Compare Facilities
The Leapfrog Group 2026 Survey Results
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...in all Safety Areas:
Nursing and Bedside Care for Patients
Northern Light Eastern Maine Medical Center
This hospital's total number of nursing hours per patient day is: 10.82
Nursing and Bedside Care for Patients
Central Maine Medical Center
This hospital's total number of nursing hours per patient day is: 9.70
Nursing and Bedside Care for Patients
MaineHealth Maine Medical Center Portland
This hospital's total number of nursing hours per patient day is: 11.71
This hospital achieved Magnet status, nationally recognized for nursing excellence.
Nursing Care for Patients
Northern Light Eastern Maine Medical Center
This hospital's total number of RN nursing hours per patient day is: 8.10
Nursing Care for Patients
Central Maine Medical Center
This hospital's total number of RN nursing hours per patient day is: 6.46
Nursing Care for Patients
MaineHealth Maine Medical Center Portland
This hospital's total number of RN nursing hours per patient day is: 7.50
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
Central Maine Medical Center
This hospital scored 120.00 out of 120.00 possible points.
Effective Leadership to Prevent Errors
MaineHealth Maine Medical Center Portland
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
Central Maine Medical Center
This hospital scored 120.00 out of 120.00 possible points.
Staff Work Together to Prevent Errors
MaineHealth Maine Medical Center Portland
This hospital scored 120.00 out of 120.00 possible points.
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
Central Maine Medical Center
| Hand Hygiene Domain | Performance |
|---|---|
| Hospital regularly monitors hand hygiene practices | Met the requirement to monitor 200 hand hygiene opportunities monthly using both electronic compliance monitoring and direct observation. |
| 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 Maine Medical Center Portland
| 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 |
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
Central 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 Maine Medical Center Portland
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
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
Central Maine Medical Center
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: No, all forms are at a 9th grade reading level or lower
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
MaineHealth Maine Medical Center Portland
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
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: 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: No
Responding to Never Events
Central 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: 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
MaineHealth Maine Medical Center Portland
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
Patient and Family Caregiver Initiated Rapid Response Team
Northern Light Eastern Maine Medical Center
Patient and Family Caregiver Initiated Rapid Response Team
Central Maine Medical Center
Patient and Family Caregiver Initiated Rapid Response Team
MaineHealth Maine Medical Center Portland
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
Central 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 Maine Medical Center Portland
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
Northern Light Eastern Maine Medical Center
This hospital's rate of unintentional discrepancies per medication is: 0.402
Medication Reconciliation
Central Maine Medical Center
This hospital's rate of unintentional discrepancies per medication is: 0.045
Medication Reconciliation
MaineHealth Maine Medical Center Portland
This hospital's rate of unintentional discrepancies per medication is: 0.032
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
Central 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 | 95% |
| 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 Maine Medical Center Portland
| 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 |
Medication Documentation for Elective Outpatient Surgery Patients
Northern Light Eastern Maine Medical Center
| Documentation | Rate |
|---|---|
| Medications the patient was taking at home | 97% |
| Medications the patient was administered and prescribed during their visit | 100% |
| Allergies and adverse reactions | 100% |
Medication Documentation for Elective Outpatient Surgery Patients
Central Maine Medical Center
| 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 Maine Medical Center Portland
| Documentation | Rate |
|---|---|
| Medications the patient was taking at home | 90% |
| Medications the patient was administered and prescribed during their visit | 77% |
| Allergies and adverse reactions | 97% |
C. difficile Infection
Northern Light Eastern Maine Medical Center
This hospital’s standardized infection ratio (SIR) is: 0.491
C. difficile Infection
MaineHealth Maine Medical Center Portland
This hospital’s standardized infection ratio (SIR) is: 0.300
Infection in the Blood
Northern Light Eastern Maine Medical Center
This hospital’s standardized infection ratio (SIR) is: 0.766
Infection in the Blood
Central Maine Medical Center
This hospital’s standardized infection ratio (SIR) is: 1.016
Infection in the Blood
MaineHealth Maine Medical Center Portland
This hospital’s standardized infection ratio (SIR) is: 0.656
Infection in the Urinary Tract
Northern Light Eastern Maine Medical Center
This hospital’s standardized infection ratio (SIR) is: 0.747
Infection in the Urinary Tract
Central Maine Medical Center
This hospital’s standardized infection ratio (SIR) is: 0.124
Infection in the Urinary Tract
MaineHealth Maine Medical Center Portland
This hospital’s standardized infection ratio (SIR) is: 1.455
MRSA Infection
Northern Light Eastern Maine Medical Center
This hospital’s standardized infection ratio (SIR) is: 0.423
MRSA Infection
Central Maine Medical Center
This hospital’s standardized infection ratio (SIR) is: 0.000
MRSA Infection
MaineHealth Maine Medical Center Portland
This hospital’s standardized infection ratio (SIR) is: 0.642
Surgical Site Infection After Colon Surgery
Northern Light Eastern Maine Medical Center
This hospital’s standardized infection ratio (SIR) is: 0.193
Surgical Site Infection After Colon Surgery
Central Maine Medical Center
This hospital’s standardized infection ratio (SIR) is: 0.751
Surgical Site Infection After Colon Surgery
MaineHealth Maine Medical Center Portland
This hospital’s standardized infection ratio (SIR) is: 0.938
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
Central Maine Medical Center
This hospital achieved the standard using on-site intensivist coverage.
Specially Trained Doctors Care for Adult Critical Care Patients
MaineHealth Maine Medical Center Portland
This hospital achieved the standard using on-site intensivist coverage.
Experience of Children and Their Parents
MaineHealth Maine Medical Center Portland
There are 18 domains in the CAHPS Child Hospital Survey. Performance on the following five domains make up a hospital’s score on Leapfrog’s “Experience of Children and their Parents” measure. “Top Box Score” represents the percentage of respondents who gave the most favorable response.
| CAHPS Child Hospital Survey Domain | Top Box Score |
|---|---|
| Communication with Parent – Communication about your child’s medicines | 85% |
| Communication with Parent – Keeping you informed about your child’s care | 77% |
| Communication with Child – How well nurses communicate with your child | 81% |
| Communication with Child – How well doctors communicate with your child | 77% |
| Attention to Safety and Comfort – Preventing mistakes and helping you report concerns | 63% |
Congenital Heart Surgery for Infants (Norwood Procedure)
MaineHealth Maine Medical Center Portland
This hospital performed 1 Norwood procedures, a congenital heart surgery for infants, compared to Leapfrog’s standard of 8 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 5 procedures annually for Norwood procedures.
This hospital does not participate in the Society of Thoracic Surgeons (STS) Congenital Heart Surgery Database (CHSD).
Specially Trained Doctors Care for Pediatric Critical Care Patients
MaineHealth Maine Medical Center Portland
This hospital achieved the standard using on-site intensivist coverage.
Delivery of Very Low Birth-Weight Babies
Northern Light Eastern Maine Medical Center
Delivery of Very Low Birth-Weight Babies
MaineHealth Maine Medical Center Portland
Cesarean Sections
Northern Light Eastern Maine Medical Center
This hospital's rate of Cesarean sections is 22.1%
Cesarean Sections
Central Maine Medical Center
This hospital's rate of Cesarean sections is 26.2%
Cesarean Sections
MaineHealth Maine Medical Center Portland
This hospital's rate of Cesarean sections is 27.0%
Episiotomies
Northern Light Eastern Maine Medical Center
This hospital's rate of episiotomies is 3.0%
Episiotomies
Central Maine Medical Center
This hospital's rate of episiotomies is 0.2%
Episiotomies
MaineHealth Maine Medical Center Portland
This hospital's rate of episiotomies is 0.8%
Screening Newborns for Jaundice Before Discharge
Northern Light Eastern Maine Medical Center
This hospital's rate of screening newborns for jaundice before discharge is 99.9%
Screening Newborns for Jaundice Before Discharge
Central Maine Medical Center
This hospital's rate of screening newborns for jaundice before discharge is 100.0%
Screening Newborns for Jaundice Before Discharge
MaineHealth Maine Medical Center Portland
This hospital's rate of screening newborns for jaundice before discharge is 99.9%
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 90.0%
Preventing Blood Clots in Women Undergoing Cesarean Section
Central Maine Medical Center
This hospital's rate of preventing blood clots in women undergoing cesarean section is 100.0%
Preventing Blood Clots in Women Undergoing Cesarean Section
MaineHealth Maine Medical Center Portland
This hospital's rate of preventing blood clots in women undergoing cesarean section is 96.0%
Number of Live Births
Northern Light Eastern Maine Medical Center
Number of Live Births
Central Maine Medical Center
Number of Live Births
MaineHealth Maine Medical Center Portland
Midwives
Northern Light Eastern Maine Medical Center
Midwives
Central Maine Medical Center
Midwives
MaineHealth Maine Medical Center Portland
Doulas
Northern Light Eastern Maine Medical Center
Doulas
Central Maine Medical Center
Doulas
MaineHealth Maine Medical Center Portland
Lactation Services
Northern Light Eastern Maine Medical Center
Lactation Services
Central Maine Medical Center
Lactation Services
MaineHealth Maine Medical Center Portland
Contraceptive Services
Northern Light Eastern Maine Medical Center
Contraceptive Services
Central Maine Medical Center
Contraceptive Services
MaineHealth Maine Medical Center Portland
Policy to Prevent Early Elective Deliveries
Northern Light Eastern Maine Medical Center
This hospital does have a policy to prevent early elective deliveries.
Policy to Prevent Early Elective Deliveries
Central Maine Medical Center
This hospital does have a policy to prevent early elective deliveries.
Policy to Prevent Early Elective Deliveries
MaineHealth Maine Medical Center Portland
This hospital does have a policy to prevent early elective deliveries.
Carotid Endarterectomy
Northern Light Eastern Maine Medical Center
This hospital performed 96 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.
Carotid Endarterectomy
Central Maine Medical Center
This hospital performed 12 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
MaineHealth Maine Medical Center Portland
This hospital performed 165 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 45 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 not participate in the Society of Thoracic's Surgeons Adult Cardiac Surgery Database.
Mitral Valve Repair and Replacement
Central Maine Medical Center
This hospital performed 1 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.
Mitral Valve Repair and Replacement
MaineHealth Maine Medical Center Portland
This hospital performed 157 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: Better than Expected.
Open Aortic Procedures
Northern Light Eastern Maine Medical Center
This hospital performed 49 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.
Open Aortic Procedures
Central Maine Medical Center
This hospital performed 6 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.
Open Aortic Procedures
MaineHealth Maine Medical Center Portland
This hospital performed 243 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 181 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.
Bariatric Surgery for Weight Loss
Central Maine Medical Center
This hospital performed 74 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.
Bariatric Surgery for Weight Loss
MaineHealth Maine Medical Center Portland
This hospital performed 141 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
Central Maine Medical Center
This hospital performed 2 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.
Esophageal Resection for Cancer
MaineHealth Maine Medical Center Portland
This hospital performed 33 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
Northern Light Eastern Maine Medical Center
This hospital performed 90 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.
Lung Resection for Cancer
Central Maine Medical Center
This hospital performed 20 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.
Lung Resection for Cancer
MaineHealth Maine Medical Center Portland
This hospital performed 158 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
Northern Light Eastern Maine Medical Center
This hospital performed 6 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.
Pancreatic Resection for Cancer
Central Maine Medical Center
This hospital performed 7 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
MaineHealth Maine Medical Center Portland
This hospital performed 31 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
Northern Light Eastern Maine Medical Center
This hospital performed 20 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.
Rectal Cancer Surgery
Central Maine Medical Center
This hospital performed 7 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
MaineHealth Maine Medical Center Portland
This hospital performed 45 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
Northern Light Eastern Maine Medical Center
This hospital performed 6 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
Central Maine Medical Center
This hospital performed 187 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 Maine Medical Center Portland
This hospital performed 1057 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 Hip Replacement Surgery
Northern Light Eastern Maine Medical Center
This hospital performed 4 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
Central Maine Medical Center
This hospital performed 168 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 Maine Medical Center Portland
This hospital performed 1082 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.
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 | 98% |
| Communication about the procedure | 93% |
| Patients’ overall rating of the facility | 83% |
| Patients willingness to recommend the facility | 77% |
Experience of Patients Undergoing Elective Outpatient Surgery
Central 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 | 93% |
| Patients’ overall rating of the facility | 79% |
| Patients willingness to recommend the facility | 75% |
Experience of Patients Undergoing Elective Outpatient Surgery
MaineHealth Maine Medical Center Portland
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 | 86% |
| Patients willingness to recommend the facility | 85% |
Rate of Unplanned Hospital Visits within 7 days of an Outpatient Colonoscopy
Northern Light Eastern Maine Medical Center
This hospital's rate is: 11.3
Rate of Unplanned Hospital Visits within 7 days of an Outpatient Colonoscopy
Central Maine Medical Center
This hospital's rate is: 12.3
Rate of Unplanned Hospital Visits within 7 days of an Outpatient Colonoscopy
MaineHealth Maine Medical Center Portland
This hospital's rate is: 12.2
Compare Facilities
Preventing Patient Harm
This hospital's total number of nursing hours per patient day is: 10.82
This hospital's total number of nursing hours per patient day is: 9.70
This hospital's total number of nursing hours per patient day is: 11.71
This hospital achieved Magnet status, nationally recognized for nursing excellence.
This hospital's total number of RN nursing hours per patient day is: 8.10
This hospital's total number of RN nursing hours per patient day is: 6.46
This hospital's total number of RN nursing hours per patient day is: 7.50
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 200 hand hygiene opportunities monthly using both electronic compliance monitoring and direct observation. |
| 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 |
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: No
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
ACHIEVED THE STANDARD
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: No, all forms are at a 9th grade reading level or lower
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: 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: 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: 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: 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
More Information
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: 0.402
This hospital's rate of unintentional discrepancies per medication is: 0.045
This hospital's rate of unintentional discrepancies per medication is: 0.032
| 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 | 95% |
| 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 | 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 |
| Documentation | Rate |
|---|---|
| Medications the patient was taking at home | 97% |
| 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% |
| Documentation | Rate |
|---|---|
| Medications the patient was taking at home | 90% |
| Medications the patient was administered and prescribed during their visit | 77% |
| Allergies and adverse reactions | 97% |
Healthcare-Associated Infections
This hospital’s standardized infection ratio (SIR) is: 0.491
This hospital’s standardized infection ratio (SIR) is: 0.300
This hospital’s standardized infection ratio (SIR) is: 0.766
This hospital’s standardized infection ratio (SIR) is: 1.016
This hospital’s standardized infection ratio (SIR) is: 0.656
This hospital’s standardized infection ratio (SIR) is: 0.747
This hospital’s standardized infection ratio (SIR) is: 0.124
This hospital’s standardized infection ratio (SIR) is: 1.455
This hospital’s standardized infection ratio (SIR) is: 0.423
This hospital’s standardized infection ratio (SIR) is: 0.000
This hospital’s standardized infection ratio (SIR) is: 0.642
This hospital’s standardized infection ratio (SIR) is: 0.193
This hospital’s standardized infection ratio (SIR) is: 0.751
This hospital’s standardized infection ratio (SIR) is: 0.938
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
There are 18 domains in the CAHPS Child Hospital Survey. Performance on the following five domains make up a hospital’s score on Leapfrog’s “Experience of Children and their Parents” measure. “Top Box Score” represents the percentage of respondents who gave the most favorable response.
| CAHPS Child Hospital Survey Domain | Top Box Score |
|---|---|
| Communication with Parent – Communication about your child’s medicines | 85% |
| Communication with Parent – Keeping you informed about your child’s care | 77% |
| Communication with Child – How well nurses communicate with your child | 81% |
| Communication with Child – How well doctors communicate with your child | 77% |
| Attention to Safety and Comfort – Preventing mistakes and helping you report concerns | 63% |
ACHIEVED THE STANDARD
ACHIEVED THE STANDARD
ACHIEVED THE STANDARD
LIMITED ACHIEVEMENT
SOME ACHIEVEMENT
ACHIEVED THE STANDARD
This hospital performed 1 Norwood procedures, a congenital heart surgery for infants, compared to Leapfrog’s standard of 8 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 5 procedures annually for Norwood procedures.
This hospital does not participate in the Society of Thoracic Surgeons (STS) Congenital Heart Surgery Database (CHSD).
CONSIDERABLE ACHIEVEMENT
This hospital achieved the standard using on-site intensivist coverage.
Maternity Care
This hospital's rate of Cesarean sections is 22.1%
This hospital's rate of Cesarean sections is 26.2%
This hospital's rate of Cesarean sections is 27.0%
This hospital's rate of episiotomies is 3.0%
This hospital's rate of episiotomies is 0.2%
This hospital's rate of episiotomies is 0.8%
This hospital's rate of screening newborns for jaundice before discharge is 99.9%
This hospital's rate of screening newborns for jaundice before discharge is 100.0%
This hospital's rate of screening newborns for jaundice before discharge is 99.9%
This hospital's rate of preventing blood clots in women undergoing cesarean section is 90.0%
This hospital's rate of preventing blood clots in women undergoing cesarean section is 100.0%
This hospital's rate of preventing blood clots in women undergoing cesarean section is 96.0%
More Information
Complex Adult Surgery
This hospital performed 96 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 12 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 165 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 45 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 not participate in the Society of Thoracic's Surgeons Adult Cardiac Surgery Database.
This hospital performed 1 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 157 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: Better than Expected.
This hospital performed 49 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 6 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 243 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 181 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 74 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 141 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 2 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 33 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 90 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 20 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 158 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 6 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 7 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 31 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 20 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 7 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 45 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 6 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 187 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 1057 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 4 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 168 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 1082 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.
ACHIEVED THE STANDARD
ACHIEVED THE STANDARD
ACHIEVED THE STANDARD
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 | 98% |
| Communication about the procedure | 93% |
| Patients’ overall rating of the facility | 83% |
| Patients willingness to recommend the facility | 77% |
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 | 79% |
| Patients willingness to recommend the facility | 75% |
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 | 86% |
| Patients willingness to recommend the facility | 85% |
This hospital's rate is: 11.3
This hospital's rate is: 12.3
This hospital's rate is: 12.2
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)
489 State Street
Bangor, Maine 04401-0404
300 Main Street
Lewiston, Maine 04240-0305
22 Bramhall Street
Portland, Maine 04102-3175
