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United Regional Health Care System

When not in the ICU, the intensivist immediately responds to calls and has another physician or trained clinician who can immediately reach the patient. Hospitals should use a CT radiation dose for routine CT scans of the abdomen and pelvis that falls within national benchmarks. The hospital had1,892 live births (i.e., liveborn infants) at this hospital location for the reporting time period. Hospitals should deliver at least 50 very-low birth weight babies per year OR the hospital must maintain a lower-than-average morbidity/mortality rate for very-low birth weight babies. At least 90% of women undergoing a cesarean section receive treatment to prevent blood clots.

The Leapfrog Group is a nonprofit watchdog organization that serves as a voice for health care consumers and purchasers, using their collective influence to foster positive change in U.S. health care. Leapfrog is the nation’s premier advocate of transparency in health care—collecting, analyzing and disseminating data to inform value-based purchasing and improved decision-making. Leapfrog uses a standardized infection ratio calculated by the CDC’s National Healthcare Safety Network to compare the number of infections that actually happened at this hospital to the number of infections expected for this hospital, given various factors. A number lower than one means fewer infections than expected; a number more than one means more infections than expected. Hospitals should regularly monitor hand hygiene practices for everyone interacting with patients, and give feedback to ensure compliance.

Additionally, this hospital does have protocols in place to ensure that open aortic procedures are only performed on patients that meet defined criteria. Additionally, this hospital does have protocols in place to ensure that mitral valve repairs and replacements are only performed on patients that meet defined criteria. Additionally, this hospital does have protocols in place to ensure that carotid artery surgeries are only performed on patients that meet defined criteria. United Regional Health Care System is based in Wichita Falls, Texas, and provides comprehensive medical care including inpatient and outpatient services, advanced diagnostics, surgical specialties, and life-saving emergency care. The hospital has the area’s only Level II Trauma Center and is considered the primary stroke center for the region.

This hospital performed 0 rectal cancer surgeries compared to Leapfrog’s standard of 16 procedures annually. Hospitals should perform at least 40 procedures annually, and as part of their process for privileging surgeons, ensure that each surgeon performs at least 20 procedures annually. In addition, hospitals should participate in a national clinical registry and achieve the same or better outcomes when compared to others who also perform this procedure.

District Court for the Northern District of Texas, along with a proposed settlement that, if approved by the court, would resolve the lawsuit. Hospitals should ensure that a specially certified clinician and at least one physician or nurse anesthetist are present and immediately available while a pediatric patient is present until discharge. Hospitals should ensure that a specially certified clinician and at least one physician or nurse anesthetist are present and immediately available while an adult patient is present until discharge. Hospitals should have intensivists present on-site at least eight hours a day, seven days per week or has intensivists present via 24/7 telemedicine with some on-site intensivist presence.

As part of their process for privileging surgeons, this hospital does ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 25 procedures annually for total knee replacement surgeries. As part of their process for privileging surgeons, this hospital does ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 25 procedures annually for total hip replacement surgeries. As part of their process for privileging surgeons, this hospital does not ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 6 procedures annually for rectal cancer surgery. As part of their process for privileging surgeons, this hospital does ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 10 procedures annually for carotid artery surgery. As part of their process for privileging surgeons, this hospital does ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 15 procedures annually for lung resection for cancer.

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