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    Explanation of Safety Grades

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    Madeline Ciak
    The document explains the methodology used to calculate hospital safety grades for Fall 2019. Hospitals are assigned a letter grade of A through F based on their performance on 28 measures of patient safety. The grades are determined by converting numerical scores into letters using cut-points, with higher scores receiving higher grades.

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    Explanation of Safety Grades

    Uploaded by

    Madeline Ciak
    1K views2 pages
    The document explains the methodology used to calculate hospital safety grades for Fall 2019. Hospitals are assigned a letter grade of A through F based on their performance on 28 measures of patient safety. The grades are determined by converting numerical scores into letters using cut-points, with higher scores receiving higher grades.

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    Explanation of Safety Grades

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    The document explains the methodology used to calculate hospital safety grades for Fall 2019. Hospitals are assigned a letter grade of A through F based on their performance on 28 measures of patient safety. The grades are determined by converting numerical scores into letters using cut-points, with higher scores receiving higher grades.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    1K views2 pages

    Explanation of Safety Grades

    Uploaded by

    Madeline Ciak
    The document explains the methodology used to calculate hospital safety grades for Fall 2019. Hospitals are assigned a letter grade of A through F based on their performance on 28 measures of patient safety. The grades are determined by converting numerical scores into letters using cut-points, with higher scores receiving higher grades.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Explanation of Hospital Safety Grades

    FALL 2019

    EMBARGO FOR LEAPFROG HOSPITAL SAFETY GRADES

    Leapfrog’s public announcement of Fall 2019 Hospital Safety Grades is scheduled


    for November 7. During this embargo period, you may share the grade preview
    with your hospital leadership, but you may not release any information to your
    staff or the public. The embargo will lift at 12:01am ET on November 7.

    Hospitals are urged to visit www.hospitalsafetygrade.org prior to November 7 to


    print a copy of your measure scores and letter grade from Spring 2019. This data
    will not be publicly available after November 7.

    Please contact the Help Desk with any questions:


    https://leapfroghelpdesk.zendesk.com.
    EXPLANATION OF HOSPITAL SAFETY GRADES
    FALL 2019

    Using 28 evidence-based measures of patient safety, The Leapfrog Group calculated a numerical score for all eligible
    hospitals in the U.S. The numerical score was then converted into one of five letter grades. "A" represents the best Leapfrog
    Hospital Safety Grade, followed in order by "B," "C," "D," and "F."

    The letter grade methodology first established in Fall 2018 is being used this Fall.1 Therefore, letter grade cut-points for “A”,
    “B”, and “C” grades remain the same. Letter grade cut-points for “D” and “F” have been reset per the methodology. This
    Fall, hospitals with a numerical score between 1.5 standard deviations and 3.0 standard deviations below the mean (≥
    2.034) earn a “D,” and hospitals with a numerical score more than 3.0 standard deviations below the mean (< 2.034) earn
    an “F.”

    Numerical scores range between approximately 1.8 and 3.8, with an average score of approximately 3.0. The numerical cut-
    point for D and F grades is adjusted down by three standard errors.

    For information on exclusion criteria and a detailed explanation of the scoring methodology, please visit
    www.HospitalSafetyGrade.org.

    Please note: Numerical scores are displayed for hospitals on the Safety Grade Review Website to four decimal places (i.e.
    n.nnnn). For the purposes of assigning a letter grade, the numerical score is not rounded. For example, a numerical score
    displayed as 3.1509 would be assigned a B.

    In implementing this letter grade methodology, the distribution of letter grades is detailed below:

    Safety Grade Criteria


    Grade Percentage of Hospitals
    (at or above cut-point)
    A ≥ 3.151 33%
    B ≥ 2.965 25%
    C ≥ 2.502 34%
    D ≥ 2.034 8%
    F < 2.034 <1%

    Higher is Better
    1.764 3.803
    2.034 2.502 2.965 3.151

    F D C B A

    1
    In Fall 2018, hospitals with a numerical score 0.6 standard deviations or more above the mean (3.151) earned an “A.” Hospitals with a numerical score at
    the mean and up to 0.6 standard deviations above the mean (2.965) earned a “B.” Hospitals with a numerical score between the mean and 1.5 standard
    deviations below the mean (2.502) earned a “C.” Hospitals with a numerical score between 1.5 standard deviations and 3.0 standard deviations below the
    mean earn a “D,” and hospitals with a numerical score more than 3.0 standard deviations below the mean earn an “F.” All cut-points were adjusted down
    by three standard errors.

    Explanation of Hospital Safety Grades Last Updated October 2019

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