Hospitals that don't volunteer that information to Leapfrog had their scores based solely on Medicare data, and some saw that as pivotal.
Shannon Phillips, MD, patient safety officer for the Cleveland Clinic, says the scoring system "feels uncomfortable" because her healthcare system dropped out of Leapfrog some years ago.
"We found that because it's a self-assessment, and you take that seriously, you go out pulling cases and doing a lot of work, which is [a] tremendous amount. We found it wasn't fundamentally adjusting the priorities we set for ourselves. We decided that the resources spent to do a good job accurately completing that survey were better served providing quality care."
Jim Lott, vice president of the Hospital Association of Southern California, which includes 180 acute care facilities in six counties, said the Leapfrog scorecard is also flawed because it "grades hospitals on a curve, and that's just wrong. It should be that the hospital either meets the standard or it doesn't.
"Imagine what it would be like if you graded restaurants on a curve? No you don't." If they don't meet the standards, they are shut down.
In an e-mail yesterday, Binder countered each point. Among her responses were these:
First, she says, "We made many attempts to contact hospitals well in advance as a courtesy and to request their feedback" and sent a letter to each CEO and the AHA on May 4 for help reaching each hospital. "Almost 1,000 hospitals contacted us in May in response to our letter."