Leah Binder Wants Your Hospital Data

Cheryl Clark, for HealthLeaders Media , July 18, 2013

The Leapfrog Group CEO wants public reporting of nine so-called "never events" to remain public. The AHA, she says, wants to suppress it. But that's not all. Binder wants "more data—a lot more data."

Leah Binder has a very tricky job.  

As president and CEO of the Leapfrog Group, she has to be nice to hospitals because she needs more of them to voluntarily report quality data to Leapfrog, even though they may suffer the ignominy of getting a poor safety grade, or appear shabby for not having implemented electronic systems for physician orders.  

If she isn't nice to them, they might get turned off, or drop out of Leapfrog's program, and the employer groups and others she represents—who want public reports on lots of measures to show them where to spend their healthcare dollars won't be happy.

But she also has to be critical of the hospital industry, be tough, and hold her ground. And that side came out this week in her Forbes blog, which was topped with the provocative headline: "Bone-Chilling Mistakes Hospitals Make and Why They Don't Want You to Know."

In it, Binder criticized the hospital industry, specifically its lobby, the American Hospital Association, for its efforts to stall public reporting of quality measures and delay penalties for hospital mistakes, a trend in the opposite direction of the one I thought we're supposed to be headed.

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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




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