Issue link: https://beckershealthcare.uberflip.com/i/1141789
66 CMO / CARE DELIVERY Where are the 41 'straight-A' Leapfrog hospitals? By Mackenzie Bean T he Leapfrog Group has assigned let- ter grades to hospitals based on their patient safety performance twice an- nually since spring 2012. Forty-one hospitals have earned an "A" in every update, includ- ing the spring 2019 update released May 15. ese 41 straight-A hospitals have main- tained the highest possible grade 14 consec- utive times. Here is a list of the hospitals broken down by state: Arizona Mayo Clinic Hospital (Phoenix) California French Hospital Medical Center (San Luis Obispo) Kaiser Foundation Hospital, Orange County-Anaheim Kaiser Foundation Hospital-Santa Rosa Sierra Vista Regional Medical Center (San Luis Obispo) Twin Cities Community Hospital (Templeton) Colorado Rose Medical Center (Denver) Florida AdventHealth Daytona Beach Memorial Hospital Miramar Georgia AdventHealth Gordon (Calhoun) Illinois Elmhurst Memorial Hospital Northwestern Medicine Central DuPage Hospital (Winfield) OSF St. Joseph Medical Center (Bloomington) OSF St. Mary Medical Center (Galesburg) Rush Copley Medical Center (Aurora) University of Chicago Medical Center Louisiana Minden Medical Center Massachusetts Addison Gilbert Hospital (Gloucester) Berkshire Medical Center (Pittsfield) Beverly Hospital Brigham and Women's Faulkner Hospital (Boston) Newton-Wellesley Hospital Saint Anne's Hospital (Fall River) Michigan Huron Valley-Sinai Hospital (Commerce Township) Michigan Medicine (Ann Arbor) Mississippi Baptist Memorial Hospital Golden Triangle (Columbus) North Carolina Rex Hospital (Raleigh) New Jersey Saint Barnabas Medical Center (Livingston) Ohio OhioHealth Dublin Methodist Hospital OhioHealth Grady Memorial Hospital (Delaware) University Hospitals St. John Medical Center (Westlake) Texas Memorial Hermann Katy Hospital St. David's Medical Center (Austin) Virginia Carilion New River Valley Medical Center (Christiansburg) Inova Loudoun Hospital (Leesburg) Sentara CarePlex Hospital (Hampton) Sentara Leigh Hospital (Norfolk) Sentara Obici Hospital (Suffolk) Sentara Princess Anne Hospital (Virginia Beach) Sentara Williamsburg Regional Medical Center Washington Virginia Mason Medical Center (Seattle) n Closed ICU model linked to 100% reduction in several HAIs, study shows By Anuja Vaidya A closed intensive care unit model, in which a patient is evaluated and admitted under an intensivist and patient care orders are written by ICU staff, can help reduce rates of several healthcare-associated infections, according to new research. The research was presented May 22 at the ATS International Conference 2019 in Dallas. Researchers examined infection rates at a community medical center's ICU that transitioned from an open to a closed model in June 2016. In an open ICU model, the patient is evaluated and admitted under a primary care physician with an intensivist following the patient as a consultant. Orders are written by consultants directly. The research team gathered infection rates for the July 2014 to June 2016 pe- riod, when the ICU was under the open model, and compared it to rates for the July 2016 to June 2018 period, when the ICU was under the closed model. The study shows there was a significant reduction in rates of the following HAIs when the ICU transitioned to the closed model: • Central line-associated blood stream infection rate dropped by 19.3 percent • Catheter-associated urinary tract infection dropped by 100 percent • Ventilator-associated pneumonia dropped by 100 percent However, there was no significant change in the rate of Clostridium difficile in- fections and methicillin-resistant Staphylococcus aureus infections. n