Most Kansas City area hospitals do well in a new patient safety report

by Dan Margolies, Kansas News Service

Seven of 20 Kansas City area hospitals got A’s in patient safety, according to a new report, while nine got B’s and four got C’s.

The grades were assigned by The Leapfrog Group, a nonprofit that twice a year rates 2,600 general acute-care hospitals across the country on patient safety measures.

The 28 performance measures include handwashing practices, blood infections and patient falls. Leapfrog uses the measures to come up with a single letter grade ranging from A to F, meant to show how effective a hospital is in keeping patients safe from preventable harm and medical errors.

“Over 33,000 lives could be saved if all hospitals performed at the level of A-graded hospitals,” Leapfrog says.

Some health experts say 4 percent of patients acquire infections in hospitals. Leapfrog says that an analysis it commissioned from the Armstrong Institute for Patient Safety and Quality at Johns Hopkins Medicine estimates 206,021 avoidable deaths occur in U.S. hospitals each year – and Leapfrog says that’s probably an underestimate.

The analysis also found that hospitals receiving Ds and Fs carry a nearly 50 percent greater risk of mortality than A-graded hospitals.

Listed below are the Kansas City-area hospitals and the grades they received:

A grades:
• The University of Kansas Hospital
• Saint Luke’s Hospital of Kansas City
• Shawnee Mission Medical Center
• Providence Medical Center
• Centerpoint Medical Center
• St. Mary’s Medical Center
• Lee’s Summit Medical Center

B grades:
• Research Medical Center (main campus)
• Saint Luke’s North Hospital
• St. Joseph Medical Center
• Overland Park Regional Medical Center
• Saint Luke’s South Medical Hospital
• Liberty Hospital
• Saint Luke’s East Hospital
• Belton Regional Medical Center
• Lawrence Memorial Hospital

C grades:
• Truman Medical Center Hospital Hill
• North Kansas City Hospital
• Menorah Medical Center
• Olathe Medical Center

Dave Dillon, a spokesman for the Missouri Hospital Association, noted that there are a lot of different hospital rating measures and they don’t always look at the same data.

The Missouri Hospital Association, for example, does its own survey, FocusOnHospitals.com, that includes all Missouri hospitals. (Leapfrog’s report card excludes specialty hospitals such as children’s hospitals, as well as critical access hospitals located in rural areas.)

“Additionally, not all of the data used is current,” Dillon said in an email. “So, a hospital might be performing better or worse, depending on the dataset and what practices the hospital has put in place to address specific issues.”

Dillon said hospitals have spent “significant amounts of time and energy to improve quality and patient safety.”

“As all hospitals get better, the competition to keep up gets fierce,” he said.

Leapfrog cautions that patients should never refuse emergency care because of a hospital’s safety grade but rather use the grades as a guide for planned hospitalizations and potential emergencies.

Its report card draws on data from the Centers for Medicare and Medicaid Services, Agency for Healthcare Research Quality, Centers for Disease Control and Prevention, American Hospital Association’s Annual Survey Health Information Technology Supplement and Leapfrog’s own hospital survey.

Leapfrog also ranks states, based on their number of “A” hospitals compared to the total number of hospitals graded. Kansas ranked No. 24, with nearly a third of its hospitals receiving an A grade, while Missouri ranked No. 34, with about 23 percent of its hospitals receiving an A grade.

Kansas moved up three notches from Leapfrog’s last survey in spring 2018; Missouri dropped 21 notches.

The top five jurisdictions were New Jersey, Oregon, Virginia, Massachusetts and Texas. The bottom five were Connecticut, Nebraska, Washington, D.C., Delaware and North Dakota.

Dan Margolies is a senior reporter and editor at KCUR. You can reach him on Twitter @DanMargolies. Kansas News Service stories and photos may be republished at no cost with proper attribution and a link back to kcur.org.
See more at http://www.kcur.org/post/most-kansas-city-area-hospitals-do-well-new-patient-safety-report

Food safety class offered Nov. 13

The ServSafe Food Handlers Course will be offered Nov. 13.

The last ServSafe class of 2018 will be offered from 1 to 4:30 p.m. Tuesday, Nov. 13. The class is for food service employees, including anyone interested in food service employment.

The cost of the class is $10, which includes class material, a work book and a certificate.

A “Stay Strong, Stay Healthy 2019” class will start March 5. The class is offered a few times a year and provides an exercise program for older adults that targets strength, balance and flexibility.

For more information, or to register for the classes, call K-State Research and Extension, Wyandotte County, 913-299-9300, or email Lori Wuellner, lwuellne@ksu.edu, or Jo McLeland, jo1@ksu.edu.

Rally planned this weekend to support LGBTQ ordination and marriage in United Methodist church

The United Methodist Church is being encouraged to include LGBTQ persons as clergy and also in marriage ceremonies through rallies held this weekend at Asbury United Methodist Church, Prairie Village, Kansas.

The Rev. Mark Holland, executive director of Mainstream UMC, an organization that advocates for LGBTQ inclusion, said the United Methodists’ General Conference will hold a special session on the topic in February 2019.

Dr. Holland, who is also the former Kansas City, Kansas mayor, said that the United Methodist Church doesn’t currently allow the ordination and marriage of homosexual and LGBTQ persons. Now proposed is a change that would allow each conference to decide whether it wanted to ordain LGBTQ persons or perform gay marriages.

“The United Methodist Church is the largest church in the world that ordains women and not ordains gay and lesbian pastors,” Dr. Holland said. He noted that other denominations, such as Episcopalians, Presbyterians and Evangelical Lutherans, have decided to include LGBTQ ordination and marriage.

At the United Methodists’ last General Conference, Dr. Holland made a motion asking the bishops to come up with a plan on how to move forward on this issue. The bishops formed a committee that recommended allowing for regional differences, Dr. Holland said. Those conferences within the church that would like to ordain LGBTQ persons and perform gay weddings would be able to, under the proposal, and those conferences that do not want to would be able to continue as they are.

The rally held Friday and Saturday at Asbury church will support the plan to allow for regional differences, Dr. Holland said.

“Allowing for different practices is rooted in the Book of Acts,” Dr. Holland said, referring to Acts 15, where different practices were allowed concerning the issue of circumcision of Gentiles.

Dr. Holland, who has been a delegate to the General Conference for 20 years, co-founded Mainstream UMC in July, with the focus on organizing a campaign to pass the resolution in February.

He said there was a lot of energy in the church supporting this effort. “The U.S. church has already adopted this,” he said.

About 42 percent of the delegates are located outside the United States, some in countries where homosexuality is illegal, he noted. There are 12 million members worldwide, and 864 delegates will come together to make a decision on this issue.

With the major cultural differences within the church, this proposal would allow for regional differences and would allow for churches here to go forward in this direction, he said. If it was a United States-only vote, it probably would have changed years ago, he added.

“We’re finding in our church similar divisions to what we have in our country,” Dr. Holland said. Urban and suburban areas have a lot of support for LGBTQ ordination and gay marriage, while rural areas do not. Some churches are reflecting similar divisions, he added.

He noted he was seeing the same urban-rural split on issues in the church as was seen in the election earlier this week.

Dr. Holland said that starting in 1972, restrictive language has been added to the United Methodist Book of Discipline, stating that homosexuality is incompatible with Christian teaching.

Worship events during the two-day rally are planned at 7 p.m. Friday, Nov. 9, and at 10:45 a.m. Saturday, Nov. 10, at Asbury, 5400 W. 75th St., Prairie Village, Kansas. For more information, see www.visitasbury.org.