This hospital scored 120.00 out of 120.00 possible points.
Staff Work Together to Prevent Errors
AdventHealth Altamonte Springs
This hospital scored 120.00 out of 120.00 possible points.
Staff Work Together to Prevent Errors
HCA Florida Lake Monroe Hospital
This hospital scored 120.00 out of 120.00 possible points.
Handwashing
Orlando Health Lake Mary Hospital
| Hand Hygiene Domain | Performance |
|---|---|
| Hospital regularly monitors hand hygiene practices | Met the requirement to monitor 200 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
AdventHealth Altamonte Springs
| Hand Hygiene Domain | Performance |
|---|---|
| Hospital regularly monitors hand hygiene practices | Met the requirement to monitor 200 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
HCA Florida Lake Monroe Hospital
| Hand Hygiene Domain | Performance |
|---|---|
| Hospital regularly monitors hand hygiene practices | Met the requirement to monitor 200 hand hygiene opportunities monthly using direct observation only. |
| Feedback provided to ensure compliance with hand hygiene | Did Not Meet |
| 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
Orlando Health Lake Mary 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
AdventHealth Altamonte Springs
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
HCA Florida Lake Monroe 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
Orlando Health Lake Mary Hospital
This hospital's rate of unintentional discrepancies per medication is: 0.010
Medication Reconciliation
AdventHealth Altamonte Springs
This hospital's rate of unintentional discrepancies per medication is: 0.093
Safe Medication Administration
Orlando Health Lake Mary 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 | 97% |
| The types of decision support that the BCMA system offers | 5 out of 5 |
| Structures to monitor and reduce workarounds | 8 out of 8 |
Safe Medication Administration
AdventHealth Altamonte Springs
| 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 | 8 out of 8 |
Safe Medication Administration
HCA Florida Lake Monroe 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 | 8 out of 8 |
Medication Documentation for Elective Outpatient Surgery Patients
Orlando Health Lake Mary Hospital
| Documentation | Rate |
|---|---|
| Medications the patient was taking at home | 93% |
| Medications the patient was administered and prescribed during their visit | 87% |
| Allergies and adverse reactions | 93% |
Medication Documentation for Elective Outpatient Surgery Patients
AdventHealth Altamonte Springs
| Documentation | Rate |
|---|---|
| Medications the patient was taking at home | 70% |
| Medications the patient was administered and prescribed during their visit | 83% |
| Allergies and adverse reactions | 83% |
C. difficile Infection
Orlando Health Lake Mary Hospital
This hospital’s standardized infection ratio (SIR) is: 0.098
C. difficile Infection
AdventHealth Altamonte Springs
This hospital’s standardized infection ratio (SIR) is: 0.179
C. difficile Infection
HCA Florida Lake Monroe Hospital
This hospital’s standardized infection ratio (SIR) is: 0.183
Infection in the Blood
Orlando Health Lake Mary Hospital
This hospital’s standardized infection ratio (SIR) is: 0.732
Infection in the Blood
AdventHealth Altamonte Springs
This hospital’s standardized infection ratio (SIR) is: 0.254
Infection in the Blood
HCA Florida Lake Monroe Hospital
This hospital’s standardized infection ratio (SIR) is: 1.327
Infection in the Urinary Tract
Orlando Health Lake Mary Hospital
This hospital’s standardized infection ratio (SIR) is: 0.603
Infection in the Urinary Tract
AdventHealth Altamonte Springs
This hospital’s standardized infection ratio (SIR) is: 0.920
Infection in the Urinary Tract
HCA Florida Lake Monroe Hospital
This hospital’s standardized infection ratio (SIR) is: 0.637
MRSA Infection
Orlando Health Lake Mary Hospital
This hospital’s standardized infection ratio (SIR) is: 1.189
MRSA Infection
AdventHealth Altamonte Springs
This hospital’s standardized infection ratio (SIR) is: 0.663
MRSA Infection
HCA Florida Lake Monroe Hospital
This hospital’s standardized infection ratio (SIR) is: 2.000
Surgical Site Infection After Colon Surgery
Orlando Health Lake Mary Hospital
This hospital’s standardized infection ratio (SIR) is: 1.000
Surgical Site Infection After Colon Surgery
AdventHealth Altamonte Springs
This hospital’s standardized infection ratio (SIR) is: 0.000
Surgical Site Infection After Colon Surgery
HCA Florida Lake Monroe Hospital
This hospital’s standardized infection ratio (SIR) is: 1.532
Specially Trained Doctors Care for Critical Care Patients
Orlando Health Lake Mary Hospital
This hospital achieved the standard using on-site intensivist coverage.
Specially Trained Doctors Care for Critical Care Patients
AdventHealth Altamonte Springs
This hospital achieved the standard using on-site intensivist coverage.
Specially Trained Doctors Care for Critical Care Patients
HCA Florida Lake Monroe Hospital
This hospital achieved the standard using on-site intensivist coverage.
Cesarean Sections
AdventHealth Altamonte Springs
This hospital's rate of Cesarean sections is 34.0%
Episiotomies
AdventHealth Altamonte Springs
This hospital's rate of episiotomies is 3.5%
Screening Newborns for Jaundice Before Discharge
AdventHealth Altamonte Springs
This hospital's rate of screening newborns for jaundice before discharge is 99.2%
Preventing Blood Clots in Women Undergoing Cesarean Section
AdventHealth Altamonte Springs
This hospital's rate of preventing blood clots in women undergoing cesarean section is 96.3%
Number of Live Births
AdventHealth Altamonte Springs
Midwives
AdventHealth Altamonte Springs
Doulas
AdventHealth Altamonte Springs
Lactation Services
AdventHealth Altamonte Springs
Vaginal Delivery After Cesarean Section (VBAC)
AdventHealth Altamonte Springs
Tubal Ligation
AdventHealth Altamonte Springs
Policy to Prevent Early Elective Deliveries
AdventHealth Altamonte Springs
This hospital does have a policy to prevent early elective deliveries.
Carotid Endarterectomy
Orlando Health Lake Mary Hospital
This hospital performed 33 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.
Open Aortic Procedures
Orlando Health Lake Mary Hospital
This hospital performed 1 open aortic procedures compared to Leapfrog’s standard of 10 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 7 procedures annually for open aortic procedures.
Rectal Cancer Surgery
AdventHealth Altamonte Springs
This hospital performed 21 rectal cancer surgeries compared to Leapfrog’s standard of 16 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 6 procedures annually for rectal cancer surgery.
Total Knee Replacement Surgery
Orlando Health Lake Mary Hospital
This hospital performed 496 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 Knee Replacement Surgery
AdventHealth Altamonte Springs
This hospital performed 264 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
Orlando Health Lake Mary Hospital
This hospital performed 250 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.
Total Hip Replacement Surgery
AdventHealth Altamonte Springs
This hospital performed 158 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
Orlando Health Lake Mary 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 | 97% |
| Communication about the procedure | 93% |
| Patients’ overall rating of the facility | 89% |
| Patients willingness to recommend the facility | 86% |
Experience of Patients Undergoing Elective Outpatient Surgery
AdventHealth Altamonte Springs
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 | 97% |
| Communication about the procedure | 93% |
| Patients’ overall rating of the facility | 90% |
| Patients willingness to recommend the facility | 88% |
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
CONSIDERABLE ACHIEVEMENT
ACHIEVED THE STANDARD
CONSIDERABLE 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: Yes
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, all forms are at a 9th grade reading level or lower
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: Yes
All staff involved in the informed consent process achieve the appropriate training: Yes
Doctors explain expected difficulties and recovery time and allow patients to ask questions: Yes
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: At least one form
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: Yes
All staff involved in the informed consent process achieve the appropriate training: Yes
Doctors explain expected difficulties and recovery time and allow patients to ask questions: Yes
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: Yes
ACHIEVED THE STANDARD
ACHIEVED THE STANDARD
ACHIEVED THE STANDARD
More Information
Preventing Patient Harm
LIMITED ACHIEVEMENT
This hospital's total number of nursing hours per patient day is: 11.01
This hospital's total number of nursing hours per patient day is: 9.36
LIMITED ACHIEVEMENT
This hospital's total number of RN nursing hours per patient day is: 6.23
This hospital's total number of RN nursing hours per patient day is: 5.36
This hospital's proportion of RN nursing hours per patient day to total nursing hours per patient day is: 56.58% (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: 57.30% (where a higher percentage is better).
CONSIDERABLE ACHIEVEMENT
CONSIDERABLE ACHIEVEMENT
LIMITED 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 200 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 200 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 200 hand hygiene opportunities monthly using direct observation only. |
| Feedback provided to ensure compliance with hand hygiene | Did Not Meet |
| 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: 0.010
This hospital's rate of unintentional discrepancies per medication is: 0.093
| 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 | 97% |
| The types of decision support that the BCMA system offers | 5 out of 5 |
| Structures to monitor and reduce workarounds | 8 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 | 8 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 | 8 out of 8 |
DECLINED TO RESPOND
| Documentation | Rate |
|---|---|
| Medications the patient was taking at home | 93% |
| Medications the patient was administered and prescribed during their visit | 87% |
| Allergies and adverse reactions | 93% |
| Documentation | Rate |
|---|---|
| Medications the patient was taking at home | 70% |
| Medications the patient was administered and prescribed during their visit | 83% |
| Allergies and adverse reactions | 83% |
Healthcare-Associated Infections
This hospital’s standardized infection ratio (SIR) is: 0.098
This hospital’s standardized infection ratio (SIR) is: 0.179
This hospital’s standardized infection ratio (SIR) is: 0.183
This hospital’s standardized infection ratio (SIR) is: 0.732
This hospital’s standardized infection ratio (SIR) is: 0.254
This hospital’s standardized infection ratio (SIR) is: 1.327
This hospital’s standardized infection ratio (SIR) is: 0.603
This hospital’s standardized infection ratio (SIR) is: 0.920
This hospital’s standardized infection ratio (SIR) is: 0.637
This hospital’s standardized infection ratio (SIR) is: 1.189
This hospital’s standardized infection ratio (SIR) is: 0.663
This hospital’s standardized infection ratio (SIR) is: 2.000
This hospital’s standardized infection ratio (SIR) is: 1.000
This hospital’s standardized infection ratio (SIR) is: 0.000
This hospital’s standardized infection ratio (SIR) is: 1.532
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
DECLINED TO RESPOND
ACHIEVED THE STANDARD
ACHIEVED THE STANDARD
DECLINED TO RESPOND
LIMITED ACHIEVEMENT
ACHIEVED THE STANDARD
DECLINED TO RESPOND
DECLINED TO RESPOND
Maternity Care
This hospital's rate of Cesarean sections is 34.0%
This hospital's rate of episiotomies is 3.5%
This hospital's rate of screening newborns for jaundice before discharge is 99.2%
This hospital's rate of preventing blood clots in women undergoing cesarean section is 96.3%
More Information
This hospital does have a policy to prevent early elective deliveries.
Complex Adult Surgery
DECLINED TO RESPOND
This hospital performed 33 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.
DECLINED TO RESPOND
This hospital performed 1 open aortic procedures compared to Leapfrog’s standard of 10 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 7 procedures annually for open aortic procedures.
DECLINED TO RESPOND
DECLINED TO RESPOND
DECLINED TO RESPOND
DECLINED TO RESPOND
DECLINED TO RESPOND
This hospital performed 21 rectal cancer surgeries compared to Leapfrog’s standard of 16 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 6 procedures annually for rectal cancer surgery.
DECLINED TO RESPOND
This hospital performed 496 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 264 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.
DECLINED TO RESPOND
This hospital performed 250 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.
This hospital performed 158 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
ACHIEVED THE STANDARD
DECLINED TO RESPOND
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
Orthopedic (Bones and Joints)
Care for Elective Outpatient Surgery Patients
ACHIEVED THE STANDARD
ACHIEVED THE STANDARD
DECLINED TO RESPOND
ACHIEVED THE STANDARD
DECLINED TO RESPOND
ACHIEVED THE STANDARD
ACHIEVED THE STANDARD
DECLINED TO RESPOND
DECLINED TO RESPOND
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 | 97% |
| Communication about the procedure | 93% |
| Patients’ overall rating of the facility | 89% |
| Patients willingness to recommend the facility | 86% |
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 | 97% |
| Communication about the procedure | 93% |
| Patients’ overall rating of the facility | 90% |
| Patients willingness to recommend the facility | 88% |
ACHIEVED THE STANDARD
SOME ACHIEVEMENT
DECLINED TO RESPOND
380 Rinehart Rd
Lake Mary, Florida 32746
601 East Altamonte Drive
Altamonte Springs, Florida 32701
1401 W Seminole Blvd
Sanford, Florida 32771-6764