Compare Facilities
The Leapfrog Group 2025 Survey Results
Scroll to compare these 3 selected facilities...
...in all Safety Areas:
Billing Ethics
St. Joseph Hospital of Bangor
This hospital provides a detailed bill within 30 days of receiving insurance payments: No
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
Northern Light Eastern Maine Medical Center
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
MaineHealth Mid Coast Hospital
This hospital provides a detailed bill within 30 days of receiving insurance payments: No
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
St. Joseph Hospital of Bangor
This hospital ensures that all staff involved in the informed consent process achieve the appropriate training: Yes
This hospital ensures doctors explain expected difficulties and recovery time and allow patients to ask questions: Yes
This hospital lists all doctors involved in the procedure on the consent form, and notifies patients if a doctor will be absent and if trainees will be involved: Yes
This hospital provides consent forms written at a 6th grade reading level: Yes
This hospital asks patients about their preferred language for decision-making and makes a trained medical interpreter available if appropriate: Yes
This hospital ensures doctors use the “teach back method” to ensure patients understand what will be performed and the associated risks: Yes
Informed Consent
Northern Light Eastern Maine Medical Center
This hospital ensures that all staff involved in the informed consent process achieve the appropriate training: No
This hospital ensures doctors explain expected difficulties and recovery time and allow patients to ask questions: Yes
This hospital lists all doctors involved in the procedure on the consent form, and notifies patients if a doctor will be absent and if trainees will be involved: Yes
This hospital provides consent forms written at a 6th grade reading level: No
This hospital asks patients about their preferred language for decision-making and makes a trained medical interpreter available if appropriate: Yes
This hospital ensures doctors use the “teach back method” to ensure patients understand what will be performed and the associated risks: No
Informed Consent
MaineHealth Mid Coast Hospital
This hospital ensures that all staff involved in the informed consent process achieve the appropriate training: Yes
This hospital ensures doctors explain expected difficulties and recovery time and allow patients to ask questions: Yes
This hospital lists all doctors involved in the procedure on the consent form, and notifies patients if a doctor will be absent and if trainees will be involved: Yes
This hospital provides consent forms written at a 6th grade reading level: At least one form
This hospital asks patients about their preferred language for decision-making and makes a trained medical interpreter available if appropriate: Yes
This hospital ensures doctors use the “teach back method” to ensure patients understand what will be performed and the associated risks: Yes
Responding to Never Events
St. Joseph Hospital of Bangor
The hospital apologizes to the patient and/or family following a Never Event: Yes
The hospital reports the Never Event to an external agency: Yes
The hospital conducts an analysis of how the why the event occurred: Yes
The hospital interviews patient and/or family involved in the event to gather evidence for the event analysis: Yes
The hospital informs patient and/or family of the action(s) taken to prevent future events: Yes
The hospital waives all costs directly associated with the event: Yes
The hospital supports caregivers involved in the event: Yes
The hospital makes a copy of this policy available to patients and payors upon request: Yes
The hospital performs an annual review to ensure compliance after all Never Events: Yes
Responding to Never Events
Northern Light Eastern Maine Medical Center
The hospital apologizes to the patient and/or family following a Never Event: Yes
The hospital reports the Never Event to an external agency: Yes
The hospital conducts an analysis of how the why the event occurred: Yes
The hospital interviews patient and/or family involved in the event to gather evidence for the event analysis: No
The hospital informs patient and/or family of the action(s) taken to prevent future events: No
The hospital waives all costs directly associated with the event: Yes
The hospital supports caregivers involved in the event: Yes
The hospital makes a copy of this policy available to patients and payors upon request: No
Responding to Never Events
MaineHealth Mid Coast Hospital
The hospital apologizes to the patient and/or family following a Never Event: Yes
The hospital reports the Never Event to an external agency: Yes
The hospital conducts an analysis of how the why the event occurred: Yes
The hospital interviews patient and/or family involved in the event to gather evidence for the event analysis: No
The hospital informs patient and/or family of the action(s) taken to prevent future events: No
The hospital waives all costs directly associated with the event: Yes
The hospital supports caregivers involved in the event: No
The hospital makes a copy of this policy available to patients and payors upon request: No
Patient and Family Caregiver Initiated Rapid Response Team
St. Joseph Hospital of Bangor
Patient and Family Caregiver Initiated Rapid Response Team
Northern Light Eastern Maine Medical Center
Patient and Family Caregiver Initiated Rapid Response Team
MaineHealth Mid Coast Hospital
Protocol to collect and respond to patient-reported concerns about care
St. Joseph Hospital of Bangor
Protocol to collect and respond to patient-reported concerns about care
Northern Light Eastern Maine Medical Center
Protocol to collect and respond to patient-reported concerns about care
MaineHealth Mid Coast Hospital
Nursing and Bedside Care for Patients
St. Joseph Hospital of Bangor
This hospital's total number of nursing hours per patient day is: 9.91
Nursing and Bedside Care for Patients
Northern Light Eastern Maine Medical Center
This hospital's total number of nursing hours per patient day is: 13.19
Nursing and Bedside Care for Patients
MaineHealth Mid Coast Hospital
This hospital's total number of nursing hours per patient day is: 9.73
Nursing Care for Patients
St. Joseph Hospital of Bangor
This hospital's total number of RN nursing hours per patient day is: 6.44
Nursing Care for Patients
Northern Light Eastern Maine Medical Center
This hospital's total number of RN nursing hours per patient day is: 7.96
Nursing Care for Patients
MaineHealth Mid Coast Hospital
This hospital's total number of RN nursing hours per patient day is: 6.25
Percentage of Nursing Staff who are Registered Nurses (RNs)
St. Joseph Hospital of Bangor
This hospital's proportion of RN nursing hours per patient day to total nursing hours per patient day is: 65.05% (where a higher percentage is better).
Percentage of Nursing Staff who are Registered Nurses (RNs)
Northern Light Eastern Maine Medical Center
This hospital's proportion of RN nursing hours per patient day to total nursing hours per patient day is: 60.40% (where a higher percentage is better).
Percentage of Nursing Staff who are Registered Nurses (RNs)
MaineHealth Mid Coast Hospital
This hospital's proportion of RN nursing hours per patient day to total nursing hours per patient day is: 64.30% (where a higher percentage is better).
Effective Leadership to Prevent Errors
St. Joseph Hospital of Bangor
This hospital scored 120.00 out of 120.00 possible points.
Effective Leadership to Prevent Errors
Northern Light Eastern Maine Medical Center
This hospital scored 120.00 out of 120.00 possible points.
Effective Leadership to Prevent Errors
MaineHealth Mid Coast Hospital
This hospital scored 120.00 out of 120.00 possible points.
Staff Work Together to Prevent Errors
St. Joseph Hospital of Bangor
This hospital scored 120.00 out of 120.00 possible points.
Staff Work Together to Prevent Errors
Northern Light Eastern Maine Medical Center
This hospital scored 120.00 out of 120.00 possible points.
Staff Work Together to Prevent Errors
MaineHealth Mid Coast Hospital
This hospital scored 120.00 out of 120.00 possible points.
Handwashing
St. Joseph Hospital of Bangor
| 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
Northern Light Eastern Maine Medical Center
| 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
MaineHealth Mid Coast 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 |
Safe Medication Ordering
St. Joseph Hospital of Bangor
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
Northern Light Eastern Maine Medical Center
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
MaineHealth Mid Coast 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
St. Joseph Hospital of Bangor
This hospital's rate of unintentional discrepancies per medication is: 0.055
Medication Reconciliation
Northern Light Eastern Maine Medical Center
This hospital's rate of unintentional discrepancies per medication is: 0.318
Medication Reconciliation
MaineHealth Mid Coast Hospital
This hospital's rate of unintentional discrepancies per medication is: 0.031
Safe Medication Administration
St. Joseph Hospital of Bangor
| 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 | 95% |
| The types of decision support that the BCMA system offers | 5 out of 5 |
| Structures to monitor and reduce workarounds | 7 out of 8 |
Safe Medication Administration
Northern Light Eastern Maine Medical Center
| 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 | 98% |
| 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
MaineHealth Mid Coast 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
St. Joseph Hospital of Bangor
| Documentation | Rate |
|---|---|
| Medications the patient was taking at home | 100% |
| Medications the patient was administered and prescribed during their visit | 100% |
| Allergies and adverse reactions | 100% |
Medication Documentation for Elective Outpatient Surgery Patients
MaineHealth Mid Coast Hospital
| Documentation | Rate |
|---|---|
| Medications the patient was taking at home | 100% |
| Medications the patient was administered and prescribed during their visit | 100% |
| Allergies and adverse reactions | 100% |
C. difficile Infection
St. Joseph Hospital of Bangor
This hospital’s standardized infection ratio (SIR) is: 0.387
C. difficile Infection
Northern Light Eastern Maine Medical Center
This hospital’s standardized infection ratio (SIR) is: 0.368
C. difficile Infection
MaineHealth Mid Coast Hospital
This hospital’s standardized infection ratio (SIR) is: 0.101
Infection in the Blood
St. Joseph Hospital of Bangor
This hospital’s standardized infection ratio (SIR) is: 0.000
Infection in the Blood
Northern Light Eastern Maine Medical Center
This hospital’s standardized infection ratio (SIR) is: 0.558
Infection in the Blood
MaineHealth Mid Coast Hospital
This hospital’s standardized infection ratio (SIR) is: 0.000
Infection in the Urinary Tract
St. Joseph Hospital of Bangor
This hospital’s standardized infection ratio (SIR) is: 1.662
Infection in the Urinary Tract
Northern Light Eastern Maine Medical Center
This hospital’s standardized infection ratio (SIR) is: 0.970
Infection in the Urinary Tract
MaineHealth Mid Coast Hospital
This hospital’s standardized infection ratio (SIR) is: 0.379
MRSA Infection
St. Joseph Hospital of Bangor
This hospital’s standardized infection ratio (SIR) is: 0.680
MRSA Infection
Northern Light Eastern Maine Medical Center
This hospital’s standardized infection ratio (SIR) is: 0.866
Surgical Site Infection After Colon Surgery
St. Joseph Hospital of Bangor
This hospital’s standardized infection ratio (SIR) is: 1.443
Surgical Site Infection After Colon Surgery
Northern Light Eastern Maine Medical Center
This hospital’s standardized infection ratio (SIR) is: 0.504
Surgical Site Infection After Colon Surgery
MaineHealth Mid Coast Hospital
This hospital’s standardized infection ratio (SIR) is: 0.364
Specially Trained Doctors Care for Adult Critical Care Patients
Northern Light Eastern Maine Medical Center
This hospital achieved the standard using on-site intensivist coverage.
Specially Trained Doctors Care for Adult Critical Care Patients
MaineHealth Mid Coast Hospital
This hospital achieved the standard using on-site intensivist coverage.
Delivery of Very Low Birth-Weight Babies
Northern Light Eastern Maine Medical Center
Cesarean Sections
Northern Light Eastern Maine Medical Center
This hospital's rate of Cesarean sections is 22.5%
Cesarean Sections
MaineHealth Mid Coast Hospital
This hospital's rate of Cesarean sections is 24.1%
Episiotomies
Northern Light Eastern Maine Medical Center
This hospital's rate of episiotomies is 2.7%
Episiotomies
MaineHealth Mid Coast Hospital
This hospital's rate of episiotomies is 0.6%
Screening Newborns for Jaundice Before Discharge
Northern Light Eastern Maine Medical Center
This hospital's rate of screening newborns for jaundice before discharge is 99.7%
Screening Newborns for Jaundice Before Discharge
MaineHealth Mid Coast Hospital
This hospital's rate of screening newborns for jaundice before discharge is 96.0%
Preventing Blood Clots in Women Undergoing Cesarean Section
Northern Light Eastern Maine Medical Center
This hospital's rate of preventing blood clots in women undergoing cesarean section is 10.0%
Preventing Blood Clots in Women Undergoing Cesarean Section
MaineHealth Mid Coast Hospital
This hospital's rate of preventing blood clots in women undergoing cesarean section is 100.0%
Number of Live Births
Northern Light Eastern Maine Medical Center
Number of Live Births
MaineHealth Mid Coast Hospital
Midwives
Northern Light Eastern Maine Medical Center
Midwives
MaineHealth Mid Coast Hospital
Doulas
Northern Light Eastern Maine Medical Center
Doulas
MaineHealth Mid Coast Hospital
Lactation Services
Northern Light Eastern Maine Medical Center
Lactation Services
MaineHealth Mid Coast Hospital
Vaginal Delivery After Cesarean Section (VBAC)
Northern Light Eastern Maine Medical Center
Vaginal Delivery After Cesarean Section (VBAC)
MaineHealth Mid Coast Hospital
Tubal Ligation
Northern Light Eastern Maine Medical Center
Tubal Ligation
MaineHealth Mid Coast Hospital
Policy to Prevent Early Elective Deliveries
Northern Light Eastern Maine Medical Center
This hospital does not have a policy to prevent early elective deliveries.
Policy to Prevent Early Elective Deliveries
MaineHealth Mid Coast Hospital
This hospital does have a policy to prevent early elective deliveries.
Carotid Endarterectomy
Northern Light Eastern Maine Medical Center
This hospital performed 86 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
Northern Light Eastern Maine Medical Center
This hospital performed 48 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 not 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: Not Available.
Open Aortic Procedures
Northern Light Eastern Maine Medical Center
This hospital performed 60 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.
Bariatric Surgery for Weight Loss
Northern Light Eastern Maine Medical Center
This hospital performed 157 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
Northern Light Eastern Maine Medical Center
This hospital performed 0 esophageal resections for cancer 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 7 procedures annually for esophageal resection for cancer.
Lung Resection for Cancer
Northern Light Eastern Maine Medical Center
This hospital performed 23 lung resections for cancer compared to Leapfrog’s standard of 40 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 15 procedures annually for lung resection for cancer.
Pancreatic Resection for Cancer
St. Joseph Hospital of Bangor
This hospital performed 0 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.
Pancreatic Resection for Cancer
Northern Light Eastern Maine Medical Center
This hospital performed 12 pancreatic resections for cancer 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 pancreatic resection for cancer.
Rectal Cancer Surgery
St. Joseph Hospital of Bangor
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
Northern Light Eastern Maine Medical Center
This hospital performed 17 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
St. Joseph Hospital of Bangor
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 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
Northern Light Eastern Maine Medical Center
This hospital performed 87 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
MaineHealth Mid Coast Hospital
This hospital performed 235 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
St. Joseph Hospital of Bangor
This hospital performed 222 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
Northern Light Eastern Maine Medical Center
This hospital performed 107 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
MaineHealth Mid Coast Hospital
This hospital performed 152 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
St. Joseph Hospital of Bangor
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 | 99% |
| Communication about the procedure | 95% |
| Patients’ overall rating of the facility | 92% |
| Patients willingness to recommend the facility | 92% |
Experience of Patients Undergoing Elective Outpatient Surgery
Northern Light Eastern Maine Medical Center
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 | 94% |
| Patients’ overall rating of the facility | 81% |
| Patients willingness to recommend the facility | 79% |
Experience of Patients Undergoing Elective Outpatient Surgery
MaineHealth Mid Coast 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 | 98% |
| Communication about the procedure | 93% |
| Patients’ overall rating of the facility | 90% |
| Patients willingness to recommend the facility | 87% |
Compare Facilities
Patient Rights and Ethics
This hospital provides a detailed bill within 30 days of receiving insurance payments: No
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: No
This hospital provides access to a representative who can quickly investigate billing errors and establish payment plans: Yes
This hospital sues patients: No
LIMITED ACHIEVEMENT
CONSIDERABLE ACHIEVEMENT
SOME ACHIEVEMENT
This hospital ensures that all staff involved in the informed consent process achieve the appropriate training: Yes
This hospital ensures doctors explain expected difficulties and recovery time and allow patients to ask questions: Yes
This hospital lists all doctors involved in the procedure on the consent form, and notifies patients if a doctor will be absent and if trainees will be involved: Yes
This hospital provides consent forms written at a 6th grade reading level: Yes
This hospital asks patients about their preferred language for decision-making and makes a trained medical interpreter available if appropriate: Yes
This hospital ensures doctors use the “teach back method” to ensure patients understand what will be performed and the associated risks: Yes
This hospital ensures that all staff involved in the informed consent process achieve the appropriate training: No
This hospital ensures doctors explain expected difficulties and recovery time and allow patients to ask questions: Yes
This hospital lists all doctors involved in the procedure on the consent form, and notifies patients if a doctor will be absent and if trainees will be involved: Yes
This hospital provides consent forms written at a 6th grade reading level: No
This hospital asks patients about their preferred language for decision-making and makes a trained medical interpreter available if appropriate: Yes
This hospital ensures doctors use the “teach back method” to ensure patients understand what will be performed and the associated risks: No
This hospital ensures that all staff involved in the informed consent process achieve the appropriate training: Yes
This hospital ensures doctors explain expected difficulties and recovery time and allow patients to ask questions: Yes
This hospital lists all doctors involved in the procedure on the consent form, and notifies patients if a doctor will be absent and if trainees will be involved: Yes
This hospital provides consent forms written at a 6th grade reading level: At least one form
This hospital asks patients about their preferred language for decision-making and makes a trained medical interpreter available if appropriate: Yes
This hospital ensures doctors use the “teach back method” to ensure patients understand what will be performed and the associated risks: Yes
The hospital apologizes to the patient and/or family following a Never Event: Yes
The hospital reports the Never Event to an external agency: Yes
The hospital conducts an analysis of how the why the event occurred: Yes
The hospital interviews patient and/or family involved in the event to gather evidence for the event analysis: Yes
The hospital informs patient and/or family of the action(s) taken to prevent future events: Yes
The hospital waives all costs directly associated with the event: Yes
The hospital supports caregivers involved in the event: Yes
The hospital makes a copy of this policy available to patients and payors upon request: Yes
The hospital performs an annual review to ensure compliance after all Never Events: Yes
The hospital apologizes to the patient and/or family following a Never Event: Yes
The hospital reports the Never Event to an external agency: Yes
The hospital conducts an analysis of how the why the event occurred: Yes
The hospital interviews patient and/or family involved in the event to gather evidence for the event analysis: No
The hospital informs patient and/or family of the action(s) taken to prevent future events: No
The hospital waives all costs directly associated with the event: Yes
The hospital supports caregivers involved in the event: Yes
The hospital makes a copy of this policy available to patients and payors upon request: No
The hospital apologizes to the patient and/or family following a Never Event: Yes
The hospital reports the Never Event to an external agency: Yes
The hospital conducts an analysis of how the why the event occurred: Yes
The hospital interviews patient and/or family involved in the event to gather evidence for the event analysis: No
The hospital informs patient and/or family of the action(s) taken to prevent future events: No
The hospital waives all costs directly associated with the event: Yes
The hospital supports caregivers involved in the event: No
The hospital makes a copy of this policy available to patients and payors upon request: No
More Information
Preventing Patient Harm
This hospital's total number of nursing hours per patient day is: 9.91
This hospital's total number of nursing hours per patient day is: 13.19
This hospital's total number of nursing hours per patient day is: 9.73
This hospital's total number of RN nursing hours per patient day is: 6.44
This hospital's total number of RN nursing hours per patient day is: 7.96
This hospital's total number of RN nursing hours per patient day is: 6.25
This hospital's proportion of RN nursing hours per patient day to total nursing hours per patient day is: 65.05% (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: 60.40% (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: 64.30% (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 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 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 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 |
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
This hospital's rate of unintentional discrepancies per medication is: 0.055
This hospital's rate of unintentional discrepancies per medication is: 0.318
This hospital's rate of unintentional discrepancies per medication is: 0.031
| 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 | 95% |
| The types of decision support that the BCMA system offers | 5 out of 5 |
| Structures to monitor and reduce workarounds | 7 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 | 98% |
| 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 |
| Documentation | Rate |
|---|---|
| Medications the patient was taking at home | 100% |
| Medications the patient was administered and prescribed during their visit | 100% |
| Allergies and adverse reactions | 100% |
| Documentation | Rate |
|---|---|
| Medications the patient was taking at home | 100% |
| Medications the patient was administered and prescribed during their visit | 100% |
| Allergies and adverse reactions | 100% |
Healthcare-Associated Infections
This hospital’s standardized infection ratio (SIR) is: 0.387
This hospital’s standardized infection ratio (SIR) is: 0.368
This hospital’s standardized infection ratio (SIR) is: 0.101
This hospital’s standardized infection ratio (SIR) is: 0.000
This hospital’s standardized infection ratio (SIR) is: 0.558
This hospital’s standardized infection ratio (SIR) is: 0.000
This hospital’s standardized infection ratio (SIR) is: 1.662
This hospital’s standardized infection ratio (SIR) is: 0.970
This hospital’s standardized infection ratio (SIR) is: 0.379
This hospital’s standardized infection ratio (SIR) is: 0.680
This hospital’s standardized infection ratio (SIR) is: 0.866
This hospital’s standardized infection ratio (SIR) is: 1.443
This hospital’s standardized infection ratio (SIR) is: 0.504
This hospital’s standardized infection ratio (SIR) is: 0.364
Critical Care
LIMITED ACHIEVEMENT
This hospital achieved the standard using on-site intensivist coverage.
This hospital achieved the standard using on-site intensivist coverage.
Pediatric Care
ACHIEVED THE STANDARD
ACHIEVED THE STANDARD
ACHIEVED THE STANDARD
SOME ACHIEVEMENT
LIMITED ACHIEVEMENT
LIMITED ACHIEVEMENT
CONSIDERABLE ACHIEVEMENT
Maternity Care
This hospital's rate of Cesarean sections is 22.5%
This hospital's rate of Cesarean sections is 24.1%
This hospital's rate of episiotomies is 2.7%
This hospital's rate of episiotomies is 0.6%
This hospital's rate of screening newborns for jaundice before discharge is 99.7%
This hospital's rate of screening newborns for jaundice before discharge is 96.0%
This hospital's rate of preventing blood clots in women undergoing cesarean section is 10.0%
This hospital's rate of preventing blood clots in women undergoing cesarean section is 100.0%
More Information
Complex Adult Surgery
This hospital performed 86 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 48 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 not 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: Not Available.
This hospital performed 60 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.
This hospital performed 157 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 0 esophageal resections for cancer 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 7 procedures annually for esophageal resection for cancer.
This hospital performed 23 lung resections for cancer compared to Leapfrog’s standard of 40 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 15 procedures annually for lung resection for cancer.
This hospital performed 0 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 12 pancreatic resections for cancer 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 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 17 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.
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 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 87 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 235 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 222 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 107 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 152 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
ACHIEVED THE STANDARD
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 | 99% |
| Communication about the procedure | 95% |
| Patients’ overall rating of the facility | 92% |
| Patients willingness to recommend the facility | 92% |
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 | 94% |
| Patients’ overall rating of the facility | 81% |
| Patients willingness to recommend the facility | 79% |
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 | 98% |
| Communication about the procedure | 93% |
| Patients’ overall rating of the facility | 90% |
| Patients willingness to recommend the facility | 87% |
CONSIDERABLE ACHIEVEMENT
ACHIEVED THE STANDARD
ACHIEVED THE STANDARD
360 Broadway
Bangor, Maine 04402-0403
489 State Street
Bangor, Maine 04401-0404
123 Medical Center Drive
Brunswick, Maine 04011
