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Today, rules and regulations are in place in most industries in an effort to ensure that best practices and safety standards are followed. A notable example is the hospital industry, where watchdog organizations, such as the Leapfrog Group, have been established to rate hospital quality, including ICU care. Hospitals acknowledge the importance of compliance with these rules and regulations but many experience difficulty maintaining adequate staffing to achieve it. Remote ICU telemedicine improves hospital standards compliance in a multitude of ways. 

What is Leapfrog?

For 20 years, the Leapfrog Group has served as a nonprofit U.S. health care industry watchdog encouraging transparency and improvement. Leapfrog is considered the country’s gold standard measurement of patient safety. The group collects, analyzes, and publishes hospital data on safety, quality, and resource utilization.

The Leapfrog Hospital Safety Grade provides a standardized method to evaluate patient safety in general acute care hospitals. To date, it is the only rating focused solely on hospitals’ ability to protect patients from accidents, preventable errors, injuries, and infections. The Safety Grade promotes high-value care and informed health care decisions and has helped trigger giant leaps in the quality, safety, and affordability of U.S. health care. The Journal of Patient Safety has peer-reviewed and published Leapfrog’s Hospital Safety Grade methodology.

What is the Leapfrog Score?

Leapfrog’s Safety Grade uses up to 27 national performance safety measures from the Leapfrog Hospital Survey (an annual voluntary survey in which Leapfrog asks hospitals to report quality and safety data), the Centers for Medicare & Medicaid Services (CMS), and additional data sources. Together, these performance assessments produce a single, publicly available composite safety score. The score represents a hospital’s overall performance in keeping patients safe from preventable harm and medical errors. 

The Leapfrog Group educates and encourages consumers to consider safety when selecting a hospital for themselves or their families. In addition, the Safety Grade seeks to foster strong market incentives for hospitals to make safety a priority. Grades are publicly reported at www.HospitalSafetyGrade.org.

How are hospitals graded?

Currently, Leapfrog Hospital Safety Grades are assigned to over 2,700 general acute-care hospitals across the nation twice annually. Once rated according to Leapfrog’s 27 measures of patient safety, a hospital is assigned a single letter (A, B, C, D, F) representing its overall performance. 

The Leapfrog Grade places the 27 measures into one of two domains: Process/Structural Measures or Outcome Measures, each of which accounts for 50 percent of the overall score.

  • Process Measures refer to how well a hospital provides patients the recommended treatment for a given medical condition or procedure. For example, “Responsiveness of hospital staff” examines patients’ feedback on how long it takes for staff to respond when they require help. 
  • Structural Measures look at the environment in which patients receive care. For example, if doctors use a computerized system to order medications thereby reducing the risk of medication prescription errors.
  • Outcome Measures assess what actually happens to patients who have received care at the hospital. For example, if dangerous objects have been left in a patients during surgery.

 For Leapfrog to issue a letter grade, a hospital must have enough safety data available. If a hospital is missing more than five or six process measures, it will not be graded. All hospitals are encouraged to voluntarily report additional safety data through the Leapfrog Hospital Survey.

Benefits of Tele ICU 

Leading telemedicine companies, such as RemoteICU, offer hospitals TeleICU (Intensive care unit telemedicine) solutions which provide clinicians and patients with critical services from afar by using frontline technology.

TeleICU services enable hospitals, both big and small, to improve their inpatient care significantly and fill gaps in ICUs. In turn, this can help hospitals achieve compliance with the Leapfrog Hospital Safety Grade and receive a high-performance ranking. This enables hospitals to demonstrate to individuals and their families that patient safety and outcomes are their top priority. 


RemoteICU provides remote specialist physician services to several hundred hospitals, helping them address the chronic and worsening shortage of critical care specialist physicians. LeapFrog compliance requires review by a board certified intensivist within a specified amount of time for every critically ill patient admitted into the unit, and for an intensivist to be practically immediately in contact with other clinical staff 24 hours a day. That review and reachability is precisely what Remote ICU provides.


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    We provide Hospitals with Comprehensive Virtual Sitter Solutions

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    We provide hospitals with Tele-ICU shifts (eICU), for existing and new Virtual ICUs

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    Our Internal Medicine telehospitalists cover the smallest to the largest hospitals

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    Tele-Neurology & Tele-Stroke

    Our teleneurologists perform general neurology, in addition to tPA administration for stroke via TeleStroke

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    Other Specialties

    Our telemedicine coverage is replicated and performed for all inpatient or outpatient specialties

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