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49 FINANCE CMO / CARE DELIVERY Leapfrog Releases Fall Hospital Safety Grades: 5 Things to Know By Heather Punke T he Leapfrog Group released its fall 2016 Hospital Safety Grades Oct. 31, assigning A through F letter grades to 2,633 hospitals in the U.S. Here are five things to know about this season's update. 1. Leapfrog changed the name of its grading system from the Leapfrog Hospital Safety Score to Leapfrog Hospital Safety Grade. Even though the name has changed, the program remains the same. 2. Leapfrog releases safety grade updates twice per year, and this fall's grades are based on the same methodology used in the spring. The grade reflects hospitals' performance on a number of key metrics that fall into two categories: process/structural measures, such as computer- ized physician order entry, nurse communication and hand hygiene; and outcomes measures, such as falls, surgical site infections, methicillin resis- tant Staphylococcus aureus and Clostridium difficile, among others. 3. Data is pulled from the Leapfrog Hospital Survey and CMS' Hospital Compare website. 4. The breakdown of fall grades earned by the 2,633 hospitals is as fol- lows: • 844 earned an A (up from 798 in the spring) • 658 earned a B (up from 639 in the spring) • 954 earned a C (down from 957 in the spring) • 157 earned a D (down from 162 in the spring) • 20 earned an F (up from 15 in the spring) 5. Some states had better-performing hospitals than others. For instance, 66.7 percent of Hawaii's hospitals earned an A grade (eight of 12 grad- ed hospitals), while no hospitals in Alaska, Delaware, North Dakota and Washington, D.C., earned an A grade. n Where Are the 20 Leapfrog F Hospitals? By Heather Punke O ut of the 2,633 hospitals that received a Leapfrog Hospital Safety Grade this fall, 20 received a failing grade, up from the 15 that earned an F in the spring. Leapfrog's Hospital Safety Grade assigns A through F letter grades to U.S. hospitals twice each year. e grades are peer-reviewed and Leapfrog's scoring methodology is fully transparent to the public. is fall, hospitals with a failing grade are located in seven states and the District of Columbia. California Arrowhead Regional Medical Center (Colton) Downey Regional Medical Center El Centro Regional Medical Center Fremont Medical Center (Yuba City) Inland Valley Medical Center (Wildomar) Pioneers Memorial Healthcare District (Brawley) Rancho Springs, Medical Center (Murrieta) Rideout Memorial Hospital (Marysville) Tulare Regional Medical Center Washington, D.C. Not For Profit Hospital Corp./United Medical Center Florida Jackson North Medical Center (North Miami Beach) Lehigh Regional Medical Center (Lehigh Acres) Wuesthoff Medical Center-Melbourne Mississippi Delta Regional Medical Center (Greenville) New York St. John's Episcopal Hospital (Far Rockaway) SUNY Downstate Medical Center University Hos- pital of Brooklyn Oklahoma Jackson County Memorial Hospital (Altus) Pennsylvania Ohio Valley General Hospital (McKees Rocks) Washington Highline Medical Center (Burien) Samaritan Hospital (Moses Lake) n