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

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: 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: 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

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: 11.64

This hospital achieved Magnet status, nationally recognized for nursing excellence.

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: 7.59

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: 65.15% (where a higher percentage is better).

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'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: 0.318

This hospital's rate of unintentional discrepancies per medication is: 0.031

This hospital’s standardized infection ratio (SIR) is: 0.368

This hospital’s standardized infection ratio (SIR) is: 0.250

This hospital’s standardized infection ratio (SIR) is: 0.558

This hospital’s standardized infection ratio (SIR) is: 0.590

This hospital’s standardized infection ratio (SIR) is: 0.970

This hospital’s standardized infection ratio (SIR) is: 1.598

This hospital’s standardized infection ratio (SIR) is: 0.866

This hospital’s standardized infection ratio (SIR) is: 0.454

This hospital’s standardized infection ratio (SIR) is: 0.504

This hospital’s standardized infection ratio (SIR) is: 1.304

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.

This hospital's rate of Cesarean sections is 22.5%

This hospital's rate of Cesarean sections is 26.4%

This hospital's rate of episiotomies is 2.7%

This hospital's rate of episiotomies is 0.9%

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 99.7%

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 98.4%

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 161 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 163 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: As Expected.

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 187 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 101 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 29 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 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 149 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 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 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 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 44 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 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 994 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 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 1052 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.

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.

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.