Section 3: 2018 Inpatient Surgery Inpatient Surgery Fact This section is not applicable to Pediatric hospitals. Section 3 includes questions about your hospital and surgeon volume for eight high-risk procedures and surgical appropriateness criteria to prevent unnecessary procedures. Each hospital fully meeting this standard for each of the eight applicable surgical procedures: Meets the minimum hospital volume standard for the surgical procedure Has a process for privileging surgeons that includes the surgeon meeting or exceeding the minimum surgeon volume standard for the surgical procedure Additionally, when visitors to Leapfrog’s public reporting website into the score icon (i.e. four filled bars, three filled bars, etc.) indicating the performance category for the surgery, they will see a statement indicating whether the hospital has processes and protocols in place to ensure surgical appropriateness. Hospitals that respond to all five questions specific to that surgery will be reported as and “Yes” “Yes” hospitals that respond to any one of the five questions will be reported as Yet.” “No” “Not Download the 2018 Leapfrog Hospital Survey Scoring Algorithm on the . 3A: Hospital and Surgeon Volume Specifications: See in the Inpatient Surgery Reference Information on page 48. Hospitals that share a Medicare Provider Number are required to report by facility. Please carefully review . 01/01/2017 12/31/2017 (12-month count) – 01/01/2016 12/31/2017 (24-month – annual average) 12-month or 24-month reporting time period used: 07/01/2017 06/30/2018 (12-month count) – 07/01/2016 06/30/2018 (24-month – annual average)
Section 3: 2018 Inpatient Surgery Inpatient Surgery Fact This section is not applicable to Pediatric hospitals. Section 3 includes questions about your hospital and surgeon volume for eight high-risk procedures and surgical appropriateness criteria to prevent unnecessary procedures. Each hospital fully meeting this standard for each of the eight applicable surgical procedures: Meets the minimum hospital volume standard for the surgical procedure Has a process for privileging surgeons that includes the surgeon meeting or exceeding the minimum surgeon volume standard for the surgical procedure Additionally, when visitors to Leapfrog’s public reporting website into the score icon (i.e. four filled bars, three filled bars, etc.) indicating the performance category for the surgery, they will see a statement indicating whether the hospital has processes and protocols in place to ensure surgical appropriateness. Hospitals that respond “Yes” to all five questions specific to that surgery will be reported as “Yes” and hospitals that respond “No” to any one of the five questions will be reported as “Not Yet.” Download the 2018 Leapfrog Hospital Survey Scoring Algorithm on the . 3A: Hospital and Surgeon Volume Specifications: See in the Inpatient Surgery Reference Information on page 48. Hospitals that share a Medicare Provider Number are required to report by facility. Please carefully review . 12-month or 24-month reporting time period used: 01/01/2017 – 12/31/2017 (12-month count) 01/01/2016 – 12/31/2017 (24-month annual average) 07/01/2017 – 06/30/2018 (12-month count) 07/01/2016 – 06/30/2018 (24-month annual average)
2018Survey_07312018_v7.1%20(version%207)_0.docx