The Leapfrog Group, the organization known for its annual hospital safety rankings, released its first rankings of ambulatory surgery centers (ASCs) and hospital outpatient departments (HOPDs) on Tuesday. Overall, the nonprofit found many organizations fail to follow quality practices.
“Over 60 percent of surgeries take place in an outpatient and ambulatory setting, and yet there is very little publicly available data about their quality and safety,” Leah Binder, CEO of the Leapfrog Group, told Modern Healthcare of the decision to expand the safety rankings. “We believe purchasers and consumers deserve to have this information to make informed decisions.”
For the report, Leapfrog analysts looked over voluntary data from 321 ASCs and 1,141 HOPDs. They found 1 in 3 centers didn’t have physicians or nursing staff who were all board-certified.
Other findings include:
- Most ASCs and HOPDs fail to provide surgery consent materials before the day of surgery.
- Almost one-quarter of ASCs and 15 percent of HOPDs fail to call the patient 24 hours after the procedure.
- Fewer than 1 in 5 ASCs have adopted an anti-microbial stewardship program.
- Patients tended to report better experiences in ASCs than HOPDs.
- At ASCs and HOPDs, nurses are most likely to speak up during the safe-surgery checklist process.
- Less than 1 percent of ASCs and 6 percent of HOPDs have implemented an electronic compliance monitoring system for hand hygiene.
- HOPDs have higher adoption rates of National Quality Forum’s Safe Practice for Better Healthcare than ASCs.
- The survey this year does NOT report on infection in outpatient settings, but it will in the future.
The data gathering for this survey is still ongoing. Leapfrog is still accepting submissions until Nov. 30. It’s free to report and participants will receive a confidential, personalized benchmarking survey in January. The entire report will be available to the public in the spring of 2020.
Leapfrog finds outpatient care lags in quality practices, Modern Healthcare.