TidalHealth Delmarva Endoscopy Center (FKA Delmarva Endoscopy Center)
Berlin, Maryland 21811
Patient-Centered Care
Measure name | Leapfrog’s Standard | Progress Towards Meeting Leapfrog’s Standard |
---|---|---|
Billing Ethics |
Surgery centers should publish prices, and provide patients with complete billing information and access to a representative that can quickly resolve billing issues. In addition, surgery centers should not sue patients over late or unpaid bills. |
DECLINED TO RESPOND |
Informed Consent |
Surgery centers should ensure that all patients are fully aware of risks and alternatives prior to tests, treatments, and procedures. |
DECLINED TO RESPOND |
Responding to Never Events |
Surgery centers should have a never events policy that includes all nine (9) actions that should occur following a “never event,” which includes apologizing to the patient and not charging for costs associated with the never event. |
DECLINED TO RESPOND |
Preventing Patient Harm
Measure name | Leapfrog’s Standard | Progress Towards Meeting Leapfrog’s Standard |
---|---|---|
Percentage of Registered Nurses (RNs) who have a Bachelor’s Degree in Nursing |
Surgery centers should have a high proportion of highly trained and skilled registered nurses (RNs) who have an advanced nursing degree. |
DECLINED TO RESPOND |
Effective Leadership to Prevent Errors |
Surgery centers should take meaningful steps to raise awareness about patient safety, hold leadership accountable for reducing unsafe practices, provide resources to implement a patient safety program, and develop systems and structures to support action to improve patient safety. |
DECLINED TO RESPOND |
Staff Work Together to Prevent Errors |
Surgery centers should have assessed their culture of safety and held leadership accountable for implementing policies, procedures, and staff education to improve the culture of safety. |
DECLINED TO RESPOND |
Staff Identify and Mitigate Risks Associated with Errors |
Surgery centers should use retrospective and prospective data sources, including patient reports, to identify and mitigate errors that harm patients including medication errors and infections. |
DECLINED TO RESPOND |
Handwashing |
Surgery centers should regularly monitor hand hygiene practices for everyone interacting with patients, and give feedback to ensure compliance. Surgery centers foster a culture of good hand hygiene, offer training and education, and have provided equipment, such as paper towels, soap dispensers, and hand sanitizer. |
DECLINED TO RESPOND |
Healthcare-Associated Infections
Measure name | Leapfrog’s Standard | Progress Towards Meeting Leapfrog’s Standard |
---|---|---|
Tracking and Reporting Accidents and Infections |
Surgery centers should track and report all applicable accidents such as burns, falls, errors, hospital admissions and surgical site infections, to a national database. |
DECLINED TO RESPOND |
Medication Safety
Measure name | Leapfrog’s Standard | Progress Towards Meeting Leapfrog’s Standard |
---|---|---|
Medication Documentation for Elective Outpatient Surgery Patients |
Surgery centers should document 90% or more of home medications, visit medications, and allergies/adverse reaction(s) in the patients’ clinical record. |
DECLINED TO RESPOND |
Total Joint Replacement
Measure name | Leapfrog’s Standard | Progress Towards Meeting Leapfrog’s Standard |
---|---|---|
Total Knee Replacement Surgery |
Surgery centers should perform at least 50 procedures annually, and as part of their process for privileging surgeons, ensure that each surgeon performs at least 25 procedures annually. |
DECLINED TO RESPOND |
Total Hip Replacement Surgery |
Surgery centers should perform at least 50 procedures annually, and as part of their process for privileging surgeons, ensure that each surgeon performs at least 25 procedures annually. |
DECLINED TO RESPOND |
Care for Elective Outpatient Surgery Patients
Measure name | Leapfrog’s Standard | Progress Towards Meeting Leapfrog’s Standard |
---|---|---|
Elective Outpatient Surgery Recovery Staffing - Adult |
Surgery centers should ensure that a specially certified clinician and at least one physician or nurse anesthetist are present and immediately available while an adult patient is present until discharge. |
DECLINED TO RESPOND |
Elective Outpatient Surgery Recovery Staffing - Pediatric |
Surgery centers should ensure that a specially certified clinician and at least one physician or nurse anesthetist are present and immediately available while a pediatric patient is present until discharge. |
DECLINED TO RESPOND |
Safe Surgery Checklist - Elective Outpatient Surgery |
Surgery centers should go through all the elements of a complete safe surgery checklist on all patients every time a procedure is performed. |
DECLINED TO RESPOND |
Experience of Patients Undergoing Elective Outpatient Surgery |
Surgery centers should perform better than most on four (4) areas including: (a) facilities and staff (b) communication about the procedure, (c) patients’ overall rating of the facility, and (d) patients' willingness to recommend the facility. |
DECLINED TO RESPOND |
Unplanned Hospital Visits after Colonoscopy |
Unplanned hospital visits can occur when patients experience complications after a colonoscopy procedure. Facilities should have a rate of unplanned hospital visits that is lower than most hospitals and surgery centers. |
DECLINED TO RESPOND |
Unplanned Hospital Visits after Orthopedic Procedures |
Unplanned hospital visits can occur when patients experience complications after an orthopedic procedure. Facilities should have a rate of unplanned hospital visits that is lower than most surgery centers. |
DECLINED TO RESPOND |
Unplanned Hospital Visits after Urology Procedures |
Unplanned hospital visits can occur when patients experience complications after a urology procedure. Facilities should have a rate of unplanned hospital visits that is lower than most surgery centers. |
DECLINED TO RESPOND |
TidalHealth Delmarva Endoscopy Center (FKA Delmarva Endoscopy Center)
11103 Cathage Rd
Berlin, Maryland 21811
TidalHealth Delmarva Endoscopy Center (FKA Delmarva Endoscopy Center) has DECLINED TO RESPOND