Impact Insights

Week in Review 7/25/2014

According to the annual survey from the Leapfrog Group, 616 hospitals (or 43% of respondents) met the Leapfrog CPOE standard in 2013, up from 113 hospitals that met the standard in 2009. However, 36% of all orders, including 12.5% of orders that would have caused patient death, that were tested in a simulation through the Leapfrog CPOE Evaluation Tool in 2013 failed to trigger “appropriate warnings” from hospital CPOE systems.

Impact Advisors’ Thoughts: With much of the media attention focused on hospital progress in terms of meeting CPOE and decision support requirements related to meaningful use, the annual Leapfrog report is an interesting look at where things stand on many of those fronts in regards to actual patient safety. The increase in organizations that have met the Leapfrog CPOE standard is definitely encouraging, but as the authors themselves note, there are still crucial technology and process improvements needed in order to prevent potentially fatal medication errors.


A new survey from the Associated Press-NORC Center for Public Affairs Research looks at which sources of physician quality information are most trusted by patients. According to the findings, more than 60% of patients would trust quality information about physicians that they received from friends or family members, compared with less than 20% who said they would trust data on physician quality from government agencies. Interestingly, when patients were asked how they define a “high-quality provider,” almost 60% of specific responses pertained to “the doctor-patient relationship and personality”, while only 29% of responses focused on the actual delivery of care and outcomes.

Impact Advisors’ Thoughts: Initiatives like ACOs and Patient-Centered Medical Homes give us a clear sense of how the government and insurance companies define physician performance: outcomes, costs, and adherence to defined standards of care. That is certainly a stark contrast with how patients in this survey appear to define performance. Perhaps it is no surprise then that patients tend to trust “quality” information from personal recommendations far more than data from government or third-party websites.