Hospital Safety Grades Now Available

The LeapFrog Group’s Fall 2017 Hospital Safety Grades are now available. The Safety Grades are updated two times a year and include 27 measures to help keep patients safe from preventable harm and medical errors. Hospital safety grades can be found on the following link for 2,600 acute-care hospitals across the nation. For a summary of LeapFrog’s hospital findings and the states who are making strides in safety, please see here.


So happy to see that the HSAG HIIN (Hospital Improvement Innovation Network) is promoting the work of EHCO ( via the Pacing Event we did for CMS/CMMI and the Partnership for Patients on their web site. Quoting from their web site: Summary from 5/25 Pacing Event: “Hand Hygiene Compliance and HAI Reductions”: As HIINs and hospitals work to reduce hospital-acquired infection rates, the importance of hand hygiene as a cross-cutting intervention continues to be highlighted. This Pacing Event discussed ideas and resources to electronically monitor providers’ hand hygiene behaviors as a way to improve compliance, reduce infections, and decrease hospital costs. Details regarding the over-estimation of appropriate handwashing among caregivers, the great results achieved as a result of improvements in this basic behavior, and linkages to the WHO Five Moments for Hand Hygiene was shared. Read more about Hand Hygiene and HAI Reductions via Electronic Monitoring here

October Chairman’s Message

In speaking at the Hospital and Health Systems Association of Pennsylvania’s (HAP) Patient Safety and Quality Symposium in Lancaster PA on October 10 with Connie Steed of the Greenville Health System, Greenville, SC and also at the State of Indiana APIC Annual Meeting on October 13, it occurred to me that the dialogue needs to shift more rapidly when it comes to how seriously hospital leaders need to take the Hand Hygiene problem as something that needs solving NOW. I was surprised how few attendees raised their hand when it come to investigating or using electronic monitoring when EVERYONE raised their hand when it came to “not believing” their hand hygiene Direct Observation data. This is a huge disconnect that impacts patients and hospital economics.
We cannot wait for more studies or evidence as the jury is IN when it comes to knowing with absolute certainty that Direct Observation with secret shoppers is unethical in addition to inaccurate and unreliable. And more senior leaders need to take swift action.

You have to know the real compliance number in order to drive authentic improvement otherwise you are just driving, as Elaine Larson has stated, a “vicious cycle of pseudo-improvement.”

So then what is the solution? – Electronic Monitoring of 100% of HH events is the only way to get there and we at EHCO take pride in our ability to deliver the facts to your organization in an un biased fashion.  

To request Paul Alper as a speaker at your organization’s event, contact him directly or +1 843 870 4801. To explore the various technologies offered by EHCO Members visit