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Leah Binder Wants Your Hospital Data

Cheryl Clark, for HealthLeaders Media, July 18, 2013

But in another letter to the Senate Finance Committee June 26, Binder says, the hospital lobby seemed to say something much different about the measures CMS wants to display for public view.

"Meanwhile, before the ink was dry on its letter to CMS complaining about the imperfection of measures and requesting delays, AHA was quick to submit testimony to the Senate about its commitment to public reporting — as long as it's on its own terms.

AHA's testimony asks for fewer measures to be publicly reported, and although the lack of progress nationally on patient safety is well established, the testimony reports glowing achievements by some of its member hospitals in improving on several important measures of performance. Ironically, the important measures it touts to Congress are among the same ones it tells CMS aren't good enough for public reporting."

In a phone conversation this week, I asked Binder what she really wants to happen now.

"I want hospitals to keep publicly reporting," she replies. "And I want more data. A lot more data." Like on medication errors. That, she says, "is the elephant in the living room."

"Medication errors are the number one most common error in hospitals. Estimates are it happens one time every day for every inpatient. That's a lot of errors and a lot of harm."

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2 comments on "Leah Binder Wants Your Hospital Data"


Leah Binder (7/19/2013 at 10:32 AM)
Ms. Dyster, Thank you for participating in Leapfrog. And congratulations on making Truven's Top 100 list. It is very encouraging to all of us at Leapfrog to hear from leaders like you committed to transparency and making clear progress. With regard to medication errors, we use a proxy measure on the Leapfrog Survey[INVALID]CPOE adoption coupled with the evaluation tool on its effectiveness. The research is strong that this standard gives consumers critical information about a hospital's likelihood of medication errors (and gives hospitals information available nowhere else about the performance of their CPOE systems). Of course, best would be a measure of the prevalence of medication errors in each hospital. We're always looking for advances in measurement science that would allow us to add that to the survey.We await the scientists.

Ruth Dyster (7/18/2013 at 5:01 PM)
Ms. Binder, I have long been an advocate for this hospital reporting to Leapfrog. This year, for the first time we submitted data. We are a good hospital, Truven Top 100, but not a perfect hospital. I think you answered your own question and desire. Until a measure is defined for Medication Errors, how can they be reported. I suppose you are very much involved with others in the quality arena in devising such a definition - I hope so and applaud your efforts