A national watchdog organization that grades hospital safety twice each year has given two Pima County hospitals an A. Northwest Medical Center and Oro Valley Hospital, both owned by Tennessee-based Community Health Systems, scored the highest marks available with the The Leapfrog Group. There were 11 Arizona hospitals, among 773 nationwide, that earned an A. Courtesy of Northwest Medical Center
Northwest Medical Center and Oro Valley Hospital, both owned by Tennessee-based Community Health Systems, scored the highest marks available with the Leapfrog Group. There were 11 Arizona hospitals, among 773 nationwide, that earned an A.
The reports, which offer patients a snapshot of hospital safety, focus on how well medical facilities avoid preventable errors, accidents, injuries and infections using over 30 safety measures. The information is available online at www.hospitalsafetygrade.org.
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These latest findings also include the second in a three-part series exploring patients’ experiences during the pandemic. The first report examined outpatient surgical care, while this one looks at inpatient care.
Medical Center, St. Joseph and St. Mary’s hospitals, and Banner-University Medical Center South all received “B” grades for safety while Banner-University Medical Center received a “C.” The most common problems with hospitals here include patient falls or injuries, poor communication at the time of discharge, infections after surgery, and inadequate communication from doctors and nurses to patients.
Taja Vivens, communications manager for the Carondelet Health Network, said the organization would not comment on the findings for St. Mary’s and St. Joseph’s hospitals. Medical Center officials also did not answer Arizona Daily Star questions.
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“We’re really proud of the ‘A’ grades that Northwest Medical Center and Oro Valley Hospital received from the Leapfrog Group, ” wrote Brian Sinotte, Market CEO for Northwest Healthcare, in an email to the Arizona Daily Star. “This is the third consecutive ratings period that our hospitals have received ‘A’ grades. Our team has worked hard, prioritizing safe, reliable patient care by creating a robust patient safety culture.”
Banner Health provided a prepared statement through spokeswoman Rebecca Ruiz Hudman: “At Banner, we hold ourselves to the highest standard and continuously strive to improve safety and the patient experience at all of our hospitals. Although we carefully consider popular hospital rating programs, they often paint an incomplete picture of the overall patient experience, overlooking important factors related to emergency care and the patient population that is served. This is particularly true during a global health crisis like COVID.”
Nationwide, 33% of hospitals received an A, 24% earned a B, 36% a C, 7% a D, and less than 1% received an F.
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The five states with the highest percentages of A hospitals are North Carolina, Virginia, Utah, Colorado and Michigan. There were no A hospitals in Wyoming, West Virginia, the District of Columbia, or North Dakota. Arizona ranked 35th nationwide, with 20% of its hospitals receiving an A.
The Leapfrog findings are based on Centers for Medicare and Medicaid Services data, found on its Care Compare website, as well as a voluntary Leapfrog survey.
Most data used to calculate the grades is from a pandemic time frame. For certain measures, nine months of mid-pandemic data were used, sometimes accompanied by one quarter of pre-pandemic data ending Dec. 31, 2019. For three measures — foreign object retained, air embolism, and falls and trauma — the latest data available is from a pre-pandemic time frame.
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The 10 areas covered on CMS surveys include communication with nurses, communication with doctors, responsiveness of hospital staff, communication about medicines, discharge information, care transition, hospital cleanliness, quietness, overall rating and how willing patients are to recommend the facility.
Hospital officials have criticized Leapfrog reports because of lag time between when the data is collected and the score is given, and have also said the grades should not be the only way to judge a hospital’s safety.
Leapfrog found inpatient hospital care declined significantly during the pandemic, and patient’s experiences overall were worse in all areas except one: the quietness of the hospital.
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Areas of care already in great need of improvement before the pandemic began — transitioning care once out of the hospital, communicating about medications and hospital staff responsiveness — became significantly worse during the pandemic.
“The health care workforce has faced unprecedented levels of pressure during the pandemic, ” Leah Binder, president and CEO of The Leapfrog Group, wrote in a media release, “and as a result, patients’ experience with their care appears to have suffered.”
The Leapfrog Hospital Safety Grade is based on hospital prevention of medical errors and harms to patients. Grades are updated biannually in the fall and in the spring. For more information about the Hospital Safety Grade, including details on individual hospital grades and state rankings, visit HospitalSafetyGrade.org.
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A national watchdog organization that grades hospital safety twice each year has given two Pima County hospitals an A. Northwest Medical Center and Oro Valley Hospital, both owned by Tennessee-based Community Health Systems, scored the highest marks available with the The Leapfrog Group. There were 11 Arizona hospitals, among 773 nationwide, that earned an A.
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There were “numerous” reports of medical errors after Banner Health’s conversion to a new computer system at its facilities late last year, state records show.
Records of an Arizona Department of Health Services investigation into complaints about Banner’s computer conversion released to the Star after a public-records request were heavily redacted.
But the records indicate Banner’s Oct. 1 switch adversely affected patients and caused a high level of frustration among some staff members.
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One complaint, dated Oct. 19 says, “The biggest issue is patient safety and harm to patients, ” and that “many of the staff are in tears and frustrated because of the lack of support and empathy to the consequences of patient care.”
Hospital leaders acknowledged delays in getting patients registered, delays in ordering and receiving lab results and delays in ordering and getting medications, records say, but said no patients were harmed.
“Hospital leadership denied there were any incidents that resulted in a negative outcome to patients, however, the hospital’s occurrence log for October 2017 showed numerous incidents of medical errors reported to be a result of the conversion, ” state investigators wrote.
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The Arizona Department of Health Services did not fine or cite Banner. Banner took “sufficient corrective action” for issues raised in two substantiated allegations about the conversion, records show.
The two substantiated allegations were connected to two October complaints about “the inability to reliably deliver medications, order tests and care for critically ill patients, ” and “multiple computer/printer glitches” impacting patient care, the state records say.
Banner Health officials declined interview requests and did not directly answer any of the Star’s questions about the state records. Instead, the company sent two emailed statements.
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The statements, dated July 13 and July 17, say more than 100 improvements to the new Cerner electronic health records system have been implemented this year to streamline workflows and provide better access to information for physicians and staff.
“These changes include dramatic improvements in medications processing and pharmacy; improved administrative operations in our oncology department; and rapid and enhanced access to patient records for our clinical staff; to name a few, ” one statement says.
“Along the way, we did experience challenges, some of which were significant. However, we are proud of the progress we have made, will continue to refine our systems and technology, and are more committed than ever to making sure the Banner experience is world class.”
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Banner’s conversion to Cerner in ultimately will allow for advanced clinical research with a large data set, benchmarking of clinical performance, improved quality, patient safety and a better patient experience, Banner officials say.
On Oct. 1, Banner Health made a $45 million switch — changing its hospitals and clinics over from the electronic health-records system they’d been using, made by Wisconsin-based Epic Systems Corp., to another
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