Central Harnett Hospital

Hospitals have all of the following processes and protocols in place: effective leadership to prevent patient harm, regular surveys of staff to ensure they feel safe to speak up if they see a mistake, effective nursing plans to prevent patient harm, and handwashing protocols to reduce healthcare associated infections.

Hospitals should have a program to combat antibiotic over-prescribing that includes all seven (7) core elements developed by the Centers for Disease Control and Prevention (CDC).

Hospitals 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.

Hospitals should use a nationally endorsed protocol to track how well they are collecting and maintaining inpatient medication lists.

This is defined as first-time mothers giving birth to a single baby, at full-term, in the head-down position delivering their babies through a C-section. Hospitals should have a C-section rate of 23.9% or less.

This is defined as mothers scheduling cesarean sections or medication inductions prior to 39 weeks gestation without a medical reason. Hospitals should have an early elective delivery rate of 5% or less.

This is defined as mothers having an incision made in the perineum (the birth canal) during childbirth. Hospitals should have an episiotomy rate of is 5% or less.

Hospitals should screen at least 90% of babies for jaundice and at least 90% of women undergoing a cesarean section receive treatment to prevent blood clots.

To achieve Leapfrog's standard, hospitals must deliver at least 50 very-low birth weight babies per year and ensure that at least 90% of mothers receive antenatal steroids prior to delivery OR the hospital must maintain a lower-than-average morbidity/mortality rate for very-low birth weight babies and ensure that at least 90% of mothers receive antenatal steroids prior to delivery.

Hospitals should perform better than most hospitals in five (5) areas:

1. Communication with Parent – Communication about your child’s medicines
2. Communication with Parent – Keeping you informed about your child’s care
3. Communication with Child – How well nurses communicate with your child
4. Communication with Child – How well doctors communicate with your child
5. Attention to Safety and Comfort – Preventing mistakes and helping you report concerns.

Hospitals should ensure their average CT radiation dose for routine CT scans of the abdomen and pelvis falls within national benchmarks.

Hospitals should ensure that their average radiation dose for routine CT scans of the head falls within national benchmarks.

The hospital has intensivists present on-site at least eight hours a day, seven days per week or has intensivists present via 24/7 telemedicine with some on-site intensivist presence. When not in the ICU, the intensivist immediately responds to calls and has another physician or trained clinician who can immediately reach the patient.

Hospitals should perform at least 20 procedures annually, and as part of their process for privileging surgeons, ensure that each surgeon performs at least 10 procedures annually.

Hospitals should perform at least 40 procedures annually, and as part of their process for privileging surgeons, ensure that each surgeon performs at least 20 procedures annually.

Hospitals should perform at least 10 procedures annually, and as part of their process for privileging surgeons, ensure that each surgeon performs at least 7 procedures annually.

Hospitals should perform at least 50 procedures annually, and as part of their process for privileging surgeons, ensure that each surgeon performs at least 20 procedures annually.

Hospitals should perform at least 20 procedures annually, and as part of their process for privileging surgeons, ensure that each surgeon performs at least 7 procedures annually.

Hospitals should perform at least 40 procedures annually, and as part of their process for privileging surgeons, ensure that each surgeon performs at least 15 procedures annually.

Hospitals should perform at least 20 procedures annually, and as part of their process for privileging surgeons, ensure that each surgeon performs at least 10 procedures annually.

Hospitals should perform at least 16 procedures annually, and as part of their process for privileging surgeons, ensure that each surgeon performs at least 6 procedures annually.