Yale-New Haven Hospital is a good example. While it has a fully-functional electronic health record and 137 full-time equivalent intensivists on staff, it received only 30 points instead of 200 because it doesn't participate in the Leapfrog survey. That meant Yale-New Haven got a C "when we believe it rightfully should have received an 'A.' " Umbdenstock wrote.
Binder replied that with respect to the AHA's survey regarding the CPOE and intensivist measures, "is far less information than what is required of hospitals that report to the Leapfrog Hospital Survey." In order to earn full-credit, "hospitals not only have to demonstrate a high level of adoption, but also take a six-hour simulation test to prove their system works safely."
She said Umbdenstock's criticism "is a misreading" of the AHA survey's scoring algorithm.
With respect to a hospital getting a C that should have gotten an A, Binder replied that hospital's score "was hurt by its lower than average adherence to surgical care guidelines, rates of hospital-acquired conditions, and lower than average performance on other measures included in the Hospital Survey Score."