Lebanon Surgery Center
Lebanon, Tennessee 37090
Patient Rights and Ethics
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 |
Health Care Equity |
Surgery centers should examine their own data to identify any differences in processes or outcomes for patients of different races and ethnicities, and patients who speak different languages. Surgery centers should also put action plans in place if differences are identified. |
DECLINED TO RESPOND |
Informed Consent |
Surgery centers should ensure that all patients are fully aware of risks and alternatives prior to 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, surgery center 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 |
Complex Adult Surgery
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 is 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 is present and immediately available while 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 |
Lebanon Surgery Center
101 Physicians Way, Ste 114
Lebanon, Tennessee 37090
Lebanon Surgery Center has DECLINED TO RESPOND