UC Davis Medical Center ranks among The Leapfrog Group's list of Top Hospitals for 2013, a distinction that places UC Davis among a handful of health systems and hospitals in California and among the top 10 percent of hospitals participating in the national survey that met tough national standards for safety and quality.
UC Davis and UC San Francisco Medical Center at Mount Zion were the only medical centers in the University of California system recognized as Top Hospitals.
The Top Hospitals designation is widely cited as the nation's most competitive quality award. It recognizes hospitals that deliver high-quality care by preventing medical errors, reducing mortality for high-risk procedures like heart bypass surgery, and reducing readmissions for patients treated for common conditions, such as pneumonia and heart attack.
It also provides a comprehensive picture of how patients fare, what resources are used to care for patients and how management promotes safety and quality. Top Hospitals also must have earned an “A” from Leapfrog’s Hospital Safety Score, which grades hospitals based on expert analysis of infections, injuries and medical errors.
One of 90 U.S. hospitals awarded
— Ann Madden Rice
"The Top Hospital designation, along with the grade of "A" we received on our Hospital Safety Score in October from The Leapfrog Group, reflects the hard work of our physicians, nurses and allied health professionals to improve both our patient-care processes and reporting outcomes," said Ann Madden Rice, chief executive officer of UC Davis Medical Center. "I am proud of their efforts and focus on continuous quality improvement."
The Leapfrog Group publicly posted its 2013 list of Top Hospitals online and recognized awardees at group's annual meeting in Washington, D.C. Of the 1,324 U.S. hospitals that publicly reported their performance in the survey, only 90 achieved the Top Hospital designation. UC Davis is one of 55 urban hospitals, 22 rural hospitals and 13 children's hospitals in the U.S. to receive the award.
"Delivering the highest quality and safest care for our patients is a top priority," said Allan Siefkin, chief medical officer for UC Davis Medical Center. "Our ability to achieve Leapfrog's Top Hospital designation four times in the past five years demonstrates our long-standing commitment to achieving these important goals."
As a 2013 Top Hospital, UC Davis met the following criteria for safe, high-quality care:
- Prevention of medication errors via a computerized physician order entry (CPOE) system. Physicians must enter at least 75 percent of medication orders via a CPOE system, and demonstrate, via a test, that the system can alert physicians to at least 50 percent of common, serious prescribing errors.
- Intensive care unit (ICU) physician staffing standards, which ensure adult and pediatric patients receive care from board-certified intensivists. Research has shown that there is a 30 percent reduction in overall hospital mortality and a 40 percent reduction in ICU mortality when intensivists manage or co-manage ICU care.
- Robust volume, processes of care and outcome standards for high-risk surgeries and procedures. These include heart bypass surgery, heart angioplasty, aortic valve replacement, abdominal aortic aneurism repair, bariatric surgery, esophogectomy, pancreatectomy and high-risk newborn deliveries.
- A value score of 79 or higher on Leapfrog's Hospital Recognition Program, calculated using standards from the Leapfrog Hospital Survey. Value scores range from 0 to 100 and include a quality score, which represents the extent to which hospital care conforms to evidence-based guidelines and achieves desired outcomes, and a resource-use score, which reflects average length of stay (adjusted for risk and readmissions) for selected conditions and procedures, and rates of health-care-acquired conditions, such as infections and falls. A high value score demonstrates both high quality and appropriate resource use.
- "A" Hospital Safety ScoreSM rating. The safety score represents a hospital's overall performance in keeping patients safe from preventable harm or death during a hospital stay. It is developed from an analysis of publicly available data on established hospital performance measures currently in use by national measurement and reporting programs.
- Top Hospital Selection Committee’s qualitative assessment of overall excellence. Assessment includes review of Centers for Medicare and Medicaid Services and other publicly available information, such as serious patient safety violations.
“The field of hospitals considered for this year’s elite distinction was more competitive than ever, proving that more hospitals across the country are making quality their top priority,” said Leah Binder, president and chief executive officer of Leapfrog.
The Leapfrog Group is a national nonprofit organization using the collective leverage of large purchasers of health care to initiate breakthrough improvements in the safety, quality, and affordability of health care for Americans. The flagship Leapfrog Hospital Survey allows purchasers to structure their contracts and purchasing to reward the highest performing hospitals.
The Leapfrog Group was founded in November 2000 with support from the Business Roundtable and national funders and is now independently operated with support from its purchaser and other members. The Hospital Safety Score is an initiative of The Leapfrog Group.