CLABSI CAUTI Data Formatted - Leapfrog...Health Care‐Acquired Infection Results from the 2015...

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Health CareAcquired Infection Results from the 2015 Leapfrog Hospital Survey Central Lineassociated Blood Stream Infection (CLABSI) and CatheterAssociated Urinary Tract Infection (CAUTI) in ICUs Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR* Alaska Regional Hospital Anchorage AK Substantial Progress 0.436 Willing to Report 2.660 Bartlett Regional Hospital Juneau AK Declined to Respond Declined to Respond Central Peninsula General Hospital Soldotna AK Declined to Respond Declined to Respond Fairbanks Memorial Hospital Fairbanks AK Unable to Calculate Score N/A Unable to Calculate Score N/A MatSu Regional Medical Center Palmer AK Declined to Respond Declined to Respond Providence Alaska Medical Center Anchorage AK Some Progress 0.677 Some Progress 1.100 Andalusia Regional Hospital Andalusia AL Unable to Calculate Score N/A Substantial Progress 0.724 AthensLimestone Hospital Athens AL Declined to Respond Declined to Respond Atmore Community Hospital Atmore AL Declined to Respond Declined to Respond Baptist Medical Center East Montgomery AL Declined to Respond Declined to Respond Baptist Medical Center South Montgomery AL Declined to Respond Declined to Respond Bibb Medical Center Centreville AL Declined to Respond Declined to Respond Brookwood Medical Center Birmingham AL Declined to Respond Declined to Respond Bryan W. Whitfield Memorial Hospital Demopolis AL Declined to Respond Declined to Respond Bullock County Hospital Union Springs AL Declined to Respond Declined to Respond Cherokee Medical Center Centre AL Declined to Respond Declined to Respond Citizens Baptist Medical Center Talladega AL Declined to Respond Declined to Respond Clay County Hospital Ashland AL Declined to Respond Declined to Respond Community Hospital of Tallassee Tallassee AL Declined to Respond Declined to Respond Coosa Valley Medical Center Sylacauga AL Declined to Respond Declined to Respond Crenshaw Community Hospital Luverne AL Declined to Respond Declined to Respond Crestwood Medical Center Huntsville AL Declined to Respond Declined to Respond Cullman Regional Medical Center Cullman AL Declined to Respond Declined to Respond D. W. McMillan Memorial Hospital Brewton AL Declined to Respond Declined to Respond Dale Medical Center Ozark AL Declined to Respond Declined to Respond DCH Regional Medical Center Tuscaloosa AL Declined to Respond Declined to Respond Decatur Morgan Hospital Decatur AL Declined to Respond Declined to Respond Decatur Morgan HospitalParkway Campus Decatur AL Declined to Respond Declined to Respond DeKalb Regional Medical Center Fort Payne AL Declined to Respond Declined to Respond East Alabama Medical Center Opelika AL Declined to Respond Declined to Respond East Alabama Medical Center Lanier Valley AL Declined to Respond Declined to Respond Eliza Coffee Memorial Hospital Florence AL Declined to Respond Declined to Respond Elmore Community Hospital Wetumpka AL Declined to Respond Declined to Respond Evergreen Medical Center Evergreen AL Declined to Respond Declined to Respond Fayette Medical Center Fayette AL Declined to Respond Declined to Respond Flowers Hospital Dothan AL Declined to Respond Declined to Respond Gadsden Regional Medical Center Gadsden AL Declined to Respond Declined to Respond Georgiana Hospital Georgiana AL Declined to Respond Declined to Respond *Standard Infection Ratio (SIR) These results cannot be reprinted, distributed, or republished without the express permission of The Leapfrog Group. For more, visit www.leapfroggroup.org/cp 1 of 101 Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

Transcript of CLABSI CAUTI Data Formatted - Leapfrog...Health Care‐Acquired Infection Results from the 2015...

Page 1: CLABSI CAUTI Data Formatted - Leapfrog...Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital Survey Central Line‐associated Blood Stream Infection (CLABSI) and

Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Alaska Regional Hospital Anchorage AK Substantial Progress 0.436 Willing to Report 2.660Bartlett Regional Hospital Juneau AK Declined to Respond Declined to RespondCentral Peninsula General Hospital Soldotna AK Declined to Respond Declined to RespondFairbanks Memorial Hospital Fairbanks AK Unable to Calculate Score N/A Unable to Calculate Score N/AMat‐Su Regional Medical Center Palmer AK Declined to Respond Declined to RespondProvidence Alaska Medical Center Anchorage AK Some Progress 0.677 Some Progress 1.100Andalusia Regional Hospital Andalusia AL Unable to Calculate Score N/A Substantial Progress 0.724Athens‐Limestone Hospital Athens AL Declined to Respond Declined to RespondAtmore Community Hospital Atmore AL Declined to Respond Declined to RespondBaptist Medical Center East Montgomery AL Declined to Respond Declined to RespondBaptist Medical Center South Montgomery AL Declined to Respond Declined to RespondBibb Medical Center Centreville AL Declined to Respond Declined to RespondBrookwood Medical Center Birmingham AL Declined to Respond Declined to RespondBryan W. Whitfield Memorial Hospital Demopolis AL Declined to Respond Declined to RespondBullock County Hospital Union Springs AL Declined to Respond Declined to RespondCherokee Medical Center Centre AL Declined to Respond Declined to RespondCitizens Baptist Medical Center Talladega AL Declined to Respond Declined to RespondClay County Hospital Ashland AL Declined to Respond Declined to RespondCommunity Hospital of Tallassee Tallassee AL Declined to Respond Declined to RespondCoosa Valley Medical Center Sylacauga AL Declined to Respond Declined to RespondCrenshaw Community Hospital Luverne AL Declined to Respond Declined to RespondCrestwood Medical Center Huntsville AL Declined to Respond Declined to RespondCullman Regional Medical Center Cullman AL Declined to Respond Declined to RespondD. W. McMillan Memorial Hospital Brewton AL Declined to Respond Declined to RespondDale Medical Center Ozark AL Declined to Respond Declined to RespondDCH Regional Medical Center Tuscaloosa AL Declined to Respond Declined to RespondDecatur Morgan Hospital Decatur AL Declined to Respond Declined to RespondDecatur Morgan Hospital‐Parkway Campus Decatur AL Declined to Respond Declined to RespondDeKalb Regional Medical Center Fort Payne AL Declined to Respond Declined to RespondEast Alabama Medical Center Opelika AL Declined to Respond Declined to RespondEast Alabama Medical Center ‐ Lanier Valley AL Declined to Respond Declined to RespondEliza Coffee Memorial Hospital Florence AL Declined to Respond Declined to RespondElmore Community Hospital Wetumpka AL Declined to Respond Declined to RespondEvergreen Medical Center Evergreen AL Declined to Respond Declined to RespondFayette Medical Center Fayette AL Declined to Respond Declined to RespondFlowers Hospital Dothan AL Declined to Respond Declined to RespondGadsden Regional Medical Center Gadsden AL Declined to Respond Declined to RespondGeorgiana Hospital Georgiana AL Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp1 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

Page 2: CLABSI CAUTI Data Formatted - Leapfrog...Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital Survey Central Line‐associated Blood Stream Infection (CLABSI) and

Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Greene County Hospital Eutaw AL Declined to Respond Declined to RespondGrove Hill Memorial Hospital Grove Hill AL Declined to Respond Declined to RespondHale County Hospital Greensboro AL Declined to Respond Declined to RespondHelen Keller Hospital Sheffield AL Declined to Respond Declined to RespondHighlands Medical Center Scottsboro AL Declined to Respond Declined to RespondHill Hospital of Sumter County York AL Declined to Respond Declined to RespondHuntsville Hospital Huntsville AL Declined to Respond Declined to RespondJ. Paul Jones Hospital Camden AL Declined to Respond Declined to RespondJack Hughston Memorial Hospital Phenix City AL Unable to Calculate Score N/A Unable to Calculate Score N/AJackson Hospital Montgomery AL Declined to Respond Declined to RespondJackson Medical Center of Alabama Jackson AL Declined to Respond Declined to RespondL. V. Stabler Memorial Hospital Greenville AL Declined to Respond Declined to RespondLake Martin Community Hospital Dadeville AL Declined to Respond Declined to RespondLakeland Community Hospital Haleyville AL Declined to Respond Declined to RespondLawrence Medical Center Moulton AL Declined to Respond Declined to RespondMarshall Medical Center North Guntersville AL Declined to Respond Declined to RespondMarshall Medical Center South Boaz AL Declined to Respond Declined to RespondMedical Center Barbour Eufaula AL Declined to Respond Declined to RespondMedical Center Enterprise Enterprise AL Declined to Respond Declined to RespondMizell Memorial Hospital Opp AL Declined to Respond Declined to RespondMobile Infirmary Medical Center Mobile AL Declined to Respond Declined to RespondMonroe County Hospital Monroeville AL Declined to Respond Declined to RespondNorth Baldwin Infirmary Bay Minette AL Declined to Respond Declined to RespondNorth Mississippi Medical Center ‐ Hamilton Hamilton AL Declined to Respond Declined to RespondNortheast Alabama Regional Medical Center Anniston AL Some Progress 0.576 Some Progress 1.441Northport Medical Center Northport AL Declined to Respond Declined to RespondNorthwest Medical Center Winfield AL Declined to Respond Declined to RespondPickens County Medical Center Carrollton AL Declined to Respond Declined to RespondPrattville Baptist Hospital Prattville AL Declined to Respond Declined to RespondPrinceton Baptist Medical Center Birmingham AL Declined to Respond Declined to RespondProvidence Hospital Mobile AL Substantial Progress 0.068 Substantial Progress 0.468Riverview Regional Medical Center Gadsden AL Some Progress 2.516 Substantial Progress 0.754RMC Jacksonville Jacksonville AL Declined to Respond Declined to RespondRussell Medical Center Alexander City AL Declined to Respond Declined to RespondRussellville Hospital Russellville AL Declined to Respond Declined to RespondShelby Baptist Medical Center Alabaster AL Declined to Respond Declined to RespondShoals Hospital Muscle Shoals AL Declined to Respond Declined to RespondSouth Baldwin Regional Medical Center Foley AL Fully Meets Standard 0.000 Fully Meets Standard 0.000

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp2 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

Page 3: CLABSI CAUTI Data Formatted - Leapfrog...Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital Survey Central Line‐associated Blood Stream Infection (CLABSI) and

Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Southeast Alabama Medical Center Dothan AL Willing to Report 2.864 Willing to Report 2.355SPRINGHILL MEMORIAL HOSPITAL MOBILE AL Declined to Respond Declined to RespondSt. Vincent's Birmingham Birmingham AL Declined to Respond Declined to RespondSt. Vincent's Blount Oneonta AL Declined to Respond Declined to RespondSt. Vincent's East Birmingham AL Declined to Respond Declined to RespondSt. Vincent's St. Clair Pell City AL Declined to Respond Declined to RespondStringfellow Memorial Hospital Anniston AL Declined to Respond Declined to RespondThe Children's Hospital of Alabama Birmingham AL Declined to Respond Declined to RespondThomas Hospital Fairhope AL Declined to Respond Declined to RespondTrinity Medical Center Birmingham AL Declined to Respond Declined to RespondTroy Regional Medical Center Troy AL Declined to Respond Declined to RespondUAB Highlands Birmingham AL Declined to Respond Declined to RespondUAB Medical Center Medical West Bessemer AL Declined to Respond Declined to RespondUniversity of Alabama Hospital Birmingham AL Some Progress 0.610 Some Progress 1.302University of South Alabama Children's and Women's HosMobile AL Declined to Respond Declined to RespondUniversity of South Alabama Medical Center Mobile AL Declined to Respond Declined to RespondVaughan Regional Medical Center Selma AL Some Progress 0.528 Fully Meets Standard 0.000Walker Baptist Medical Center Jasper AL Declined to Respond Declined to RespondWedowee Hospital Wedowee AL Declined to Respond Declined to RespondWiregrass Medical Center Geneva AL Declined to Respond Declined to RespondArkansas Children's Hospital Little Rock AR Declined to Respond Declined to RespondArkansas Methodist Medical Center Paragould AR Declined to Respond Declined to RespondBaptist Health Medical Center ‐ North Little Rock North Little Rock AR Declined to Respond Declined to RespondBaptist Health Medical Center‐Little Rock Little Rock AR Declined to Respond Declined to RespondBaptist Health Medical Center‐Stuttgart Stuttgart AR Declined to Respond Declined to RespondBaxter Regional Medical Center Mountain Home AR Declined to Respond Declined to RespondChambers Memorial Hospital Danville AR Declined to Respond Declined to RespondConway Regional Medical Center Conway AR Declined to Respond Declined to RespondDrew Memorial Hospital Monticello AR Declined to Respond Declined to RespondFive Rivers Medical Center Pocahontas AR Declined to Respond Declined to RespondForrest City Medical Center Forrest City AR Declined to Respond Declined to RespondGreat River Medical Center Blytheville AR Declined to Respond Declined to RespondH.S.C. Medical Center Malvern AR Declined to Respond Declined to RespondHelena Regional Medical Center Helena AR Declined to Respond Declined to RespondJefferson Regional Medical Center Pine Bluff AR Declined to Respond Declined to RespondJohnson Regional Medical Center Clarksville AR Declined to Respond Declined to RespondMagnolia Regional Medical Center Magnolia AR Declined to Respond Declined to RespondMedical Center of South Arkansas El Dorado AR Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp3 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

Page 4: CLABSI CAUTI Data Formatted - Leapfrog...Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital Survey Central Line‐associated Blood Stream Infection (CLABSI) and

Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Mena Regional Health System Mena AR Declined to Respond Declined to RespondMercy Hospital Fort Smith Fort Smith AR Declined to Respond Declined to RespondMercy Hospital Northwest Arkansas Rogers AR Fully Meets Standard 0.000 Substantial Progress 0.864National Park Medical Center Hot Springs AR Declined to Respond Declined to RespondNEA Baptist Memorial Hospital Jonesboro AR Declined to Respond Declined to RespondNorth Arkansas Regional Medical Center Harrison AR Declined to Respond Declined to RespondNorth Metro Medical Center Jacksonville AR Declined to Respond Declined to RespondNorthwest Medical Center Springdale AR Declined to Respond Declined to RespondNorthwest Medical Center ‐ Bentonville Bentonville AR Declined to Respond Declined to RespondSaint Mary's Regional Medical Center Russellville AR Declined to Respond Declined to RespondSaline Memorial Hospital Benton AR Declined to Respond Declined to RespondSiloam Springs Memorial Hospital Siloam Springs AR Declined to Respond Declined to RespondSparks Regional Medical Center Fort Smith AR Declined to Respond Declined to RespondSt. Bernards Medical Center Jonesboro AR Declined to Respond Declined to RespondSt. Joseph's Mercy Health Center Hot Springs National AR Declined to Respond Declined to RespondSt. Vincent Infirmary Medical Center Little Rock AR Declined to Respond Declined to RespondSt. Vincent Medical Center‐North Sherwood AR Declined to Respond Declined to RespondSummit Medical Center Van Buren AR Declined to Respond Declined to RespondUAMS Medical Center Little Rock AR Substantial Progress 0.282 Substantial Progress 0.845Unity Health Harris Medical Center Newport AR Declined to Respond Declined to RespondUnity Health White County Medical Center Searcy AR Declined to Respond Declined to RespondWadley Regional Medical Center at Hope Hope AR Unable to Calculate Score N/A Fully Meets Standard 0.000Washington Regional Medical Center Fayetteville AR Some Progress 1.130 Some Progress 1.565White River Medical Center Batesville AR Declined to Respond Declined to RespondAbrazo Arrowhead Campus Glendale AZ Declined to Respond Declined to RespondAbrazo Central Phoenix AZ Declined to Respond Declined to RespondAbrazo Maryvale Campus Phoenix AZ Declined to Respond Declined to RespondAbrazo Scottsdale Campus Phoenix AZ Declined to Respond Declined to RespondAbrazo West Campus Goodyear AZ Declined to Respond Declined to RespondBANNER ‐ UNIVERSITY MEDICAL CENTER PHOENIX PHOENIX AZ Substantial Progress 0.386 Some Progress 1.360BANNER BAYWOOD MEDICAL CENTER MESA AZ Some Progress 0.518 Substantial Progress 0.737BANNER BOSWELL MEDICAL CENTER SUN CITY AZ Substantial Progress 0.437 Substantial Progress 0.892Banner Casa Grande Medical Center Casa Grande AZ Substantial Progress 0.421 Substantial Progress 0.661BANNER DEL E WEBB MEDICAL CENTER SUN CITY WEST AZ Fully Meets Standard 0.000 Fully Meets Standard 0.000BANNER DESERT MEDICAL CENTER MESA AZ Substantial Progress 0.344 Substantial Progress 0.799BANNER ESTRELLA MEDICAL CENTER PHOENIX AZ Substantial Progress 0.323 Substantial Progress 0.574BANNER GATEWAY MEDICAL CENTER GILBERT AZ Substantial Progress 0.161 Willing to Report 2.320Banner Goldfield Medical Center Apache Junction AZ Unable to Calculate Score N/A Unable to Calculate Score N/A

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp4 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

Page 5: CLABSI CAUTI Data Formatted - Leapfrog...Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital Survey Central Line‐associated Blood Stream Infection (CLABSI) and

Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*BANNER HEART HOSPITAL MESA AZ Willing to Report 1.489 Some Progress 1.076Banner Ironwood Medical Center San Tan Valley AZ Does Not Apply Does Not ApplyBANNER THUNDERBIRD MEDICAL CENTER GLENDALE AZ Substantial Progress 0.409 Some Progress 1.139Carondelet St. Joseph's Hospital Tucson AZ Declined to Respond Declined to RespondCarondelet St. Mary's Hospital Tucson AZ Substantial Progress 0.351 Substantial Progress 0.765Chandler Regional Medical Center Chandler AZ Fully Meets Standard 0.000 Fully Meets Standard 0.123Deer Valley Medical Center Phoenix AZ Some Progress 0.783 Some Progress 0.995Flagstaff Medical Center Flagstaff AZ Declined to Respond Declined to RespondGilbert Hospital Gilbert AZ Declined to Respond Declined to RespondGreenbaum Surgical Specialty Hospital Scottsdale AZ Does Not Apply Does Not ApplyHavasu Regional Medical Center Lake Havasu City AZ Fully Meets Standard 0.000 Substantial Progress 0.579John C. Lincoln Medical Center Phoenix AZ Willing to Report 1.237 Some Progress 1.044Kingman Regional Medical Center Kingman AZ Declined to Respond Declined to RespondLa Paz Regional Hospital Parker AZ Declined to Respond Declined to RespondLos Ninos Hospital Phoenix AZ Declined to Respond Declined to RespondMaricopa Integrated Health System Phoenix AZ Some Progress 0.742 Willing to Report 2.106MAYO CLINIC HOSPITAL PHOENIX AZ Declined to Respond Declined to RespondMercy Gilbert Medical Center Gilbert AZ Substantial Progress 0.310 Substantial Progress 0.560Mountain Vista Medical Center Mesa AZ Substantial Progress 0.129 Fully Meets Standard 0.178Mt. Graham Regional Medical Center Safford AZ Declined to Respond Declined to RespondNorthwest Medical Center Tucson AZ Declined to Respond Declined to RespondOro Valley Hospital Oro Valley AZ Declined to Respond Declined to RespondOsborn Medical Center SCOTTSDALE AZ Substantial Progress 0.052 Some Progress 1.469PAGE HOSPITAL PAGE AZ Does Not Apply Does Not ApplyPayson Regional Medical Center Payson AZ Declined to Respond Declined to RespondPHOENIX CHILDREN'S HOSPITAL PHOENIX AZ Substantial Progress 0.212 Substantial Progress 0.538SHEA MEDICAL CENTER SCOTTSDALE AZ Some Progress 1.069 Willing to Report 3.036Sierra Vista Regional Health Center Sierra Vista AZ Declined to Respond Declined to RespondSt. Joseph's Hospital & Medical Center Phoenix AZ Substantial Progress 0.308 Some Progress 1.140St. Luke's Medical Center Phoenix AZ Declined to Respond Declined to RespondSummit Healthcare Regional Medical Center Show Low AZ Fully Meets Standard 0.000 Fully Meets Standard 0.000Surgical Specialty Hospital of Arizona Phoenix AZ Declined to Respond Declined to RespondTempe St. Luke's Hospital Tempe AZ Declined to Respond Declined to RespondThe University of Arizona Medical Center ‐ South Campus Tucson AZ Declined to Respond Declined to RespondThe University of Arizona Medical Center ‐ University CamTucson AZ Declined to Respond Declined to RespondTHOMPSON PEAK HOSPITAL SCOTTSDALE AZ Some Progress 0.815 Fully Meets Standard 0.000Tuba City Regional Health Care Corporation Tuba City AZ Declined to Respond Declined to RespondTucson Medical Center Tucson AZ Substantial Progress 0.439 Substantial Progress 0.873

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp5 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

Page 6: CLABSI CAUTI Data Formatted - Leapfrog...Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital Survey Central Line‐associated Blood Stream Infection (CLABSI) and

Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Valley View Medical Center Fort Mohave AZ Declined to Respond Declined to RespondVerde Valley Medical Center Cottonwood AZ Declined to Respond Declined to RespondWestern Arizona Regional Medical Ctr Bullhead City AZ Declined to Respond Declined to RespondWestern Regional Medical Center at Cancer Treatment CeGoodyear AZ Does Not Apply Does Not ApplyYavapai Regional  Medical Center ‐ East Prescott Valley AZ Declined to Respond Declined to RespondYavapai Regional Medical Center Prescott AZ Declined to Respond Declined to RespondYuma Regional Medical Center Yuma AZ Fully Meets Standard 0.000 Fully Meets Standard 0.371Adventist Health  ‐ Feather River Hospital Paradise CA Declined to Respond Declined to RespondAdventist Health ‐ Central Valley General Hospital Hanford CA Declined to Respond Declined to RespondAdventist Health ‐ San Joaquin Community Hospital Bakersfield CA Some Progress 0.664 Some Progress 1.474Adventist Medical Center ‐ Reedley Reedley CA Does Not Apply Does Not ApplyAdventist Medical Center Hanford Hanford CA Substantial Progress 0.480 Willing to Report 2.382Adventist Medical Center Selma Selma CA Does Not Apply Does Not ApplyAHMC Anaheim Regional Medical Center Anaheim CA Declined to Respond Declined to RespondAlameda County Medical Center Highland Hospital Oakland CA Substantial Progress 0.428 Willing to Report 2.345Alameda Hospital Alameda CA Unable to Calculate Score N/A Fully Meets Standard 0.000Alhambra Hospital Medical Center Alhambra CA Fully Meets Standard 0.000 Fully Meets Standard 0.000Alta Bates Summit Medical Center Alta Bates Campus Berkeley CA Some Progress 0.518 Substantial Progress 0.818Alta Bates Summit Medical Center Summit Campus Oakland CA Substantial Progress 0.169 Fully Meets Standard 0.000Alvarado Hospital Medical Center San Diego CA Declined to Respond Declined to RespondAntelope Valley Hospital Lancaster CA Declined to Respond Declined to RespondArrowhead Regional Medical Center Colton CA Declined to Respond Declined to RespondArroyo Grande Community Hospital Arroyo Grande CA Unable to Calculate Score N/A Unable to Calculate Score N/ABakersfield Heart Hospital Bakersfield CA Willing to Report 1.122 Willing to Report 2.308Bakersfield Memorial Hospital Bakersfield CA Substantial Progress 0.173 Fully Meets Standard 0.328Banner Lassen Medical Center Susanville CA Does Not Apply Does Not ApplyBarstow Community Hospital Barstow CA Declined to Respond Declined to RespondBarton Memorial Hospital South Lake Tahoe CA Declined to Respond Declined to RespondBear Valley Community Hospital Big Bear Lake CA Declined to Respond Declined to RespondBeverly Hospital Montebello CA Declined to Respond Declined to RespondBiggs‐Gridley Memorial Hospital (dba: Orchard Hospital) Gridley CA Declined to Respond Declined to RespondCalifornia Hospital Medical Center Los Angeles CA Substantial Progress 0.263 Willing to Report 1.748California Pacific Medical Center ‐ California Campus San Francisco CA Fully Meets Standard 0.000 Unable to Calculate Score N/ACalifornia Pacific Medical Center ‐ Davies Campus San Francisco CA Some Progress 0.962 Willing to Report 2.580California Pacific Medical Center ‐ Pacific Campus San Francisco CA Some Progress 0.615 Some Progress 1.379Catalina Island Medical Center Avalon CA Declined to Respond Declined to RespondCedars‐Sinai Medical Center Los Angeles CA Declined to Respond Declined to RespondCentinela Hospital Medical Center Inglewood CA Substantial Progress 0.488 Substantial Progress 0.517

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp6 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

Page 7: CLABSI CAUTI Data Formatted - Leapfrog...Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital Survey Central Line‐associated Blood Stream Infection (CLABSI) and

Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Chapman Medical Center Orange CA Declined to Respond Declined to RespondChildren's Hospital & Research Center, Oakland d/b/a UCSOakland CA Some Progress 0.580 Some Progress 1.167Children's Hospital at Mission Mission Viejo CA Declined to Respond Declined to RespondChildren's Hospital Los Angeles Los Angeles CA Substantial Progress 0.246 Fully Meets Standard 0.159Children's Hospital of Orange County Orange CA Substantial Progress 0.115 Substantial Progress 0.937Chinese Hospital San Francisco CA Unable to Calculate Score N/A Unable to Calculate Score N/AChino Valley Medical Center Chino CA Some Progress 0.735 Substantial Progress 0.679Citrus Valley Medical Center Inter‐Community Campus Covina CA Some Progress 0.605 Substantial Progress 0.775Citrus Valley Medical Center ‐Queen of the Valley CampusWest Covina CA Substantial Progress 0.336 Substantial Progress 0.698Clovis Community Medical Center Clovis CA Substantial Progress 0.455 Willing to Report 2.559Coalinga Regional Medical Center Coalinga CA Declined to Respond Declined to RespondCoast Plaza Hospital Norwalk CA Declined to Respond Declined to RespondCoastal Communities Hospital Santa Ana CA Declined to Respond Declined to RespondCollege Medical Center Long Beach CA Declined to Respond Declined to RespondColorado River Medical Center Needles CA Declined to Respond Declined to RespondColusa Regional Medical Center Colusa CA Declined to Respond Declined to RespondCommunity Hospital of Huntington Park Huntington Park CA Declined to Respond Declined to RespondCommunity Hospital of Long Beach Long Beach CA Some Progress 0.885 Some Progress 1.528COMMUNITY HOSPITAL OF SAN BERNARDINO SAN BERNARDINO CA Fully Meets Standard 0.000 Fully Meets Standard 0.000Community Hospital of the Monterey Peninsula Monterey CA Substantial Progress 0.248 Substantial Progress 0.560Community Memorial Hospital of San Buenaventura Ventura CA Declined to Respond Declined to RespondCommunity Regional Medical Center Fresno CA Some Progress 0.896 Willing to Report 1.678Contra Costa Regional Medical Center Martinez CA Fully Meets Standard 0.000 Willing to Report 3.097Corona Regional Medical Center Corona CA Declined to Respond Declined to RespondDameron Hospital Stockton CA Declined to Respond Declined to RespondDelano Regional Medical Center Delano CA Declined to Respond Declined to RespondDesert Regional Medical Center Palm Springs CA Substantial Progress 0.354 Fully Meets Standard 0.426Desert Valley Hospital Victorville CA Substantial Progress 0.489 Fully Meets Standard 0.280Doctors Hospital of Manteca Manteca CA Declined to Respond Declined to RespondDoctors Hospital of West Covina West Covina CA Declined to Respond Declined to RespondDoctors Medical Center of Modesto Modesto CA Substantial Progress 0.438 Fully Meets Standard 0.065Dominican Hospital Santa Cruz CA Fully Meets Standard 0.000 Fully Meets Standard 0.000Downey Regional Medical Center Downey CA Declined to Respond Declined to RespondEast Los Angeles Doctors Hospital Los Angeles CA Declined to Respond Declined to RespondEastern Plumas Health Care District Portola CA Declined to Respond Declined to RespondEden Medical Center Castro Valley CA Some Progress 0.531 Willing to Report 2.145Eisenhower Medical Center Rancho Mirage CA Substantial Progress 0.266 Substantial Progress 0.857El Camino Hospital Mountain View CA Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp7 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*El Camino Hospital Los Gatos Los Gatos CA Declined to Respond Declined to RespondEl Centro Regional Medical Center El Centro CA Declined to Respond Declined to RespondEmanuel Medical Center Turlock CA Declined to Respond Declined to RespondEncino Hospital Medical Center Encino CA Unable to Calculate Score N/A Unable to Calculate Score N/AEnloe Medical Center Chico CA Fully Meets Standard 0.000 Fully Meets Standard 0.262Fairchild Medical Center Yreka CA Declined to Respond Declined to RespondFallbrook Hospital Fallbrook CA Declined to Respond Declined to RespondFoothill Presbyterian Hospital Glendora CA Fully Meets Standard 0.000 Substantial Progress 0.839Fountain Valley Regional Hospital and Medical Center Fountain Valley CA Declined to Respond Declined to RespondFrank R. Howard Memorial Hospital Willits CA Declined to Respond Declined to RespondFremont Medical Center Yuba City CA Declined to Respond Declined to RespondFrench Hospital Medical Center San Luis Obispo CA Some Progress 0.573 Some Progress 1.225Fresno Heart and Surgical Hospital Fresno CA Substantial Progress 0.357 Fully Meets Standard 0.000Fresno Surgical Hospital Fresno CA Declined to Respond Declined to RespondGarden Grove Hospital and Medical Center Garden Grove CA Willing to Report 1.503 Willing to Report 2.570Garfield Medical Center Monterey Park CA Declined to Respond Declined to RespondGeorge L. Mee Memorial Hospital King City CA Declined to Respond Declined to RespondGlendale Adventist Medical Center Glendale CA Substantial Progress 0.208 Willing to Report 1.754Glendale Memorial Hospital and Health Center Glendale CA Fully Meets Standard 0.000 Fully Meets Standard 0.000Glendora Community Hospital Glendora CA Unable to Calculate Score N/A Unable to Calculate Score N/AGlenn Medical Center Willows CA Declined to Respond Declined to RespondGoleta Valley Cottage Hospital Goleta CA Declined to Respond Declined to RespondGood Samaritan Hospital North Bakersfield CA Declined to Respond Declined to RespondGood Samaritan Hospital of Los Angeles Los Angeles CA Some Progress 0.617 Willing to Report 1.760Good Samaritan Hospital of San Jose San Jose CA Substantial Progress 0.293 Substantial Progress 0.818Greater El Monte Community Hospital South El Monte CA Declined to Respond Declined to RespondHazel Hawkins Memorial Hospital Hollister CA Unable to Calculate Score N/A Unable to Calculate Score N/AHealdsburg District Hospital Healdsburg CA Declined to Respond Declined to RespondHemet Valley Medical Center Hemet CA Substantial Progress 0.363 Substantial Progress 0.707Henry Mayo Newhall Hospital Valencia CA Declined to Respond Declined to RespondHi‐Desert Medical Center Joshua Tree CA Declined to Respond Declined to RespondHoag Hospital Irvine Irvine CA Fully Meets Standard 0.000 Some Progress 1.249Hoag Memorial Hospital Presbyterian Newport Beach CA Some Progress 0.811 Substantial Progress 0.803Hoag Orthopedic Institute Irvine CA Declined to Respond Declined to RespondHollywood Community Hospital Hollywood CA Declined to Respond Declined to RespondHollywood Presbyterian Medical Center Los Angeles CA Substantial Progress 0.193 Substantial Progress 0.918Huntington Beach Hospital Huntington Beach CA Some Progress 1.953 Fully Meets Standard 0.000Huntington Hospital Pasadena CA Substantial Progress 0.158 Some Progress 1.440

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp8 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Inland Valley Medical Center Wildomar CA Declined to Respond Declined to RespondJerold Phelps Community Hospital Garberville CA Declined to Respond Declined to RespondJohn C. Fremont Healthcare District Mariposa CA Declined to Respond Declined to RespondJohn F. Kennedy Memorial Hospital Indio CA Declined to Respond Declined to RespondJohn Muir Medical Center Concord Campus Concord CA Declined to Respond Declined to RespondJohn Muir Medical Center Walnut Creek Campus Walnut Creek CA Declined to Respond Declined to RespondKaiser Foundation Hospital ‐ Antioch Antioch CA Some Progress 0.758 Some Progress 1.281Kaiser Foundation Hospital ‐ Baldwin Park Medical CenterBaldwin Park CA Some Progress 1.450 Willing to Report 2.385Kaiser Foundation Hospital ‐ Fremont Fremont CA Fully Meets Standard 0.000 Willing to Report 3.598Kaiser Foundation Hospital ‐ Fresno Fresno CA Fully Meets Standard 0.000 Some Progress 1.453Kaiser Foundation Hospital ‐ Manteca Manteca CA Unable to Calculate Score N/A Unable to Calculate Score N/AKaiser Foundation Hospital ‐ Modesto Modesto CA Some Progress 0.888 Willing to Report 1.697Kaiser Foundation Hospital ‐ Oakland Oakland CA Some Progress 0.546 Some Progress 1.495Kaiser Foundation Hospital ‐ Redwood City Redwood City CA Some Progress 0.733 Willing to Report 3.250Kaiser Foundation Hospital ‐ Richmond Richmond CA Fully Meets Standard 0.000 Substantial Progress 0.620Kaiser Foundation Hospital ‐ Roseville Roseville CA Fully Meets Standard 0.000 Some Progress 1.314Kaiser Foundation Hospital ‐ Sacramento Sacramento CA Fully Meets Standard 0.000 Willing to Report 2.178Kaiser Foundation Hospital ‐ San Francisco San Francisco CA Substantial Progress 0.245 Some Progress 1.028Kaiser Foundation Hospital ‐ San Jose San Jose CA Some Progress 1.753 Some Progress 1.465Kaiser Foundation Hospital ‐ San Rafael San Rafael CA Fully Meets Standard 0.000 Willing to Report 3.611Kaiser Foundation Hospital ‐ Santa Clara Santa Clara CA Substantial Progress 0.228 Some Progress 1.234Kaiser Foundation Hospital ‐ Santa Rosa Santa Rosa CA Some Progress 0.504 Substantial Progress 0.463Kaiser Foundation Hospital ‐ South Sacramento Sacramento CA Fully Meets Standard 0.000 Willing to Report 2.178Kaiser Foundation Hospital ‐ South San Francisco South San Francisco CA Unable to Calculate Score N/A Substantial Progress 0.680Kaiser Foundation Hospital ‐ Vacaville Vacaville CA Some Progress 0.558 Some Progress 1.376Kaiser Foundation Hospital ‐ Vallejo Vallejo CA Some Progress 0.546 Willing to Report 2.126Kaiser Foundation Hospital ‐ Walnut Creek Walnut Creek CA Substantial Progress 0.406 Willing to Report 2.061Kaiser Foundation Hospital ‐ West Los Angeles Los Angeles CA Some Progress 0.735 Willing to Report 1.732Kaiser Foundation Hospital South Bay Harbor City CA Fully Meets Standard 0.000 Substantial Progress 0.560Kaiser Foundation Hospital, Orange County ‐ Anaheim Anaheim CA Substantial Progress 0.271 Substantial Progress 0.458Kaiser Foundation Hospital, Orange County‐Irvine Irvine CA Fully Meets Standard 0.000 Fully Meets Standard 0.440Kaiser Permanente Fontana Medical Center Fontana CA Substantial Progress 0.498 Substantial Progress 0.586Kaiser Permanente Foundation Hospital,  Downey MedicaDowney CA Substantial Progress 0.102 Substantial Progress 0.724Kaiser Permanente Los Angeles Medical Center Los Angeles CA Substantial Progress 0.143 Substantial Progress 0.820Kaiser Permanente Moreno Valley Community Hospital Moreno Valley CA Unable to Calculate Score N/A Fully Meets Standard 0.000Kaiser Permanente Ontario Medical Center Ontario CA Fully Meets Standard 0.000 Substantial Progress 0.746Kaiser Permanente Panorama City Medical Center Panorama City CA Substantial Progress 0.187 Substantial Progress 0.560Kaiser Permanente Riverside Medical Center Riverside CA Fully Meets Standard 0.000 Substantial Progress 0.923

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp9 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Kaiser Permanente San Diego Medical Center San Diego CA Substantial Progress 0.214 Some Progress 1.114Kaiser Permanente Woodland Hills Medical Center Woodland Hills CA Substantial Progress 0.416 Willing to Report 2.621Kaweah Delta Medical Center Visalia CA Declined to Respond Declined to RespondKeck Hospital of USC Los Angeles CA Some Progress 0.540 Substantial Progress 0.894Kern Medical Center Bakersfield CA Fully Meets Standard 0.000 Willing to Report 2.337Kern Valley Healthcare District Lake Isabella CA Declined to Respond Declined to RespondLa Palma Intercommunity Hospital La Palma CA Unable to Calculate Score N/A Substantial Progress 0.790Lakewood Regional Medical Center Lakewood CA Declined to Respond Declined to RespondLodi Memorial Hospital Lodi CA Fully Meets Standard 0.000 Fully Meets Standard 0.000Loma Linda University Children's Hospital Loma Linda CA Substantial Progress 0.237 Substantial Progress 0.485Loma Linda University Medical Center Loma Linda CA Some Progress 0.867 Willing to Report 1.847Loma Linda University Medical Center East Campus Loma Linda CA Unable to Calculate Score N/A Unable to Calculate Score N/ALOMA LINDA UNIVERSITY MEDICAL CENTER‐MURRIETA MURRIETA CA Some Progress 1.019 Willing to Report 2.823Loma Linda University Surgical Hospital Redlands CA Unable to Calculate Score N/A Unable to Calculate Score N/ALompoc Valley Medical Center Lompoc CA Declined to Respond Declined to RespondLong Beach Memorial Medical Center Long Beach CA Some Progress 0.898 Some Progress 1.165Los Alamitos Medical Center Los Alamitos CA Declined to Respond Declined to RespondLos Angeles Community Hospital Los Angeles CA Declined to Respond Declined to RespondLos Angeles County ‐ Harbor UCLA Medical Center Torrance CA Declined to Respond Declined to RespondLos Angeles County ‐ Olive View UCLA Medical Center Sylmar CA Declined to Respond Declined to RespondLos Angeles County University of Southern California MedLos Angeles CA Declined to Respond Declined to RespondLos Robles Hospital and Medical Center Thousand Oaks CA Substantial Progress 0.112 Some Progress 1.170Lucile Salter Packard Children's Hospital at Stanford Palo Alto CA Some Progress 0.618 Fully Meets Standard 0.360Mad River Community Hospital Arcata CA Declined to Respond Declined to RespondMadera Community Hospital Madera CA Unable to Calculate Score N/A Unable to Calculate Score N/AMammoth Hospital Mammoth Lakes CA Declined to Respond Declined to RespondMarian Medical Center Santa Maria CA Substantial Progress 0.247 Some Progress 1.602Marin General Hospital Greenbrae CA Substantial Progress 0.303 Willing to Report 2.098Marina Del Rey Hospital Marina Del Rey CA Declined to Respond Declined to RespondMark Twain Medical Center San Andreas CA Unable to Calculate Score N/A Unable to Calculate Score N/AMarshall Medical Center Placerville CA Declined to Respond Declined to RespondMayers Memorial Hospital District Fall River Mills CA Declined to Respond Declined to RespondMemorial Hospital Los Banos Los Banos CA Unable to Calculate Score N/A Unable to Calculate Score N/AMemorial Hospital of Gardena Gardena CA Declined to Respond Declined to RespondMemorial Medical Center of Modesto Modesto CA Some Progress 1.666 Some Progress 1.543Mendocino Coast District Hospital Fort Bragg CA Declined to Respond Declined to RespondMenifee Valley Medical Center Sun City CA Fully Meets Standard 0.000 Fully Meets Standard 0.000Menlo Park Surgical Hospital Menlo Park CA Does Not Apply Does Not Apply

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp10 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

Page 11: CLABSI CAUTI Data Formatted - Leapfrog...Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital Survey Central Line‐associated Blood Stream Infection (CLABSI) and

Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Mercy General Hospital Sacramento CA Fully Meets Standard 0.000 Substantial Progress 0.705Mercy Hospital ‐ Downtown Bakersfield CA Fully Meets Standard 0.000 Fully Meets Standard 0.000Mercy Hospital ‐ Southwest Bakersfield CA Fully Meets Standard 0.000 Fully Meets Standard 0.000Mercy Hospital of Folsom Folsom CA Fully Meets Standard 0.000 Some Progress 1.019Mercy Medical Center Merced CA Fully Meets Standard 0.000 Fully Meets Standard 0.263Mercy Medical Center of Mount Shasta Mount Shasta CA Unable to Calculate Score N/A Unable to Calculate Score N/AMercy Medical Center of Redding Redding CA Substantial Progress 0.147 Some Progress 1.590Mercy San Juan Medical Center Carmichael CA Substantial Progress 0.043 Substantial Progress 0.740Methodist Hospital of Sacramento Sacramento CA Fully Meets Standard 0.000 Fully Meets Standard 0.132Methodist Hospital of Southern California Arcadia CA Substantial Progress 0.106 Some Progress 1.005Miller Children's and Women's Hospital Long Beach CA Substantial Progress 0.276 Fully Meets Standard 0.000Mills‐Peninsula Health Services Burlingame CA Fully Meets Standard 0.000 Some Progress 1.316Miracle Mile Medical Center Los Angeles CA Declined to Respond Declined to RespondMission Community Hospital Panorama City CA Declined to Respond Declined to RespondMission Hospital Laguna Beach Laguna Beach CA Unable to Calculate Score N/A Unable to Calculate Score N/AMission Hospital Regional Medical Center Mission Viejo CA Some Progress 0.548 Substantial Progress 0.634Montclair Hospital Medical Center Montclair CA Fully Meets Standard 0.000 Fully Meets Standard 0.000Monterey Park Hospital Monterey Park CA Declined to Respond Declined to RespondMotion Picture and Television Fund Hospital and ResidentWoodland Hills CA Declined to Respond Declined to RespondMountains Community Hospital Lake Arrowhead CA Declined to Respond Declined to RespondNatividad Medical Center Salinas CA Fully Meets Standard 0.000 Fully Meets Standard 0.000NorthBay Medical Center Fairfield CA Some Progress 0.548 Willing to Report 2.404NorthBay VacaValley Hospital Vacaville CA Substantial Progress 0.382 Substantial Progress 0.877Northern Inyo County Local Hospital Dist. Bishop CA Unable to Calculate Score N/A Unable to Calculate Score N/ANorthridge Hospital Medical Center‐Roscoe Boulevard CaNorthridge CA Substantial Progress 0.284 Some Progress 1.516Novato Community Hospital Novato CA Unable to Calculate Score N/A Unable to Calculate Score N/AOak Valley Hospital District Oakdale CA Declined to Respond Declined to RespondO'Connor Hospital San Jose CA Substantial Progress 0.420 Willing to Report 2.983Ojai Valley Community Hospital Ojai CA Declined to Respond Declined to RespondOlympia Medical Center Los Angeles CA Declined to Respond Declined to RespondOrange Coast Memorial Medical Center Fountain Valley CA Substantial Progress 0.413 Fully Meets Standard 0.375Orange County Global Medical Center Santa Ana CA Declined to Respond Declined to RespondOroville Hospital Oroville CA Fully Meets Standard 0.000 Fully Meets Standard 0.411Pacific Alliance Medical Center Los Angeles CA Declined to Respond Declined to RespondPacifica Hospital of the Valley Sun Valley CA Declined to Respond Declined to RespondPalmdale Regional Medical Center Palmdale CA Declined to Respond Declined to RespondPalo Verde Hospital Blythe CA Declined to Respond Declined to RespondPalomar Medical Center Escondido CA Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp11 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

Page 12: CLABSI CAUTI Data Formatted - Leapfrog...Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital Survey Central Line‐associated Blood Stream Infection (CLABSI) and

Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Paradise Valley Hospital National City CA Substantial Progress 0.491 Willing to Report 1.665Parkview Community Hospital Medical Center Riverside CA Substantial Progress 0.236 Some Progress 1.597Patient's Hospital of Redding Redding CA Does Not Apply Does Not ApplyPetaluma Valley Hospital Petaluma CA Unable to Calculate Score N/A Unable to Calculate Score N/APioneers Memorial Healthcare District Brawley CA Declined to Respond Declined to RespondPlacentia‐Linda Hospital Placentia CA Declined to Respond Declined to RespondPomerado Hospital Poway CA Declined to Respond Declined to RespondPomona Valley Hospital Medical Center Pomona CA Some Progress 0.633 Some Progress 1.369Presbyterian Intercommunity Hospital Whittier CA Declined to Respond Declined to RespondProvidence Holy Cross Medical Center Mission Hills CA Some Progress 0.736 Willing to Report 1.913Providence Little Company of Mary Medical Center San P San Pedro CA Fully Meets Standard 0.000 Willing to Report 2.249Providence Little Company of Mary Medical Center Torra Torrance CA Some Progress 0.683 Fully Meets Standard 0.177Providence St. Joseph Medical Center of Burbank Burbank CA Declined to Respond Declined to RespondProvidence Tarzana Medical Center Tarzana CA Substantial Progress 0.352 Substantial Progress 0.492Queen of the Valley Medical Center Napa CA Some Progress 0.709 Willing to Report 3.194Rady Children's Hospital San Diego CA Substantial Progress 0.307 Some Progress 1.090Rancho Springs Medical Center Murrieta CA Declined to Respond Declined to RespondRedlands Community Hospital Redlands CA Declined to Respond Declined to RespondRedwood Memorial Hospital Fortuna CA Declined to Respond Declined to RespondRegional Medical Center of San Jose San Jose CA Some Progress 0.755 Some Progress 1.153Rideout Memorial Hospital Marysville CA Declined to Respond Declined to RespondRidgecrest Regional Hospital Ridgecrest CA Declined to Respond Declined to RespondRiverside Community Hospital Riverside CA Substantial Progress 0.165 Substantial Progress 0.787Riverside County Regional Medical Center Moreno Valley CA Substantial Progress 0.148 Willing to Report 2.170Saddleback Memorial Medical Center of Laguna Hills Laguna Hills CA Substantial Progress 0.264 Substantial Progress 0.861Saddleback Memorial Medical Center of San Clemente San Clemente CA Unable to Calculate Score N/A Unable to Calculate Score N/ASaint Agnes Medical Center Fresno CA Some Progress 0.586 Some Progress 1.422Saint Francis Memorial Hospital San Francisco CA Substantial Progress 0.303 Some Progress 1.042Salinas Valley Memorial Healthcare System Salinas CA Substantial Progress 0.209 Substantial Progress 0.714San Antonio Regional Hospital Upland CA Some Progress 0.782 Some Progress 1.234San Dimas Community Hospital San Dimas CA Fully Meets Standard 0.000 Fully Meets Standard 0.000San Francisco General Hospital Medical Center San Francisco CA Declined to Respond Declined to RespondSan Gabriel Valley Medical Center San Gabriel CA Declined to Respond Declined to RespondSan Gorgonio Memorial Hospital Banning CA Declined to Respond Declined to RespondSan Joaquin General Hospital French Camp CA Declined to Respond Declined to RespondSan Leandro Hospital San Leandro CA Declined to Respond Declined to RespondSan Mateo Medical Center San Mateo CA Declined to Respond Declined to RespondSan Ramon Regional Medical Center San Ramon CA Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp12 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Santa Barbara Cottage Hospital Santa Barbara CA Declined to Respond Declined to RespondSanta Clara Valley Medical Center San Jose CA Declined to Respond Declined to RespondSanta Rosa Memorial Hospital Santa Rosa CA Fully Meets Standard 0.000 Some Progress 1.589Santa Ynez Valley Cottage Hospital Solvang CA Declined to Respond Declined to RespondScripps Green Hospital La Jolla CA Substantial Progress 0.483 Substantial Progress 0.901Scripps Memorial Hospital of Encinitas Encinitas CA Some Progress 0.644 Fully Meets Standard 0.437Scripps Memorial Hospital of La Jolla La Jolla CA Substantial Progress 0.360 Some Progress 1.166Scripps Mercy Hospital of Chula Vista Chula Vista CA Substantial Progress 0.322 Substantial Progress 0.610Scripps Mercy Hospital of San Diego San Diego CA Substantial Progress 0.228 Some Progress 1.019Seneca Healthcare District Chester CA Declined to Respond Declined to RespondSequoia Hospital Redwood City CA Substantial Progress 0.426 Substantial Progress 0.575Seton Medical Center Daly City CA Some Progress 0.991 Fully Meets Standard 0.283Seton Medical Center Coastside Moss Beach CA Declined to Respond Declined to RespondSharp Chula Vista Medical Center Chula Vista CA Substantial Progress 0.413 Willing to Report 1.885Sharp Coronado Hospital and Healthcare Center Coronado CA Unable to Calculate Score N/A Unable to Calculate Score N/ASharp Grossmont Hospital La Mesa CA Substantial Progress 0.059 Some Progress 1.462Sharp Mary Birch Hospital for Women and Newborns San Diego CA Declined to Respond Declined to RespondSharp Memorial Hospital San Diego CA Substantial Progress 0.221 Willing to Report 3.038Shasta Regional Medical Center Redding CA Some Progress 1.209 Some Progress 1.272Sherman Oaks Hospital Sherman Oaks CA Some Progress 0.854 Fully Meets Standard 0.000Sierra Nevada Memorial Hospital Grass Valley CA Fully Meets Standard 0.000 Willing to Report 1.633Sierra View Medical Center Porterville CA Unable to Calculate Score N/A Unable to Calculate Score N/ASierra Vista Regional Medical Center San Luis Obispo CA Declined to Respond Declined to RespondSilver Lake Medical Center Los Angeles CA Declined to Respond Declined to RespondSimi Valley Hospital and Health Care Services Simi Valley CA Some Progress 1.607 Substantial Progress 0.553Sonoma Valley Hospital Sonoma CA Unable to Calculate Score N/A Fully Meets Standard 0.000Sonora Regional Medical Center Sonora CA Declined to Respond Declined to RespondSouthern California Hospital at Culver City Culver City CA Declined to Respond Declined to RespondSouthern Inyo Healthcare District Lone Pine CA Declined to Respond Declined to RespondSt. Bernardine Medical Center San Bernardino CA Substantial Progress 0.254 Substantial Progress 0.605St. Elizabeth Community Hospital Red Bluff CA Unable to Calculate Score N/A Unable to Calculate Score N/ASt. Francis Medical Center of Lynwood Lynwood CA Declined to Respond Declined to RespondSt. Helena Hospital St. Helena CA Declined to Respond Declined to RespondSt. Helena Hospital Clearlake Clearlake CA Declined to Respond Declined to RespondSt. John's Health Center of Santa Monica Santa Monica CA Declined to Respond Declined to RespondSt. John's Pleasant Valley Hospital Camarillo CA Fully Meets Standard 0.000 Fully Meets Standard 0.000St. John's Regional Medical Center of Oxnard Oxnard CA Substantial Progress 0.209 Fully Meets Standard 0.217St. Joseph Health Saint Mary Apple Valley CA Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp13 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*St. Joseph Hospital of Eureka Eureka CA Fully Meets Standard 0.000 Some Progress 1.588St. Joseph Hospital of Orange Orange CA Some Progress 0.647 Willing to Report 2.882St. Joseph's Medical Center of Stockton Stockton CA Substantial Progress 0.082 Fully Meets Standard 0.346St. Jude Medical Center Fullerton CA Some Progress 1.173 Some Progress 1.072St. Louise Regional Hospital Gilroy CA Declined to Respond Declined to RespondSt. Luke's Hospital of San Francisco San Francisco CA Some Progress 1.800 Some Progress 1.498St. Mary Medical Center of Long Beach Long Beach CA Substantial Progress 0.199 Substantial Progress 0.525St. Mary's Medical Center San Francisco CA Substantial Progress 0.399 Fully Meets Standard 0.259St. Rose Hospital Hayward CA Declined to Respond Declined to RespondSt. Vincent Medical Center of Los Angeles Los Angeles CA Declined to Respond Declined to RespondStanford Hospital and Clinics Stanford CA Some Progress 0.586 Willing to Report 1.712Stanislaus Surgical Hospital Modesto CA Declined to Respond Declined to RespondSurprise Valley Community Hospital Cedarville CA Declined to Respond Declined to RespondSutter Amador Hospital Jackson CA Fully Meets Standard 0.000 Fully Meets Standard 0.000Sutter Auburn Faith Hospital Auburn CA Fully Meets Standard 0.000 Fully Meets Standard 0.000Sutter Coast Hospital Crescent City CA Unable to Calculate Score N/A Fully Meets Standard 0.000Sutter Davis Hospital Davis CA Unable to Calculate Score N/A Unable to Calculate Score N/ASutter Delta Medical Center Antioch CA Substantial Progress 0.427 Substantial Progress 0.866Sutter Maternity and Surgery Center of Santa Cruz Santa Cruz CA Does Not Apply Does Not ApplySutter Medical Center Sacramento Sacramento CA Substantial Progress 0.389 Substantial Progress 0.767Sutter Roseville Medical Center Roseville CA Substantial Progress 0.119 Some Progress 1.386Sutter Santa Rosa Regional Hospital Santa Rosa CA Substantial Progress 0.485 Substantial Progress 0.748Sutter Solano Medical Center Vallejo CA Fully Meets Standard 0.000 Some Progress 1.163Sutter Tracy Community Hospital Tracy CA Some Progress 1.418 Willing to Report 1.645Sutter West Bay Hospitals dba Sutter Lakeside Hospital Lakeport CA Unable to Calculate Score N/A Unable to Calculate Score N/ATahoe Forest Hospital District Truckee CA Declined to Respond Declined to RespondTehachapi Valley Healthcare District Tehachapi CA Declined to Respond Declined to RespondTemecula Valley Hospital Temecula CA Fully Meets Standard 0.000 Fully Meets Standard 0.382Thousand Oaks Surgical Hospital Thousand Oaks CA Does Not Apply Does Not ApplyTorrance Memorial Medical Center Torrance CA Substantial Progress 0.373 Some Progress 1.345Tri‐City Medical Center of Oceanside Oceanside CA Substantial Progress 0.499 Willing to Report 1.645Tri‐City Regional Medical Center Hawaiian Gardens CA Declined to Respond Declined to RespondTrinity Hospital Weaverville CA Declined to Respond Declined to RespondTulare Regional Medical Center Tulare CA Declined to Respond Declined to RespondTwin Cities Community Hospital Templeton CA Unable to Calculate Score N/A Fully Meets Standard 0.000UC San Diego Health Hillcrest ‐ Hillcrest Medical Center San Diego CA Some Progress 0.941 Willing to Report 2.207UC San Diego Health La Jolla ‐ Thornton Hospital and SulpLa Jolla CA Some Progress 0.576 Substantial Progress 0.746UCLA Medical Center of Santa Monica Santa Monica CA Substantial Progress 0.487 Some Progress 1.340

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp14 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*UCSF Medical Center / Moffitt‐Long Hospitals San Francisco CA Substantial Progress 0.347 Substantial Progress 0.736Ukiah Valley Medical Center Ukiah CA Unable to Calculate Score N/A Unable to Calculate Score N/AUniversity of California Davis Medical Center Sacramento CA Substantial Progress 0.463 Substantial Progress 0.722University of California Irvine Medical Center Orange CA Substantial Progress 0.100 Some Progress 1.226University of California Ronald Reagan UCLA Medical Cen Los Angeles CA Some Progress 0.855 Some Progress 1.182USC Norris Cancer Hospital Los Angeles CA Some Progress 1.468 Fully Meets Standard 0.000USC Verdugo Hills Hospital Glendale CA Some Progress 1.720 Willing to Report 1.729Valley Children's Hospital Madera CA Substantial Progress 0.268 Some Progress 1.215Valley Presbyterian Hospital Van Nuys CA Substantial Progress 0.439 Substantial Progress 0.752ValleyCare Health System Pleasanton CA Fully Meets Standard 0.000 Fully Meets Standard 0.000Ventura County Medical Center Ventura CA Declined to Respond Declined to RespondVictor Valley Community Hospital Victorville CA Declined to Respond Declined to RespondWashington Hospital Health System Fremont CA Declined to Respond Declined to RespondWatsonville Community Hospital Watsonville CA Declined to Respond Declined to RespondWest Anaheim Medical Center Anaheim CA Fully Meets Standard 0.000 Fully Meets Standard 0.331West Hills Hospital and Medical Center West Hills CA Willing to Report 1.119 Willing to Report 1.899Western Medical Center Anaheim Anaheim CA Declined to Respond Declined to RespondWhite Memorial Medical Center Los Angeles CA Substantial Progress 0.425 Substantial Progress 0.850Whittier Hospital Medical Center Whittier CA Declined to Respond Declined to RespondWoodland Memorial Hospital Woodland CA Fully Meets Standard 0.000 Substantial Progress 0.549Animas Surgical Hospital Durango CO Declined to Respond Declined to RespondArkansas Valley Regional Medical Center La Junta CO Declined to Respond Declined to RespondAspen Valley Hospital District Aspen CO Declined to Respond Declined to RespondBoulder Community Foothills Hospital Boulder CO Some Progress 0.711 Willing to Report 1.811Castle Rock Adventist Hospital Castle Rock CO Unable to Calculate Score N/A Unable to Calculate Score N/ACentura Health‐Avista Adventist Hospital Louisville CO Fully Meets Standard 0.000 Unable to Calculate Score N/ACentura Health‐Litteton Adventist Hospital Littleton CO Substantial Progress 0.399 Willing to Report 2.081Centura Health‐Penrose Hospital Colorado Springs CO Substantial Progress 0.338 Willing to Report 1.613Centura Health‐Porter Adventist Hospital Denver CO Fully Meets Standard 0.000 Substantial Progress 0.734Centura Health‐St. Anthony Hospital Lakewood CO Substantial Progress 0.363 Some Progress 1.208Centura Health‐St. Anthony North Hospital Westminster CO Some Progress 0.689 Some Progress 1.097Centura Health‐St. Francis Medical Center Colorado Springs CO Fully Meets Standard 0.000 Some Progress 1.575Centura Health‐St. Mary Corwin Medical Center Pueblo CO Some Progress 1.456 Some Progress 1.329Centura Health‐St. Thomas More Hospital Canon City CO Unable to Calculate Score N/A Unable to Calculate Score N/ACentura Parker Adventist Hospital Parker CO Fully Meets Standard 0.000 Willing to Report 1.692Children's Hospital Colorado Aurora CO Declined to Respond Declined to RespondColorado Canyons Hospital & Medical Center Fruita CO Does Not Apply Does Not ApplyColorado Plains Medical Center Fort Morgan CO Unable to Calculate Score N/A Unable to Calculate Score N/A

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp15 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Community Hospital Grand Junction CO Declined to Respond Declined to RespondConejos County Hospital La Jara CO Declined to Respond Declined to RespondCraig Hospital Englewood CO Declined to Respond Declined to RespondDelta County Memorial Hospital Delta CO Declined to Respond Declined to RespondDenver Health Medical Center Denver CO Declined to Respond Declined to RespondEast Morgan County Hospital Brush CO Does Not Apply Does Not ApplyGood Samaritan Medical Center Lafayette CO Substantial Progress 0.104 Fully Meets Standard 0.361Grand River Hospital District Rifle CO Declined to Respond Declined to RespondGunnison Valley Hospital Gunnison CO Declined to Respond Declined to RespondHaxtun Hospital District Haxtun CO Declined to Respond Declined to RespondHeart of the Rockies Regional Medical Center Salida CO Declined to Respond Declined to RespondKeefe Memorial Hospital Cheyenne Wells CO Declined to Respond Declined to RespondKit Carson County Memorial Hospital Burlington CO Declined to Respond Declined to RespondLongmont United Hospital Longmont CO Fully Meets Standard 0.000 Fully Meets Standard 0.267Lutheran Hospital Association of the San Luis Valley Alamosa CO Declined to Respond Declined to RespondLutheran Medical Center Wheat Ridge CO Substantial Progress 0.123 Some Progress 1.072McKee Medical Center Loveland CO Fully Meets Standard 0.000 Substantial Progress 0.912Medical Center of Aurora Aurora CO Substantial Progress 0.397 Some Progress 1.481Medical Center of the Rockies Loveland CO Declined to Respond Declined to RespondMelissa Memorial Hospital Holyoke CO Declined to Respond Declined to RespondMemorial Hospital Colorado Springs CO Declined to Respond Declined to RespondMemorial Hospital of Craig Craig CO Declined to Respond Declined to RespondMercy Regional Medical Center Durango CO Fully Meets Standard 0.000 Willing to Report 1.762Middle Park Medical Center Kremmling Kremmling CO Declined to Respond Declined to RespondMontrose Memorial Hospital Montrose CO Unable to Calculate Score N/A Willing to Report 1.881Mt. San Rafael Hospital Trinidad CO Declined to Respond Declined to RespondNorth Colorado Medical Center Greeley CO Some Progress 0.530 Substantial Progress 0.600North Suburban Medical Center Thornton CO Substantial Progress 0.305 Fully Meets Standard 0.268Pagosa Springs Medical Center Pagosa Springs CO Declined to Respond Declined to RespondParkview Medical Center Pueblo CO Some Progress 0.724 Fully Meets Standard 0.328Pikes Peak Regional Hospital Woodland Park CO Does Not Apply Does Not ApplyPioneers Medical Center Meeker CO Declined to Respond Declined to RespondPlatte Valley Medical Center Brighton CO Declined to Respond Declined to RespondPoudre Valley Hospital Fort Collins CO Declined to Respond Declined to RespondPresbyterian‐St. Luke's Medical Center Denver CO Substantial Progress 0.246 Substantial Progress 0.673Prowers Medical Center Lamar CO Declined to Respond Declined to RespondRangely District Hospital Rangely CO Declined to Respond Declined to RespondRio Grande Hospital Del Norte CO Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp16 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Rose Medical Center Denver CO Fully Meets Standard 0.000 Substantial Progress 0.695Saint Joseph Hospital Denver CO Substantial Progress 0.248 Fully Meets Standard 0.381Sedgwick County Health Center Julesburg CO Declined to Respond Declined to RespondSky Ridge Medical Center Lone Tree CO Fully Meets Standard 0.000 Some Progress 1.381Southeast Colorado Hospital District Springfield CO Declined to Respond Declined to RespondSouthwest Memorial Hospital Cortez CO Declined to Respond Declined to RespondSpalding Rehabilitation Hospital Aurora CO Does Not Apply Does Not ApplySpanish Peaks Regional Health Center Walsenburg CO Declined to Respond Declined to RespondSt. Anthony Summit Medical Center Frisco CO Unable to Calculate Score N/A Unable to Calculate Score N/ASt. Mary's Hospital and Medical Center Grand Junction CO Substantial Progress 0.390 Substantial Progress 0.734St. Vincent General Hospital District Leadville CO Declined to Respond Declined to RespondSterling Regional MedCenter Sterling CO Unable to Calculate Score N/A Unable to Calculate Score N/ASwedish Medical Center Englewood CO Substantial Progress 0.478 Substantial Progress 0.452University of Colorado Hospital Aurora CO Declined to Respond Declined to RespondVail Valley Medical Center Vail CO Declined to Respond Declined to RespondValley View Hospital Glenwood Springs CO Unable to Calculate Score N/A Unable to Calculate Score N/AWeisbrod Memorial County Hospital Eads CO Declined to Respond Declined to RespondWray Community District Hospital Wray CO Declined to Respond Declined to RespondYampa Valley Medical Center Steamboat Springs CO Declined to Respond Declined to RespondYuma District Hospital Yuma CO Declined to Respond Declined to RespondBridgeport Hospital Bridgeport CT Declined to Respond Declined to RespondBristol Hospital Bristol CT Fully Meets Standard 0.000 Fully Meets Standard 0.000Charlotte Hungerford Hospital Torrington CT Some Progress 1.475 Some Progress 1.426Connecticut Children's Medical Center Hartford CT Declined to Respond Declined to RespondDanbury Hospital Danbury CT Declined to Respond Declined to RespondDay Kimball Hospital Putnam CT Declined to Respond Declined to RespondGreenwich Hospital Greenwich CT Declined to Respond Declined to RespondGriffin Hospital Derby CT Declined to Respond Declined to RespondHartford Hospital Hartford CT Declined to Respond Declined to RespondJohnson Memorial Medical Center Stafford Springs CT Declined to Respond Declined to RespondLawrence & Memorial Hospital New London CT Declined to Respond Declined to RespondManchester Memorial Hospital Manchester CT Declined to Respond Declined to RespondMiddlesex Hospital Middletown CT Declined to Respond Declined to RespondMidState Medical Center Meriden CT Declined to Respond Declined to RespondMilford Hospital Milford CT Declined to Respond Declined to RespondNew Milford Hospital New Milford CT Declined to Respond Declined to RespondNorwalk Hospital Norwalk CT Declined to Respond Declined to RespondRockville General Hospital Vernon Rockville CT Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp17 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Saint Mary's Hospital Waterbury CT Declined to Respond Declined to RespondSharon Hospital Sharon CT Declined to Respond Declined to RespondSt. Francis Hospital & Medical Center Hartford CT Declined to Respond Declined to RespondSt. Vincent's Medical Center Bridgeport CT Declined to Respond Declined to RespondStamford Hospital Stamford CT Substantial Progress 0.342 Fully Meets Standard 0.308The Hospital of Central Connecticut New Britain CT Declined to Respond Declined to RespondThe William W. Backus Hospital Norwich CT Substantial Progress 0.456 Willing to Report 2.818University of Connecticut Health Center, John Dempsey HFarmington CT Substantial Progress 0.227 Substantial Progress 0.806Waterbury Hospital Waterbury CT Declined to Respond Declined to RespondWindham Hospital Willimantic CT Some Progress 0.875 Willing to Report 5.505Yale‐New Haven Hospital New Haven CT Declined to Respond Declined to RespondYale‐New Haven Hospital Saint Raphael Campus New Haven CT Declined to Respond Declined to RespondChildren's National Medical Center Washington DC Substantial Progress 0.099 Substantial Progress 0.661George Washington University Hospital Washington DC Declined to Respond Declined to RespondHoward University Hospital Washington DC Declined to Respond Declined to RespondMedStar Georgetown University Hospital Washington DC Declined to Respond Declined to RespondMedStar Washington Hospital Center Washington DC Declined to Respond Declined to RespondProvidence Hospital of Washington Washington DC Substantial Progress 0.155 Fully Meets Standard 0.000Sibley Memorial Hospital Washington DC Some Progress 0.671 Some Progress 1.318United Medical Center Washington DC Fully Meets Standard 0.000 Fully Meets Standard 0.312Bayhealth Kent General Dover DE Declined to Respond Declined to RespondBayhealth Milford Memorial Hospital Milford DE Declined to Respond Declined to RespondBeebe Healthcare Lewes DE Some Progress 0.520 Some Progress 1.130Christiana Care Health System ‐ Christiana Hospital Newark DE Substantial Progress 0.182 Some Progress 1.342Christiana Care Health System ‐ Wilmington Hospital Wilmington DE Fully Meets Standard 0.000 Fully Meets Standard 0.000Nanticoke Memorial Hospital Seaford DE Some Progress 0.523 Substantial Progress 0.504St. Francis Hospital Wilmington DE Declined to Respond Declined to RespondThe Alfred I. duPont Hospital for Children WILMINGTON DE Substantial Progress 0.425 Substantial Progress 0.576All Children's Hospital Saint Petersburg FL Declined to Respond Declined to RespondArnold Palmer Hospital for Children Orlando FL Substantial Progress 0.387 Fully Meets Standard 0.000Aventura Hospital and Medical Center Aventura FL Fully Meets Standard 0.000 Fully Meets Standard 0.096Baptist Health South Florida Baptist Hospital of Miami Miami FL Substantial Progress 0.063 Willing to Report 2.266Baptist Health South Florida Doctors Hospital Coral Gables FL Some Progress 0.608 Fully Meets Standard 0.000Baptist Health South Florida Homestead Hospital Homestead FL Fully Meets Standard 0.000 Substantial Progress 0.564Baptist Health South Florida Mariners Hospital TAVERNIER FL Unable to Calculate Score N/A Unable to Calculate Score N/ABaptist Health South Florida South Miami Hospital South Miami FL Substantial Progress 0.202 Willing to Report 2.316Baptist Health South Florida West Kendall Baptist HospitaMiami FL Some Progress 0.937 Willing to Report 1.727Baptist Hospital Pensacola FL Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp18 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Baptist Medical Center Beaches Jacksonville Beach FL Substantial Progress 0.196 Substantial Progress 0.522Baptist Medical Center Jacksonville Jacksonville FL Substantial Progress 0.223 Some Progress 1.220Baptist Medical Center Nassau Fernandina Beach FL Unable to Calculate Score N/A Willing to Report 1.995Baptist Medical Center South Jacksonville FL Substantial Progress 0.222 Some Progress 1.269Bartow Regional Medical Center Bartow FL Declined to Respond Declined to RespondBay Medical Center Sacred Heart Health System Panama City FL Some Progress 0.549 Fully Meets Standard 0.247Bayfront Health Brooksville Brooksville FL Declined to Respond Declined to RespondBayfront Health Dade City Dade City FL Declined to Respond Declined to RespondBayfront Health Port Charlotte Port Charlotte FL Declined to Respond Declined to RespondBayfront Health Punta Gorda Punta Gorda FL Declined to Respond Declined to RespondBayfront Health Spring Hill Spring Hill FL Declined to Respond Declined to RespondBayfront Health St. Petersburg Saint Petersburg FL Declined to Respond Declined to RespondBert Fish Medical Center New Smyrna Beach FL Declined to Respond Declined to RespondBethesda Hospital East Boynton Beach FL Declined to Respond Declined to RespondBethesda Hospital West Boynton Beach FL Declined to Respond Declined to RespondBLAKE MEDICAL CENTER BRADENTON FL Some Progress 2.088 Substantial Progress 0.943Boca Raton Regional Hospital Boca Raton FL Substantial Progress 0.161 Fully Meets Standard 0.116BRANDON REGIONAL HOSPITAL BRANDON FL Substantial Progress 0.438 Substantial Progress 0.844Broward Health Coral Springs Coral Springs FL Declined to Respond Declined to RespondBroward Health Imperial Point Fort Lauderdale FL Declined to Respond Declined to RespondBroward Health Medical Center Fort Lauderdale FL Declined to Respond Declined to RespondBroward Health North Deerfield Beach FL Declined to Respond Declined to RespondCape Canaveral Hospital Cocoa Beach FL Some Progress 0.661 Some Progress 1.418Cape Coral Hospital Cape Coral FL Some Progress 0.611 Willing to Report 1.667Capital Regional Medical Center Tallahassee FL Some Progress 2.648 Willing to Report 3.432Central Florida Regional Hospital Sanford FL Willing to Report 1.337 Substantial Progress 0.588Chris Evert Children's Hospital Fort Lauderdale FL Declined to Respond Declined to RespondCitrus Memorial Hospital Inverness FL Substantial Progress 0.369 Willing to Report 2.416Cleveland Clinic Florida Weston FL Declined to Respond Declined to RespondCoral Gables Hospital Coral Gables FL Fully Meets Standard 0.000 Fully Meets Standard 0.219Delray Medical Center Delray Beach FL Declined to Respond Declined to RespondDesoto Memorial Hospital Arcadia FL Unable to Calculate Score N/A Unable to Calculate Score N/ADOCTORS HOSPITAL OF SARASOTA SARASOTA FL Some Progress 0.521 Fully Meets Standard 0.000Doctor's Memorial Hospital Perry FL Declined to Respond Declined to RespondDr. P. Phillips Hospital Orlando FL Fully Meets Standard 0.000 Willing to Report 3.195Ed Fraser Memorial Hospital and Baker Community Healt Macclenny FL Declined to Respond Declined to RespondEngelwood Community Hospital Englewood FL Unable to Calculate Score N/A Fully Meets Standard 0.000Fawcett Memorial Hospital Port Charlotte FL Substantial Progress 0.367 Fully Meets Standard 0.189

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp19 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Fishermen's Community Hospital Marathon FL Declined to Respond Declined to RespondFlagler Hospital Saint Augustine FL Substantial Progress 0.287 Fully Meets Standard 0.132Florida Hospital Altamonte Altamonte Springs FL Some Progress 0.566 Some Progress 1.211Florida Hospital Apopka Apopka FL Unable to Calculate Score N/A Unable to Calculate Score N/AFlorida Hospital Carrollwood Tampa FL Substantial Progress 0.405 Some Progress 1.229Florida Hospital Celebration Health Celebration FL Fully Meets Standard 0.000 Some Progress 1.559Florida Hospital DeLand DeLand FL Substantial Progress 0.341 Some Progress 1.454Florida Hospital East Orlando Orlando FL Substantial Progress 0.121 Substantial Progress 0.761Florida Hospital Fish Memorial Orange City FL Fully Meets Standard 0.000 Fully Meets Standard 0.000Florida Hospital Flagler Palm Coast FL Some Progress 0.923 Substantial Progress 0.890Florida Hospital Heartland Medical Center Sebring FL Substantial Progress 0.323 Some Progress 1.023Florida Hospital Heartland Medical Center Lake Placid Lake Placid FL Unable to Calculate Score N/A Unable to Calculate Score N/AFlorida Hospital Kissimmee Kissimmee FL Some Progress 0.601 Some Progress 0.965Florida Hospital Memorial Medical Center Daytona Beach FL Some Progress 0.612 Some Progress 1.199Florida Hospital North Pinellas Tarpon Springs FL Fully Meets Standard 0.000 Fully Meets Standard 0.000Florida Hospital Orlando Orlando FL Substantial Progress 0.153 Substantial Progress 0.836Florida Hospital Tampa Tampa FL Substantial Progress 0.314 Substantial Progress 0.718Florida Hospital Waterman Tavares FL Substantial Progress 0.442 Substantial Progress 0.455Florida Hospital Wauchula Wauchula FL Does Not Apply Does Not ApplyFlorida Hospital Wesley Chapel WESLEY CHAPEL FL Fully Meets Standard 0.000 Fully Meets Standard 0.348Florida Hospital Zephyrhills Zephyrhills FL Substantial Progress 0.381 Substantial Progress 0.480Florida Medical Center Ft. Lauderdale FL Substantial Progress 0.096 Substantial Progress 0.841Fort Walton Beach Medical Center Fort Walton Beach FL Fully Meets Standard 0.000 Fully Meets Standard 0.000Golisano Children's Hospital of Southwest Florida Fort Myers FL Declined to Respond Declined to RespondGood Samaritan Medical Center West Palm Beach FL Declined to Respond Declined to RespondGulf Breeze Hospital Gulf Breeze FL Declined to Respond Declined to RespondGulf Coast Medical Center Fort Myers FL Substantial Progress 0.453 Willing to Report 1.963Gulf Coast Regional Medical Center Panama City FL Substantial Progress 0.355 Fully Meets Standard 0.434Halifax Health Medical Center Daytona Beach FL Some Progress 0.881 Some Progress 1.590Halifax Health Medical Center ‐ Port Orange Port Orange FL Declined to Respond Declined to RespondHealth Central Hospital Ocoee FL Fully Meets Standard 0.000 Fully Meets Standard 0.099Health First, Viera Hospital Melbourne FL Some Progress 0.707 Substantial Progress 0.704Healthmark Regional Medical Center Defuniak Springs FL Declined to Respond Declined to RespondHealthpark Medical Center Fort Myers FL Some Progress 0.591 Substantial Progress 0.847Heart of Florida Regional Medical Center Davenport FL Declined to Respond Declined to RespondHialeah Hospital Hialeah FL Substantial Progress 0.237 Substantial Progress 0.558Highlands Regional Medical Center Sebring FL Declined to Respond Declined to RespondHolmes Regional Medical Center Melbourne FL Substantial Progress 0.313 Some Progress 1.270

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp20 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Holtz Children's Hospital Miami FL Declined to Respond Declined to RespondHoly Cross Hospital Fort Lauderdale FL Some Progress 0.572 Substantial Progress 0.932Indian River Medical Center Vero Beach FL Substantial Progress 0.413 Substantial Progress 0.502Jackson Hospital Marianna FL Declined to Respond Declined to RespondJackson Memorial Hospital Miami FL Substantial Progress 0.453 Some Progress 1.331Jackson North Medical Center North Miami Beach FL Willing to Report 4.135 Willing to Report 2.396Jackson South Community Hospital Miami FL Some Progress 0.551 Some Progress 1.428Jay Hospital Jay FL Declined to Respond Declined to RespondJFK Medical Center Atlantis FL Some Progress 0.817 Substantial Progress 0.659Joe DiMaggio Children's Hospital Hollywood FL Declined to Respond Declined to RespondJupiter Medical Center Jupiter FL Fully Meets Standard 0.000 Fully Meets Standard 0.000Kendall Regional Medical Center Miami FL Substantial Progress 0.089 Substantial Progress 0.537Lake City Medical Center Lake City FL Unable to Calculate Score N/A Fully Meets Standard 0.000Lake Wales Medical Center Lake Wales FL Declined to Respond Declined to RespondLakeland Regional Medical Center Lakeland FL Some Progress 0.709 Substantial Progress 0.914Lakeside Medical Center Belle Glade FL Declined to Respond Declined to RespondLakewood Ranch Medical Center Bradenton FL Declined to Respond Declined to RespondLARGO MEDICAL CENTER LARGO FL Fully Meets Standard 0.000 Fully Meets Standard 0.000Largo Medical Center ‐ Indian Rocks Largo FL Declined to Respond Declined to RespondLarkin Community Hospital South Miami FL Fully Meets Standard 0.000 Fully Meets Standard 0.000Lawnwood Regional Medical Center & Heart Institute Fort Pierce FL Substantial Progress 0.233 Fully Meets Standard 0.378Lee Memorial Hospital Fort Myers FL Substantial Progress 0.426 Some Progress 1.363Leesburg Regional Medical Center Leesburg FL Substantial Progress 0.426 Substantial Progress 0.713Lehigh Regional Medical Center Lehigh Acres FL Declined to Respond Declined to RespondLower Keys Medical Center Key West FL Declined to Respond Declined to RespondManatee Memorial Hospital Bradenton FL Declined to Respond Declined to RespondMartin Hospital South Stuart FL Declined to Respond Declined to RespondMartin Medical Center Stuart FL Declined to Respond Declined to RespondMayo Clinic Hospital Jacksonville FL Declined to Respond Declined to RespondMease Countryside Hospital Safety Harbor FL Declined to Respond Declined to RespondMease Dunedin Hospital Dunedin FL Declined to Respond Declined to RespondMedical Center of Trinity Trinity FL Substantial Progress 0.200 Fully Meets Standard 0.315Memorial Hospital Jacksonville Jacksonville FL Some Progress 0.812 Willing to Report 2.427Memorial Hospital Miramar Miramar FL Declined to Respond Declined to RespondMemorial Hospital of Tampa Tampa FL Fully Meets Standard 0.000 Fully Meets Standard 0.000Memorial Hospital Pembroke Pembroke Pines FL Declined to Respond Declined to RespondMemorial Hospital West Pembroke Pines FL Declined to Respond Declined to RespondMemorial Regional Hospital Hollywood FL Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp21 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Memorial Regional Hospital South Hollywood FL Declined to Respond Declined to RespondMercy Hospital Miami FL Substantial Progress 0.187 Substantial Progress 0.465Miami Children's Hospital Miami FL Declined to Respond Declined to RespondMorton Plant Hospital Clearwater FL Declined to Respond Declined to RespondMorton Plant North Bay Hospital New Port Richey FL Declined to Respond Declined to RespondMount Sinai Medical Center Miami Beach FL Some Progress 0.546 Fully Meets Standard 0.397Munroe Regional Medical Center Ocala FL Declined to Respond Declined to RespondNCH Downtown Naples Hospital Naples FL Fully Meets Standard 0.000 Substantial Progress 0.950NCH North Naples Hospital Naples FL Fully Meets Standard 0.000 Some Progress 1.312Nemours Children's Hospital, Orlando Orlando FL Substantial Progress 0.471 Unable to Calculate Score N/ANorth Florida Regional Medical Center Gainesville FL Some Progress 1.774 Willing to Report 3.935North Okaloosa Medical Center Crestview FL Declined to Respond Declined to RespondNorth Shore Medical Center Miami FL Substantial Progress 0.198 Some Progress 1.429NORTHSIDE HOSPITAL SAINT PETERSBURG FL Substantial Progress 0.179 Substantial Progress 0.862Northwest Medical Center Margate FL Some Progress 0.760 Willing to Report 2.178Oak Hill Hospital BROOKSVILLE FL Substantial Progress 0.338 Substantial Progress 0.655Ocala Regional Medical Center Ocala FL Some Progress 0.657 Fully Meets Standard 0.344Orange Park Medical Center Orange Park FL Fully Meets Standard 0.000 Fully Meets Standard 0.395Orlando Regional Medical Center Orlando FL Substantial Progress 0.310 Substantial Progress 0.821Orlando Regional South Seminole Hospital Longwood FL Fully Meets Standard 0.000 Willing to Report 1.858Osceola Regional Medical Center Kissimmee FL Some Progress 0.549 Fully Meets Standard 0.232Palm Bay Hospital Palm Bay FL Fully Meets Standard 0.000 Fully Meets Standard 0.000Palm Beach Gardens Medical Center Palm Beach Gardens FL Declined to Respond Declined to RespondPalm Springs General Hospital Hialeah FL Declined to Respond Declined to RespondPalmetto General Hospital Hialeah FL Declined to Respond Declined to RespondPalms of Pasadena Hospital Saint Petersburg FL Fully Meets Standard 0.000 Fully Meets Standard 0.000Palms West Hospital Loxahatchee FL Some Progress 0.611 Fully Meets Standard 0.393Parrish Medical Center Titusville FL Fully Meets Standard 0.000 Fully Meets Standard 0.000Physicians Regional Medical Center ‐ Collier Boulevard Naples FL Declined to Respond Declined to RespondPhysicians Regional Medical Center ‐ Pine Ridge Naples FL Declined to Respond Declined to RespondPlantation General Hospital Plantation FL Some Progress 1.742 Willing to Report 3.206Poinciana Medical Center Kissimmee FL Unable to Calculate Score N/A Unable to Calculate Score N/APutnam Community Medical Center Palatka FL Fully Meets Standard 0.000 Substantial Progress 0.930Raulerson Hospital Okeechobee FL Substantial Progress 0.484 Some Progress 1.266Regional General Hospital Williston Williston FL Declined to Respond Declined to RespondREGIONAL MEDICAL CENTER BAYONET POINT HUDSON FL Some Progress 0.699 Some Progress 1.326Sacred Heart Hospital On The Emerald Coast Miramar Beach FL Unable to Calculate Score N/A Substantial Progress 0.833Sacred Heart Hospital on the Gulf Port Saint Joe FL Does Not Apply Does Not Apply

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp22 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Sacred Heart Hospital Pensacola Pensacola FL Some Progress 0.551 Substantial Progress 0.537Santa Rosa Medical Center Milton FL Declined to Respond Declined to RespondSarasota Memorial Hospital Sarasota FL Declined to Respond Declined to RespondSebastian River Medical Center Sebastian FL Some Progress 0.741 Substantial Progress 0.534Seven Rivers Regional Medical Center Crystal River FL Declined to Respond Declined to RespondShands Lake Shore Regional Medical Center Lake City FL Declined to Respond Declined to RespondShands Live Oak Regional Medical Center Live Oak FL Declined to Respond Declined to RespondShands Starke Regional Medical Center Starke FL Declined to Respond Declined to RespondSOUTH BAY HOSPITAL Sun City Center FL Substantial Progress 0.433 Fully Meets Standard 0.345South Florida Baptist Hospital Plant City FL Declined to Respond Declined to RespondSouth Lake Hospital Clermont FL Substantial Progress 0.453 Some Progress 1.421St. Anthony's Hospital Saint Petersburg FL Declined to Respond Declined to RespondSt. Cloud Regional Medical Center St. Cloud FL Declined to Respond Declined to RespondSt. Joseph's Children's Hospital Tampa FL Declined to Respond Declined to RespondSt. Joseph's Hospital Tampa FL Declined to Respond Declined to RespondSt. Joseph's Hospital North LUTZ FL Declined to Respond Declined to RespondSt. Joseph's Women's Hospital Tampa FL Declined to Respond Declined to RespondSt. Lucie Medical Center Port St Lucie FL Fully Meets Standard 0.000 Fully Meets Standard 0.000St. Mary's Medical Center West Palm Beach FL Declined to Respond Declined to RespondSt. Petersburg General Hospital St. Petersburg FL Some Progress 0.994 Willing to Report 2.720St. Vincent's Medical Center Clay County Middleburg FL Unable to Calculate Score N/A Fully Meets Standard 0.359St. Vincent's Medical Center Riverside Jacksonville FL Substantial Progress 0.362 Some Progress 1.562St. Vincent's Medical Center Southside Jacksonville FL Fully Meets Standard 0.000 Fully Meets Standard 0.000Sylvester Comprehensive Cancer Center / UMHC Miami FL Declined to Respond Declined to RespondTallahassee Memorial Healthcare Tallahassee FL Declined to Respond Declined to RespondTampa Community Hospital Tampa FL Fully Meets Standard 0.000 Substantial Progress 0.532Tampa General Hospital Tampa FL Declined to Respond Declined to RespondThe Children's Hospital at Sacred Heart Pensacola FL Declined to Respond Declined to RespondThe Villages Regional Hospital The Villages FL Some Progress 0.964 Willing to Report 1.639Tradition Medical Center Port St. Lucie FL Declined to Respond Declined to RespondTwin Cities Hospital Niceville FL Unable to Calculate Score N/A Some Progress 1.520UF Health Jacksonville Jacksonville FL Declined to Respond Declined to RespondUF Health Shands Children's Hospital Gainesville FL Declined to Respond Declined to RespondUF Health Shands Hospital Gainesville FL Declined to Respond Declined to RespondUniversity Hospital and Medical Center Tamarac FL Fully Meets Standard 0.000 Fully Meets Standard 0.254University of Miami Hospital Miami FL Declined to Respond Declined to RespondVenice Regional Bayfront Health Venice FL Declined to Respond Declined to RespondWalt Disney Pavilion at Florida Hospital for Children Orlando FL Some Progress 0.584 Substantial Progress 0.933

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp23 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Wellington Regional Medical Center Wellington FL Declined to Respond Declined to RespondWest Boca Medical Center Boca Raton FL Declined to Respond Declined to RespondWest Florida  Hospital Pensacola FL Some Progress 0.530 Fully Meets Standard 0.199West Marion Community Hospital Ocala FL Some Progress 0.973 Fully Meets Standard 0.000West Palm Hospital West Palm Beach FL Fully Meets Standard 0.000 Willing to Report 1.723Westchester General Hospital Miami FL Declined to Respond Declined to RespondWestside Regional Medical Center Plantation FL Some Progress 0.531 Fully Meets Standard 0.437Winnie Palmer Hospital for Women and Babies Orlando FL Some Progress 0.520 Unable to Calculate Score N/AWinter Haven Hospital Winter Haven FL Declined to Respond Declined to RespondWinter Park Memorial Hospital Winter Park FL Substantial Progress 0.204 Some Progress 1.335Wolfson Children's Hospital Jacksonville FL Substantial Progress 0.103 Fully Meets Standard 0.333Wuesthoff Medical Center ‐ Melbourne Melbourne FL Declined to Respond Declined to RespondWuesthoff Medical Center ‐ Rockledge Rockledge FL Declined to Respond Declined to RespondAppling Healthcare System Baxley GA Declined to Respond Declined to RespondAthens Regional Medical Center Athens GA Some Progress 0.793 Willing to Report 3.272Atlanta Medical Center Atlanta GA Declined to Respond Declined to RespondAtlanta Medical Center South Campus East Point GA Declined to Respond Declined to RespondBarrow Regional Medical Center Winder GA Declined to Respond Declined to RespondBurke Medical Center Waynesboro GA Declined to Respond Declined to RespondCandler Hospital Savannah GA Substantial Progress 0.225 Some Progress 0.997Cartersville Medical Center Cartersville GA Substantial Progress 0.376 Willing to Report 1.832Chestatee Regional Hospital Dahlonega GA Declined to Respond Declined to RespondChildren's Healthcare of Atlanta at Egleston Atlanta GA Declined to Respond Declined to RespondChildren's Healthcare of Atlanta at Hughes Spalding Atlanta GA Declined to Respond Declined to RespondChildren's Healthcare of Atlanta at Scottish Rite Atlanta GA Declined to Respond Declined to RespondCoffee Regional Medical Center Douglas GA Declined to Respond Declined to RespondColiseum Medical Centers Macon GA Some Progress 0.819 Substantial Progress 0.480Coliseum Northside Hospital Macon GA Unable to Calculate Score N/A Fully Meets Standard 0.000Colquitt Regional Medical Center Moultrie GA Fully Meets Standard 0.000 Fully Meets Standard 0.386Cook Medical Center ‐ A Campus of Tift Regional Medical Adel GA Declined to Respond Declined to RespondCrisp Regional Hospital Cordele GA Unable to Calculate Score N/A Fully Meets Standard 0.000Dekalb Medical at Hillandale Lithonia GA Declined to Respond Declined to RespondDekalb Medical Center Decatur GA Declined to Respond Declined to RespondDoctors Hospital Augusta GA Some Progress 0.659 Substantial Progress 0.631Doctors Hospital of Columbus Columbus GA Declined to Respond Declined to RespondDodge County Hospital Eastman GA Declined to Respond Declined to RespondDonalsonville Hospital Donalsonville GA Declined to Respond Declined to RespondEast Georgia Regional Medical Center Statesboro GA Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp24 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Eastside Medical Center Snellville GA Substantial Progress 0.180 Willing to Report 2.544Elbert Memorial Hospital Elberton GA Declined to Respond Declined to RespondEmanuel Medical Hospital Swainsboro GA Declined to Respond Declined to RespondEmory Johns Creek Hospital Johns Creek GA Declined to Respond Declined to RespondEmory University Hospital Atlanta GA Declined to Respond Declined to RespondEmory University Hospital Midtown Atlanta GA Declined to Respond Declined to RespondEvans Memorial Hospital Claxton GA Declined to Respond Declined to RespondFairview Park Hospital Dublin GA Fully Meets Standard 0.000 Some Progress 1.202Fannin Regional Hospital Blue Ridge GA Declined to Respond Declined to RespondFlint River Community Hospital Montezuma GA Declined to Respond Declined to RespondFloyd Medical Center Rome GA Declined to Respond Declined to RespondGeorgia Regents Medical Center Augusta GA Declined to Respond Declined to RespondGordon Hospital Calhoun GA Fully Meets Standard 0.000 Substantial Progress 0.555Grady General Hospital Cairo GA Declined to Respond Declined to RespondGrady Memorial Hospital Atlanta GA Declined to Respond Declined to RespondGwinnett Medical Center ‐ Duluth Duluth GA Some Progress 0.728 Fully Meets Standard 0.000Gwinnett Medical Center Lawrenceville Lawrenceville GA Substantial Progress 0.368 Some Progress 1.509Habersham Medical Center Demorest GA Declined to Respond Declined to RespondHamilton Medical Center Dalton GA Declined to Respond Declined to RespondHouston Medical Center Warner Robins GA Substantial Progress 0.216 Fully Meets Standard 0.316Hutcheson Medical Center Fort Oglethorpe GA Declined to Respond Declined to RespondIrwin County Hospital Ocilla GA Declined to Respond Declined to RespondJefferson Hospital Louisville GA Declined to Respond Declined to RespondJohn D. Archbold Memorial Hospital Thomasville GA Declined to Respond Declined to RespondMAYO CLINIC HEALTH SYSTEM IN WAYCROSS Waycross GA Declined to Respond Declined to RespondMeadows Regional Medical Center Vidalia GA Unable to Calculate Score N/A Willing to Report 6.110Memorial Hospital and Manor Bainbridge GA Declined to Respond Declined to RespondMemorial University Medical Center Savannah GA Substantial Progress 0.274 Willing to Report 1.717Murray Medical Center Chatsworth GA Declined to Respond Declined to RespondNorth Fulton Hospital Roswell GA Declined to Respond Declined to RespondNorth Georgia Medical Center Ellijay GA Declined to Respond Declined to RespondNortheast Georgia Medical Center Gainesville GA Declined to Respond Declined to RespondNorthridge Medical Center Commerce GA Declined to Respond Declined to RespondNorthside Forsyth Hospital Cumming GA Declined to Respond Declined to RespondNorthside Hospital Atlanta GA Declined to Respond Declined to RespondNorthside Hospital Cherokee Canton GA Declined to Respond Declined to RespondOconee Regional Medical Center Milledgeville GA Declined to Respond Declined to RespondPerry Hospital Perry GA Fully Meets Standard 0.000 Fully Meets Standard 0.000

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp25 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Phoebe Dorminy Medical Center Fitzgerald GA Declined to Respond Declined to RespondPhoebe Putney Memorial Hospital Albany GA Declined to Respond Declined to RespondPhoebe Putney Memorial Hospital (North Campus) Albany GA Declined to Respond Declined to RespondPhoebe Sumter Medical Center Americus GA Declined to Respond Declined to RespondPiedmont Fayette Hospital Fayetteville GA Fully Meets Standard 0.000 Fully Meets Standard 0.316Piedmont Henry Hospital Stockbridge GA Substantial Progress 0.167 Substantial Progress 0.729Piedmont Hospital Atlanta GA Some Progress 0.798 Willing to Report 2.410Piedmont Mountainside Hospital Jasper GA Fully Meets Standard 0.000 Fully Meets Standard 0.000Piedmont Newnan Hospital Newnan GA Fully Meets Standard 0.000 Some Progress 1.013Piedmont Newton Hospital Covington GA Declined to Respond Declined to RespondRedmond Regional Medical Center Rome GA Substantial Progress 0.418 Some Progress 1.249Rockdale Medical Center Conyers GA Substantial Progress 0.439 Some Progress 0.969Smith Northview Hospital Valdosta GA Declined to Respond Declined to RespondSouth Georgia Medical Center Valdosta GA Declined to Respond Declined to RespondSouth Georgia Medical Center Berrien Campus Nashville GA Declined to Respond Declined to RespondSoutheast Georgia Health System ‐ Brunswick Campus Brunswick GA Declined to Respond Declined to RespondSoutheast Georgia Health System ‐ Camden Campus St. Marys GA Declined to Respond Declined to RespondSoutheastern Regional Medical Center Newnan GA Some Progress 0.616 Some Progress 0.990Southern Regional Medical Center Riverdale GA Declined to Respond Declined to RespondSpalding Regional Hospital Griffin GA Declined to Respond Declined to RespondSt. Francis Hospital of Columbus Columbus GA Declined to Respond Declined to RespondSt. Joseph's Hospital Savannah GA Some Progress 0.918 Substantial Progress 0.455St. Joseph's Hospital of Atlanta Atlanta GA Declined to Respond Declined to RespondSt. Mary's Health Care System, Inc Athens GA Substantial Progress 0.443 Substantial Progress 0.871Stephens County Hospital Toccoa GA Declined to Respond Declined to RespondSylvan Grove Hospital Jackson GA Declined to Respond Declined to RespondTanner Medical Center of Carrollton Carrollton GA Some Progress 0.679 Substantial Progress 0.810Tanner Medical Center of Villa Rica Villa Rica GA Declined to Respond Declined to RespondTaylor Regional Hospital Hawkinsville GA Declined to Respond Declined to RespondThe Medical Center Columbus GA Declined to Respond Declined to RespondThe Medical Center, Navicent Health Macon GA Some Progress 1.083 Willing to Report 1.874Tift Regional Medical Center Tifton GA Fully Meets Standard 0.000 Substantial Progress 0.769Trinity Hospital of Augusta Augusta GA Declined to Respond Declined to RespondTy Cobb Regional Medical Center Lavonia GA Declined to Respond Declined to RespondUnion General Hospital Blairsville GA Declined to Respond Declined to RespondUniversity Hospital Augusta GA Some Progress 0.792 Substantial Progress 0.548University Hospital McDuffie Thomson GA Declined to Respond Declined to RespondUpson Regional Medical Center Thomaston GA Unable to Calculate Score N/A Fully Meets Standard 0.000

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp26 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Walton Regional Medical Center/Clearview Regional MedMonroe GA Declined to Respond Declined to RespondWashington County Regional Medical Center Sandersville GA Declined to Respond Declined to RespondWayne Memorial Hospital Jesup GA Unable to Calculate Score N/A Fully Meets Standard 0.000Wellstar Cobb Hospital Austell GA Substantial Progress 0.209 Some Progress 1.531Wellstar Douglas Hospital Douglasville GA Fully Meets Standard 0.000 Willing to Report 2.424Wellstar Kennestone Hospital Marietta GA Substantial Progress 0.315 Some Progress 1.467Wellstar Paulding Hospital Hiram GA Unable to Calculate Score N/A Unable to Calculate Score N/AWest Georgia Medical Center Lagrange GA Declined to Respond Declined to RespondCastle Medical Center Kailua HI Declined to Respond Declined to RespondHilo Medical Center Hilo HI Declined to Respond Declined to RespondKaiser Foundation Hospital ‐ Moanalua Medical Center Honolulu HI Substantial Progress 0.124 Substantial Progress 0.626Kona Community Hospital Kealakekua HI Declined to Respond Declined to RespondKuakini Medical Center Honolulu HI Declined to Respond Declined to RespondMaui Memorial Medical Center Wailuku HI Substantial Progress 0.187 Some Progress 1.380North Hawaii Community Hospital Kamuela HI Unable to Calculate Score N/A Unable to Calculate Score N/APali Momi Medical Center Aiea HI Some Progress 0.603 Fully Meets Standard 0.366Straub Clinic & Hospital Honolulu HI Fully Meets Standard 0.000 Some Progress 1.107The Queen's Medical Center Honolulu HI Substantial Progress 0.210 Substantial Progress 0.747Wahiawa General Hospital Wahiawa HI Declined to Respond Declined to RespondWilcox Memorial Hospital Lihue HI Unable to Calculate Score N/A Unable to Calculate Score N/AAllen Hospital Waterloo IA Fully Meets Standard 0.000 Substantial Progress 0.906Broadlawns Medical Center Des Moines IA Declined to Respond Declined to RespondCHI Health Mercy Council Bluffs Council Bluffs IA Declined to Respond Declined to RespondCovenant Medical Center Waterloo IA Declined to Respond Declined to RespondFinley Hospital Dubuque IA Declined to Respond Declined to RespondFort Madison Community Hospital Fort Madison IA Declined to Respond Declined to RespondFranklin General Hospital Hampton IA Declined to Respond Declined to RespondGenesis Medical Center‐Davenport Davenport IA Substantial Progress 0.269 Some Progress 1.049Great River Medical Center West Burlington IA Declined to Respond Declined to RespondGreene County Medical Center Jefferson IA Declined to Respond Declined to RespondGrinnell Regional Medical Center Grinnell IA Unable to Calculate Score N/A Unable to Calculate Score N/AGrundy County Memorial Hospital Grundy Center IA Declined to Respond Declined to RespondIowa Lutheran Hospital Des Moines IA Declined to Respond Declined to RespondIowa Methodist Medical Center Des Moines IA Declined to Respond Declined to RespondJennie Edmundson Hospital Council Bluffs IA Declined to Respond Declined to RespondJones Regional Medical Center Anamosa IA Declined to Respond Declined to RespondKeokuk Area Hospital Keokuk IA Declined to Respond Declined to RespondLakes Regional Healthcare Spirit Lake IA Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp27 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Marshalltown Medical & Surgical Center Marshalltown IA Declined to Respond Declined to RespondMary Greeley Medical Center Ames IA Declined to Respond Declined to RespondMercy Hospital of Iowa City Iowa City IA Declined to Respond Declined to RespondMercy Medical Center Cedar Rapids IA Declined to Respond Declined to RespondMercy Medical Center ‐ West Lakes West Des Moines IA Declined to Respond Declined to RespondMercy Medical Center of Clinton Clinton IA Declined to Respond Declined to RespondMercy Medical Center of Des Moines Des Moines IA Declined to Respond Declined to RespondMercy Medical Center of Dubuque Dubuque IA Declined to Respond Declined to RespondMercy Medical Center of Mason City Mason City IA Declined to Respond Declined to RespondMercy Medical Center of Sioux City Sioux City IA Declined to Respond Declined to RespondMercy Medical Center‐Centerville Centerville IA Declined to Respond Declined to RespondMethodist West Hospital West Des Moines IA Declined to Respond Declined to RespondOttumwa Regional Health Center Ottumwa IA Declined to Respond Declined to RespondPella Regional Health Center Pella IA Declined to Respond Declined to RespondSartori Memorial Hospital Cedar Falls IA Declined to Respond Declined to RespondSioux Center Community Hospital/Health Center Sioux Center IA Declined to Respond Declined to RespondSkiff Medical Center Newton IA Unable to Calculate Score N/A Unable to Calculate Score N/ASpencer Hospital Spencer IA Declined to Respond Declined to RespondSt. Anthony Regional Hospital Carroll IA Declined to Respond Declined to RespondSt. Luke's Methodist Hospital of Cedar Rapids Cedar Rapids IA Declined to Respond Declined to RespondSt. Luke's Regional Medical Center of Sioux City Sioux City IA Declined to Respond Declined to RespondStory County Medical Center Nevada IA Declined to Respond Declined to RespondTrinity Bettendorf Bettendorf IA Declined to Respond Declined to RespondTrinity Muscatine Muscatine IA Declined to Respond Declined to RespondTrinity Regional Medical Center Fort Dodge IA Declined to Respond Declined to RespondUniversity of Iowa Hospitals and Clinics Iowa City IA Declined to Respond Declined to RespondWinneshiek Medical Center Decorah IA Declined to Respond Declined to RespondEastern Idaho Regional Medical Center Idaho Falls ID Fully Meets Standard 0.000 Substantial Progress 0.476Kootenai Health Coeur D'Alene ID Substantial Progress 0.151 Some Progress 1.338Madison Memorial Hospital Rexburg ID Unable to Calculate Score N/A Unable to Calculate Score N/AMountain View Hospital Idaho Falls ID Declined to Respond Declined to RespondPortneuf Medical Center Pocatello ID Declined to Respond Declined to RespondSaint Alphonsus Medical Center ‐ Nampa Nampa ID Declined to Respond Declined to RespondSaint Alphonsus Regional Medical Center Boise ID Some Progress 0.638 Some Progress 1.077St. Joseph Regional Medical Center Lewiston ID Declined to Respond Declined to RespondSt. Luke's Boise Regional Medical Center Boise ID Substantial Progress 0.280 Willing to Report 1.619St. Luke's Magic Valley Medical Center Twin Falls ID Some Progress 0.714 Fully Meets Standard 0.000St. Luke's Meridian Medical Center Meridian ID Fully Meets Standard 0.000 Substantial Progress 0.819

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp28 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Treasure Valley Hospital Boise ID Declined to Respond Declined to RespondWest Valley Medical Center Caldwell ID Unable to Calculate Score N/A Substantial Progress 0.737Abraham Lincoln Memorial Hospital Lincoln IL Declined to Respond Declined to RespondAdvocate BroMenn Medical Center Normal IL Declined to Respond Declined to RespondAdvocate Christ Medical Center Oak Lawn IL Declined to Respond Declined to RespondAdvocate Condell Medical Center Libertyville IL Declined to Respond Declined to RespondAdvocate Eureka Hospital Eureka IL Declined to Respond Declined to RespondAdvocate Good Samaritan Hospital Downers Grove IL Declined to Respond Declined to RespondAdvocate Good Shepherd Hospital Barrington IL Declined to Respond Declined to RespondAdvocate Illinois Masonic Medical Center Chicago IL Declined to Respond Declined to RespondAdvocate Lutheran General Hospital Park Ridge IL Declined to Respond Declined to RespondAdvocate Sherman Hospital Elgin IL Declined to Respond Declined to RespondAdvocate South Suburban Hospital Hazel Crest IL Declined to Respond Declined to RespondAdvocate Trinity Hospital Chicago IL Declined to Respond Declined to RespondAlton Memorial Hospital Alton IL Declined to Respond Declined to RespondAMITA Adventist Medical Center, Hinsdale Hinsdale IL Substantial Progress 0.292 Substantial Progress 0.723AMITA Adventist Medical Center, La Grange La Grange IL Substantial Progress 0.257 Substantial Progress 0.938AMITA Health Adventist Medical Center, Bolingbrook Bolingbrook IL Fully Meets Standard 0.000 Willing to Report 2.049AMITA Health Adventist Medical Center, GlenOaks Glendale Heights IL Fully Meets Standard 0.000 Some Progress 1.425AMITA Health Alexian Brothers Medical Center, Elk GroveElk Grove Village IL Fully Meets Standard 0.000 Substantial Progress 0.602AMITA Health St. Alexius Medical Center, Hoffman EstateHoffman Estates IL Some Progress 0.592 Some Progress 1.026Anderson Hospital Maryville IL Declined to Respond Declined to RespondAnn & Robert H. Lurie Children's Hospital of Chicago Chicago IL Substantial Progress 0.275 Fully Meets Standard 0.222Blessing Hospital Quincy IL Substantial Progress 0.396 Substantial Progress 0.545Carle Foundation Hospital Urbana IL Some Progress 2.052 Willing to Report 2.385Centegra Hospital ‐ McHenry McHenry IL Fully Meets Standard 0.000 Some Progress 1.004Centegra Hospital ‐ Woodstock Woodstock IL Some Progress 0.575 Some Progress 1.109CGH Medical Center Sterling IL Declined to Respond Declined to RespondClay County Hospital Flora IL Declined to Respond Declined to RespondCommunity First Medical Center Chicago IL Substantial Progress 0.231 Substantial Progress 0.486Community Memorial Hospital of Staunton Staunton IL Declined to Respond Declined to RespondCrawford Memorial Hospital Robinson IL Declined to Respond Declined to RespondCrossroads Community Hospital Mount Vernon IL Declined to Respond Declined to RespondDecatur Memorial Hospital Decatur IL Willing to Report 1.836 Some Progress 1.439Edward Hospital Naperville IL Some Progress 0.697 Willing to Report 2.528Elmhurst Memorial Hospital Elmhurst IL Fully Meets Standard 0.000 Fully Meets Standard 0.000Fairfield Memorial Hospital Fairfield IL Declined to Respond Declined to RespondFayette County Hospital Vandalia IL Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp29 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Ferrell Hospital Eldorado IL Declined to Respond Declined to RespondFHN Memorial Hospital Freeport IL Declined to Respond Declined to RespondFranciscan St. James Health ‐ Chicago Heights Chicago Heights IL Some Progress 0.841 Fully Meets Standard 0.425Franciscan St. James Health ‐ Olympia Fields Olympia Fields IL Some Progress 0.605 Fully Meets Standard 0.390Franklin Hospital Benton IL Declined to Respond Declined to RespondGalesburg Cottage Hospital Galesburg IL Declined to Respond Declined to RespondGateway Regional Medical Center Granite City IL Declined to Respond Declined to RespondGenesis Medical Center, Illini Campus Silvis IL Declined to Respond Declined to RespondGood Samaritan Hospital Mount Vernon IL Some Progress 0.505 Substantial Progress 0.840Graham Hospital Canton IL Declined to Respond Declined to RespondGreenville Regional Hospital Greenville IL Declined to Respond Declined to RespondHamilton Memorial Hospital District McLeansboro IL Declined to Respond Declined to RespondHammond‐Henry Hospital Geneseo IL Declined to Respond Declined to RespondHardin County General Hospital & Clinic Rosiclare IL Declined to Respond Declined to RespondHarrisburg Medical Center Harrisburg IL Declined to Respond Declined to RespondHeartland Regional Medical Center Marion IL Declined to Respond Declined to RespondHerrin Hospital Herrin IL Declined to Respond Declined to RespondHillsboro Area Hospital Hillsboro IL Declined to Respond Declined to RespondHoly Cross Hospital Chicago IL Declined to Respond Declined to RespondHoopeston Regional Health Center Hoopeston IL Declined to Respond Declined to RespondHSHS St. Francis Hospital Litchfield IL Unable to Calculate Score N/A Unable to Calculate Score N/AHSHS St. John's Hospital Springfield IL Some Progress 0.601 Substantial Progress 0.550HSHS St. Joseph's Hospital, Breese Breese IL Declined to Respond Declined to RespondIllini Community Hospital Pittsfield IL Declined to Respond Declined to RespondIllinois Valley Community Hospital Peru IL Unable to Calculate Score N/A Unable to Calculate Score N/AIngalls Memorial Hospital Harvey IL Substantial Progress 0.233 Some Progress 1.174Iroquois Memorial Hospital and Resident Home Watseka IL Declined to Respond Declined to RespondJackson Park Hospital Chicago IL Fully Meets Standard 0.000 Fully Meets Standard 0.000Jersey Community Hospital Jerseyville IL Declined to Respond Declined to RespondJohn and Mary Kirby Hospital Monticello IL Declined to Respond Declined to RespondJohn H. Stroger Jr. Hospital Chicago IL Substantial Progress 0.436 Some Progress 1.075Katherine Shaw Bethea Hospital Dixon IL Declined to Respond Declined to RespondKishwaukee Hospital DeKalb IL Fully Meets Standard 0.000 Fully Meets Standard 0.000La Rabida Children's Hospital Chicago IL Declined to Respond Declined to RespondLawrence County Memorial Hospital Lawrenceville IL Declined to Respond Declined to RespondLittle Company of Mary Hospital and Health Care Centers Evergreen Park IL Some Progress 2.911 Fully Meets Standard 0.000Loretto Hospital Chicago IL Fully Meets Standard 0.000 Some Progress 1.417Loyola Gottlieb Memorial Hospital Melrose Park IL Fully Meets Standard 0.000 Substantial Progress 0.699

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp30 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Loyola University Medical Center Maywood IL Substantial Progress 0.258 Some Progress 1.451MacNeal Hospital Berwyn IL Declined to Respond Declined to RespondMarshall Browning Hospital Du Quoin IL Declined to Respond Declined to RespondMason District Hospital Havana IL Declined to Respond Declined to RespondMassac Memorial Hospital Metropolis IL Declined to Respond Declined to RespondMcDonough District Hospital Macomb IL Unable to Calculate Score N/A Unable to Calculate Score N/AMemorial Hospital Belleville IL Declined to Respond Declined to RespondMemorial Hospital of Carbondale Carbondale IL Declined to Respond Declined to RespondMemorial Hospital of Carthage Carthage IL Declined to Respond Declined to RespondMemorial Hospital of Chester Chester IL Declined to Respond Declined to RespondMemorial Medical Center Springfield IL Some Progress 0.795 Willing to Report 1.669Mercer County Hospital Aledo IL Declined to Respond Declined to RespondMercy Harvard Hospital Harvard IL Declined to Respond Declined to RespondMercy Hospital and Medical Center Chicago IL Fully Meets Standard 0.000 Some Progress 1.482Methodist Hospital of Chicago Chicago IL Declined to Respond Declined to RespondMetroSouth Medical Center Blue Island IL Declined to Respond Declined to RespondMidwest Medical Center Galena IL Declined to Respond Declined to RespondMidwestern Regional Medical Center Zion IL Fully Meets Standard 0.000 Fully Meets Standard 0.000Morris Hospital Morris IL Declined to Respond Declined to RespondMorrison Community Hospital Morrison IL Declined to Respond Declined to RespondMount Sinai Hospital Chicago IL Declined to Respond Declined to RespondNorthShore University HealthSystem ‐Evanston Hospital Evanston IL Declined to Respond Declined to RespondNorthShore University HealthSystem ‐Glenbrook HospitalGlenview IL Declined to Respond Declined to RespondNorthShore University HealthSystem ‐Skokie Hospital Skokie IL Declined to Respond Declined to RespondNorthShore University HealthSystem‐Highland Park Hosp Highland Park IL Declined to Respond Declined to RespondNorthwest Community Hospital Arlington Heights IL Substantial Progress 0.086 Some Progress 1.021Northwestern Lake Forest Hospital Lake Forest IL Some Progress 1.401 Willing to Report 1.884Northwestern Medicine Central DuPage Hospital Winfield IL Substantial Progress 0.077 Willing to Report 1.686Northwestern Medicine Delnor Hospital Geneva IL Fully Meets Standard 0.000 Substantial Progress 0.731Northwestern Memorial Hospital Chicago IL Some Progress 0.703 Willing to Report 1.976Norwegian American Hospital Chicago IL Substantial Progress 0.400 Fully Meets Standard 0.000OSF Holy Family Medical Center Monmouth IL Does Not Apply Does Not ApplyOSF Saint Anthony Medical Center Rockford IL Some Progress 0.766 Willing to Report 2.097OSF Saint Anthony's Health Center Alton IL Fully Meets Standard 0.000 Fully Meets Standard 0.000OSF Saint James ‐ John W. Albrecht Medical Center Pontiac IL Unable to Calculate Score N/A Unable to Calculate Score N/AOSF Saint Luke Medical Center Kewanee IL Unable to Calculate Score N/A Unable to Calculate Score N/AOSF Saint Paul Medical Center Mendota IL Declined to Respond Declined to RespondOSF St. Francis Medical Center of Peoria Peoria IL Substantial Progress 0.204 Some Progress 1.385

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp31 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*OSF St. Joseph Medical Center Bloomington IL Some Progress 1.808 Substantial Progress 0.489OSF St. Mary Medical Center Galesburg IL Unable to Calculate Score N/A Unable to Calculate Score N/AOttawa Regional Hospital and Healthcare Center d/b/a OSOttawa IL Unable to Calculate Score N/A Unable to Calculate Score N/APalos Community Hospital Palos Heights IL Some Progress 0.700 Some Progress 1.144Pana Community Hospital Pana IL Declined to Respond Declined to RespondParis Community Hospital Paris IL Declined to Respond Declined to RespondPassavant Area Hospital Jacksonville IL Unable to Calculate Score N/A Unable to Calculate Score N/APekin Hospital Pekin IL Declined to Respond Declined to RespondPerry Memorial Hospital Princeton IL Declined to Respond Declined to RespondPinckneyville Community Hospital Pinckneyville IL Declined to Respond Declined to RespondPresence Covenant Medical Center Urbana IL Fully Meets Standard 0.000 Some Progress 1.178Presence Mercy Medical Center Aurora IL Fully Meets Standard 0.000 Some Progress 1.062Presence Resurrection Medical Center Chicago IL Substantial Progress 0.100 Substantial Progress 0.795Presence Saint Francis Hospital Evanston IL Substantial Progress 0.162 Substantial Progress 0.549Presence Saint Joseph Hospital Chicago IL Some Progress 1.417 Fully Meets Standard 0.398Presence Saint Joseph Hospital ‐ Elgin Elgin IL Some Progress 0.703 Fully Meets Standard 0.350Presence Saints Mary and Elizabeth Medical Center Chicago IL Substantial Progress 0.266 Fully Meets Standard 0.243Presence St. Joseph Medical Center Joliet IL Substantial Progress 0.129 Some Progress 1.049Presence St. Mary's Hospital Kankakee IL Substantial Progress 0.344 Fully Meets Standard 0.000Presence United Samaritans Medical Center Danville IL Unable to Calculate Score N/A Unable to Calculate Score N/AProvident Hospital of Cook County Chicago IL Declined to Respond Declined to RespondRed Bud Regional Hospital Red Bud IL Declined to Respond Declined to RespondRichland Memorial Hospital Olney IL Declined to Respond Declined to RespondRiverside Medical Center Kankakee IL Fully Meets Standard 0.000 Substantial Progress 0.616Rochelle Community Hospital Rochelle IL Declined to Respond Declined to RespondRockford Memorial Hospital Rockford IL Some Progress 0.624 Some Progress 1.332Roseland Community Hospital Chicago IL Some Progress 2.273 Substantial Progress 0.505Rush Oak Park Hospital Oak Park IL Some Progress 1.677 Substantial Progress 0.859Rush University Medical Center Chicago IL Substantial Progress 0.127 Substantial Progress 0.649Rush‐Copley Medical Center Aurora IL Fully Meets Standard 0.000 Fully Meets Standard 0.176Saint Anthony Hospital Chicago IL Some Progress 5.507 Some Progress 1.303Salem Township Hospital Salem IL Declined to Respond Declined to RespondSarah Bush Lincoln Health Center Mattoon IL Fully Meets Standard 0.000 Willing to Report 2.043Sarah D. Culbertson Memorial Hospital Rushville IL Declined to Respond Declined to RespondShelby Memorial Hospital Shelbyville IL Declined to Respond Declined to RespondSilver Cross Hospital New Lenox IL Fully Meets Standard 0.000 Some Progress 1.248South Shore Hospital Chicago IL Declined to Respond Declined to RespondSparta Community Hospital Sparta IL Does Not Apply Does Not Apply

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp32 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*St. Anthony's Memorial Hospital Effingham IL Unable to Calculate Score N/A Unable to Calculate Score N/ASt. Bernard Hospital and Health Care Center Chicago IL Declined to Respond Declined to RespondSt. Elizabeth Hospital of Belleville Belleville IL Some Progress 1.088 Some Progress 1.424St. Joseph Memorial Hospital of Murphysboro Murphysboro IL Declined to Respond Declined to RespondSt. Joseph's Hospital of Highland Highland IL Declined to Respond Declined to RespondSt. Margaret's Hospital Spring Valley IL Declined to Respond Declined to RespondSt. Mary's Hospital Centralia Illinois Centralia IL Unable to Calculate Score N/A Fully Meets Standard 0.000St. Mary's Hospital of Decatur Decatur IL Unable to Calculate Score N/A Fully Meets Standard 0.000St. Mary's Hospital of Streator Streator IL Declined to Respond Declined to RespondSwedish American Hospital Rockford IL Some Progress 0.828 Substantial Progress 0.656Swedish Covenant Hospital Chicago IL Some Progress 0.753 Some Progress 1.465Taylorville Memorial Hospital Taylorville IL Declined to Respond Declined to RespondThorek Memorial Hospital Chicago IL Unable to Calculate Score N/A Some Progress 0.981Touchette and Kenneth Hall Regional Hospitals Centreville IL Declined to Respond Declined to RespondTrinity Moline Moline IL Declined to Respond Declined to RespondTrinity Rock Island Rock Island IL Declined to Respond Declined to RespondUnion County Hospital Anna IL Declined to Respond Declined to RespondUnityPoint Health ‐ Methodist Peoria IL Some Progress 0.868 Substantial Progress 0.892UnityPoint Health ‐ Proctor Peoria IL Unable to Calculate Score N/A Fully Meets Standard 0.000University of Chicago Medical Center Chicago IL Substantial Progress 0.229 Substantial Progress 0.797University of Illinois Hospital Chicago IL Declined to Respond Declined to RespondValley West Community Hospital Sandwich IL Declined to Respond Declined to RespondVista Medical Center East Waukegan IL Some Progress 0.661 Fully Meets Standard 0.348Vista Medical Center West Waukegan IL Declined to Respond Declined to RespondWabash General Hospital Mount Carmel IL Does Not Apply Does Not ApplyWashington County Hospital Nashville IL Declined to Respond Declined to RespondWeiss Memorial Hospital Chicago IL Declined to Respond Declined to RespondWest Suburban Medical Center Oak Park IL Declined to Respond Declined to RespondWestlake Hospital Melrose Park IL Declined to Respond Declined to RespondBluffton Regional Medical Center Bluffton IN Declined to Respond Declined to RespondClark Memorial Hospital Jeffersonville IN Declined to Respond Declined to RespondColumbus Regional Hospital Columbus IN Declined to Respond Declined to RespondCommunity Hospital East Indianapolis IN Declined to Respond Declined to RespondCommunity Hospital North Indianapolis IN Declined to Respond Declined to RespondCommunity Hospital of Anderson and Madison County Anderson IN Declined to Respond Declined to RespondCommunity Hospital of Munster Munster IN Declined to Respond Declined to RespondCommunity Hospital South Indianapolis IN Declined to Respond Declined to RespondDaviess Community Hospital Washington IN Unable to Calculate Score N/A Unable to Calculate Score N/A

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp33 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Deaconess Gateway Hospital Newburgh IN Some Progress 0.659 Substantial Progress 0.841Deaconess Hospital Evansville IN Some Progress 0.671 Substantial Progress 0.902Dearborn County Hospital Lawrenceburg IN Declined to Respond Declined to RespondDeKalb Memorial Hospital Auburn IN Declined to Respond Declined to RespondDupont Hospital Fort Wayne IN Some Progress 0.549 Unable to Calculate Score N/AElkhart General Hospital Elkhart IN Fully Meets Standard 0.000 Substantial Progress 0.829Eskenazi Health Indianapolis IN Declined to Respond Declined to RespondFayette Regional Health System Connersville IN Declined to Respond Declined to RespondFloyd Memorial Hospital and Health Services New Albany IN Declined to Respond Declined to RespondFranciscan Physicians Hospital Munster IN Declined to Respond Declined to RespondFranciscan St. Anthony Health ‐ Crown Point Crown Point IN Declined to Respond Declined to RespondFranciscan St. Anthony Health ‐ Michigan City Michigan City IN Declined to Respond Declined to RespondFranciscan St. Elizabeth Health ‐ Crawfordsville Crawfordsville IN Declined to Respond Declined to RespondFranciscan St. Elizabeth Health ‐ Lafayette East Lafayette IN Declined to Respond Declined to RespondFranciscan St. Francis Health ‐ Carmel Carmel IN Declined to Respond Declined to RespondFranciscan St. Francis Health ‐ Indianapolis Campus Indianapolis IN Declined to Respond Declined to RespondFranciscan St. Francis Health ‐ Mooresville Mooresville IN Declined to Respond Declined to RespondFranciscan St. Margaret Health ‐ Hammond Hammond IN Declined to Respond Declined to RespondFranciscan St. Margaret Hospital Dyer Campus Dyer IN Declined to Respond Declined to RespondGood Samaritan Hospital Vincennes IN Fully Meets Standard 0.000 Willing to Report 2.540Hancock Regional Hospital Greenfield IN Declined to Respond Declined to RespondHendricks Regional Health Danville IN Unable to Calculate Score N/A Fully Meets Standard 0.000Henry County Hospital New Castle IN Unable to Calculate Score N/A Unable to Calculate Score N/AHoward Regional Health System Kokomo IN Declined to Respond Declined to RespondIndiana University Goshen Hospital Goshen IN Declined to Respond Declined to RespondIndiana University Health Arnett Lafayette IN Substantial Progress 0.334 Willing to Report 2.864Indiana University Health Ball Memorial Hospital Muncie IN Declined to Respond Declined to RespondIndiana University Health Bloomington Hospital Bloomington IN Declined to Respond Declined to RespondIndiana University Health Hospital Indianapolis IN Declined to Respond Declined to RespondIndiana University Health La Porte Hospital La Porte IN Declined to Respond Declined to RespondIndiana University Health Methodist Hospital Indianapolis IN Declined to Respond Declined to RespondIndiana University Health Morgan Hospital Martinsville IN Declined to Respond Declined to RespondIndiana University Health North Hospital Carmel IN Declined to Respond Declined to RespondIndiana University Health Starke Hospital Knox IN Declined to Respond Declined to RespondIndiana University Health West Hospital Avon IN Declined to Respond Declined to RespondJohnson Memorial Hospital Franklin IN Declined to Respond Declined to RespondKentuckiana Medical Center Clarksville IN Declined to Respond Declined to RespondKing's Daughters' Hospital and Health Services Madison IN Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp34 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Kosciusko Community Hospital Warsaw IN Declined to Respond Declined to RespondLogansport Memorial Hospital Logansport IN Declined to Respond Declined to RespondLutheran Hospital of Indiana Fort Wayne IN Declined to Respond Declined to RespondMajor Hospital Shelbyville IN Declined to Respond Declined to RespondMarion General Hospital Marion IN Unable to Calculate Score N/A Some Progress 1.126Memorial Hospital and Health Care Center Jasper IN Does Not Apply Does Not ApplyMemorial Hospital of South Bend South Bend IN Some Progress 0.700 Substantial Progress 0.723Monroe Hospital Bloomington IN Declined to Respond Declined to RespondParkview Huntington Hospital Huntington IN Declined to Respond Declined to RespondParkview Noble Hospital Kendallville IN Declined to Respond Declined to RespondParkview Regional Medical Center Fort Wayne IN Substantial Progress 0.107 Willing to Report 1.702Parkview Whitley Hospital Columbia City IN Declined to Respond Declined to RespondPeyton Manning Children's Hospital Indianapolis IN Declined to Respond Declined to RespondPhysicians Medical Center of New Albany New Albany IN Declined to Respond Declined to RespondPinnacle Hospital Crown Point IN Declined to Respond Declined to RespondPorter‐Valparaiso Hospital Campus Valparaiso IN Declined to Respond Declined to RespondReid Hospital and Health Care Services Richmond IN Declined to Respond Declined to RespondRiley Hospital for Children at IU Health Indianapolis IN Declined to Respond Declined to RespondRiverview Hospital Noblesville IN Declined to Respond Declined to RespondSaint Joseph Regional Medical Center Mishawaka IN Declined to Respond Declined to RespondSchneck Medical Center Seymour IN Declined to Respond Declined to RespondSt. Catherine Hospital of East Chicago East Chicago IN Declined to Respond Declined to RespondSt. Joseph Hospital and Health Center Kokomo IN Fully Meets Standard 0.000 Substantial Progress 0.466St. Joseph Hospital of Fort Wayne Fort Wayne IN Declined to Respond Declined to RespondSt. Joseph's Regional Medical Center Plymouth Campus Plymouth IN Declined to Respond Declined to RespondSt. Mary Medical Center of Hobart Hobart IN Declined to Respond Declined to RespondSt. Mary's  Warrick Hospital Boonville IN Does Not Apply Does Not ApplySt. Mary's Medical Center of Evansville Evansville IN Some Progress 0.870 Substantial Progress 0.831St. Vincent Anderson Regional Hospital Anderson IN Declined to Respond Declined to RespondSt. Vincent Carmel Hospital Carmel IN Fully Meets Standard 0.000 Unable to Calculate Score N/ASt. Vincent Fishers Hospital Fishers IN Declined to Respond Declined to RespondSt. Vincent Indianapolis Hospital Indianapolis IN Declined to Respond Declined to RespondSullivan County Community Hospital Sullivan IN Unable to Calculate Score N/A Substantial Progress 0.711Terre Haute Regional Hospital Terre Haute IN Substantial Progress 0.331 Fully Meets Standard 0.368The Heart Hospital at Deaconess Gateway Newburgh IN Substantial Progress 0.352 Fully Meets Standard 0.381The Methodist Hospitals of Merrillville Northlake Gary IN Declined to Respond Declined to RespondThe Methodist Hospitals of Merrillville Southlake Merrillville IN Declined to Respond Declined to RespondThe Women's Hospital of Newburgh Newburgh IN Substantial Progress 0.307 Does Not Apply

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp35 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Union Hospital Terre Haute IN Some Progress 0.571 Substantial Progress 0.728Union Hospital Clinton Clinton IN Unable to Calculate Score N/A Unable to Calculate Score N/AWestview Hospital Indianapolis IN Declined to Respond Declined to RespondWitham Memorial Hospital Lebanon IN Declined to Respond Declined to RespondAllen County Regional Hospital Iola KS Unable to Calculate Score N/A Unable to Calculate Score N/ABob Wilson Memorial Grant County Hospital Ulysses KS Declined to Respond Declined to RespondChildren's Mercy Hospital South Campus Overland Park KS Does Not Apply Does Not ApplyCoffey County Hospital Burlington KS Declined to Respond Declined to RespondCoffeyville Regional Medical Center Coffeyville KS Declined to Respond Declined to RespondDoctor's Hospital of Leawood Leawood KS Declined to Respond Declined to RespondGeary Community Hospital Junction City KS Declined to Respond Declined to RespondHays Medical Center Hays KS Declined to Respond Declined to RespondHutchinson Regional Medical Center Hutchinson KS Declined to Respond Declined to RespondKansas City Orthopaedic Institute Leawood KS Declined to Respond Declined to RespondKansas Medical Center Andover KS Declined to Respond Declined to RespondKansas Surgery and Recovery Center Wichita KS Does Not Apply Does Not ApplyLabette Health Parsons KS Declined to Respond Declined to RespondLawrence Memorial Hospital Lawrence KS Declined to Respond Declined to RespondMcPherson Hospital Mcpherson KS Declined to Respond Declined to RespondMenorah Medical Center Overland Park KS Substantial Progress 0.393 Fully Meets Standard 0.367Mercy Hospital Moundridge KS Declined to Respond Declined to RespondMercy Hospital Fort Scott Fort Scott KS Declined to Respond Declined to RespondMercy Hospital Independence Independence KS Declined to Respond Declined to RespondMiami County Medical Center Paola KS Declined to Respond Declined to RespondMorton County Health System Elkhart KS Declined to Respond Declined to RespondNewton Medical Center Newton KS Declined to Respond Declined to RespondOlathe Medical Center Olathe KS Declined to Respond Declined to RespondOverland Park Regional Medical Center Overland Park KS Substantial Progress 0.368 Willing to Report 3.142Pratt Regional Medical Center Pratt KS Unable to Calculate Score N/A Unable to Calculate Score N/AProvidence Medical Center of Kansas City Kansas City KS Fully Meets Standard 0.000 Substantial Progress 0.679Ransom Memorial Hospital Ottawa KS Declined to Respond Declined to RespondSaint Luke's Cushing Memorial Hospital Leavenworth KS Declined to Respond Declined to RespondSalina Regional Health Center Salina KS Declined to Respond Declined to RespondShawnee Mission Medical Center Shawnee Mission KS Substantial Progress 0.352 Some Progress 1.127South Central Kansas Medical Center Arkansas City KS Declined to Respond Declined to RespondSouthwest Medical Center Liberal KS Declined to Respond Declined to RespondSt. Catherine Hospital Garden City KS Unable to Calculate Score N/A Fully Meets Standard 0.000St. Francis Health Center Topeka KS Substantial Progress 0.302 Fully Meets Standard 0.000

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp36 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*St. John Hospital of Leavenworth Leavenworth KS Unable to Calculate Score N/A Unable to Calculate Score N/ASt. Luke's South Hospital Overland Park KS Declined to Respond Declined to RespondStormont‐Vail Healthcare Topeka KS Declined to Respond Declined to RespondSumner Regional Medical Center Wellington KS Declined to Respond Declined to RespondSusan B. Allen Memorial Hospital El Dorado KS Declined to Respond Declined to RespondThe University of Kansas Hospital Kansas City KS Declined to Respond Declined to RespondVia Christi Hospital Manhattan, Inc. Manhattan KS Unable to Calculate Score N/A Unable to Calculate Score N/AVia Christi Hospital Pittsburg Pittsburg KS Unable to Calculate Score N/A Unable to Calculate Score N/AVia Christi Hospital St. Teresa Wichita KS Unable to Calculate Score N/A Unable to Calculate Score N/AVia Christi Hospital Wichita, St Joseph Wichita KS Some Progress 0.868 Some Progress 1.395Via Christi Hospitals Wichita ‐ St Francis Wichita KS Some Progress 0.950 Substantial Progress 0.879Wesley Medical Center Wichita KS Substantial Progress 0.345 Some Progress 1.459Wesley Woodlawn Hospital & ER Wichita KS Fully Meets Standard 0.000 Willing to Report 2.358Western Plains Medical Complex Dodge City KS Unable to Calculate Score N/A Willing to Report 3.135Baptist Health Corbin Corbin KY Declined to Respond Declined to RespondBaptist Health Louisville Louisville KY Declined to Respond Declined to RespondBaptist Health Madisonville Madisonville KY Declined to Respond Declined to RespondBaptist Health Paducah Paducah KY Declined to Respond Declined to RespondBaptist Health Richmond Richmond KY Declined to Respond Declined to RespondBaptist Hospital Northeast La Grange KY Declined to Respond Declined to RespondBourbon Community Hospital Paris KY Unable to Calculate Score N/A Unable to Calculate Score N/ACentral Baptist Hospital Lexington KY Declined to Respond Declined to RespondClark Regional Medical Center Winchester KY Unable to Calculate Score N/A Unable to Calculate Score N/AClinton County Hospital Albany KY Declined to Respond Declined to RespondCrittenden County Hospital Marion KY Declined to Respond Declined to RespondEphraim McDowell Regional Medical Center Danville KY Declined to Respond Declined to RespondFlaget Memorial Hospital Bardstown KY Declined to Respond Declined to RespondFleming County Hospital Flemingsburg KY Unable to Calculate Score N/A Unable to Calculate Score N/AFRANKFORT REGIONAL MEDICAL CENTER FRANKFORT KY Fully Meets Standard 0.000 Fully Meets Standard 0.000Georgetown Community Hospital Georgetown KY Unable to Calculate Score N/A Unable to Calculate Score N/AGreenview Regional Hospital BOWLING GREEN KY Fully Meets Standard 0.000 Substantial Progress 0.878Hardin Memorial Hospital Elizabethtown KY Declined to Respond Declined to RespondHarlan ARH Hospital Harlan KY Declined to Respond Declined to RespondHarrison Memorial Hospital Cynthiana KY Declined to Respond Declined to RespondHazard ARH Regional Medical Center Hazard KY Declined to Respond Declined to RespondHighlands Regional Medical Center Prestonsburg KY Declined to Respond Declined to RespondJackson Purchase Medical Center Mayfield KY Some Progress 0.762 Fully Meets Standard 0.000Jennie Stuart Medical Center Hopkinsville KY Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp37 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

Page 38: CLABSI CAUTI Data Formatted - Leapfrog...Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital Survey Central Line‐associated Blood Stream Infection (CLABSI) and

Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Jewish Hospital Louisville KY Declined to Respond Declined to RespondJewish Hospital‐Shelbyville Shelbyville KY Declined to Respond Declined to RespondKentucky River Medical Center Jackson KY Declined to Respond Declined to RespondKing's Daughters Medical Center Ashland KY Substantial Progress 0.137 Fully Meets Standard 0.245Kosair Children's Hospital Louisville KY Substantial Progress 0.321 Substantial Progress 0.670Lake Cumberland Regional Hospital Somerset KY Substantial Progress 0.092 Substantial Progress 0.746Logan Memorial Hospital Russellville KY Unable to Calculate Score N/A Fully Meets Standard 0.000Lourdes Hospital Paducah KY Declined to Respond Declined to RespondManchester Memorial Hospital Manchester KY Some Progress 0.628 Unable to Calculate Score N/AMeadowview Regional Medical Center Maysville KY Unable to Calculate Score N/A Fully Meets Standard 0.000Medical Center at Bowling Green Bowling Green KY Some Progress 0.590 Substantial Progress 0.522Methodist Hospital of Henderson Henderson KY Declined to Respond Declined to RespondMiddlesboro ARH Hospital Middlesboro KY Declined to Respond Declined to RespondMonroe County Medical Center Tompkinsville KY Declined to Respond Declined to RespondMuhlenberg Community Hospital Greenville KY Declined to Respond Declined to RespondMurray‐Calloway County Hospital Murray KY Declined to Respond Declined to RespondNorton Audubon Hospital Louisville KY Some Progress 0.729 Some Progress 1.144Norton Brownsboro Hospital Louisville KY Some Progress 1.480 Willing to Report 2.369NORTON HOSPITAL LOUISVILLE KY Some Progress 0.915 Some Progress 1.043Norton Women's & Children's Hospital Louisville KY Some Progress 0.597 Substantial Progress 0.684Our Lady of Bellefonte Hospital Ashland KY Declined to Respond Declined to RespondOwensboro Health Owensboro KY Declined to Respond Declined to RespondPaul B. Hall Regional Medical Center Paintsville KY Declined to Respond Declined to RespondPikeville Medical Center Pikeville KY Declined to Respond Declined to RespondPineville Community Hospital Association Pineville KY Declined to Respond Declined to RespondRockcastle Hospital and Respiratory Care Center Mount Vernon KY Declined to Respond Declined to RespondSaint Joseph ‐ London London KY Declined to Respond Declined to RespondSaint Joseph East Lexington KY Declined to Respond Declined to RespondSaint Joseph Hospital Lexington KY Declined to Respond Declined to RespondSaint Joseph Mount Sterling Mount Sterling KY Declined to Respond Declined to RespondSpring View Hospital Lebanon KY Unable to Calculate Score N/A Fully Meets Standard 0.000St. Claire Regional Medical Center Morehead KY Declined to Respond Declined to RespondSt. Elizabeth Healthcare ‐ Edgewood Edgewood KY Declined to Respond Declined to RespondSt. Elizabeth Healthcare ‐ Florence Florence KY Declined to Respond Declined to RespondSt. Elizabeth Healthcare ‐ Ft. Thomas Ft. Thomas KY Declined to Respond Declined to RespondSt. Elizabeth Healthcare ‐ Grant Williamstown KY Declined to Respond Declined to RespondSts. Mary & Elizabeth Hospital Louisville KY Declined to Respond Declined to RespondT. J. Samson Community Hospital Glasgow KY Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp38 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Taylor Regional Hospital Campbellsville KY Declined to Respond Declined to RespondThree Rivers Medical Center Louisa KY Declined to Respond Declined to RespondTwin Lakes Regional Medical Center Leitchfield KY Declined to Respond Declined to RespondUK HealthCare Good Samaritan Hospital Lexington KY Declined to Respond Declined to RespondUniversity of Kentucky Albert B. Chandler Hospital Lexington KY Declined to Respond Declined to RespondUniversity of Louisville Hospital Louisville KY Substantial Progress 0.418 Some Progress 1.471Westlake Regional Hospital Columbia KY Declined to Respond Declined to RespondWhitesburg ARH Hospital Whitesburg KY Declined to Respond Declined to RespondWilliamson ARH Hospital South Williamson KY Declined to Respond Declined to RespondAbbeville General Hospital Abbeville LA Unable to Calculate Score N/A Unable to Calculate Score N/AAcadia General Hospital (American Legion Hospital) Crowley LA Declined to Respond Declined to RespondAllen Parish Hospital Kinder LA Declined to Respond Declined to RespondAvoyelles Hospital Marksville LA Declined to Respond Declined to RespondBaton Rouge General Medical Center Baton Rouge LA Substantial Progress 0.250 Willing to Report 2.107Beauregard Memorial Hospital De Ridder LA Declined to Respond Declined to RespondByrd Regional Hospital Leesville LA Declined to Respond Declined to RespondChildren's Hospital New Orleans LA Declined to Respond Declined to RespondCHRISTUS Schumpert Medical Center Shreveport LA Declined to Respond Declined to RespondCHRISTUS St. Frances Cabrini Hospital Alexandria LA Declined to Respond Declined to RespondCHRISTUS St. Patrick Hospital of Lake Charles Lake Charles LA Declined to Respond Declined to RespondCitizens Medical Center Columbia LA Declined to Respond Declined to RespondDauterive Hospital New Iberia LA Declined to Respond Declined to RespondDe Soto Regional Health System Mansfield LA Declined to Respond Declined to RespondDoctors Hospital at Deer Creek Leesville LA Declined to Respond Declined to RespondE. A. Conway Medical Center Monroe LA Declined to Respond Declined to RespondEast Jefferson General Hospital Metairie LA Substantial Progress 0.421 Some Progress 0.960Fairway Medical Center Covington LA Declined to Respond Declined to RespondFranklin Medical Center Winnsboro LA Declined to Respond Declined to RespondGlenwood Regional Medical Center West Monroe LA Some Progress 0.837 Some Progress 0.993Homer Memorial Hospital Homer LA Declined to Respond Declined to RespondIberia Medical Center New Iberia LA Some Progress 0.778 Fully Meets Standard 0.000Jennings American Legion Hospital Jennings LA Declined to Respond Declined to RespondLafayette General Medical Center Lafayette LA Substantial Progress 0.496 Substantial Progress 0.557Lake Charles Memorial Hospital Lake Charles LA Willing to Report 2.396 Willing to Report 1.807Lakeview Regional Medical Center Covington LA Some Progress 0.950 Some Progress 1.028Lane Regional Medical Center Zachary LA Declined to Respond Declined to RespondLaSalle General Hospital Jena LA Declined to Respond Declined to RespondLeonard J. Chabert Medical Center Houma LA Fully Meets Standard 0.000 Willing to Report 2.879

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp39 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Louisiana Medical Center and Heart Hospital Lacombe LA Declined to Respond Declined to RespondLSU Bogalusa Medical Center Bogalusa LA Declined to Respond Declined to RespondMercy Regional Medical Center Ville Platte LA Unable to Calculate Score N/A Substantial Progress 0.504Minden Medical Center Minden LA Unable to Calculate Score N/A Substantial Progress 0.549Morehouse General Hospital Bastrop LA Declined to Respond Declined to RespondNatchitoches Regional Medical Center Natchitoches LA Unable to Calculate Score N/A Fully Meets Standard 0.000North Oaks Medical Center Hammond LA Declined to Respond Declined to RespondNorthern Louisiana Medical Center Ruston LA Declined to Respond Declined to RespondOakdale Community Hospital Oakdale LA Declined to Respond Declined to RespondOchsner Baptist Medical Center New Orleans LA Substantial Progress 0.127 Substantial Progress 0.555Ochsner Medical Center ‐ Kenner Kenner LA Substantial Progress 0.193 Some Progress 1.007Ochsner Medical Center ‐ New Orleans New Orleans LA Substantial Progress 0.236 Some Progress 1.238Ochsner Medical Center ‐ North Shore Slidell LA Substantial Progress 0.365 Fully Meets Standard 0.000Ochsner Medical Center ‐ West Bank Gretna LA Fully Meets Standard 0.000 Some Progress 1.384Ochsner Medical Center‐Baton Rouge Baton Rouge LA Substantial Progress 0.323 Fully Meets Standard 0.330Ochsner St. Anne General Hospital Raceland LA Unable to Calculate Score N/A Unable to Calculate Score N/AOpelousas General Health System Opelousas LA Some Progress 0.621 Some Progress 1.504Our Lady of Lourdes Regional Medical Center Lafayette LA Substantial Progress 0.239 Substantial Progress 0.582Our Lady of The Lake Regional Medical Center Baton Rouge LA Substantial Progress 0.457 Substantial Progress 0.662P&S Surgical Hospital Monroe LA Does Not Apply Does Not ApplyRapides Regional Medical Center Alexandria LA Substantial Progress 0.164 Some Progress 0.974Richardson Medical Center Rayville LA Declined to Respond Declined to RespondSabine Medical Center Many LA Declined to Respond Declined to RespondSavoy Medical Center Mamou LA Declined to Respond Declined to RespondSlidell Memorial Hospital Slidell LA Substantial Progress 0.299 Fully Meets Standard 0.335South Cameron Memorial Hospital Cameron LA Declined to Respond Declined to RespondSpringhill Medical Center Springhill LA Declined to Respond Declined to RespondSt. Bernard Parish Hospital Chalmette LA Declined to Respond Declined to RespondSt. Charles Parish Hospital Luling LA Declined to Respond Declined to RespondSt. Elizabeth Hospital Gonzales LA Unable to Calculate Score N/A Fully Meets Standard 0.000St. Francis Medical Center Monroe LA Declined to Respond Declined to RespondSt. Tammany Parish Hospital Covington LA Some Progress 0.731 Substantial Progress 0.591Teche Regional Medical Center Morgan City LA Unable to Calculate Score N/A Fully Meets Standard 0.000Terrebonne General Medical Center Houma LA Declined to Respond Declined to RespondThe Regional Medical Center of Acadiana Lafayette LA Some Progress 2.927 Fully Meets Standard 0.000Thibodaux Regional Medical Center Thibodaux LA Declined to Respond Declined to RespondTouro Infirmary New Orleans LA Declined to Respond Declined to RespondTulane Lakeside Hospital Metairie LA Substantial Progress 0.405 Does Not Apply

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp40 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

Page 41: CLABSI CAUTI Data Formatted - Leapfrog...Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital Survey Central Line‐associated Blood Stream Infection (CLABSI) and

Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Tulane Medical Center New Orleans LA Some Progress 0.707 Willing to Report 1.835University Health Shreveport Shreveport LA Declined to Respond Declined to RespondUniversity Medical Center at Lafayette Lafayette LA Declined to Respond Declined to RespondUniversity Medical Center New Orleans New Orleans LA Some Progress 1.041 Willing to Report 1.747West Calcasieu Cameron Hospital Sulphur LA Declined to Respond Declined to RespondWest Carroll Memorial Hospital Oak Grove LA Declined to Respond Declined to RespondWest Jefferson Medical Center Marrero LA Declined to Respond Declined to RespondWillis‐Knighton Bossier Health Center Bossier City LA Declined to Respond Declined to RespondWillis‐Knighton Medical Center Shreveport LA Declined to Respond Declined to RespondWillis‐Knighton South & the Center for Women's Health Shreveport LA Declined to Respond Declined to RespondWinn Parish Medical Center Winnfield LA Declined to Respond Declined to RespondWK Pierremont Health Center Shreveport LA Declined to Respond Declined to RespondWomen and Children's Hospital Lake Charles LA Declined to Respond Declined to RespondWomen's & Children's Hospital Lafayette LA Some Progress 0.517 Unable to Calculate Score N/AAddison Gilbert Hospital Gloucester MA Unable to Calculate Score N/A Unable to Calculate Score N/AAnna Jaques Hospital Newburyport MA Unable to Calculate Score N/A Fully Meets Standard 0.000Athol Memorial Hospital Athol MA Declined to Respond Declined to RespondBaystate Franklin Medical Center Greenfield MA Unable to Calculate Score N/A Unable to Calculate Score N/ABaystate Mary Lane Hospital Ware MA Does Not Apply Unable to Calculate Score N/ABaystate Medical Center Springfield MA Substantial Progress 0.396 Willing to Report 2.062Baystate Wing Hospital Palmer MA Unable to Calculate Score N/A Unable to Calculate Score N/ABerkshire Medical Center Pittsfield MA Some Progress 1.418 Some Progress 1.270Beth Israel Deaconess Hospital ‐ Needham Needham MA Unable to Calculate Score N/A Fully Meets Standard 0.000Beth Israel Deaconess Hospital Plymouth Plymouth MA Fully Meets Standard 0.000 Fully Meets Standard 0.000Beth Israel Deaconess Hospital‐Milton Milton MA Unable to Calculate Score N/A Fully Meets Standard 0.000Beth Israel Deaconess Medical Center Boston MA Substantial Progress 0.280 Willing to Report 2.784Beverly Hospital Beverly MA Fully Meets Standard 0.000 Willing to Report 2.142Boston Children's Hospital Boston MA Substantial Progress 0.418 Substantial Progress 0.896Boston Medical Center Boston MA Substantial Progress 0.239 Willing to Report 2.275Brigham and Women's Faulkner Hospital Boston MA Some Progress 0.613 Fully Meets Standard 0.375Brigham And Women's Hospital Boston MA Substantial Progress 0.489 Some Progress 1.153Cambridge Health Alliance:  Cambridge Cambridge MA Unable to Calculate Score N/A Willing to Report 3.189Cambridge Health Alliance:  Whidden Everett MA Unable to Calculate Score N/A Fully Meets Standard 0.000Cape Cod Hospital Hyannis MA Fully Meets Standard 0.000 Willing to Report 2.735Carney Hospital Dorchester MA Fully Meets Standard 0.000 Fully Meets Standard 0.000Charlton Memorial Hospital Fall River MA Fully Meets Standard 0.000 Some Progress 1.525Clinton Hospital Clinton MA Declined to Respond Declined to RespondCooley Dickinson Hospital Northampton MA Fully Meets Standard 0.000 Substantial Progress 0.753

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp41 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

Page 42: CLABSI CAUTI Data Formatted - Leapfrog...Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital Survey Central Line‐associated Blood Stream Infection (CLABSI) and

Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Dana‐Farber Cancer Institute Boston MA Does Not Apply Does Not ApplyEmerson Hospital Concord MA Fully Meets Standard 0.000 Willing to Report 1.878Fairview Hospital Great Barrington MA Does Not Apply Does Not ApplyFalmouth Hospital Falmouth MA Fully Meets Standard 0.000 Willing to Report 1.851Hallmark Health System Lawrence Memorial Hospital of MMedford MA Unable to Calculate Score N/A Unable to Calculate Score N/AHallmark Health System Melrose‐Wakefield Hospital Melrose MA Some Progress 1.186 Fully Meets Standard 0.000Harrington Memorial Hospital Southbridge MA Unable to Calculate Score N/A Unable to Calculate Score N/AHealthAlliance Hospital Leominster MA Declined to Respond Declined to RespondHeywood Hospital Gardner MA Unable to Calculate Score N/A Unable to Calculate Score N/AHoly Family Hospital Methuen MA Fully Meets Standard 0.000 Fully Meets Standard 0.000Holy Family Hospital at Merrimack Valley Haverhill MA Unable to Calculate Score N/A Willing to Report 1.709Holyoke Medical Center Holyoke MA Some Progress 0.652 Substantial Progress 0.675Lahey Hospital and Medical Center Burlington MA Some Progress 0.823 Some Progress 1.130Lawrence General Hospital Lawrence MA Some Progress 0.505 Substantial Progress 0.584Leonard Morse Hospital Natick MA Declined to Respond Declined to RespondLowell General Hospital ‐ Main Campus Lowell MA Substantial Progress 0.223 Fully Meets Standard 0.211Lowell General Hospital ‐ Saints Campus Lowell MA Some Progress 0.505 Willing to Report 3.449Marlborough Hospital Marlborough MA Unable to Calculate Score N/A Fully Meets Standard 0.000Martha's Vineyard Hospital Oak Bluffs MA Does Not Apply Does Not ApplyMassachusetts Eye And Ear Boston MA Does Not Apply Does Not ApplyMassachusetts General Hospital Boston MA Declined to Respond Declined to RespondMercy Medical Center of Springfield Springfield MA Declined to Respond Declined to RespondMetrowest Medical Center Framingham MA Declined to Respond Declined to RespondMilford Regional Medical Center Milford MA Some Progress 0.516 Substantial Progress 0.760Morton Hospital Taunton MA Unable to Calculate Score N/A Some Progress 1.326Mount Auburn Hospital Cambridge MA Fully Meets Standard 0.000 Some Progress 1.517Nantucket Cottage Hospital Nantucket MA Does Not Apply Does Not ApplyNashoba Valley Medical Center Ayer MA Unable to Calculate Score N/A Unable to Calculate Score N/ANew England Baptist Hospital Boston MA Fully Meets Standard 0.000 Substantial Progress 0.677Newton‐Wellesley Hospital Newton MA Fully Meets Standard 0.000 Fully Meets Standard 0.000Noble Hospital Westfield MA Unable to Calculate Score N/A Willing to Report 1.613North Shore Medical Center ‐ Salem Hospital Salem MA Declined to Respond Declined to RespondNorth Shore Medical Center ‐ Union Hospital Lynn MA Declined to Respond Declined to RespondNorwood Hospital Norwood MA Some Progress 0.683 Willing to Report 1.959Saint Anne's Hospital Fall River MA Fully Meets Standard 0.000 Fully Meets Standard 0.000Signature Healthcare Brockton Hospital Brockton MA Substantial Progress 0.343 Fully Meets Standard 0.000South Shore Hospital South Weymouth MA Willing to Report 1.364 Willing to Report 2.470St Vincent Hospital Worcester MA Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp42 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*St. Elizabeth's Medical Center Boston MA Substantial Progress 0.297 Substantial Progress 0.896St. Luke's Hospital New Bedford MA Substantial Progress 0.315 Some Progress 1.170Steward Good Samaritan Medical Center, Inc. Brockton MA Fully Meets Standard 0.000 Willing to Report 1.619Sturdy Memorial Hospital Attleboro MA Fully Meets Standard 0.000 Substantial Progress 0.692Tobey Hospital Wareham MA Fully Meets Standard 0.000 Some Progress 1.223Tufts Medical Center Boston MA Substantial Progress 0.261 Willing to Report 1.625U Mass Memorial Medical Center ‐ Memorial Campus Worcester MA Substantial Progress 0.392 Some Progress 1.424U Mass Memorial Medical Center ‐ University Campus Worcester MA Substantial Progress 0.223 Willing to Report 2.767Winchester Hospital Winchester MA Fully Meets Standard 0.000 Some Progress 1.384Anne Arundel Medical Center Annapolis MD Some Progress 0.787 Some Progress 1.042Atlantic General Hospital Berlin MD Declined to Respond Declined to RespondBon Secours Baltimore Health System Baltimore MD Declined to Respond Declined to RespondCalvert Memorial Hospital Prince Frederick MD Declined to Respond Declined to RespondCarroll Hospital Center Westminster MD Declined to Respond Declined to RespondChester River Health System Chestertown MD Declined to Respond Declined to RespondDoctors Community Hospital Lanham MD Substantial Progress 0.212 Fully Meets Standard 0.401Edward W. McCready Memorial Hospital Crisfield MD Declined to Respond Declined to RespondFort Washington Medical Center Fort Washington MD Declined to Respond Declined to RespondFranklin Square Hospital Center Baltimore MD Declined to Respond Declined to RespondFrederick Memorial Hospital Frederick MD Declined to Respond Declined to RespondGarrett County Memorial Hospital Oakland MD Declined to Respond Declined to RespondGood Samaritan Hospital of Maryland Baltimore MD Declined to Respond Declined to RespondGreater Baltimore Medical Center Baltimore MD Declined to Respond Declined to RespondHarbor Hospital Baltimore MD Declined to Respond Declined to RespondHarford Memorial Hospital Havre De Grace MD Declined to Respond Declined to RespondHoly Cross Hospital Silver Spring MD Declined to Respond Declined to RespondHoward County General Hospital Columbia MD Declined to Respond Declined to RespondJAMES LAWRENCE KERNAN HOSPITAL INC BALTIMORE MD Declined to Respond Declined to RespondJohns Hopkins Bayview Medical Center Baltimore MD Declined to Respond Declined to RespondLaurel Regional Hospital Laurel MD Declined to Respond Declined to RespondMaryland General Hospital Baltimore MD Declined to Respond Declined to RespondMedStar Southern Maryland Hospital Center Clinton MD Declined to Respond Declined to RespondMemorial Hospital at Easton Maryland Easton MD Declined to Respond Declined to RespondMercy Medical Center Baltimore MD Declined to Respond Declined to RespondMeritus Medical Center Hagerstown MD Substantial Progress 0.327 Substantial Progress 0.710Montgomery General Hospital Olney MD Declined to Respond Declined to RespondMt. Washington Pediatric Hospital Baltimore MD Declined to Respond Declined to RespondNorthwest Hospital Randallstown MD Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp43 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

Page 44: CLABSI CAUTI Data Formatted - Leapfrog...Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital Survey Central Line‐associated Blood Stream Infection (CLABSI) and

Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Peninsula Regional Medical Center Salisbury MD Declined to Respond Declined to RespondPrince George's Hospital Center Cheverly MD Declined to Respond Declined to RespondShady Grove Adventist Hospital Rockville MD Declined to Respond Declined to RespondSinai Hospital of Baltimore Baltimore MD Declined to Respond Declined to RespondSt. Agnes Hospital Baltimore MD Declined to Respond Declined to RespondSt. Mary's Hospital of Leonardtown Leonardtown MD Declined to Respond Declined to RespondSuburban Hospital Bethesda MD Declined to Respond Declined to RespondThe Johns Hopkins Hospital Baltimore MD Some Progress 0.522 Some Progress 1.111UM Baltimore Washington Medical Center Glen Burnie MD Substantial Progress 0.230 Some Progress 1.423Union Hospital Elkton MD Declined to Respond Declined to RespondUnion Memorial Hospital Baltimore MD Declined to Respond Declined to RespondUniversity of Maryland Charles Regional Medical Center La Plata MD Declined to Respond Declined to RespondUniversity of Maryland Medical Center Baltimore MD Some Progress 0.550 Willing to Report 2.506University of Maryland Shore Medical Center at Dorchest Cambridge MD Declined to Respond Declined to RespondUniversity of Maryland St. Joseph Medical Center Towson MD Declined to Respond Declined to RespondUpper Chesapeake Medical Center Bel Air MD Declined to Respond Declined to RespondWashington Adventist Hospital Takoma Park MD Declined to Respond Declined to RespondWestern Maryland Regional Medical Center Cumberland MD Declined to Respond Declined to RespondBlue Hill Memorial Hospital Blue Hill ME Does Not Apply Does Not ApplyBridgton Hospital Bridgton ME Does Not Apply Does Not ApplyCalais Regional Hospital Calais ME Does Not Apply Does Not ApplyCary Medical Center Caribou ME Unable to Calculate Score N/A Fully Meets Standard 0.000Central Maine Medical Center Lewiston ME Some Progress 1.005 Substantial Progress 0.689Charles A. Dean Memorial Hospital Greenville ME Does Not Apply Does Not ApplyDown East Community Hospital Machias ME Does Not Apply Does Not ApplyEastern Maine Medical Center Bangor ME Some Progress 0.633 Willing to Report 1.641Franklin Memorial Hospital Farmington ME Unable to Calculate Score N/A Unable to Calculate Score N/AHoulton Regional Hospital Houlton ME Does Not Apply Does Not ApplyInland Hospital Waterville ME Does Not Apply Does Not ApplyLincolnHealth Damariscotta ME Unable to Calculate Score N/A Unable to Calculate Score N/AMaine Coast Memorial Hospital Ellsworth ME Unable to Calculate Score N/A Unable to Calculate Score N/AMaine General Medical Center Augusta ME Some Progress 0.588 Substantial Progress 0.640Maine Medical Center Portland ME Some Progress 0.974 Willing to Report 1.887Mayo Regional Hospital Dover‐Foxcroft ME Does Not Apply Does Not ApplyMercy Hospital of Portland Portland ME Some Progress 0.834 Some Progress 1.252Mid Coast Hospital Brunswick ME Unable to Calculate Score N/A Unable to Calculate Score N/AMillinocket Regional Hospital Millinocket ME Unable to Calculate Score N/A Declined to RespondMount Desert Island Hospital Bar Harbor ME Unable to Calculate Score N/A Unable to Calculate Score N/A

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp44 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

Page 45: CLABSI CAUTI Data Formatted - Leapfrog...Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital Survey Central Line‐associated Blood Stream Infection (CLABSI) and

Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Northern Maine Medical Center Fort Kent ME Unable to Calculate Score N/A Unable to Calculate Score N/AParkview Adventist Medical Center Brunswick ME Unable to Calculate Score N/A Unable to Calculate Score N/APen Bay Medical Center Rockport ME Does Not Apply Does Not ApplyPenobscot Valley Hospital Lincoln ME Does Not Apply Unable to Calculate Score N/ARedington‐Fairview General Hospital Skowhegan ME Unable to Calculate Score N/A Unable to Calculate Score N/ARumford Hospital Rumford ME Does Not Apply Does Not ApplySebasticook Valley Health Pittsfield ME Does Not Apply Does Not ApplySMHC Biddeford Medical Center Biddeford ME Does Not Apply Does Not ApplySt. Joseph Hospital of Bangor Bangor ME Fully Meets Standard 0.000 Willing to Report 2.196St. Mary's Regional Medical Center of Maine Lewiston ME Some Progress 0.716 Fully Meets Standard 0.000Stephens Memorial Hospital Norway ME Does Not Apply Does Not ApplyThe Aroostook Medical Center Presque Isle ME Does Not Apply Does Not ApplyWaldo County General Hospital Belfast ME Unable to Calculate Score N/A Unable to Calculate Score N/AYork Hospital York ME Unable to Calculate Score N/A Unable to Calculate Score N/AAllegan General Hospital Allegan MI Declined to Respond Declined to RespondAllegiance Health Jackson MI Declined to Respond Declined to RespondAlpena Regional Medical Center Alpena MI Declined to Respond Declined to RespondAspirus Grand View Hospital Ironwood MI Declined to Respond Declined to RespondAspirus Keweenaw Hospital Laurium MI Declined to Respond Declined to RespondAspirus Ontonagon Hospital Ontonagon MI Declined to Respond Declined to RespondBaraga County Memorial Hospital L'Anse MI Declined to Respond Declined to RespondBeaumont Hospital ‐ Grosse Pointe Grosse Pointe MI Declined to Respond Declined to RespondBeaumont Hospital ‐ Troy Troy MI Declined to Respond Declined to RespondBeaumont Hospital, Royal Oak Royal Oak MI Declined to Respond Declined to RespondBell Hospital Ishpeming MI Declined to Respond Declined to RespondBorgess Medical Center Kalamazoo MI Declined to Respond Declined to RespondBorgess‐Lee Memorial Hospital Dowagiac MI Declined to Respond Declined to RespondBotsford Hospital Farmington Hills MI Declined to Respond Declined to RespondBronson Battle Creek Battle Creek MI Substantial Progress 0.323 Substantial Progress 0.861Bronson LakeView Hospital Paw Paw MI Declined to Respond Declined to RespondBronson Methodist Hospital Kalamazoo MI Substantial Progress 0.046 Substantial Progress 0.565C.S. Mott Children's Hospital Ann Arbor MI Substantial Progress 0.266 Substantial Progress 0.837Caro Community Hospital Caro MI Declined to Respond Declined to RespondCharlevoix Area Hospital Charlevoix MI Declined to Respond Declined to RespondChildren's Hospital of Michigan Detroit MI Substantial Progress 0.268 Some Progress 0.982Clinton Memorial/Sparrow Clinton St Johns MI Declined to Respond Declined to RespondCommunity Health Center of Branch County Coldwater MI Declined to Respond Declined to RespondCovenant Medical Center Harrison Campus Saginaw MI Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp45 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

Page 46: CLABSI CAUTI Data Formatted - Leapfrog...Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital Survey Central Line‐associated Blood Stream Infection (CLABSI) and

Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Crittenton Hospital Medical Center Rochester MI Declined to Respond Declined to RespondDetroit Receiving Hospital and University Health Center Detroit MI Some Progress 0.594 Some Progress 1.536Dickinson County Healthcare System Iron Mountain MI Unable to Calculate Score N/A Unable to Calculate Score N/ADoctors' Hospital of Michigan Pontiac MI Declined to Respond Declined to RespondEaton Rapids Medical Center Eaton Rapids MI Declined to Respond Declined to RespondForest Health Medical Center Ypsilanti MI Declined to Respond Declined to RespondGarden City Hospital Garden City MI Fully Meets Standard 0.000 Substantial Progress 0.566Genesys Regional Medical Center Grand Blanc MI Declined to Respond Declined to RespondHarbor Beach Community Hospital Harbor Beach MI Declined to Respond Declined to RespondHarper‐Hutzel Hospital Detroit MI Substantial Progress 0.463 Substantial Progress 0.924Hayes Green Beach Memorial Hospital Charlotte MI Declined to Respond Declined to RespondHelen DeVos Children's Hospital Grand Rapids MI Substantial Progress 0.310 Willing to Report 1.746Helen Newberry Joy Hospital Newberry MI Declined to Respond Declined to RespondHenry Ford Hospital Detroit MI Substantial Progress 0.451 Some Progress 1.420Henry Ford Macomb Hospitals Clinton Township MI Substantial Progress 0.241 Some Progress 1.202Henry Ford West Bloomfield Hospital West Bloomfield MI Fully Meets Standard 0.000 Substantial Progress 0.694Henry Ford Wyandotte Hospital Wyandotte MI Substantial Progress 0.169 Substantial Progress 0.756Hills and Dales General Hospital Cass City MI Declined to Respond Declined to RespondHillsdale Community Health Center Hillsdale MI Unable to Calculate Score N/A Unable to Calculate Score N/AHolland Hospital Holland MI Declined to Respond Declined to RespondHurley Medical Center Flint MI Declined to Respond Declined to RespondHuron Medical Center Bad Axe MI Unable to Calculate Score N/A Unable to Calculate Score N/AHuron Valley‐Sinai Hospital Commerce Township MI Fully Meets Standard 0.000 Fully Meets Standard 0.389Kalkaska Memorial Health Center Kalkaska MI Declined to Respond Declined to RespondLake Huron Medical Center Port Huron MI Unable to Calculate Score N/A Substantial Progress 0.546Lakeland Community Hospital Niles Niles MI Unable to Calculate Score N/A Some Progress 1.279Lakeland Community Hospital, Watervliet Watervliet MI Declined to Respond Declined to RespondLakeland Regional Medical Center‐St. Joseph St. Joseph MI Substantial Progress 0.192 Willing to Report 2.243Mackinac Straits Hospital & Health Center Saint Ignace MI Declined to Respond Declined to RespondMarlette Regional Hospital Marlette MI Declined to Respond Declined to RespondMcKenzie Memorial Hospital Sandusky MI Declined to Respond Declined to RespondMcLaren ‐ Bay Region Bay City MI Declined to Respond Declined to RespondMcLaren ‐ Greater Lansing Lansing MI Declined to Respond Declined to RespondMcLaren ‐ Lapeer Region Lapeer MI Substantial Progress 0.456 Some Progress 1.059McLaren ‐ Northern Michigan Petoskey MI Substantial Progress 0.240 Some Progress 1.332McLaren ‐ Oakland Pontiac MI Fully Meets Standard 0.000 Some Progress 1.443McLaren Central Michigan Mount Pleasant MI Declined to Respond Declined to RespondMcLaren Flint Flint MI Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp46 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

Page 47: CLABSI CAUTI Data Formatted - Leapfrog...Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital Survey Central Line‐associated Blood Stream Infection (CLABSI) and

Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*McLaren Macomb Mount Clemens MI Fully Meets Standard 0.000 Willing to Report 2.296McLaren Port Huron Hospital Port Huron MI Substantial Progress 0.498 Fully Meets Standard 0.306Memorial Healthcare Owosso MI Declined to Respond Declined to RespondMercy Health Hackley Campus Muskegon MI Unable to Calculate Score N/A Fully Meets Standard 0.000Mercy Health Lakeshore Campus Shelby MI Declined to Respond Declined to RespondMercy Health Mercy Campus Muskegon MI Substantial Progress 0.320 Fully Meets Standard 0.000Mercy Health Saint Mary's Grand Rapids MI Substantial Progress 0.306 Substantial Progress 0.730Mercy Hospital of Cadillac Cadillac MI Declined to Respond Declined to RespondMercy Hospital of Grayling Grayling MI Declined to Respond Declined to RespondMercy Memorial Hospital Monroe MI Declined to Respond Declined to RespondMetro Health Hospital Wyoming MI Fully Meets Standard 0.000 Some Progress 1.154MidMichigan Medical Center ‐ Gladwin Gladwin MI Does Not Apply Does Not ApplyMidMichigan Medical Center‐Clare Clare MI Does Not Apply Does Not ApplyMidMichigan Medical Center‐Gratiot Alma MI Unable to Calculate Score N/A Fully Meets Standard 0.000MidMichigan Medical Center‐Midland Midland MI Fully Meets Standard 0.000 Fully Meets Standard 0.228Munising Memorial Hospital Munising MI Declined to Respond Declined to RespondMunson Medical Center Traverse City MI Declined to Respond Declined to RespondNorth Ottawa Community Hospital Grand Haven MI Declined to Respond Declined to RespondNORTHSTAR Health System Iron River MI Declined to Respond Declined to RespondOaklawn Hospital Marshall MI Declined to Respond Declined to RespondOakwood Annapolis Hospital Wayne MI Declined to Respond Declined to RespondOakwood Heritage Hospital Taylor MI Declined to Respond Declined to RespondOakwood Hospital & Medical Center‐Dearborn Dearborn MI Declined to Respond Declined to RespondOakwood Southshore Medical Center Trenton MI Declined to Respond Declined to RespondOSF St. Francis Hospital Escanaba MI Does Not Apply Does Not ApplyOtsego Memorial Hospital Gaylord MI Declined to Respond Declined to RespondPaul Oliver Memorial Hospital Frankfort MI Declined to Respond Declined to RespondProMedica Bixby Hospital Adrian MI Declined to Respond Declined to RespondProMedica Herrick Hospital Tecumseh MI Declined to Respond Declined to RespondProvidence Hospital Southfield MI Declined to Respond Declined to RespondProvidence Park Hospital Novi MI Declined to Respond Declined to RespondScheurer Hospital Pigeon MI Declined to Respond Declined to RespondSchoolcraft Memorial Hospital Manistique MI Declined to Respond Declined to RespondSheridan Community Hospital Sheridan MI Declined to Respond Declined to RespondSinai‐Grace Hospital Detroit MI Substantial Progress 0.200 Willing to Report 1.840South Haven Community Hospital South Haven MI Declined to Respond Declined to RespondSparrow Carson Hospital Carson City MI Unable to Calculate Score N/A Unable to Calculate Score N/ASparrow Hospital & Health System Lansing MI Substantial Progress 0.311 Some Progress 1.399

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp47 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Sparrow Ionia Hospital Ionia MI Declined to Respond Declined to RespondSpectrum Health Big Rapids Hospital Big Rapids MI Unable to Calculate Score N/A Fully Meets Standard 0.000Spectrum Health Blodgett Hospital Grand  Rapids MI Substantial Progress 0.406 Some Progress 1.414Spectrum Health Butterworth Hospital Grand Rapids MI Substantial Progress 0.174 Some Progress 1.182Spectrum Health Gerber Memorial Fremont MI Unable to Calculate Score N/A Unable to Calculate Score N/ASpectrum Health Kelsey Hospital Lakeview MI Does Not Apply Does Not ApplySpectrum Health Ludington Hospital Ludington MI Unable to Calculate Score N/A Unable to Calculate Score N/ASpectrum Health Pennock Hastings MI Unable to Calculate Score N/A Unable to Calculate Score N/ASpectrum Health Reed City Hospital Reed City MI Unable to Calculate Score N/A Fully Meets Standard 0.000Spectrum Health United Hospital Greenville MI Fully Meets Standard 0.000 Unable to Calculate Score N/ASpectrum Health Zeeland Community Hospital Zeeland MI Unable to Calculate Score N/A Unable to Calculate Score N/ASt. John Hospital and Medical Center Detroit MI Declined to Respond Declined to RespondSt. John Macomb Hospital Warren MI Declined to Respond Declined to RespondSt. John Oakland Hospital Madison Heights MI Declined to Respond Declined to RespondSt. John River District Hospital East China MI Declined to Respond Declined to RespondSt. Joseph Health System Tawas City MI Declined to Respond Declined to RespondSt. Joseph Mercy ‐ Chelsea Chelsea MI Unable to Calculate Score N/A Unable to Calculate Score N/ASt. Joseph Mercy Hospital, Ann Arbor Ypsilanti MI Substantial Progress 0.103 Willing to Report 1.707St. Joseph Mercy Livingston Hospital Howell MI Unable to Calculate Score N/A Some Progress 1.360St. Joseph Mercy Oakland Pontiac MI Some Progress 0.691 Some Progress 1.460St. Mary Mercy Hospital Livonia MI Substantial Progress 0.221 Fully Meets Standard 0.135St. Mary's of Michigan of Saginaw Saginaw MI Declined to Respond Declined to RespondSt. Mary's of Michigan Standish Hospital Standish MI Declined to Respond Declined to RespondSturgis Hospital Sturgis MI Declined to Respond Declined to RespondThree Rivers Health Three Rivers MI Declined to Respond Declined to RespondUniversity of Michigan Hospitals and Health Centers Ann Arbor MI Some Progress 0.757 Willing to Report 1.650UP Health System ‐ Portage Hancock MI Unable to Calculate Score N/A Unable to Calculate Score N/AUP Health System â€“ Marquette Marquette MI Substantial Progress 0.216 Substantial Progress 0.899War Memorial Hospital Sault Sainte Marie MI Unable to Calculate Score N/A Unable to Calculate Score N/AWest Branch Regional Medical Center West Branch MI Declined to Respond Declined to RespondWest Shore Medical Center Manistee MI Declined to Respond Declined to RespondAbbott Northwestern Hospital Minneapolis MN Declined to Respond Declined to RespondAlbert Lea Medical Center ‐ Mayo Clinic Health System Albert Lea MN Declined to Respond Declined to RespondAustin Medical Center ‐ Mayo Clinic Health System Austin MN Declined to Respond Declined to RespondBuffalo Hospital Buffalo MN Declined to Respond Declined to RespondCambridge Medical Center Cambridge MN Declined to Respond Declined to RespondChildren's Hospitals and Clinics of Minnesota ‐ MinneapolMinneapolis MN Substantial Progress 0.336 Some Progress 1.336Children's Hospitals and Clinics of Minnesota ‐ St. Paul St. Paul MN Substantial Progress 0.130 Substantial Progress 0.559

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp48 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*District One Hospital Faribault MN Declined to Respond Declined to RespondDouglas County Hospital Alexandria MN Declined to Respond Declined to RespondEssentia Health ‐ Saint Joseph's Medical Center Brainerd MN Declined to Respond Declined to RespondEssentia Health Saint Mary's Medical Center Duluth MN Declined to Respond Declined to RespondEssentia Health St. Mary's ‐ Detroit Lakes Detroit Lakes MN Declined to Respond Declined to RespondEssentia Health‐Virginia Virginia MN Declined to Respond Declined to RespondFairmont Medical Center ‐ Mayo Clinic Health System Fairmont MN Declined to Respond Declined to RespondFairview Lakes Regional Health Care Wyoming MN Declined to Respond Declined to RespondFairview Northland Medical Center Princeton MN Declined to Respond Declined to RespondFairview Ridges Hospital Burnsville MN Declined to Respond Declined to RespondFairview Southdale Hospital Edina MN Declined to Respond Declined to RespondFairview University Medical Center Mesabi Hibbing MN Declined to Respond Declined to RespondGrand Itasca Clinic and Hospital Grand Rapids MN Declined to Respond Declined to RespondHealtheast St. John's Hospital St. Paul MN Declined to Respond Declined to RespondHealtheast St. Joseph's Hospital St. Paul MN Declined to Respond Declined to RespondHennepin County Medical Center Minneapolis MN Substantial Progress 0.120 Willing to Report 2.084Hutchinson Health Hospital Hutchinson MN Declined to Respond Declined to RespondLake Region Healthcare Fergus Falls MN Declined to Respond Declined to RespondLakeview Hospital Stillwater MN Declined to Respond Declined to RespondMankato Hospital ‐ Mayo Clinic Health System Mankato MN Declined to Respond Declined to RespondMaple Grove Hospital Maple Grove MN Declined to Respond Declined to RespondMayo Clinic Health System In Red Wing Red Wing MN Declined to Respond Declined to RespondMayo Clinic Hospital ‐Rochester,  Methodist Campus Rochester MN Declined to Respond Declined to RespondMayo Clinic Hospital‐ Rochester, Saint Marys Campus Rochester MN Declined to Respond Declined to RespondMercy Hospital of Coon Rapids Coon Rapids MN Declined to Respond Declined to RespondNorth Memorial Medical Center Robbinsdale MN Substantial Progress 0.248 Substantial Progress 0.875Northfield Hospital Northfield MN Declined to Respond Declined to RespondOlmsted Medical Center Rochester MN Declined to Respond Declined to RespondOwatonna Hospital Owatonna MN Declined to Respond Declined to RespondPark Nicollet Methodist Hospital St. Louis Park MN Substantial Progress 0.243 Some Progress 1.165Regina Medical Center Hastings MN Declined to Respond Declined to RespondRegions Hospital St. Paul MN Fully Meets Standard 0.000 Fully Meets Standard 0.000Rice Memorial Hospital Willmar MN Declined to Respond Declined to RespondRidgeview Medical Center Waconia MN Declined to Respond Declined to RespondSanford Bemidji Medical Center Bemidji MN Declined to Respond Declined to RespondSanford Worthington Medical Center Worthington MN Declined to Respond Declined to RespondSt. Cloud Hospital St. Cloud MN Declined to Respond Declined to RespondSt. Francis Regional Medical Center Shakopee MN Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp49 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*St. Luke's Hospital of Duluth Duluth MN Declined to Respond Declined to RespondUnited Hospital of St. Paul St. Paul MN Declined to Respond Declined to RespondUnity Hospital of Fridley Fridley MN Declined to Respond Declined to RespondUniversity of Minnesota Medical Center, Fairview ‐ West  Minneapolis MN Declined to Respond Declined to RespondWinona Health Winona MN Declined to Respond Declined to RespondWoodwinds Health Campus Woodbury MN Declined to Respond Declined to RespondAudrain Medical Center Mexico MO Declined to Respond Declined to RespondBarnes‐Jewish Hospital St. Louis MO Declined to Respond Declined to RespondBarnes‐Jewish St. Peters Hospital St. Peters MO Declined to Respond Declined to RespondBarnes‐Jewish West County Hospital St. Louis MO Declined to Respond Declined to RespondBates County Memorial Hospital Butler MO Declined to Respond Declined to RespondBelton Regional Medical Center Belton MO Unable to Calculate Score N/A Unable to Calculate Score N/ABlack River Medical Center Poplar Bluff MO Declined to Respond Declined to RespondBoone Hospital Center Columbia MO Declined to Respond Declined to RespondBothwell Regional Health Center Sedalia MO Declined to Respond Declined to RespondCallaway Community Hospital Fulton MO Declined to Respond Declined to RespondCameron Regional Medical Center Cameron MO Declined to Respond Declined to RespondCapital Region Medical Center Jefferson City MO Declined to Respond Declined to RespondCenterpoint Medical Center Independence MO Substantial Progress 0.122 Willing to Report 2.339Children's Mercy Hospitals and Clinics Kansas City MO Substantial Progress 0.335 Some Progress 1.323Christian Hospital Northeast St. Louis MO Declined to Respond Declined to RespondCitizens Memorial Hospital Bolivar MO Declined to Respond Declined to RespondCooper County Memorial Hospital Boonville MO Declined to Respond Declined to RespondCox Medical Center Branson Branson MO Declined to Respond Declined to RespondCox Medical Centers Springfield MO Declined to Respond Declined to RespondCox Monett Monett MO Declined to Respond Declined to RespondDes Peres Hospital St. Louis MO Declined to Respond Declined to RespondFitzgibbon Hospital Marshall MO Declined to Respond Declined to RespondFreeman Health System Joplin MO Substantial Progress 0.154 Substantial Progress 0.499Golden Valley Memorial Healthcare Clinton MO Unable to Calculate Score N/A Fully Meets Standard 0.000Hannibal Regional Hospital Hannibal MO Declined to Respond Declined to RespondHeartland Regional Medical Center of St. Joseph St. Joseph MO Declined to Respond Declined to RespondLafayette Regional Health Center Lexington MO Unable to Calculate Score N/A Unable to Calculate Score N/ALake Regional Health System Osage Beach MO Declined to Respond Declined to RespondLee's Summit Medical Center Lee'S Summit MO Some Progress 0.758 Willing to Report 1.917Liberty Hospital Liberty MO Substantial Progress 0.371 Substantial Progress 0.905Lincoln County Medical Center Troy MO Declined to Respond Declined to RespondMercy Hospital ‐ Springfield Springfield MO Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp50 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Mercy Hospital Jefferson Crystal City MO Fully Meets Standard 0.000 Fully Meets Standard 0.000Mercy Hospital Joplin Joplin MO Fully Meets Standard 0.000 Willing to Report 1.615Mercy Hospital Lebanon Lebanon MO Declined to Respond Declined to RespondMercy Hospital St. Louis St. Louis MO Substantial Progress 0.210 Some Progress 1.015Mercy Hospital Washington Washington MO Some Progress 0.602 Fully Meets Standard 0.429Mineral Area Regional Medical Center Farmington MO Declined to Respond Declined to RespondMissouri Baptist Medical Center St. Louis MO Declined to Respond Declined to RespondMissouri Baptist Sullivan Hospital Sullivan MO Declined to Respond Declined to RespondMissouri Delta Medical Center Sikeston MO Declined to Respond Declined to RespondMoberly Regional Medical Center Moberly MO Declined to Respond Declined to RespondNevada Regional Medical Center Nevada MO Declined to Respond Declined to RespondNorth Kansas City Hospital North Kansas City MO Declined to Respond Declined to RespondNortheast Regional Medical Center Kirksville MO Declined to Respond Declined to RespondOzarks Community Hospital Springfield MO Declined to Respond Declined to RespondOzarks Medical Center West Plains MO Declined to Respond Declined to RespondParkland Health Center of Bonne Terre Bonne Terre MO Declined to Respond Declined to RespondParkland Health Center of Farmington Farmington MO Declined to Respond Declined to RespondPemiscot Memorial Health System Hayti MO Declined to Respond Declined to RespondPhelps County Regional Medical Center Rolla MO Declined to Respond Declined to RespondPoplar Bluff Regional Medical Center Poplar Bluff MO Some Progress 0.649 Some Progress 1.347Progress West HealthCare Center O'Fallon MO Declined to Respond Declined to RespondResearch Medical Center Main Campus Kansas City MO Substantial Progress 0.316 Willing to Report 1.803Saint Francis Medical Center Cape Girardeau MO Some Progress 0.613 Some Progress 1.048Saint Luke's East Hospital Lee'S Summit MO Declined to Respond Declined to RespondSaint Luke's Hospital of Kansas City Kansas City MO Declined to Respond Declined to RespondSaint Luke's North Hospital Kansas City MO Declined to Respond Declined to RespondSoutheast Health Center of Ripley County Doniphan MO Does Not Apply Does Not ApplySoutheast Health Center of Stoddard County Dexter MO Declined to Respond Declined to RespondSoutheast Hospital Cape Girardeau MO Substantial Progress 0.290 Willing to Report 2.160SSM Cardinal Glennon Children's Medical Center St. Louis MO Substantial Progress 0.183 Substantial Progress 0.709SSM DePaul Health Center Bridgeton MO Some Progress 1.038 Willing to Report 1.615SSM Health Saint Louis University Hospital St. Louis MO Substantial Progress 0.349 Some Progress 0.999SSM Health St. Mary's Hospital ‐ Jefferson City Jefferson City MO Declined to Respond Declined to RespondSSM St. Clare Health Center Fenton MO Declined to Respond Declined to RespondSSM St. Joseph Health Center St. Charles MO Declined to Respond Declined to RespondSSM St. Joseph Health Center of Wentzville Wentzville MO Declined to Respond Declined to RespondSSM St. Joseph Hospital West Lake St. Louis MO Some Progress 0.875 Some Progress 1.423SSM St. Mary's Health Center St. Louis MO Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp51 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*St. Alexius Hospital ‐ Broadway Campus St. Louis MO Fully Meets Standard 0.000 Fully Meets Standard 0.000St. Anthony's Medical Center of St. Louis St. Louis MO Substantial Progress 0.264 Substantial Progress 0.519St. Francis Hospital and Health Services Maryville MO Declined to Respond Declined to RespondSt. Joseph Medical Center Kansas City MO Substantial Progress 0.222 Fully Meets Standard 0.403St. Louis Children's Hospital St. Louis MO Declined to Respond Declined to RespondSt. Luke's Hospital of Chesterfield Chesterfield MO Declined to Respond Declined to RespondSt. Mary's Medical Center Blue Springs MO Some Progress 0.673 Some Progress 1.254Texas County Memorial Hospital Houston MO Declined to Respond Declined to RespondTruman Medical Center Hospital Hill Kansas City MO Declined to Respond Declined to RespondTruman Medical Center Lakewood Kansas City MO Declined to Respond Declined to RespondTwin Rivers Regional Medical Center Kennett MO Declined to Respond Declined to RespondUniversity of Missouri Hospital & Clinics Columbia MO Substantial Progress 0.215 Substantial Progress 0.892Washington County Memorial Hospital Potosi MO Declined to Respond Declined to RespondWestern Missouri Medical Center Warrensburg MO Unable to Calculate Score N/A Unable to Calculate Score N/AWomen's and Children's Hospital Columbia MO Substantial Progress 0.256 Unable to Calculate Score N/AAlliance HealthCare System Holly Springs MS Declined to Respond Declined to RespondAnderson Regional Medical Center Meridian MS Declined to Respond Declined to RespondAnderson Regional Medical Center‐South Campus Meridian MS Declined to Respond Declined to RespondBaptist Memorial Hospital ‐ North Mississippi Oxford MS Fully Meets Standard 0.000 Some Progress 1.284Baptist Memorial Hospital DeSoto Southaven MS Some Progress 0.592 Willing to Report 2.748Baptist Memorial Hospital Golden Triangle Columbus MS Fully Meets Standard 0.000 Some Progress 1.508Baptist Memorial Hospital of Union County New Albany MS Unable to Calculate Score N/A Unable to Calculate Score N/ABaptist Memorial Hospital‐Booneville Booneville MS Declined to Respond Declined to RespondBeacham Memorial Hospital Magnolia MS Declined to Respond Declined to RespondBiloxi Regional Medical Center Biloxi MS Declined to Respond Declined to RespondBolivar Medical Center Cleveland MS Unable to Calculate Score N/A Unable to Calculate Score N/ACentral Mississippi Medical Center Jackson MS Declined to Respond Declined to RespondCrossgates River Oaks Hospital Brandon MS Declined to Respond Declined to RespondDelta Regional Medical Center Greenville MS Declined to Respond Declined to RespondForrest General Hospital Hattiesburg MS Declined to Respond Declined to RespondGarden Park Medical Center Gulfport MS Fully Meets Standard 0.000 Fully Meets Standard 0.000George Regional Hospital Lucedale MS Declined to Respond Declined to RespondGilmore Memorial Regional Medical Center Amory MS Declined to Respond Declined to RespondGreenwood Leflore Hospital Greenwood MS Declined to Respond Declined to RespondHancock Medical Center Bay Saint Louis MS Declined to Respond Declined to RespondHighland Community Hospital Picayune MS Declined to Respond Declined to RespondJasper General Hospital Bay Springs MS Declined to Respond Declined to RespondJefferson County Hospital Fayette MS Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp52 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Kilmichael Hospital Kilmichael MS Declined to Respond Declined to RespondKing's Daughters Medical Center Brookhaven MS Declined to Respond Declined to RespondMadison River Oaks Medical Center Canton MS Declined to Respond Declined to RespondMagee General Hospital Magee MS Declined to Respond Declined to RespondMagnolia Regional Health Center Corinth MS Declined to Respond Declined to RespondMarion General Hospital Columbia MS Declined to Respond Declined to RespondMemorial Hospital at Gulfport Gulfport MS Declined to Respond Declined to RespondMerit Health River Region Vicksburg MS Declined to Respond Declined to RespondMerit Health Wesley Hattiesburg MS Substantial Progress 0.275 Fully Meets Standard 0.000Methodist Olive Branch Hospital Olive Branch MS Unable to Calculate Score N/A Unable to Calculate Score N/AMississippi Baptist Medical Center Jackson MS Declined to Respond Declined to RespondMontfort Jones Memorial Hospital Kosciusko MS Declined to Respond Declined to RespondNatchez Community Hospital Natchez MS Declined to Respond Declined to RespondNatchez Regional Medical Center Natchez MS Declined to Respond Declined to RespondNeshoba County General Hospital Philadelphia MS Declined to Respond Declined to RespondNorth Mississippi Medical Center ‐ Eupora Eupora MS Declined to Respond Declined to RespondNorth Mississippi Medical Center ‐ Iuka Iuka MS Declined to Respond Declined to RespondNorth Mississippi Medical Center ‐ Tupelo Tupelo MS Declined to Respond Declined to RespondNorth Mississippi Medical Center ‐ West Point West Point MS Declined to Respond Declined to RespondNorth Oak Regional Medical Center Senatobia MS Declined to Respond Declined to RespondNorthwest Mississippi Regional Medical Center Clarksdale MS Declined to Respond Declined to RespondOcean Springs Hospital Ocean Springs MS Declined to Respond Declined to RespondOCH Regional Medical Center Starkville MS Unable to Calculate Score N/A Fully Meets Standard 0.000River Oaks Hospital Flowood MS Declined to Respond Declined to RespondRush Foundation Hospital Meridian MS Declined to Respond Declined to RespondSharkey‐Issaquena Community Hospital Rolling Fork MS Declined to Respond Declined to RespondSinging River Health System Pascagoula MS Declined to Respond Declined to RespondSouth Central Regional Medical Center Laurel MS Declined to Respond Declined to RespondSouth Sunflower County Hospital Indianola MS Declined to Respond Declined to RespondSouthwest Mississippi Regional Medical Center Mccomb MS Willing to Report 1.455 Substantial Progress 0.681St. Dominic‐Jackson Memorial Hospital Jackson MS Substantial Progress 0.143 Some Progress 1.348Tippah County Hospital Ripley MS Declined to Respond Declined to RespondTrace Regional Hospital Houston MS Declined to Respond Declined to RespondTri‐Lakes Medical Center Batesville MS Declined to Respond Declined to RespondUniversity Hospitals and Health System, University of Mis Jackson MS Some Progress 0.638 Substantial Progress 0.477University of Mississippi Medical Center Grenada Grenada MS Declined to Respond Declined to RespondWayne General Hospital Waynesboro MS Declined to Respond Declined to RespondWinston Medical Center Louisville MS Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp53 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

Page 54: CLABSI CAUTI Data Formatted - Leapfrog...Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital Survey Central Line‐associated Blood Stream Infection (CLABSI) and

Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Yalobusha General Hospital Water Valley MS Declined to Respond Declined to RespondBenefis Hospitals Great Falls MT Declined to Respond Declined to RespondBillings Clinic Billings MT Some Progress 1.120 Substantial Progress 0.726Bozeman Deaconess Hospital Bozeman MT Declined to Respond Declined to RespondCommunity Medical Center Missoula MT Declined to Respond Declined to RespondHealthCenter Northwest Kalispell MT Declined to Respond Declined to RespondKalispell Regional Medical Center Kalispell MT Declined to Respond Declined to RespondNorthern Montana Hospital Havre MT Declined to Respond Declined to RespondProvidence St. Patrick Hospital Missoula MT Declined to Respond Declined to RespondSt. James Healthcare Butte MT Some Progress 0.973 Some Progress 0.983St. Peter's Hospital Helena MT Declined to Respond Declined to RespondSt. Vincent Healthcare Billings MT Substantial Progress 0.312 Substantial Progress 0.547Alamance Regional Medical Center Burlington NC Substantial Progress 0.275 Willing to Report 1.889Annie Penn Hospital Reidsville NC Unable to Calculate Score N/A Substantial Progress 0.783Anson Community Hospital Wadesboro NC Declined to Respond Declined to RespondBetsy Johnson Regional Hospital Dunn NC Declined to Respond Declined to RespondBlue Ridge HealthCare Hospitals ‐ Morganton Morganton NC Fully Meets Standard 0.000 Some Progress 1.358Blue Ridge Regional Hospital Spruce Pine NC Declined to Respond Declined to RespondCaldwell Memorial Hospital Lenoir NC Declined to Respond Declined to RespondCape Fear Valley Medical Center Fayetteville NC Substantial Progress 0.232 Some Progress 1.061CarolinaEast Medical Center New Bern NC Declined to Respond Declined to RespondCarolinas Healthcare System ‐ Lincoln Lincolnton NC Fully Meets Standard 0.000 Fully Meets Standard 0.000Carolinas Healthcare System ‐ NorthEast Concord NC Some Progress 0.546 Willing to Report 2.043Carolinas Healthcare System ‐ Pineville Charlotte NC Fully Meets Standard 0.000 Substantial Progress 0.781Carolinas Healthcare System ‐ Union Monroe NC Some Progress 0.930 Fully Meets Standard 0.402Carolinas Healthcare System ‐ University Charlotte NC Some Progress 0.598 Willing to Report 3.205Carolinas Healthcare System‐ Cleveland Shelby NC Substantial Progress 0.263 Fully Meets Standard 0.218Carolinas Healthcare System‐ Kings Mountain Kings Mountain NC Unable to Calculate Score N/A Fully Meets Standard 0.000Carolinas Medical Center Charlotte NC Substantial Progress 0.362 Substantial Progress 0.852Carolinas Medical Center ‐ Mercy Charlotte NC Some Progress 1.167 Substantial Progress 0.681CaroMont Regional Medical Center GASTONIA NC Some Progress 0.656 Substantial Progress 0.670Carteret General Hospital Morehead City NC Declined to Respond Declined to RespondCatawba Valley Medical Center Hickory NC Fully Meets Standard 0.000 Fully Meets Standard 0.000CENTRAL CAROLINA HOSPITAL SANFORD NC Declined to Respond Declined to RespondChatham Hospital Siler City NC Declined to Respond Declined to RespondColumbus Regional Healthcare Whiteville NC Fully Meets Standard 0.000 Willing to Report 2.248Cone Health ‐Moses H. Cone Memorial Hospital Greensboro NC Substantial Progress 0.184 Some Progress 1.365Davis Regional Medical Center Statesville NC Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp54 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Duke Raleigh Hospital Raleigh NC Fully Meets Standard 0.000 Substantial Progress 0.737Duke Regional Hospital Durham NC Some Progress 0.712 Willing to Report 3.376Duke University Hospital Durham NC Substantial Progress 0.385 Some Progress 1.185Duplin General Hospital Kenansville NC Declined to Respond Declined to RespondFirstHealth Moore Regional Hospital Pinehurst NC Fully Meets Standard 0.000 Willing to Report 1.687FirstHealth Richmond Memorial Hospital Rockingham NC Declined to Respond Declined to RespondFRYE REGIONAL MEDICAL CENTER HICKORY NC Declined to Respond Declined to RespondGranville Medical Center Oxford NC Declined to Respond Declined to RespondHalifax Regional Medical Center Roanoke Rapids NC Declined to Respond Declined to RespondHarris Regional Hospital Sylva NC Declined to Respond Declined to RespondHaywood Regional Medical Center Clyde NC Unable to Calculate Score N/A Unable to Calculate Score N/AHeritage Hospital Tarboro NC Declined to Respond Declined to RespondHigh Point Regional UNC Health Care High Point NC Some Progress 1.314 Substantial Progress 0.859Hugh Chatham Memorial Hospital Elkin NC Unable to Calculate Score N/A Unable to Calculate Score N/AIredell Memorial Hospital Statesville NC Declined to Respond Declined to RespondJohnston Health Smithfield NC Declined to Respond Declined to RespondKernersville Medical Center Kernersville NC Unable to Calculate Score N/A Unable to Calculate Score N/ALake Norman Regional Medical Center Mooresville NC Declined to Respond Declined to RespondLenoir Memorial Hospital, Inc. Kinston NC Some Progress 0.753 Some Progress 0.983Margaret R. Pardee Memorial Hospital Hendersonville NC Unable to Calculate Score N/A Fully Meets Standard 0.000Maria Parham Medical Center Henderson NC Declined to Respond Declined to RespondMartin General Hospital Williamston NC Unable to Calculate Score N/A Unable to Calculate Score N/AMcDowell Hospital Marion NC Declined to Respond Declined to RespondMission St. Joseph's Health System Asheville NC Declined to Respond Declined to RespondMorehead Memorial Hospital Eden NC Unable to Calculate Score N/A Substantial Progress 0.870Murphy Medical Center Murphy NC Declined to Respond Declined to RespondNash Health Care Systems Rocky Mount NC Declined to Respond Declined to RespondNew Hanover Regional Medical Center Wilmington NC Substantial Progress 0.289 Substantial Progress 0.503NORTHERN HOSPITAL OF SURRY COUNTY MOUNT AIRY NC Unable to Calculate Score N/A Unable to Calculate Score N/ANovant Health Brunswick Medical Center Bolivia NC Unable to Calculate Score N/A Unable to Calculate Score N/ANovant Health Forsyth Medical Center Winston‐Salem NC Substantial Progress 0.308 Substantial Progress 0.651Novant Health Franklin Medical Center Louisburg NC Declined to Respond Declined to RespondNovant Health Huntersville Medical Center Huntersville NC Unable to Calculate Score N/A Unable to Calculate Score N/ANovant Health Matthews Medical Center Matthews NC Some Progress 0.949 Fully Meets Standard 0.000Novant Health Medical Park Hospital Winston‐Salem NC Does Not Apply Does Not ApplyNovant Health Presbyterian Medical Center Charlotte NC Some Progress 0.825 Substantial Progress 0.485Novant Health Rowan Medical Center Salisbury NC Some Progress 0.775 Some Progress 1.013Novant Health Thomasville Medical Center Thomasville NC Unable to Calculate Score N/A Unable to Calculate Score N/A

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp55 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*ONSLOW MEMORIAL HOSPITAL JACKSONVILLE NC Fully Meets Standard 0.000 Substantial Progress 0.805Park Ridge Health Hendersonville NC Unable to Calculate Score N/A Fully Meets Standard 0.000Person Memorial Hospital Roxboro NC Willing to Report 3.784 Fully Meets Standard 0.000Randolph Hospital Asheboro NC Declined to Respond Declined to RespondRex Hospital, Inc. Raleigh NC Fully Meets Standard 0.000 Substantial Progress 0.868Roanoke‐Chowan Hospital Ahoskie NC Declined to Respond Declined to RespondRutherford Hospital Rutherfordton NC Unable to Calculate Score N/A Willing to Report 3.473Sampson Regional Medical Center Clinton NC Declined to Respond Declined to RespondSandhills Regional Medical Center Hamlet NC Declined to Respond Declined to RespondScotland Health Care System Laurinburg NC Declined to Respond Declined to RespondSentara Albemarle Medical Center Elizabeth City NC Declined to Respond Declined to RespondSoutheastern Regional Medical Center Lumberton NC Some Progress 1.171 Some Progress 1.457Stanly Regional Medical Center Albemarle NC Fully Meets Standard 0.000 Substantial Progress 0.542University of North Carolina Hospitals Chapel Hill NC Substantial Progress 0.496 Some Progress 1.451Vidant Beaufort Hospital Washington NC Declined to Respond Declined to RespondVidant Medical Center Greenville NC Substantial Progress 0.220 Some Progress 1.303Wake Forest Baptist Health‐Lexington Medical Center Lexington NC Unable to Calculate Score N/A Unable to Calculate Score N/AWake Forest Baptist Medical Center WINSTON‐SALEM NC Substantial Progress 0.375 Substantial Progress 0.640WakeMed Cary Hospital Cary NC Some Progress 1.302 Some Progress 0.989WakeMed Raleigh Campus Raleigh NC Substantial Progress 0.368 Willing to Report 2.492Watauga Medical Center Boone NC Fully Meets Standard 0.000 Unable to Calculate Score N/AWayne Memorial Hospital Goldsboro NC Substantial Progress 0.185 Fully Meets Standard 0.403Wesley Long Community Greensboro NC Fully Meets Standard 0.000 Substantial Progress 0.649Wilkes Regional Medical Center North Wilkesboro NC Unable to Calculate Score N/A Fully Meets Standard 0.000Wilson Medical Center Wilson NC Substantial Progress 0.167 Substantial Progress 0.561Womens Hospital of Greensboro Greensboro NC Fully Meets Standard 0.000 Unable to Calculate Score N/AAltru Health System Grand Forks ND Substantial Progress 0.194 Fully Meets Standard 0.195Essentia Health ‐ Fargo Fargo ND Declined to Respond Declined to RespondMedcenter One Bismarck ND Declined to Respond Declined to RespondSanford Medical Center Fargo ND Declined to Respond Declined to RespondSt. Alexius Medical Center Bismarck ND Declined to Respond Declined to RespondTrinity Hospital Minot ND Fully Meets Standard 0.000 Substantial Progress 0.755Bellevue Medical Center Bellevue NE Declined to Respond Declined to RespondBryanlgh Medical Center Lincoln NE Declined to Respond Declined to RespondCHI Health Bergan Mercy Omaha NE Declined to Respond Declined to RespondCHI Health Creighton University Medical Center Omaha NE Declined to Respond Declined to RespondCHI Health Immanuel Omaha NE Declined to Respond Declined to RespondCHI Health Lakeside Omaha NE Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp56 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*CHI Health Midlands Papillion NE Declined to Respond Declined to RespondCHI Health St. Elizabeth Lincoln NE Substantial Progress 0.373 Some Progress 1.101Children's Hospital & Medical Center Omaha NE Some Progress 0.717 Substantial Progress 0.721Columbus Community Hospital Columbus NE Declined to Respond Declined to RespondFaith Regional Health Services Norfolk NE Declined to Respond Declined to RespondFremont Area Medical Center Fremont NE Declined to Respond Declined to RespondGood Samaritan Hospital Kearney NE Declined to Respond Declined to RespondGreat Plains Regional Medical Center North Platte NE Declined to Respond Declined to RespondMary Lanning Healthcare Hastings NE Declined to Respond Declined to RespondNebraska Medical Center Omaha NE Declined to Respond Declined to RespondNebraska Methodist Hospital Omaha NE Declined to Respond Declined to RespondOGALLALA COMMUNITY HOSPITAL OGALLALA NE Does Not Apply Does Not ApplyRegional West Medical Center Scottsbluff NE Declined to Respond Declined to RespondSaint Francis Medical Center Grand Island NE Declined to Respond Declined to RespondAlice Peck Day Memorial Hospital Lebanon NH Does Not Apply Does Not ApplyAndroscoggin Valley Hospital Berlin NH Declined to Respond Declined to RespondCatholic Medical Center Manchester NH Declined to Respond Declined to RespondCheshire Medical Center Keene NH Declined to Respond Declined to RespondConcord Hospital Concord NH Declined to Respond Declined to RespondCottage Hospital of Woodsville Woodsville NH Declined to Respond Declined to RespondDartmouth‐Hitchcock Medical Center Lebanon NH Substantial Progress 0.241 Fully Meets Standard 0.346Elliot Hospital Manchester NH Declined to Respond Declined to RespondExeter Hospital Exeter NH Fully Meets Standard 0.000 Willing to Report 3.311Franklin Regional Hospital Franklin NH Declined to Respond Declined to RespondFrisbie Memorial Hospital Rochester NH Declined to Respond Declined to RespondHuggins Hospital Wolfeboro NH Declined to Respond Declined to RespondLakes Region General Hospital Laconia NH Declined to Respond Declined to RespondLittleton Regional Healthcare Littleton NH Unable to Calculate Score N/A Unable to Calculate Score N/AMemorial Hospital North Conway NH Declined to Respond Declined to RespondMonadnock Community Hospital Peterborough NH Declined to Respond Declined to RespondNew London Hospital New London NH Declined to Respond Declined to RespondParkland Medical Center Derry NH Fully Meets Standard 0.000 Fully Meets Standard 0.000Portsmouth Regional Hospital Portsmouth NH Substantial Progress 0.317 Fully Meets Standard 0.275Southern New Hampshire Medical Center Nashua NH Fully Meets Standard 0.000 Substantial Progress 0.915Speare Memorial Hospital Plymouth NH Declined to Respond Declined to RespondSt. Joseph Hospital of Nashua Nashua NH Declined to Respond Declined to RespondUpper Connecticut Valley Hospital Colebrook NH Declined to Respond Declined to RespondValley Regional Hospital Claremont NH Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp57 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Weeks Medical Center Lancaster NH Declined to Respond Declined to RespondWentworth‐Douglass Hospital Dover NH Fully Meets Standard 0.000 Some Progress 1.065Atlanticare Regional Medical Center ‐ City Campus Atlantic City NJ Declined to Respond Declined to RespondAtlanticare Regional Medical Center‐Mainland Campus Pomona NJ Declined to Respond Declined to RespondBayshore Community Hospital Holmdel NJ Willing to Report 1.284 Some Progress 1.209Cape Regional Medical Center Cape May Court House NJ Fully Meets Standard 0.000 Fully Meets Standard 0.318Capital Health Medical Center ‐ Hopewell Pennington NJ Substantial Progress 0.213 Willing to Report 3.733Capital Health Regional Medical Center Trenton NJ Substantial Progress 0.391 Some Progress 1.356CarePoint Health‐Bayonne Bayonne NJ Fully Meets Standard 0.000 Substantial Progress 0.480CarePoint Health‐Christ Hospital Jersey City NJ Some Progress 1.150 Some Progress 0.986Carepoint Health‐Hoboken University Medical Center Hoboken NJ Fully Meets Standard 0.000 Fully Meets Standard 0.433CentraState Healthcare System Freehold NJ Some Progress 1.161 Willing to Report 3.975Chilton Medical Center Pompton Plains NJ Some Progress 0.598 Willing to Report 1.650Clara Maass Medical Center Belleville NJ Substantial Progress 0.196 Fully Meets Standard 0.229Community Medical Center of Toms River Toms River NJ Fully Meets Standard 0.000 Fully Meets Standard 0.172Cooper University Health Care Camden NJ Some Progress 0.921 Some Progress 1.139Deborah Heart and Lung Center Browns Mills NJ Substantial Progress 0.197 Fully Meets Standard 0.000East Orange General Hospital East Orange NJ Declined to Respond Declined to RespondEnglewood Hospital and Medical Center Englewood NJ Fully Meets Standard 0.000 Substantial Progress 0.498Hackensack University Medical Center Hackensack NJ Some Progress 0.556 Substantial Progress 0.660HackensackUMC Mountainside Montclair NJ Substantial Progress 0.363 Some Progress 1.078Hackettstown Regional Medical Center Hackettstown NJ Fully Meets Standard 0.000 Substantial Progress 0.684Holy Name Medical Center Teaneck NJ Some Progress 0.691 Fully Meets Standard 0.191Hunterdon Medical Center Flemington NJ Some Progress 1.085 Substantial Progress 0.732Inspira Medical Center Elmer Elmer NJ Unable to Calculate Score N/A Willing to Report 2.498Inspira Medical Center Vineland Vineland NJ Some Progress 0.616 Fully Meets Standard 0.437Inspira Medical Center Woodbury Woodbury NJ Substantial Progress 0.261 Substantial Progress 0.450Jersey City Medical Center‐Barnabas Health Jersey City NJ Substantial Progress 0.234 Fully Meets Standard 0.214Jersey Shore University Medical Center Neptune NJ Substantial Progress 0.312 Some Progress 1.365JFK Medical Center Edison NJ Substantial Progress 0.478 Some Progress 1.305Kennedy University Hospital ‐ Cherry Hill Cherry Hill NJ Some Progress 0.653 Willing to Report 1.748Kennedy University Hospital ‐ Stratford Stratford NJ Fully Meets Standard 0.000 Fully Meets Standard 0.329Kennedy University Hospital ‐ Washington Township Turnersville NJ Substantial Progress 0.470 Substantial Progress 0.904Lourdes Medical Center of Burlington County Willingboro NJ Substantial Progress 0.396 Some Progress 1.184Meadowlands Hospital Medical Center Secaucus NJ Fully Meets Standard 0.000 Willing to Report 2.421Memorial Hospital of Salem County Salem NJ Declined to Respond Declined to RespondMonmouth Medical Center Long Branch NJ Some Progress 0.627 Some Progress 1.490Monmouth Medical Center Southern Campus Lakewood NJ Some Progress 0.770 Substantial Progress 0.911

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp58 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Morristown Medical Center Morristown NJ Some Progress 0.569 Some Progress 1.137Newark Beth Israel Medical Center Newark NJ Substantial Progress 0.216 Substantial Progress 0.846Newton Medical Center Newton NJ Some Progress 0.826 Fully Meets Standard 0.234Ocean Medical Center Brick NJ Some Progress 0.802 Willing to Report 1.889Our Lady of Lourdes Medical Center Camden NJ Substantial Progress 0.357 Substantial Progress 0.877Overlook Medical Center Summit NJ Substantial Progress 0.471 Some Progress 1.575Palisades Medical Center North Bergen NJ Substantial Progress 0.455 Fully Meets Standard 0.000PSE&G Children's Specialized Hospital New Brunswick NJ Does Not Apply Does Not ApplyRaritan Bay Medical Center of Old Bridge Old Bridge NJ Some Progress 1.393 Substantial Progress 0.557Raritan Bay Medical Center of Perth Amboy Perth Amboy NJ Substantial Progress 0.244 Willing to Report 3.251Riverview Medical Center Red Bank NJ Willing to Report 1.444 Substantial Progress 0.722Robert Wood Johnson University Hospital New Brunswick NJ Some Progress 0.678 Willing to Report 1.723Robert Wood Johnson University Hospital at Hamilton Hamilton NJ Substantial Progress 0.422 Fully Meets Standard 0.442Robert Wood Johnson University Hospital Rahway Rahway NJ Fully Meets Standard 0.000 Fully Meets Standard 0.000Robert Wood Johnson University Hospital Somerset Somerville NJ Fully Meets Standard 0.000 Willing to Report 3.040Saint Barnabas Medical Center Livingston NJ Substantial Progress 0.273 Substantial Progress 0.501Saint Clare's Hospital of Denville Denville NJ Fully Meets Standard 0.000 Fully Meets Standard 0.000Saint Clare's Hospital of Dover Dover NJ Unable to Calculate Score N/A Substantial Progress 0.817Saint Michael's Medical Center Newark NJ Declined to Respond Declined to RespondSaint Peter's University Hospital New Brunswick NJ Substantial Progress 0.237 Some Progress 1.236Shore Medical Center Somers Point NJ Fully Meets Standard 0.000 Some Progress 1.146Southern Ocean Medical Center Manahawkin NJ Willing to Report 1.233 Willing to Report 1.856St. Francis Medical Center of Trenton Trenton NJ Substantial Progress 0.361 Fully Meets Standard 0.179St. Joseph's Regional Medical Center Paterson NJ Some Progress 0.698 Substantial Progress 0.889St. Joseph's Wayne Hospital Wayne NJ Some Progress 1.272 Some Progress 1.007St. Luke's Warren Campus Phillipsburg NJ Declined to Respond Declined to RespondSt. Mary's General Hospital Passaic NJ Willing to Report 1.181 Substantial Progress 0.638The Valley Hospital Ridgewood NJ Some Progress 1.365 Fully Meets Standard 0.359Trinitas Regional Medical Center Elizabeth NJ Some Progress 1.715 Willing to Report 3.007University Hospital Newark NJ Some Progress 0.781 Willing to Report 1.645University Medical Center of Princeton at Plainsboro Plainsboro NJ Substantial Progress 0.430 Fully Meets Standard 0.000Virtua Marlton Hospital Marlton NJ Substantial Progress 0.260 Fully Meets Standard 0.000Virtua Memorial Hospital Mount Holly NJ Fully Meets Standard 0.000 Substantial Progress 0.674Virtua Voorhees Hospital Voorhees NJ Substantial Progress 0.408 Fully Meets Standard 0.399Alta Vista Regional Hospital Las Vegas NM Declined to Respond Declined to RespondArtesia General Hospital Artesia NM Declined to Respond Declined to RespondCarlsbad Medical Center Carlsbad NM Declined to Respond Declined to RespondCHRISTUS St. Vincent Regional Medical Center Santa Fe NM Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp59 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Dr. Dan C. Trigg Memorial Hospital Tucumcari NM Declined to Respond Declined to RespondEastern New Mexico Medical Center Roswell NM Declined to Respond Declined to RespondEspanola Hospital Espanola NM Unable to Calculate Score N/A Unable to Calculate Score N/AGERALD CHAMPION REGIONAL MEDICAL CENTER Alamogordo NM Declined to Respond Declined to RespondGila Regional Medical Center Silver City NM Declined to Respond Declined to RespondGuadalupe County Hospital Santa Rosa NM Declined to Respond Declined to RespondHoly Cross Hospital Taos NM Declined to Respond Declined to RespondLea Regional Medical Center Hobbs NM Declined to Respond Declined to RespondLos Alamos Medical Center Los Alamos NM Declined to Respond Declined to RespondLovelace Medical Center‐Downtown Albuquerque NM Declined to Respond Declined to RespondLovelace Regional Hospital ‐ Roswell Roswell NM Declined to Respond Declined to RespondLovelace Westside Hospital Albuquerque NM Declined to Respond Declined to RespondLovelace Women's Hospital Albuquerque NM Declined to Respond Declined to RespondMemorial Medical Center Las Cruces NM Some Progress 0.811 Some Progress 1.539Mountainview Regional Medical Center Las Cruces NM Declined to Respond Declined to RespondPlains Regional Medical Center  Clovis Clovis NM Unable to Calculate Score N/A Fully Meets Standard 0.000Presbyterian Hospital Albuquerque NM Some Progress 0.835 Some Progress 1.337Presbyterian Rust Medical Center Rio Rancho NM Fully Meets Standard 0.000 Willing to Report 4.052Rehoboth McKinley Christian Health Services Hospital Gallup NM Declined to Respond Declined to RespondRoosevelt General Hospital Portales NM Declined to Respond Declined to RespondSan Juan Regional Medical Center Farmington NM Declined to Respond Declined to RespondUniversity of New Mexico Hospital Albuquerque NM Substantial Progress 0.478 Some Progress 1.505UNM Sandoval Rio Rancho NM Declined to Respond Declined to RespondBanner Churchill Community Hospital Fallon NV Unable to Calculate Score N/A Unable to Calculate Score N/ABattle Mountain General Hospital Battle Mountain NV Declined to Respond Declined to RespondCarson Tahoe Health Carson City NV Declined to Respond Declined to RespondCarson Valley Medical Center Gardnerville NV Declined to Respond Declined to RespondCentennial Hills Hospital Medical Center Las Vegas NV Substantial Progress 0.249 Fully Meets Standard 0.000Desert Springs Hospital Medical Center Las Vegas NV Substantial Progress 0.314 Fully Meets Standard 0.000Humboldt General Hospital Winnemucca NV Declined to Respond Declined to RespondMountainview Hospital Las Vegas NV Some Progress 0.642 Some Progress 1.114North Vista Hospital North Las Vegas NV Some Progress 1.565 Some Progress 1.316Northeastern Nevada Regional Hospital Elko NV Unable to Calculate Score N/A Unable to Calculate Score N/ANorthern Nevada Medical Center Sparks NV Fully Meets Standard 0.000 Declined to RespondNye Regional Medical Center Tonopah NV Declined to Respond Declined to RespondPershing General Hospital Lovelock NV Declined to Respond Declined to RespondRenown Regional Medical Center Reno NV Declined to Respond Declined to RespondRenown South Meadows Medical Center Reno NV Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp60 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*South Lyon Medical Center Yerington NV Declined to Respond Declined to RespondSouthern Hills Hospital and Medical Center Las Vegas NV Substantial Progress 0.240 Fully Meets Standard 0.000Spring Valley Hospital Medical Center Las Vegas NV Substantial Progress 0.318 Some Progress 1.509St. Mary's Regional Medical Center of Reno Reno NV Substantial Progress 0.408 Willing to Report 2.839St. Rose Dominican Hospitals ‐ Rose De Lima Campus Henderson NV Some Progress 0.567 Fully Meets Standard 0.282St. Rose Dominican Hospitals ‐ San Martin Campus Las Vegas NV Substantial Progress 0.184 Substantial Progress 0.445St. Rose Dominican Hospitals ‐ Siena Campus Henderson NV Substantial Progress 0.203 Some Progress 1.299Summerlin Hospital Medical Center Las Vegas NV Substantial Progress 0.496 Substantial Progress 0.792Sunrise Hospital and Medical Center Las Vegas NV Substantial Progress 0.496 Some Progress 1.534University Medical Center of Southern Nevada Las Vegas NV Some Progress 0.852 Some Progress 1.030Valley Hospital Medical Center Las Vegas NV Substantial Progress 0.323 Substantial Progress 0.929William Bee Ririe Hospital Ely NV Declined to Respond Declined to RespondAdirondack Medical Center Saranac Lake NY Declined to Respond Declined to RespondAlbany Medical Center Albany NY Declined to Respond Declined to RespondAlbany Memorial Hospital Albany NY Declined to Respond Declined to RespondAlice Hyde Medical Center Malone NY Unable to Calculate Score N/A Unable to Calculate Score N/AArnot Ogden Medical Center Elmira NY Declined to Respond Declined to RespondAuburn Community Hospital Auburn NY Some Progress 0.873 Unable to Calculate Score N/AAurelia Osborn Fox Memorial Hospital Oneonta NY Does Not Apply Does Not ApplyBellevue Hospital Center New York NY Substantial Progress 0.326 Substantial Progress 0.713Bellevue Women's Care Center Niskayuna NY Declined to Respond Declined to RespondBertrand Chaffee Hospital Springville NY Declined to Respond Declined to RespondBlythedale Children's Hospital Valhalla NY Declined to Respond Declined to RespondBon Secours Community Hospital Port Jervis NY Declined to Respond Declined to RespondBronx Lebanon Hospital Center Concourse Campus Bronx NY Substantial Progress 0.387 Fully Meets Standard 0.218Brookdale Hospital Medical Center Brooklyn NY Substantial Progress 0.370 Willing to Report 2.535Brookhaven Memorial Hospital Medical Center Patchogue NY Declined to Respond Declined to RespondBrooks Memorial Hospital Dunkirk NY Declined to Respond Declined to RespondBuffalo General Medical Center Buffalo NY Some Progress 0.529 Some Progress 0.987Canton‐Potsdam Hospital Potsdam NY Unable to Calculate Score N/A Unable to Calculate Score N/ACarthage Area Hospital Carthage NY Declined to Respond Declined to RespondCatholic Health System ‐ Kenmore Mercy Hospital Kenmore NY Fully Meets Standard 0.000 Fully Meets Standard 0.330Catholic Health System ‐ Mercy Hospital of Buffalo Buffalo NY Substantial Progress 0.216 Some Progress 1.237Catholic Health System ‐ Sisters of Charity Hospital Buffalo NY Fully Meets Standard 0.000 Fully Meets Standard 0.000Catholic Health System ‐Sisters Hospital ‐ St. Joseph CampCheektowaga NY Fully Meets Standard 0.000 Some Progress 1.446Catskill Regional Medical Center of Callicoon Callicoon NY Declined to Respond Declined to RespondCatskill Regional Medical Center of Harris Harris NY Declined to Respond Declined to RespondCayuga Medical Center at Ithaca Ithaca NY Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp61 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Champlain Valley Physicians Hospital Medical Center Plattsburgh NY Declined to Respond Declined to RespondClaxton‐Hepburn Medical Center Ogdensburg NY Declined to Respond Declined to RespondClifton Springs Hospital and Clinic Clifton Springs NY Declined to Respond Declined to RespondClifton‐Fine Hospital Star Lake NY Declined to Respond Declined to RespondCobleskill Regional Hospital Cobleskill NY Declined to Respond Declined to RespondColumbia Memorial Health Hudson NY Some Progress 0.878 Some Progress 1.365Community Memorial Hospital of Hamilton Hamilton NY Declined to Respond Declined to RespondConey Island Hospital Brooklyn NY Some Progress 0.733 Willing to Report 1.982Corning Hospital Corning NY Declined to Respond Declined to RespondCortland Regional Medical Center Cortland NY Unable to Calculate Score N/A Unable to Calculate Score N/ACrouse Hospital Syracuse NY Some Progress 0.595 Willing to Report 2.573Cuba Memorial Hospital Cuba NY Declined to Respond Declined to RespondDeGraff Memorial Hospital North Tonawanda NY Does Not Apply Does Not ApplyEastern Long Island Hospital Greenport NY Declined to Respond Declined to RespondEastern Niagara Hospital Inter‐Community Newfane NY Declined to Respond Declined to RespondEastern Niagara Hospital Lockport Lockport NY Declined to Respond Declined to RespondElizabethtown Community Hospital Elizabethtown NY Declined to Respond Declined to RespondEllenville Regional Hospital Ellenville NY Declined to Respond Declined to RespondEllis Medicine Schenectady NY Declined to Respond Declined to RespondElmhurst Hospital Center Elmhurst NY Declined to Respond Declined to RespondErie County Medical Center Buffalo NY Substantial Progress 0.153 Fully Meets Standard 0.359F.F. Thompson Hospital Canandaigua NY Declined to Respond Declined to RespondFaxton St Luke's Healthcare Utica NY Declined to Respond Declined to RespondFlushing Hospital Medical Center Flushing NY Some Progress 0.874 Willing to Report 2.760Geneva General Hospital Geneva NY Declined to Respond Declined to RespondGlens Falls Hospital Glens Falls NY Fully Meets Standard 0.000 Substantial Progress 0.491Good Samaritan Hospital Medical Center West Islip NY Substantial Progress 0.355 Willing to Report 2.689Good Samaritan Regional Medical Center Suffern NY Declined to Respond Declined to RespondGouverneur Hospital Gouverneur NY Declined to Respond Declined to RespondHarlem Hospital Center New York NY Fully Meets Standard 0.000 Some Progress 0.975HealthAlliance of the Hudson Valley ‐ Broadway Campus Kingston NY Declined to Respond Declined to RespondHealthAlliance of the Hudson Valley ‐ Mary's Ave. CampusKingston NY Declined to Respond Declined to RespondHighland Hospital of Rochester Rochester NY Declined to Respond Declined to RespondIra Davenport Memorial Hospital Bath NY Declined to Respond Declined to RespondJacobi Medical Center Bronx NY Substantial Progress 0.464 Some Progress 1.130Jamaica Hospital Medical Center Jamaica NY Substantial Progress 0.237 Some Progress 1.515John T. Mather Memorial Hospital Port Jefferson NY Fully Meets Standard 0.000 Substantial Progress 0.829Jones Memorial Hospital Wellsville NY Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp62 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Kings County Hospital Center Brooklyn NY Some Progress 0.863 Willing to Report 1.875Kingsbrook Jewish Medical Center Brooklyn NY Some Progress 0.871 Substantial Progress 0.847Lewis County General Hospital Lowville NY Declined to Respond Declined to RespondLincoln Medical Center Bronx NY Some Progress 0.730 Fully Meets Standard 0.327Little Falls Hospital Little Falls NY Declined to Respond Declined to RespondLutheran Medical Center Brooklyn NY Declined to Respond Declined to RespondMaimonides Medical Center Brooklyn NY Declined to Respond Declined to RespondMargaretville Hospital Margaretville NY Declined to Respond Declined to RespondMary Imogene Bassett Hospital Cooperstown NY Fully Meets Standard 0.000 Substantial Progress 0.459Massena Memorial Hospital Massena NY Declined to Respond Declined to RespondMedina Memorial Hospital Medina NY Declined to Respond Declined to RespondMercy Medical Center Rockville Centre NY Substantial Progress 0.285 Some Progress 1.130Metropolitan Hospital Center New York NY Some Progress 0.647 Fully Meets Standard 0.194MidHudson Regional Hospital of Westchester Medical Ce Poughkeepsie NY Declined to Respond Declined to RespondMillard Fillmore Suburban Hospital Williamsville NY Some Progress 0.564 Some Progress 1.542Monroe Community Hospital Rochester NY Declined to Respond Declined to RespondMontefiore Einstein Campus Bronx NY Some Progress 0.591 Substantial Progress 0.537Montefiore Moses Campus Bronx NY Substantial Progress 0.158 Some Progress 1.032Montefiore Mount Vernon Hospital Mount Vernon NY Declined to Respond Declined to RespondMontefiore New Rochelle Hospital New Rochelle NY Declined to Respond Declined to RespondMontefiore Wakefield Campus Bronx NY Some Progress 0.521 Some Progress 1.383Moses Ludington Hospital Ticonderoga NY Declined to Respond Declined to RespondMount Sinai Beth Israel ‐ Petrie Division New York NY Declined to Respond Declined to RespondMount Sinai Beth Israel Brooklyn Brooklyn NY Declined to Respond Declined to RespondMount Sinai Hospital New York NY Declined to Respond Declined to RespondMount Sinai Queens Long Island City NY Declined to Respond Declined to RespondMount Sinai Roosevelt New York NY Declined to Respond Declined to RespondMount Sinai St. Luke's New York NY Declined to Respond Declined to RespondMount St. Mary's Hospital and Health Center Lewiston NY Fully Meets Standard 0.000 Willing to Report 2.970Nassau University Medical Center East Meadow NY Substantial Progress 0.093 Substantial Progress 0.531Nathan Littauer Hospital and Nursing Home Gloversville NY Declined to Respond Declined to RespondNew York Community Hospital Brooklyn NY Declined to Respond Declined to RespondNew York Hospital Queens Flushing NY Declined to Respond Declined to RespondNew York Methodist Hospital Brooklyn NY Declined to Respond Declined to RespondNew York‐Presbyterian Hospital Columbia University MedNew York NY Declined to Respond Declined to RespondNew York‐Presbyterian Hudson Valley Hospital Cortlandt Manor NY Declined to Respond Declined to RespondNew York‐Presbyterian Lawrence Hospital Bronxville NY Declined to Respond Declined to RespondNew York‐Presbyterian The Allen Hospital New York NY Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp63 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*New York‐Presbyterian Weill Cornell Medical Center New York NY Declined to Respond Declined to RespondNew York‐Presbyterian, Lower Manhattan Hospital New York NY Declined to Respond Declined to RespondNewark‐Wayne Community Hospital Newark NY Declined to Respond Declined to RespondNiagara Falls Memorial Medical Center Niagara Falls NY Declined to Respond Declined to RespondNicholas H. Noyes Memorial Hospital Dansville NY Declined to Respond Declined to RespondNorth Central Bronx Hospital Bronx NY Unable to Calculate Score N/A Substantial Progress 0.878North Shore Long Island Jewish Hospital System New Hyde Park NY Declined to Respond Declined to RespondNorth Shore Long Island Jewish Hospital System ‐ FranklinValley Stream NY Declined to Respond Declined to RespondNorth Shore Long Island Jewish Hospital System ‐ HuntingHuntington NY Substantial Progress 0.320 Willing to Report 1.907North Shore Long Island Jewish Hospital System ‐ SouthsidBay Shore NY Declined to Respond Declined to RespondNorth Shore Long Island Jewish Hospital System ‐ Staten I Staten Island NY Declined to Respond Declined to RespondNorth Shore University Hospital Manhasset NY Declined to Respond Declined to RespondNorth Shore‐Long Island Jewish Hospital System ‐ Forest HForest Hills NY Declined to Respond Declined to RespondNorth Shore‐Long Island Jewish Hospital System ‐ Glen CoGlen Cove NY Declined to Respond Declined to RespondNorth Shore‐Long Island Jewish Hospital System ‐ Lenox HNew York NY Declined to Respond Declined to RespondNorth Shore‐Long Island Jewish Hospital System ‐ PlainviePlainview NY Declined to Respond Declined to RespondNorth Shore‐Long Island Jewish Hospital System ‐ Syosset Syosset NY Declined to Respond Declined to RespondNorthern Dutchess Hospital Rhinebeck NY Unable to Calculate Score N/A Willing to Report 4.154Northern Westchester Hospital Mount Kisco NY Declined to Respond Declined to RespondNyack Hospital Nyack NY Declined to Respond Declined to RespondNYU Langone Medical Center New York NY Declined to Respond Declined to RespondO'Connor Hospital of Delhi Delhi NY Declined to Respond Declined to RespondOlean General Hospital Olean NY Declined to Respond Declined to RespondOneida Healthcare Center Oneida NY Declined to Respond Declined to RespondOrange Regional Medical Center Middletown NY Declined to Respond Declined to RespondOswego Hospital Oswego NY Declined to Respond Declined to RespondOur Lady of Lourdes Memorial Hospital Binghamton NY Declined to Respond Declined to RespondPeconic Bay Medical Center Riverhead NY Unable to Calculate Score N/A Substantial Progress 0.619Phelps Memorial Hospital Center Sleepy Hollow NY Declined to Respond Declined to RespondPutnam Hospital Center Carmel NY Unable to Calculate Score N/A Substantial Progress 0.651Queens Hospital Center Jamaica NY Some Progress 1.530 Willing to Report 3.261RGHS ‐ Rochester General Hospital Rochester NY Declined to Respond Declined to RespondRichmond University Medical Center Staten Island NY Declined to Respond Declined to RespondRome Memorial Hospital Rome NY Declined to Respond Declined to RespondRoswell Park Cancer Institute Buffalo NY Does Not Apply Does Not ApplySaint John's Riverside Hospital ‐ Dobbs Ferry Pavilion Dobbs Ferry NY Declined to Respond Declined to RespondSamaritan Hospital of Troy Troy NY Declined to Respond Declined to RespondSamaritan Medical Center Watertown NY Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp64 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Saratoga Hospital Saratoga Springs NY Declined to Respond Declined to RespondSchuyler Hospital Montour Falls NY Declined to Respond Declined to RespondSoldiers and Sailors Memorial Hospital of Yates County Penn Yan NY Declined to Respond Declined to RespondSouth Nassau Communities Hospital Oceanside NY Substantial Progress 0.114 Willing to Report 1.871Southampton Hospital Southampton NY Fully Meets Standard 0.000 Some Progress 1.149St John's Riverside Hospital ‐ ParkCare Pavilion Yonkers NY Declined to Respond Declined to RespondSt. Anthony Community Hospital Warwick NY Declined to Respond Declined to RespondSt. Barnabas Hospital Bronx NY Some Progress 0.697 Willing to Report 1.952St. Catherine of Siena Medical Center Smithtown NY Some Progress 0.547 Some Progress 1.193St. Charles Hospital Port Jefferson NY Some Progress 1.011 Substantial Progress 0.531St. Elizabeth Medical Center of Utica Utica NY Declined to Respond Declined to RespondSt. Francis Hospital of Roslyn Roslyn NY Substantial Progress 0.271 Substantial Progress 0.449St. James Mercy Hospital Hornell NY Declined to Respond Declined to RespondSt. John's Episcopal Hospital Far Rockaway NY Declined to Respond Declined to RespondSt. John's Riverside Hospital Yonkers NY Declined to Respond Declined to RespondSt. Joseph Hospital Bethpage NY Substantial Progress 0.363 Willing to Report 2.388St. Joseph's Hospital Health Center Syracuse NY Some Progress 0.742 Some Progress 1.523St. Joseph's Hospital of Elmira Elmira NY Declined to Respond Declined to RespondSt. Joseph's Medical Center of Yonkers Yonkers NY Declined to Respond Declined to RespondSt. Luke's Cornwall Hospital Cornwall Campus Cornwall NY Declined to Respond Declined to RespondSt. Luke's Cornwall Hospital Newburgh Campus Newburgh NY Declined to Respond Declined to RespondSt. Mary's Hospital of Amsterdam Amsterdam NY Declined to Respond Declined to RespondSt. Mary's Hospital of Troy Troy NY Declined to Respond Declined to RespondSt. Peter's Hospital (Albany, NY) Albany NY Substantial Progress 0.446 Willing to Report 1.647Stony Brook University Hospital Stony Brook NY Substantial Progress 0.329 Some Progress 1.519Strong Memorial Hospital of the University of Rochester Rochester NY Declined to Respond Declined to RespondSUNY Downstate Medical Center University Hospital of BrBrooklyn NY Declined to Respond Declined to RespondSUNY Upstate Medical University Hospital Syracuse NY Substantial Progress 0.092 Substantial Progress 0.739The Brooklyn Hospital Center Brooklyn NY Declined to Respond Declined to RespondThe River Hospital Alexandria Bay NY Declined to Respond Declined to RespondTLC Health Network ‐ Lake Shore Campus Irving NY Declined to Respond Declined to RespondUHS ‐ Binghamton General Hospital Binghamton NY Declined to Respond Declined to RespondUHS Wilson Medical Center Johnson City NY Declined to Respond Declined to RespondUnited Health Services ‐ Chenango Memorial Hospital Norwich NY Declined to Respond Declined to RespondUnited Health Services ‐ Delaware Valley Hospital Walton NY Declined to Respond Declined to RespondUnited Memorial Medical Center Batavia NY Declined to Respond Declined to RespondUnity Hospital Rochester NY Declined to Respond Declined to RespondUpstate University Hospital ‐ Community Campus Syracuse NY Fully Meets Standard 0.000 Substantial Progress 0.831

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp65 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

Page 66: CLABSI CAUTI Data Formatted - Leapfrog...Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital Survey Central Line‐associated Blood Stream Infection (CLABSI) and

Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Vassar Brothers Medical Center Poughkeepsie NY Some Progress 0.880 Some Progress 1.072Westchester Medical Center Valhalla NY Declined to Respond Declined to RespondWestfield Memorial Hospital Westfield NY Declined to Respond Declined to RespondWhite Plains Hospital White Plains NY Declined to Respond Declined to RespondWinthrop‐University Hospital Mineola NY Substantial Progress 0.187 Substantial Progress 0.666Women's and Children's Hospital of Buffalo Buffalo NY Some Progress 0.600 Willing to Report 3.133Women's Christian Association Hospital Jamestown NY Declined to Respond Declined to RespondWoodhull Medical Center Brooklyn NY Some Progress 1.148 Some Progress 1.352Wyckoff Heights Medical Center Brooklyn NY Willing to Report 1.363 Willing to Report 1.625Wyoming County Community Hospital Warsaw NY Declined to Respond Declined to RespondAdams County Regional Medical Center Seaman OH Declined to Respond Declined to RespondAdena Greenfield Medical Center Greenfield OH Declined to Respond Declined to RespondAdena Regional Medical Center Chillicothe OH Some Progress 0.726 Fully Meets Standard 0.000Affinity Medical Center Massillon OH Declined to Respond Declined to RespondAkron Children's Hospital Akron OH Declined to Respond Declined to RespondAkron General Medical Center Akron OH Declined to Respond Declined to RespondAlliance Community Hospital Alliance OH Declined to Respond Declined to RespondAshtabula County Medical Center Ashtabula OH Declined to Respond Declined to RespondAtrium Medical Center Middletown OH Declined to Respond Declined to RespondAultman Hospital Canton OH Some Progress 0.605 Fully Meets Standard 0.170Aultman Orrville Hospital Orrville OH Declined to Respond Declined to RespondBarnesville Hospital Association Barnesville OH Declined to Respond Declined to RespondBay Park Community Hospital Oregon OH Declined to Respond Declined to RespondBelmont Community Hospital Bellaire OH Declined to Respond Declined to RespondBerger Health System Circleville OH Unable to Calculate Score N/A Unable to Calculate Score N/ABethesda Butler Hospital Hamilton OH Declined to Respond Declined to RespondBethesda North Hospital Cincinnati OH Declined to Respond Declined to RespondBlanchard Valley Hospital Findlay OH Declined to Respond Declined to RespondBlanchard Valley Hospital of Bluffton Bluffton OH Declined to Respond Declined to RespondBryan Hospital Bryan OH Declined to Respond Declined to RespondBucyrus Community Hospital Bucyrus OH Declined to Respond Declined to RespondCHWC Archbold Hospital & Medical Center Archbold OH Declined to Respond Declined to RespondCincinnati Children's Hospital Medical Center Cincinnati OH Substantial Progress 0.396 Fully Meets Standard 0.254Cleveland Clinic Foundation Cleveland OH Substantial Progress 0.441 Substantial Progress 0.827Cleveland Clinic Health System ‐ Euclid Hospital Euclid OH Declined to Respond Declined to RespondCleveland Clinic Health System ‐ Fairview Hospital Cleveland OH Declined to Respond Declined to RespondCleveland Clinic Health System ‐ Hillcrest Hospital Mayfield Heights OH Declined to Respond Declined to RespondCleveland Clinic Health System ‐ Lakewood Hospital Lakewood OH Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp66 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Cleveland Clinic Health System ‐ Lutheran Hospital Cleveland OH Declined to Respond Declined to RespondCleveland Clinic Health System ‐ Marymount Hospital Garfield Heights OH Declined to Respond Declined to RespondCleveland Clinic Health System ‐ Medina General HospitalMedina OH Declined to Respond Declined to RespondCleveland Clinic Health System ‐ South Pointe Hospital Warrensville Heights OH Declined to Respond Declined to RespondClinton Memorial Hospital Wilmington OH Declined to Respond Declined to RespondCommunity Hospitals & Wellness Centers Snyder CampusBryan OH Declined to Respond Declined to RespondCommunity Memorial Hospital of Hicksville Hicksville OH Declined to Respond Declined to RespondCommunity Mercy Health Partners ‐ Mercy Memorial HosUrbana OH Declined to Respond Declined to RespondCoshocton County Memorial Hospital Coshocton OH Declined to Respond Declined to RespondDefiance Regional Medical Center Defiance OH Declined to Respond Declined to RespondDiley Ridge Medical Center Canal Winchester OH Declined to Respond Declined to RespondDoctors Hospital of Columbus Ohio Columbus OH Fully Meets Standard 0.000 Willing to Report 2.064Dublin Methodist Hospital Dublin OH Unable to Calculate Score N/A Unable to Calculate Score N/AEast Liverpool City Hospital East Liverpool OH Unable to Calculate Score N/A Unable to Calculate Score N/AEast Ohio Regional Hospital Martins Ferry OH Unable to Calculate Score N/A Fully Meets Standard 0.000Fairfield Medical Center Lancaster OH Substantial Progress 0.216 Substantial Progress 0.841Fayette County Memorial Hospital Washington Court House OH Declined to Respond Declined to RespondFirelands Regional Health System Sandusky OH Declined to Respond Declined to RespondFisher‐Titus Medical Center Norwalk OH Declined to Respond Declined to RespondFlower Hospital Sylvania OH Declined to Respond Declined to RespondFort Hamilton Hospital Hamilton OH Fully Meets Standard 0.000 Fully Meets Standard 0.000Fostoria Community Hospital Fostoria OH Declined to Respond Declined to RespondFulton County Health Center Wauseon OH Declined to Respond Declined to RespondGalion Community Hospital Galion OH Declined to Respond Declined to RespondGenesis Healthcare System Bethesda Campus Zanesville OH Declined to Respond Declined to RespondGenesis HealthCare System Good Samaritan Campus Zanesville OH Declined to Respond Declined to RespondGood Samaritan Hospital & Health Center Dayton OH Declined to Respond Declined to RespondGood Samaritan Hospital of Cincinnati Cincinnati OH Declined to Respond Declined to RespondGrady Memorial Hospital Delaware OH Unable to Calculate Score N/A Substantial Progress 0.836Grant Medical Center Columbus OH Substantial Progress 0.073 Willing to Report 2.081H. B. Magruder Memorial Hospital Port Clinton OH Declined to Respond Declined to RespondHardin Memorial Hospital Kenton OH Unable to Calculate Score N/A Unable to Calculate Score N/AHarrison Community Hospital Cadiz OH Declined to Respond Declined to RespondHenry County Hospital Napoleon OH Declined to Respond Declined to RespondHighland District Hospital Hillsboro OH Declined to Respond Declined to RespondHocking Valley Community Hospital Logan OH Declined to Respond Declined to RespondHolzer Medical Center Gallipolis OH Declined to Respond Declined to RespondHolzer Medical Center of Jackson Jackson OH Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp67 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*James Cancer Hospital and Solove Research Institute Columbus OH Substantial Progress 0.315 Some Progress 1.470Jewish Hospital Cincinnati OH Declined to Respond Declined to RespondJoint Township District Memorial Hospital St. Marys OH Declined to Respond Declined to RespondKettering Health Network ‐ Grandview Medical Center Dayton OH Some Progress 0.633 Substantial Progress 0.548Kettering Health Network ‐ Greene Memorial Hospital Xenia OH Unable to Calculate Score N/A Unable to Calculate Score N/AKettering Health Network ‐ Kettering Medical Center Kettering OH Some Progress 1.393 Some Progress 0.988Kettering Health Network ‐ Sycamore Medical Center Miamisburg OH Some Progress 1.001 Substantial Progress 0.520Knox Community Hospital Mount Vernon OH Declined to Respond Declined to RespondLake Health TriPoint Medical Center Concord Twp OH Fully Meets Standard 0.000 Fully Meets Standard 0.000Lake Health West Medical Center Willoughby OH Substantial Progress 0.347 Fully Meets Standard 0.000Licking Memorial Hospital Newark OH Some Progress 0.659 Fully Meets Standard 0.000Lima Memorial Health System Lima OH Declined to Respond Declined to RespondLodi Community Hospital Lodi OH Declined to Respond Declined to RespondMadison Health London OH Unable to Calculate Score N/A Unable to Calculate Score N/AMarietta Memorial Hospital Marietta OH Declined to Respond Declined to RespondMary Rutan Hospital Bellefontaine OH Unable to Calculate Score N/A Some Progress 1.581McCullough‐Hyde Memorial Hospital Oxford OH Declined to Respond Declined to RespondMEDICAL CENTER AT ELIZABETH PLACE DAYTON OH Declined to Respond Declined to RespondMemorial Health Marysville OH Unable to Calculate Score N/A Unable to Calculate Score N/AMercer County Joint Township Community Hospital Coldwater OH Declined to Respond Declined to RespondMercy Allen Hospital Oberlin OH Declined to Respond Declined to RespondMercy Health ‐ Anderson Hospital Cincinnati OH Declined to Respond Declined to RespondMercy Health ‐ West Hospital Cincinnati OH Declined to Respond Declined to RespondMercy Hospital Clermont Batavia OH Declined to Respond Declined to RespondMercy Hospital Fairfield Fairfield OH Declined to Respond Declined to RespondMercy Hospital of Defiance Defiance OH Declined to Respond Declined to RespondMercy Hospital of Willard Willard OH Declined to Respond Declined to RespondMercy Medical Center Canton OH Substantial Progress 0.248 Some Progress 1.228Mercy Regional Medical Center of Lorain Lorain OH Declined to Respond Declined to RespondMercy St. Anne Hospital Toledo OH Declined to Respond Declined to RespondMercy St. Charles Hospital Oregon OH Declined to Respond Declined to RespondMercy St. Vincent Medical Center Toledo OH Declined to Respond Declined to RespondMercy Tiffin Hospital Tiffin OH Declined to Respond Declined to RespondMetroHealth Medical Center Cleveland OH Substantial Progress 0.321 Some Progress 1.425Miami Valley Hospital Dayton OH Declined to Respond Declined to RespondMorrow County Hospital Mount Gilead OH Declined to Respond Declined to RespondMount Carmel East Hospital Columbus OH Substantial Progress 0.137 Substantial Progress 0.951Mount Carmel New Albany Surgical Hospital New Albany OH Does Not Apply Does Not Apply

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp68 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Mount Carmel St. Ann's Hospital Westerville OH Substantial Progress 0.158 Some Progress 1.170Mount Carmel West Hospital Columbus OH Substantial Progress 0.289 Some Progress 1.042Nationwide Children's Hospital Columbus OH Substantial Progress 0.295 Substantial Progress 0.868Northside Medical Center Youngstown OH Declined to Respond Declined to RespondOhio Health ‐ Marion General Hospital Marion OH Fully Meets Standard 0.000 Fully Meets Standard 0.000Ohio Health ‐ MedCentral ‐ Shelby Hospital Shelby OH Unable to Calculate Score N/A Unable to Calculate Score N/AOhioHealth ‐ O'Bleness Hospital Athens OH Unable to Calculate Score N/A Unable to Calculate Score N/AOhioHealth MedCentral Mansfield Hospital Mansfield OH Substantial Progress 0.202 Fully Meets Standard 0.314Paulding County Hospital Paulding OH Declined to Respond Declined to RespondPike Community Hospital Waverly OH Declined to Respond Declined to RespondPomerene Hospital Millersburg OH Declined to Respond Declined to RespondProMedica Memorial Hospital Fremont OH Unable to Calculate Score N/A Unable to Calculate Score N/APromedica Toledo Children's Hospital Toledo OH Declined to Respond Declined to RespondRiverside Methodist Hospital Columbus OH Substantial Progress 0.174 Some Progress 1.230Robinson Memorial Hospital Ravenna OH Declined to Respond Declined to RespondSalem Community Hospital Salem OH Declined to Respond Declined to RespondSamaritan Hospital Ashland OH Declined to Respond Declined to RespondSelby General Hospital Marietta OH Declined to Respond Declined to RespondSoin Medical Center Beavercreek OH Willing to Report 1.252 Some Progress 1.040Southeastern Ohio Regional Medical Center Cambridge OH Declined to Respond Declined to RespondSouthern Ohio Medical Center Portsmouth OH Fully Meets Standard 0.000 Substantial Progress 0.646Southview Hospital Dayton OH Declined to Respond Declined to RespondSouthwest General Health Center Middleburg Heights OH Substantial Progress 0.420 Some Progress 1.110Springfield Regional Medical Center Springfield OH Declined to Respond Declined to RespondSt. Elizabeth Boardman Health Center Youngstown OH Declined to Respond Declined to RespondSt. Elizabeth Health Center Youngstown OH Declined to Respond Declined to RespondSt. John Medical Center Westlake OH Fully Meets Standard 0.000 Fully Meets Standard 0.000St. Joseph Health Center Warren OH Declined to Respond Declined to RespondSt. Luke's Hospital of Maumee Maumee OH Declined to Respond Declined to RespondSt. Rita's Medical Center Lima OH Declined to Respond Declined to RespondSt. Vincent Charity Medical Center Cleveland OH Fully Meets Standard 0.000 Willing to Report 2.533St. Vincent Mercy Children's Hospital Toledo OH Declined to Respond Declined to RespondSumma ‐ Akron City Hospital Akron OH Declined to Respond Declined to RespondSumma ‐ Barberton Citizens Hospital Barberton OH Declined to Respond Declined to RespondSumma ‐ St. Thomas Hospital Akron OH Declined to Respond Declined to RespondSumma ‐ Wadsworth‐Rittman Hospital Wadsworth OH Declined to Respond Declined to RespondSumma ‐ Western Reserve Hospital Cuyahoga Falls OH Declined to Respond Declined to RespondThe Bellevue Hospital Bellevue OH Unable to Calculate Score N/A Unable to Calculate Score N/A

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp69 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*The Children's Medical Center of Dayton Dayton OH Declined to Respond Declined to RespondThe Christ Hospital Cincinnati OH Substantial Progress 0.226 Substantial Progress 0.478The Ohio State University Hospital East Columbus OH Fully Meets Standard 0.000 Some Progress 1.414The Ohio State University Wexner Medical Center Columbus OH Substantial Progress 0.236 Willing to Report 1.665The Toledo Hospital Toledo OH Declined to Respond Declined to RespondThe University Hospital Cincinnati OH Declined to Respond Declined to RespondTriHealth Evendale Hospital Cincinnati OH Declined to Respond Declined to RespondTrinity Health System of Steubenville Steubenville OH Declined to Respond Declined to RespondTrumbull Memorial Hospital Warren OH Declined to Respond Declined to RespondTwin City Hospital Dennison OH Declined to Respond Declined to RespondUnion Hospital of Dover Dover OH Declined to Respond Declined to RespondUniversity Hospitals ‐ Rainbow Babies and Children's HospCleveland OH Substantial Progress 0.300 Substantial Progress 0.450University Hospitals Ahuja Medical Center Beachwood OH Substantial Progress 0.367 Willing to Report 3.175University Hospitals Bedford Medical Center Bedford OH Unable to Calculate Score N/A Fully Meets Standard 0.000University Hospitals Case Medical Center Cleveland OH Some Progress 0.652 Substantial Progress 0.551University Hospitals Conneaut Medical Center Conneaut OH Unable to Calculate Score N/A Unable to Calculate Score N/AUniversity Hospitals Elyria Medical Center Elyria OH Substantial Progress 0.361 Some Progress 1.053University Hospitals Geauga Medical Center Chardon OH Some Progress 2.275 Fully Meets Standard 0.000University Hospitals Geneva Medical Center Geneva OH Unable to Calculate Score N/A Unable to Calculate Score N/AUniversity Hospitals Parma Medical Center Parma OH Substantial Progress 0.355 Some Progress 1.351University Hospitals Richmond Medical Center Richmond Heights OH Fully Meets Standard 0.000 Fully Meets Standard 0.000University of Toledo Medical Center Toledo OH Declined to Respond Declined to RespondUpper Valley Medical Center Troy OH Declined to Respond Declined to RespondVan Wert County Hospital Van Wert OH Unable to Calculate Score N/A Unable to Calculate Score N/AWayne HealthCare Greenville OH Does Not Apply Does Not ApplyWest Chester Hospital West Chester OH Declined to Respond Declined to RespondWilson Memorial Hospital Sidney OH Declined to Respond Declined to RespondWood County Hospital Bowling Green OH Declined to Respond Declined to RespondWooster Community Hospital Wooster OH Declined to Respond Declined to RespondWyandot Memorial Hospital Upper Sandusky OH Declined to Respond Declined to RespondAllianceHealth Durant Durant OK Declined to Respond Declined to RespondBailey Medical Center LLC Owasso OK Unable to Calculate Score N/A Unable to Calculate Score N/ABristow Medical Center Bristow OK Declined to Respond Declined to RespondCommunity Hospital Oklahoma City OK Declined to Respond Declined to RespondCraig General Hospital Vinita OK Declined to Respond Declined to RespondCushing Regional Hospital Cushing OK Declined to Respond Declined to RespondDeaconess Hospital Oklahoma City OK Declined to Respond Declined to RespondDuncan Regional Hospital Duncan OK Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp70 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Eastar East Campus Muskogee OK Declined to Respond Declined to RespondEastern Oklahoma Medical Center Poteau OK Declined to Respond Declined to RespondElkview General Hospital Hobart OK Declined to Respond Declined to RespondEpic Medical Center Eufaula OK Declined to Respond Declined to RespondGrady Memorial Hospital Chickasha OK Declined to Respond Declined to RespondGreat Plains Regional Medical Center Elk City OK Declined to Respond Declined to RespondHarmon Memorial Hospital Hollis OK Declined to Respond Declined to RespondHillcrest Hospital Claremore Claremore OK Declined to Respond Declined to RespondHillcrest Hospital Henryetta Henryetta OK Declined to Respond Declined to RespondHillcrest Hospital South Tulsa OK Declined to Respond Declined to RespondHillcrest Medical Center Tulsa OK Declined to Respond Declined to RespondINTEGRIS Baptist Medical Center Oklahoma City OK Declined to Respond Declined to RespondINTEGRIS Baptist Regional Health Center Miami OK Declined to Respond Declined to RespondINTEGRIS Bass Baptist Health Center Enid OK Declined to Respond Declined to RespondINTEGRIS Blackwell Regional Hospital Blackwell OK Declined to Respond Declined to RespondINTEGRIS Canadian Valley Hospital Yukon OK Declined to Respond Declined to RespondINTEGRIS Clinton Regional Hospital Clinton OK Declined to Respond Declined to RespondINTEGRIS Grove General Hospital Grove OK Declined to Respond Declined to RespondINTEGRIS Health Edmond Edmond OK Declined to Respond Declined to RespondINTEGRIS Mayes County Medical Center Pryor OK Declined to Respond Declined to RespondINTEGRIS Seminole Medical Center Seminole OK Declined to Respond Declined to RespondINTEGRIS Southwest Medical Center Oklahoma City OK Declined to Respond Declined to RespondJackson County Memorial Hospital Altus OK Declined to Respond Declined to RespondJane Phillips Medical Center Bartlesville OK Declined to Respond Declined to RespondLatimer County General Hospital Wilburton OK Declined to Respond Declined to RespondLindsay Municipal Hospital Lindsay OK Declined to Respond Declined to RespondMcAlester Regional Health Center McAlester OK Some Progress 0.689 Fully Meets Standard 0.000McCurtain Memorial Hospital Idabel OK Declined to Respond Declined to RespondMemorial Hospital Stilwell OK Declined to Respond Declined to RespondMemorial Hospital and Physician Group Frederick OK Declined to Respond Declined to RespondMemorial Hospital of Texas County Guymon OK Declined to Respond Declined to RespondMercy Hospital Ada Ada OK Fully Meets Standard 0.000 Substantial Progress 0.609Mercy Hospital Ardmore Ardmore OK Fully Meets Standard 0.000 Fully Meets Standard 0.000Mercy Hospital El Reno El Reno OK Declined to Respond Declined to RespondMercy Hospital Oklahoma City Oklahoma City OK Substantial Progress 0.113 Willing to Report 1.854Midwest Regional Medical Center Midwest City OK Declined to Respond Declined to RespondMuscogee Creek Nation Medical Center Okmulgee OK Declined to Respond Declined to RespondNewman Memorial Hospital Shattuck OK Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp71 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Norman Regional Hospital Norman OK Declined to Respond Declined to RespondOklahoma Heart Hospital Oklahoma City OK Declined to Respond Declined to RespondOklahoma State University Medical Center Tulsa OK Declined to Respond Declined to RespondOklahoma Surgical Hospital Tulsa OK Does Not Apply Does Not ApplyOU Medical Center Oklahoma City OK Some Progress 0.514 Some Progress 1.275OU Medical Center Edmond Edmond OK Fully Meets Standard 0.000 Fully Meets Standard 0.000Pauls Valley General Hospital Pauls Valley OK Declined to Respond Declined to RespondPerry Memorial Hospital Perry OK Declined to Respond Declined to RespondPonca City Medical Center Ponca City OK Declined to Respond Declined to RespondPurcell Municipal Hospital Purcell OK Declined to Respond Declined to RespondSaint Francis Hospital Tulsa OK Declined to Respond Declined to RespondSaint Francis Hospital South Tulsa OK Declined to Respond Declined to RespondSayre Memorial Hospital Sayre OK Declined to Respond Declined to RespondShare Medical Center Alva OK Declined to Respond Declined to RespondSouthwestern Medical Center Lawton OK Declined to Respond Declined to RespondSouthwestern Regional Medical Center Tulsa OK Some Progress 1.059 Willing to Report 3.461St. Anthony Hospital Oklahoma City OK Some Progress 0.879 Some Progress 1.558St. Anthony Shawnee Hospital Shawnee OK Declined to Respond Declined to RespondSt. John Broken Arrow Broken Arrow OK Declined to Respond Declined to RespondSt. John Medical Center Tulsa OK Declined to Respond Declined to RespondSt. John Owasso Owasso OK Declined to Respond Declined to RespondSt. Mary's Regional Medical Center Enid OK Declined to Respond Declined to RespondStillwater Medical Center Stillwater OK Declined to Respond Declined to RespondTahlequah City Hospital Tahlequah OK Declined to Respond Declined to RespondWagoner Community Hospital Wagoner OK Declined to Respond Declined to RespondWoodward Regional Hospital Woodward OK Declined to Respond Declined to RespondAdventist Medical Center Portland OR Substantial Progress 0.392 Substantial Progress 0.854Asante Ashland Community Hospital Ashland OR Unable to Calculate Score N/A Unable to Calculate Score N/AAsante Rogue Valley Medical Center Medford OR Substantial Progress 0.458 Some Progress 1.007Asante Three Rivers Medical Center Grants Pass OR Fully Meets Standard 0.000 Substantial Progress 0.485Bay Area Hospital Coos Bay OR Declined to Respond Declined to RespondGood Samaritan Regional Medical Ctr Corvallis OR Declined to Respond Declined to RespondHoly Rosary Medical Center Ontario OR Declined to Respond Declined to RespondKaiser Sunnyside Medical Center Clackamas OR Some Progress 0.561 Substantial Progress 0.576Kaiser Westside Medical Center Hillsboro OR Fully Meets Standard 0.000 Substantial Progress 0.623Legacy Emanuel Hospital & Health Ctr Portland OR Declined to Respond Declined to RespondLegacy Good Samaritan Hosp & Med Ctr Portland OR Declined to Respond Declined to RespondLegacy Meridian Park Hospital Tualatin OR Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp72 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Legacy Mount Hood Medical Center Gresham OR Declined to Respond Declined to RespondMcKenzie ‐ Willamette Medical Center Springfield OR Declined to Respond Declined to RespondMercy Medical Center Roseburg OR Declined to Respond Declined to RespondMid‐Columbia Medical Center The Dalles OR Declined to Respond Declined to RespondOregon Health & Science University Hospitals and Clinics Portland OR Declined to Respond Declined to RespondProvidence Medford Medical Center Medford OR Substantial Progress 0.285 Substantial Progress 0.640Providence Milwaukie Hospital Milwaukie OR Unable to Calculate Score N/A Unable to Calculate Score N/AProvidence Newberg Medical Center Newberg OR Unable to Calculate Score N/A Unable to Calculate Score N/AProvidence Portland Medical Center Portland OR Substantial Progress 0.223 Substantial Progress 0.863Providence St. Vincent Medical Center Portland OR Substantial Progress 0.287 Substantial Progress 0.914Providence Willamette Falls Medical Center Oregon City OR Unable to Calculate Score N/A Unable to Calculate Score N/ASacred Heart Medical Center Eugene OR Declined to Respond Declined to RespondSacred Heart Medical Center at Riverbend Springfield OR Declined to Respond Declined to RespondSalem Hospital Salem OR Declined to Respond Declined to RespondSamaritan Albany General Hospital Albany OR Declined to Respond Declined to RespondSantiam Memorial Hospital Stayton OR Declined to Respond Declined to RespondSilverton Hospital Silverton OR Declined to Respond Declined to RespondSky Lakes Medical Center Klamath Falls OR Declined to Respond Declined to RespondSt. Charles Medical Center Bend OR Declined to Respond Declined to RespondSt. Charles Medical Center, Redmond Redmond OR Declined to Respond Declined to RespondTuality Healthcare Hillsboro OR Fully Meets Standard 0.000 Fully Meets Standard 0.000Willamette Valley Medical Ctr Mcminnville OR Declined to Respond Declined to RespondAbington Health Lansdale Hospital Lansdale PA Fully Meets Standard 0.000 Fully Meets Standard 0.000Abington Memorial Hospital Abington PA Some Progress 0.531 Substantial Progress 0.832ACMH Hospital Kittanning PA Fully Meets Standard 0.000 Substantial Progress 0.730ALLEGHENY GENERAL HOSPITAL PITTSBURGH PA Declined to Respond Declined to RespondAllegheny Valley Hospital Natrona Heights PA Declined to Respond Declined to RespondAria Health ‐ Bucks County Division Langhorne PA Fully Meets Standard 0.000 Willing to Report 2.816Aria Health ‐ Frankford Division Philadelphia PA Substantial Progress 0.474 Fully Meets Standard 0.370Aria Health ‐ Torresdale Division Philadelphia PA Substantial Progress 0.442 Willing to Report 2.460Berwick Hospital Center Berwick PA Declined to Respond Declined to RespondBradford Regional Medical Center Bradford PA Declined to Respond Declined to RespondBrandywine Hospital Coatesville PA Declined to Respond Declined to RespondBryn Mawr Hospital Bryn Mawr PA Declined to Respond Declined to RespondButler Memorial Hospital Butler PA Declined to Respond Declined to RespondCancer Treatment Centers of America at Eastern Regiona PHILADELPHIA PA Fully Meets Standard 0.000 Some Progress 1.263Canonsburg General Hospital Canonsburg PA Declined to Respond Declined to RespondCarlisle Regional Medical Center Carlisle PA Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp73 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Chambersburg Hospital Chambersburg PA Some Progress 1.990 Fully Meets Standard 0.251Chester County Hospital West Chester PA Declined to Respond Declined to RespondChestnut Hill Hospital Philadelphia PA Declined to Respond Declined to RespondCHILDREN'S HOSP OF PITTSBURGH OF UPMC PITTSBURGH PA Substantial Progress 0.195 Fully Meets Standard 0.262CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA PA Declined to Respond Declined to RespondClarion Hospital Clarion PA Fully Meets Standard 0.000 Unable to Calculate Score N/AConemaugh Memorial Medical Center Johnstown PA Fully Meets Standard 0.000 Fully Meets Standard 0.428Crozer Chester Medical Center Upland PA Substantial Progress 0.308 Substantial Progress 0.882Crozer Keystone Health System ‐ Delaware County MemoDrexel Hill PA Some Progress 0.829 Fully Meets Standard 0.000Crozer Keystone Health System ‐ Springfield Hospital Springfield PA Unable to Calculate Score N/A Unable to Calculate Score N/ACrozer Keystone Health System ‐ Taylor Hospital Ridley Park PA Some Progress 0.975 Substantial Progress 0.470Doylestown Hospital Doylestown PA Fully Meets Standard 0.000 Some Progress 0.989Easton Hospital Easton PA Fully Meets Standard 0.000 Willing to Report 1.611Einstein Medical Center Philadelphia PA Declined to Respond Declined to RespondEinstein Medical Center ‐ Elkins Park Elkins Park PA Declined to Respond Declined to RespondEinstein Medical Center Montgomery East Norriton PA Declined to Respond Declined to RespondEllwood City Hospital Ellwood City PA Unable to Calculate Score N/A Unable to Calculate Score N/AEphrata Community Hospital Ephrata PA Declined to Respond Declined to RespondEvangelical Community Hospital Lewisburg PA Declined to Respond Declined to RespondForbes Regional Hospital Monroeville PA Declined to Respond Declined to RespondFox Chase Cancer Center‐American Oncologic Hospital Philadelphia PA Declined to Respond Declined to RespondFrick Hospital Mt. Pleasant PA Fully Meets Standard 0.000 Substantial Progress 0.831Geisinger ‐ Shamokin Area Community Hospital Coal Township PA Declined to Respond Declined to RespondGeisinger Bloomsburg Hospital Bloomsburg PA Unable to Calculate Score N/A Unable to Calculate Score N/AGeisinger Community Medical Center Scranton PA Substantial Progress 0.419 Substantial Progress 0.830Geisinger Lewistown Hospital Lewistown PA Declined to Respond Declined to RespondGeisinger Medical Center Danville PA Substantial Progress 0.295 Some Progress 1.097Geisinger Wyoming Valley Wilkes‐Barre PA Substantial Progress 0.366 Some Progress 1.056GETTYSBURG HOSPITAL Gettysburg PA Declined to Respond Declined to RespondGnaden Huetten Memorial Hospital Lehighton PA Declined to Respond Declined to RespondGrand View Hospital Sellersville PA Fully Meets Standard 0.000 Substantial Progress 0.859Grove City Medical Center Grove City PA Declined to Respond Declined to RespondHAHNEMANN UNIVERSITY HOSPITAL PHILADELPHIA PA Declined to Respond Declined to RespondHanover Hospital Hanover PA Declined to Respond Declined to RespondHeart of Lancaster Regional Medical Center Lititz PA Declined to Respond Declined to RespondHeritage Valley Beaver Beaver PA Substantial Progress 0.482 Willing to Report 2.058Heritage Valley Sewickley Sewickley PA Fully Meets Standard 0.000 Substantial Progress 0.540Highlands Hospital Connellsville PA Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp74 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Holy Redeemer Hospital and Medical Center Meadowbrook PA Declined to Respond Declined to RespondHoly Spirit Hospital Camp Hill PA Substantial Progress 0.263 Some Progress 1.268Hospital of the University of Pennsylvania Philadelphia PA Declined to Respond Declined to RespondINDIANA REGIONAL MEDICAL CENTER INDIANA PA Fully Meets Standard 0.000 Substantial Progress 0.728J. C. Blair Memorial Hospital Huntingdon PA Declined to Respond Declined to RespondJameson Hospital ‐ North Campus New Castle PA Declined to Respond Declined to RespondJeanes Hospital Philadelphia PA Some Progress 0.671 Some Progress 1.154Jefferson Regional Medical Center Jefferson Hills PA Declined to Respond Declined to RespondJennersville Regional Hospital West Grove PA Declined to Respond Declined to RespondKane Community Hospital Kane PA Declined to Respond Declined to RespondKensington Hospital Philadelphia PA Declined to Respond Declined to RespondLANCASTER GENERAL HOSPITAL LANCASTER PA Some Progress 0.735 Substantial Progress 0.952Lancaster Regional Medical Center Lancaster PA Declined to Respond Declined to RespondLankenau Medical Center Wynnewood PA Declined to Respond Declined to RespondLatrobe Hospital Latrobe PA Fully Meets Standard 0.000 Substantial Progress 0.832Lehigh Valley Hospital Allentown PA Some Progress 0.517 Willing to Report 2.302Lehigh Valley Hospital ‐ Hazleton Hazleton PA Declined to Respond Declined to RespondLehigh Valley Hospital‐Muhlenberg Bethlehem PA Substantial Progress 0.171 Substantial Progress 0.863Lock Haven Hospital Lock Haven PA Declined to Respond Declined to RespondLower Bucks Hospital Bristol PA Willing to Report 1.845 Some Progress 1.519Meadville Medical Center Meadville PA Some Progress 1.747 Substantial Progress 0.919Memorial Hospital York PA Declined to Respond Declined to RespondMemorial Hospital ‐ Towanda Towanda PA Declined to Respond Declined to RespondMercy Fitzgerald Hospital Darby PA Substantial Progress 0.454 Some Progress 1.153Mercy Health System ‐ Nazareth Hospital Philadelphia PA Some Progress 2.156 Willing to Report 2.545Mercy Philadelphia Hospital Philadelphia PA Fully Meets Standard 0.000 Fully Meets Standard 0.327Mercy Suburban Hospital East Norriton PA Fully Meets Standard 0.000 Fully Meets Standard 0.326Millcreek Community Hospital Erie PA Declined to Respond Declined to RespondMiners Medical Center Hastings PA Declined to Respond Declined to RespondMonongahela Valley Hospital Monongahela PA Declined to Respond Declined to RespondMoses Taylor Hospital Scranton PA Declined to Respond Declined to RespondMount Nittany Medical Center State College PA Declined to Respond Declined to RespondNason Hospital Roaring Spring PA Unable to Calculate Score N/A Unable to Calculate Score N/ANorth Philadelphia Health System ‐ St. Joseph's Hospital Philadelphia PA Declined to Respond Declined to RespondOhio Valley General Hospital Mckees Rocks PA Declined to Respond Declined to RespondPalmerton Hospital Palmerton PA Declined to Respond Declined to RespondPaoli Hospital Paoli PA Declined to Respond Declined to RespondPenn Highlands Clearfield Clearfield PA Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp75 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Penn Highlands DuBois DuBois PA Declined to Respond Declined to RespondPenn Highlands Elk Saint Marys PA Declined to Respond Declined to RespondPenn Presbyterian Medical Center Philadelphia PA Declined to Respond Declined to RespondPenn State Milton S. Hershey Medical Center Hershey PA Substantial Progress 0.248 Substantial Progress 0.555Pennsylvania Hospital Philadelphia PA Declined to Respond Declined to RespondPhoenixville Hospital Phoenixville PA Declined to Respond Declined to RespondPinnacle Health at Community General Osteopathic Hosp Harrisburg PA Substantial Progress 0.398 Some Progress 1.082Pinnacle Health at Harrisburg Hospital Harrisburg PA Substantial Progress 0.195 Willing to Report 1.868PinnacleHealth West Shore Hospital Mechanisburg PA Some Progress 0.676 Willing to Report 2.500Pocono Medical Center East Stroudsburg PA Some Progress 0.683 Fully Meets Standard 0.000Pottstown Memorial Medical Center Pottstown PA Declined to Respond Declined to RespondPunxsutawney Area Hospital Punxsutawney PA Declined to Respond Declined to RespondReading Hospital West Reading PA Substantial Progress 0.385 Willing to Report 1.606Regional Hospital of Scranton Scranton PA Declined to Respond Declined to RespondRiddle Hospital Media PA Declined to Respond Declined to RespondRobert Packer Hospital Sayre PA Declined to Respond Declined to RespondRoxborough Memorial Hospital Philadelphia PA Fully Meets Standard 0.000 Fully Meets Standard 0.000Sacred Heart Hospital Allentown PA Unable to Calculate Score N/A Unable to Calculate Score N/ASaint Luke's Hospital ‐ Allentown Campus Allentown PA Declined to Respond Declined to RespondSaint Luke's Hospital ‐ Anderson Campus Easton PA Declined to Respond Declined to RespondSaint Vincent Health Center Erie PA Declined to Respond Declined to RespondSchuylkill Medical Center ‐ East Norwegian St Pottsville PA Declined to Respond Declined to RespondSchuylkill Medical Center ‐ South Jackson St Pottsville PA Declined to Respond Declined to RespondSharon Regional Health System Sharon PA Declined to Respond Declined to RespondSOLDIERS AND SAILORS MEMORIAL HOSPITAL Wellsboro PA Declined to Respond Declined to RespondSomerset Hospital Somerset PA Declined to Respond Declined to RespondSouthwest Regional Medical Center Waynesburg PA Declined to Respond Declined to RespondST CHRISTOPHER'S HOSPITAL FOR CHILDREN PHILADELPHIA PA Substantial Progress 0.048 Willing to Report 1.674St. Clair Hospital Pittsburgh PA Fully Meets Standard 0.000 Substantial Progress 0.660St. Joseph Regional Health Network Reading PA Declined to Respond Declined to RespondSt. Luke's Miners Memorial Hospital Coaldale PA Declined to Respond Declined to RespondSt. Luke's Quakertown Hospital Quakertown PA Declined to Respond Declined to RespondSt. Luke's University Hospital ‐ Bethlehem Campus Bethlehem PA Substantial Progress 0.165 Substantial Progress 0.757St. Mary Medical Center Langhorne PA Some Progress 0.690 Some Progress 1.471Sunbury Community Hospital Sunbury PA Declined to Respond Declined to RespondTemple University Hospital Philadelphia PA Substantial Progress 0.390 Substantial Progress 0.950The Good Samaritan Hospital Lebanon PA Fully Meets Standard 0.000 Fully Meets Standard 0.379Thomas Jefferson University Hospital Philadelphia PA Substantial Progress 0.384 Substantial Progress 0.954

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp76 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Thomas Jefferson University Hospital ‐ Methodist HospitaPhiladelphia PA Some Progress 0.856 Fully Meets Standard 0.195Titusville Area Hospital Titusville PA Declined to Respond Declined to RespondTYLER MEMORIAL HOSPITAL Tunkhannock PA Declined to Respond Declined to RespondUniontown Hospital Uniontown PA Declined to Respond Declined to RespondUniversity of Pittsburgh Medical Center ‐ East Campus Monroeville PA Declined to Respond Declined to RespondUPMC Altoona Altoona PA Declined to Respond Declined to RespondUPMC Bedford Memorial Everett PA Declined to Respond Declined to RespondUPMC Hamot ERIE PA Declined to Respond Declined to RespondUPMC Horizon Greenville PA Declined to Respond Declined to RespondUPMC McKeesport Mckeesport PA Declined to Respond Declined to RespondUPMC Mercy Pittsburgh PA Declined to Respond Declined to RespondUPMC Northwest Seneca PA Declined to Respond Declined to RespondUPMC PASSAVANT Pittsburgh PA Declined to Respond Declined to RespondUPMC Presbyterian Pittsburgh PA Declined to Respond Declined to RespondUPMC ST MARGARET PITTSBURGH PA Declined to Respond Declined to RespondWarren General Hospital Warren PA Declined to Respond Declined to RespondWashington Hospital Washington PA Declined to Respond Declined to RespondWayne Memorial Hospital Honesdale PA Declined to Respond Declined to RespondWAYNESBORO HOSPITAL Waynesboro PA Unable to Calculate Score N/A Unable to Calculate Score N/AWestern Pennsylvania Hospital Pittsburgh PA Declined to Respond Declined to RespondWestmoreland Hospital Greensburg PA Substantial Progress 0.286 Fully Meets Standard 0.438Williamsport Regional Medical Center Williamsport PA Some Progress 0.780 Substantial Progress 0.682Windber Medical Center Windber PA Declined to Respond Declined to RespondWyoming Valley Health Care System Wilkes‐Barre PA Declined to Respond Declined to RespondYork Hospital York PA Declined to Respond Declined to RespondKent County Memorial Hospital Warwick RI Substantial Progress 0.325 Willing to Report 3.097Landmark Medical Center Woonsocket RI Substantial Progress 0.413 Substantial Progress 0.475Memorial Hospital of Rhode Island Pawtucket RI Declined to Respond Declined to RespondNewport Hospital Newport RI Unable to Calculate Score N/A Fully Meets Standard 0.211Rhode Island Hospital Providence RI Substantial Progress 0.411 Some Progress 1.244Roger Williams Medical Center Providence RI Declined to Respond Declined to RespondSouth County Hospital Wakefield RI Unable to Calculate Score N/A Some Progress 1.385St. Joseph Health Services of Rhode Island North Providence RI Declined to Respond Declined to RespondThe Miriam Hospital Providence RI Some Progress 0.791 Some Progress 1.058Westerly Hospital Westerly RI Declined to Respond Declined to RespondWomen & Infants Hospital of Rhode Island Providence RI Substantial Progress 0.364 Does Not ApplyAbbeville Area Medical Center Abbeville SC Declined to Respond Declined to RespondAiken Regional Medical Centers Aiken SC Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp77 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Allendale County Hospital Fairfax SC Declined to Respond Declined to RespondAnMed Health Medical Center Anderson SC Some Progress 0.608 Substantial Progress 0.559AnMed Health Women's and Children's Hospital Anderson SC Does Not Apply Does Not ApplyBaptist Easley Hospital Easley SC Fully Meets Standard 0.000 Some Progress 1.130Barnwell County Hospital Barnwell SC Declined to Respond Declined to RespondBeaufort Memorial Hospital Beaufort SC Fully Meets Standard 0.000 Fully Meets Standard 0.000Bon Secours St. Francis Hospital Charleston SC Substantial Progress 0.367 Willing to Report 2.973Cannon Memorial Hospital Pickens SC Declined to Respond Declined to RespondCarolina Pines Regional Medical Center Hartsville SC Declined to Respond Declined to RespondCarolinas Hospital System Florence SC Substantial Progress 0.369 Some Progress 1.370Chester Regional Medical Center Chester SC Declined to Respond Declined to RespondChesterfield General Hospital Cheraw SC Declined to Respond Declined to RespondClarendon Memorial Hospital Manning SC Fully Meets Standard 0.000 Substantial Progress 0.449Coastal Carolina Hospital Hardeeville SC Declined to Respond Declined to RespondColleton Medical Center Walterboro SC Unable to Calculate Score N/A Fully Meets Standard 0.000Conway Medical Center Conway SC Declined to Respond Declined to RespondEast Cooper Medical Center Mount Pleasant SC Declined to Respond Declined to RespondEdgefield County Hospital Edgefield SC Declined to Respond Declined to RespondFairfield Memorial Hospital Winnsboro SC Declined to Respond Declined to RespondGHS Laurens County Memorial Hospital Clinton SC Unable to Calculate Score N/A Willing to Report 2.562Grand Strand Medical Center Myrtle Beach SC Some Progress 0.603 Substantial Progress 0.478Greenville Memorial Hospital Greenville SC Substantial Progress 0.372 Some Progress 1.129Greer Memorial Hospital Greer SC Unable to Calculate Score N/A Unable to Calculate Score N/AHampton Regional Medical Center Varnville SC Declined to Respond Declined to RespondHillcrest Hospital Simpsonville SC Unable to Calculate Score N/A Unable to Calculate Score N/AHilton Head Hospital Hilton Head Island SC Declined to Respond Declined to RespondKershawHealth Medical Center Camden SC Declined to Respond Declined to RespondLake City Community Hospital Lake City SC Declined to Respond Declined to RespondLexington Medical Center West Columbia SC Some Progress 0.524 Substantial Progress 0.700Marion County Medical Center Mullins SC Declined to Respond Declined to RespondMarlboro Park Hospital Bennettsville SC Declined to Respond Declined to RespondMary Black Memorial Hospital Spartanburg SC Declined to Respond Declined to RespondMcLeod Loris Loris SC Unable to Calculate Score N/A Some Progress 1.350McLeod Medical Center Darlington Darlington SC Declined to Respond Declined to RespondMcLeod Medical Center Dillon Dillon SC Declined to Respond Declined to RespondMcLeod Regional Medical Center of the Pee Dee Florence SC Substantial Progress 0.318 Substantial Progress 0.953McLeod Seacoast Little River SC Unable to Calculate Score N/A Substantial Progress 0.682Medical University of South Carolina University Medical CCharleston SC Substantial Progress 0.309 Willing to Report 1.719

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp78 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Mount Pleasant Hospital Mt. Pleasant SC Unable to Calculate Score N/A Unable to Calculate Score N/ANewberry County Memorial Hospital Newberry SC Declined to Respond Declined to RespondNovant Health Gaffney Medical Center Gaffney SC Declined to Respond Declined to RespondOconee Medical Center Seneca SC Unable to Calculate Score N/A Fully Meets Standard 0.000Palmetto Baptist Medical Center Columbia Columbia SC Substantial Progress 0.323 Substantial Progress 0.838Palmetto Richland Memorial Hospital Columbia SC Some Progress 0.669 Some Progress 1.183Patewood Memorial Hospital Greenville SC Does Not Apply Does Not ApplyPelham Medical Center Greer SC Unable to Calculate Score N/A Unable to Calculate Score N/APiedmont Medical Center Rock Hill SC Declined to Respond Declined to RespondProvidence Hospital Columbia SC Some Progress 1.539 Substantial Progress 0.903Providence Orthopedic Hospital Columbia SC Unable to Calculate Score N/A Unable to Calculate Score N/ARegional Medical Center of Orangeburg and Calhoun Cou Orangeburg SC Substantial Progress 0.215 Willing to Report 3.742Roper Hospital Charleston SC Substantial Progress 0.250 Some Progress 1.603Self Regional Healthcare Greenwood SC Some Progress 1.183 Willing to Report 2.632Spartanburg Regional Medical Center Spartanburg SC Some Progress 0.781 Substantial Progress 0.913Springs Memorial Hospital Lancaster SC Declined to Respond Declined to RespondSt. Francis Eastside Greenville SC Unable to Calculate Score N/A Unable to Calculate Score N/ASt. Francis Hospital ‐ Downtown Greenville SC Substantial Progress 0.482 Some Progress 1.293Summerville Medical Center Summerville SC Fully Meets Standard 0.000 Willing to Report 1.792Tidelands Georgetown Memorial Hospital Georgetown SC Substantial Progress 0.301 Substantial Progress 0.692Tidelands Waccamaw Community Hospital Murrells Inlet SC Fully Meets Standard 0.000 Substantial Progress 0.512Trident Medical Center Charleston SC Some Progress 0.543 Some Progress 1.463Tuomey Healthcare System Sumter SC Some Progress 0.943 Willing to Report 1.746Wallace Thomson Hospital Union SC Declined to Respond Declined to RespondWilliamsburg Regional Hospital Kingstree SC Declined to Respond Declined to RespondAvera McKennan Hospital and University Health Center Sioux Falls SD Declined to Respond Declined to RespondAvera Queen of Peace Health Services Mitchell SD Declined to Respond Declined to RespondAvera Sacred Heart Hospital Yankton SD Declined to Respond Declined to RespondAvera St. Luke's Aberdeen SD Declined to Respond Declined to RespondAvera St. Mary's Healthcare Center Pierre SD Declined to Respond Declined to RespondBrookings Health System Brookings SD Declined to Respond Declined to RespondLead‐Deadwood Regional Hospital Deadwood SD Declined to Respond Declined to RespondPrairie Lakes Healthcare System Watertown SD Declined to Respond Declined to RespondRapid City Regional Hospital Rapid City SD Substantial Progress 0.207 Willing to Report 1.977Sanford Aberdeen Medical Center Aberdeen SD Declined to Respond Declined to RespondSanford University of South Dakota Medical Center Sioux Falls SD Declined to Respond Declined to RespondSpearfish Regional Hospital Spearfish SD Unable to Calculate Score N/A Unable to Calculate Score N/ABaptist Memorial Hospital ‐ Union City Union City TN Unable to Calculate Score N/A Unable to Calculate Score N/A

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp79 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Baptist Memorial Hospital for Women Memphis TN Some Progress 0.555 Unable to Calculate Score N/ABaptist Memorial Hospital of Collierville Collierville TN Unable to Calculate Score N/A Fully Meets Standard 0.000Baptist Memorial Hospital of Huntingdon Huntingdon TN Declined to Respond Declined to RespondBaptist Memorial Hospital of Memphis Memphis TN Some Progress 1.003 Some Progress 1.500Baptist Memorial Hospital Tipton Covington TN Declined to Respond Declined to RespondBlount Memorial Hospital Maryville TN Some Progress 0.944 Some Progress 1.003Bolivar General Hospital Bolivar TN Does Not Apply Does Not ApplyCamden General Hospital Camden TN Does Not Apply Does Not ApplyChildren's Hospital at Erlanger Chattanooga TN Some Progress 0.522 Fully Meets Standard 0.000Claiborne Medical Center Tazewell TN Unable to Calculate Score N/A Unable to Calculate Score N/ACookeville Regional Medical Center Cookeville TN Declined to Respond Declined to RespondCopper Basin Medical Center Copperhill TN Declined to Respond Declined to RespondCumberland Medical Center Crossville TN Some Progress 2.075 Fully Meets Standard 0.304Cumberland River Hospital Celina TN Declined to Respond Declined to RespondDecatur County General Hospital Parsons TN Does Not Apply Does Not ApplyDeKalb Community Hospital Smithville TN Declined to Respond Declined to RespondDelta Medical Center Memphis TN Declined to Respond Declined to RespondDyersburg Regional Medical Center Dyersburg TN Declined to Respond Declined to RespondEast Tennessee Children's Hospital Knoxville TN Declined to Respond Declined to RespondErlanger Baroness Hospital Chattanooga TN Substantial Progress 0.341 Willing to Report 1.879Erlanger Bledsoe Hospital Pikeville TN Declined to Respond Declined to RespondErlanger East Hospital Chattanooga TN Does Not Apply Does Not ApplyErlanger North Hospital Chattanooga TN Does Not Apply Does Not ApplyFort Loudoun Medical Center Lenoir City TN Unable to Calculate Score N/A Unable to Calculate Score N/AFort Sanders Regional Medical Center Knoxville TN Some Progress 0.726 Some Progress 1.416Franklin Woods Community Hospital Johnson City TN Unable to Calculate Score N/A Fully Meets Standard 0.000Gateway Medical Center Clarksville TN Declined to Respond Declined to RespondHardin Medical Center Savannah TN Does Not Apply Does Not ApplyHarton Regional Medical Center Tullahoma TN Declined to Respond Declined to RespondHenderson County Community Hospital Lexington TN Declined to Respond Declined to RespondHenry County Medical Center Paris TN Unable to Calculate Score N/A Fully Meets Standard 0.000Heritage Medical Center Shelbyville TN Declined to Respond Declined to RespondHighlands Medical Center Sparta TN Declined to Respond Declined to RespondIndian Path Medical Center Kingsport TN Fully Meets Standard 0.000 Fully Meets Standard 0.000Jackson‐Madison County General Hospital Jackson TN Some Progress 0.782 Substantial Progress 0.846Jamestown Regional Medical Center Jamestown TN Declined to Respond Declined to RespondJefferson Memorial Hospital Jefferson City TN Declined to Respond Declined to RespondJellico Community Hospital Jellico TN Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp80 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Johnson City Medical Center Johnson City TN Substantial Progress 0.440 Some Progress 0.982Johnson County Community Hospital Mountain City TN Does Not Apply Does Not ApplyLakeway Regional Hospital Morristown TN Declined to Respond Declined to RespondLauderdale Community Hospital Ripley TN Declined to Respond Declined to RespondLaughlin Memorial Hospital Greeneville TN Unable to Calculate Score N/A Substantial Progress 0.551Le Bonheur Children's Hospital Memphis TN Substantial Progress 0.222 Substantial Progress 0.839LeConte Medical Center Sevierville TN Fully Meets Standard 0.000 Substantial Progress 0.450Lincoln Medical Center Fayetteville TN Unable to Calculate Score N/A Unable to Calculate Score N/ALivingston Regional Hospital Livingston TN Unable to Calculate Score N/A Unable to Calculate Score N/AMacon County General Hospital Lafayette TN Declined to Respond Declined to RespondMarshall Medical Center Lewisburg TN Declined to Respond Declined to RespondMaury Regional Hospital Columbia TN Substantial Progress 0.198 Substantial Progress 0.696McKenzie Regional Hospital McKenzie TN Declined to Respond Declined to RespondMcNairy Regional Hospital Selmer TN Declined to Respond Declined to RespondMedical Center of Manchester Manchester TN Declined to Respond Declined to RespondMemorial Hixson Hospital Hixson TN Fully Meets Standard 0.000 Some Progress 1.512Memorial Hospital Chattanooga Chattanooga TN Some Progress 0.817 Willing to Report 2.005Methodist Le Bonheur Germantown Hospital Germantown TN Fully Meets Standard 0.000 Substantial Progress 0.900Methodist Medical Center of Oak Ridge Oak Ridge TN Substantial Progress 0.162 Fully Meets Standard 0.251Methodist North Hospital Memphis TN Fully Meets Standard 0.000 Willing to Report 2.022Methodist South Hospital Memphis TN Fully Meets Standard 0.000 Substantial Progress 0.947Methodist University Hospital Memphis TN Fully Meets Standard 0.000 Some Progress 1.168Milan General Hospital Milan TN Unable to Calculate Score N/A Unable to Calculate Score N/AMonroe Carell Jr. Children's Hospital at Vanderbilt Nashville TN Substantial Progress 0.270 Substantial Progress 0.869Morristown‐Hamblen Healthcare System Morristown TN Fully Meets Standard 0.000 Substantial Progress 0.583Nashville General Hospital Nashville TN Declined to Respond Declined to RespondNewport Medical Center Newport TN Declined to Respond Declined to RespondNorth Knoxville Medical Center Knoxville TN Some Progress 1.112 Willing to Report 1.959Northcrest Medical Center Springfield TN Unable to Calculate Score N/A Fully Meets Standard 0.397Parkridge East Hospital Chattanooga TN Some Progress 0.580 Substantial Progress 0.542Parkridge Medical Center Chattanooga TN Some Progress 0.844 Substantial Progress 0.782Parkwest Medical Center Knoxville TN Some Progress 0.731 Some Progress 1.349Perry Community Hospital Linden TN Declined to Respond Declined to RespondPhysicians Regional Medical Center Knoxville TN Substantial Progress 0.464 Willing to Report 2.503Pioneer Community Hospital of Scott Oneida TN Does Not Apply Does Not ApplyRegional Hospital of Jackson Jackson TN Declined to Respond Declined to RespondRegional One Health Memphis TN Substantial Progress 0.354 Willing to Report 3.489Rhea Medical Center Dayton TN Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp81 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*River Park Hospital McMinnville TN Declined to Respond Declined to RespondRiverview Regional Medical Center Carthage TN Declined to Respond Declined to RespondRoane Medical Center Harriman TN Unable to Calculate Score N/A Fully Meets Standard 0.000Saint Francis Hospital ‐ Bartlett Bartlett TN Declined to Respond Declined to RespondSaint Francis Hospital ‐Memphis Memphis TN Some Progress 0.799 Substantial Progress 0.641Saint Thomas Hickman Hospital Centerville TN Declined to Respond Declined to RespondSaint Thomas Midtown Hospital Nashville TN Substantial Progress 0.147 Substantial Progress 0.559Saint Thomas Rutherford Hospital Murfreesboro TN Some Progress 0.591 Substantial Progress 0.938Saint Thomas West Hospital Nashville TN Substantial Progress 0.459 Willing to Report 1.834Skyridge Medical Center Main Campus Cleveland TN Declined to Respond Declined to RespondSkyridge Medical Center West Side Campus Cleveland TN Declined to Respond Declined to RespondSouthern Tennessee Medical Center Winchester TN Unable to Calculate Score N/A Unable to Calculate Score N/ASouthern Tennessee Regional Health System ‐ Lawrenceb Lawrenceburg TN Unable to Calculate Score N/A Unable to Calculate Score N/ASouthern Tennessee Regional Health Systems Pulaski Pulaski TN Unable to Calculate Score N/A Unable to Calculate Score N/ASt. Jude Children's Research Hospital Memphis TN Fully Meets Standard 0.000 Fully Meets Standard 0.439Starr Regional Medical Center Athens TN Fully Meets Standard 0.000 Unable to Calculate Score N/AStarr Regional Medical Center ‐ Etowah Etowah TN Does Not Apply Does Not ApplyStoneCrest Medical Center Smyrna TN Some Progress 0.616 Fully Meets Standard 0.397Stones River Hospital Woodbury TN Declined to Respond Declined to RespondSumner Regional Medical Center Gallatin TN Fully Meets Standard 0.000 Fully Meets Standard 0.227Sweetwater Hospital Sweetwater TN Declined to Respond Declined to RespondSycamore Shoals Hospital Elizabethton TN Unable to Calculate Score N/A Fully Meets Standard 0.000Takoma Regional Hospital Greeneville TN Unable to Calculate Score N/A Fully Meets Standard 0.000Tenova Healthcare ‐ LaFollette Medical Center La Follette TN Declined to Respond Declined to RespondThe University of Tennessee Medical Center Knoxville TN Substantial Progress 0.029 Substantial Progress 0.775Three Rivers Hospital Waverly TN Declined to Respond Declined to RespondTristar Ashland City Medical Center Ashland City TN Does Not Apply Does Not ApplyTristar Centennial Medical Center Nashville TN Substantial Progress 0.362 Substantial Progress 0.855Tristar Hendersonville Medical Center Hendersonville TN Substantial Progress 0.411 Some Progress 0.979Tristar Horizon Medical Center Dickson TN Unable to Calculate Score N/A Substantial Progress 0.664Tristar Skyline Medical Center Nashville TN Substantial Progress 0.435 Substantial Progress 0.605TriStar Southern Hills Medical Center Nashville TN Fully Meets Standard 0.000 Substantial Progress 0.486TriStar Summit Medical Center Hermitage TN Substantial Progress 0.317 Substantial Progress 0.678Trousdale Medical Center Hartsville TN Declined to Respond Declined to RespondTurkey Creek Medical Center Knoxville TN Some Progress 0.587 Willing to Report 2.602Unicoi County Memorial Hospital Erwin TN Unable to Calculate Score N/A Unable to Calculate Score N/AUnited Regional Medical Center Manchester TN Declined to Respond Declined to RespondUniversity Medical Center Lebanon TN Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp82 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Vanderbilt University Hospital Nashville TN Some Progress 0.651 Some Progress 1.182Volunteer Community Hospital Martin TN Declined to Respond Declined to RespondWayne Medical Center Waynesboro TN Declined to Respond Declined to RespondWellmont Bristol Regional Medical Center Bristol TN Some Progress 1.095 Substantial Progress 0.928Wellmont Hancock County Hospital Sneedville TN Does Not Apply Does Not ApplyWellmont Hawkins County Memorial Hospital Rogersville TN Does Not Apply Does Not ApplyWellmont Holston Valley Medical Center Kingsport TN Fully Meets Standard 0.000 Some Progress 1.569Williamson Medical Center Franklin TN Fully Meets Standard 0.000 Fully Meets Standard 0.000Abilene Regional Medical Center Abilene TX Declined to Respond Declined to RespondAngleton Danbury Medical Center Angleton TX Declined to Respond Declined to RespondAnson General Hospital Anson TX Declined to Respond Declined to RespondArise Austin Medical Center Austin TX Declined to Respond Declined to RespondAtrium Medical Center of Corinth Corinth TX Declined to Respond Declined to RespondBaptist Beaumont Hospital of Southeast Texas Beaumont TX Declined to Respond Declined to RespondBaptist Medical Center San Antonio TX Declined to Respond Declined to RespondBaptist Orange Hospital of Southeast Texas Orange TX Declined to Respond Declined to RespondBaptist St. Anthony's Health System Amarillo TX Declined to Respond Declined to RespondBasin Healthcare Center Odessa TX Declined to Respond Declined to RespondBaylor Jack and Jane Hamilton Heart and Vascular HospitaDallas TX Does Not Apply Does Not ApplyBaylor Medical Center at Carrollton Carrollton TX Fully Meets Standard 0.000 Willing to Report 2.090Baylor Medical Center at Frisco Frisco TX Unable to Calculate Score N/A Does Not ApplyBaylor Medical Center at Garland Garland TX Some Progress 0.892 Some Progress 1.006Baylor Medical Center at McKinney McKinney TX Some Progress 0.566 Some Progress 1.180Baylor Medical Center at Trophy Club Trophy Club TX Declined to Respond Declined to RespondBaylor Medical Center at Uptown DALLAS TX Does Not Apply Does Not ApplyBaylor Regional Medical Center at Grapevine Grapevine TX Some Progress 0.683 Willing to Report 1.673Baylor Regional Medical Center at Plano Plano TX Some Progress 0.601 Willing to Report 1.863Baylor Scott & White All Saints Medical Center ‐ Fort Wor Fort Worth TX Some Progress 0.585 Substantial Progress 0.946Baylor Scott & White Health ‐ College Station College Station TX Some Progress 1.121 Substantial Progress 0.456Baylor Scott & White Health ‐ Llano Llano TX Does Not Apply Does Not ApplyBaylor Scott & White Medical Center ‐ Irving Irving TX Some Progress 0.578 Willing to Report 1.781Baylor Scott & White Medical Center ‐ Round Rock Round Rock TX Some Progress 0.710 Willing to Report 2.140Baylor Scott & White Medical Center ‐ Waxahachie Waxahachie TX Fully Meets Standard 0.000 Substantial Progress 0.851Baylor University Medical Center Dallas TX Substantial Progress 0.488 Some Progress 0.992Bayshore Medical Center Pasadena TX Substantial Progress 0.260 Willing to Report 1.877Bellville General Hospital Bellville TX Declined to Respond Declined to RespondBowie Memorial Hospital Bowie TX Declined to Respond Declined to RespondBrazosport Regional Health System Lake Jackson TX Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp83 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

Page 84: CLABSI CAUTI Data Formatted - Leapfrog...Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital Survey Central Line‐associated Blood Stream Infection (CLABSI) and

Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Brownfield Regional Medical Center Brownfield TX Declined to Respond Declined to RespondBrownwood Regional Medical Center Brownwood TX Declined to Respond Declined to RespondCare Regional Medical Center Aransas Pass TX Declined to Respond Declined to RespondCedar Park Regional Medical Center Cedar Park TX Declined to Respond Declined to RespondCentennial Medical Center Frisco TX Some Progress 1.055 Some Progress 1.074Central Texas Medical Center San Marcos TX Unable to Calculate Score N/A Fully Meets Standard 0.000CHI St. Luke's Health Baylor College of Medicine Medical CHouston TX Some Progress 0.549 Some Progress 1.593CHI St. Luke's Health The Woodlands Hospital The Woodlands TX Declined to Respond Declined to RespondChildren's Health ‐ Children's Medical Center Plano Plano TX Unable to Calculate Score N/A Unable to Calculate Score N/AChildren's Health‐Children's Medical Center Dallas Dallas TX Substantial Progress 0.303 Willing to Report 1.960Childress Regional Medical Center Childress TX Declined to Respond Declined to RespondCHRISTUS Hospital ‐ St. Elizabeth Beaumont TX Substantial Progress 0.456 Some Progress 1.521CHRISTUS Hospital ‐ St. Mary Port Arthur TX Declined to Respond Declined to RespondCHRISTUS Jasper Memorial Hospital Jasper TX Declined to Respond Declined to RespondCHRISTUS Santa Rosa Children's Hospital San Antonio TX Declined to Respond Declined to RespondCHRISTUS Santa Rosa Health Care ‐ Medical Center San Antonio TX Declined to Respond Declined to RespondCHRISTUS Santa Rosa Hospital ‐ New Braunfels New Braunfels TX Declined to Respond Declined to RespondCHRISTUS Santa Rosa Hospital ‐ Westover Hills San Antonio TX Declined to Respond Declined to RespondCHRISTUS Spohn Hospital Alice Alice TX Declined to Respond Declined to RespondCHRISTUS Spohn Hospital Beeville Beeville TX Declined to Respond Declined to RespondCHRISTUS Spohn Hospital Corpus Christi ‐ Shoreline Corpus Christi TX Declined to Respond Declined to RespondCHRISTUS Spohn Hospital Corpus Christi ‐ South Corpus Christi TX Declined to Respond Declined to RespondCHRISTUS Spohn Hospital Corpus Christi Memorial Corpus Christi TX Declined to Respond Declined to RespondCHRISTUS Spohn Hospital Kleberg Kingsville TX Declined to Respond Declined to RespondCHRISTUS St. Catherine Hospital Katy TX Declined to Respond Declined to RespondCHRISTUS St. Michael Health System Texarkana TX Substantial Progress 0.427 Fully Meets Standard 0.138CHRISTUS St. Michael Hospital ‐ Atlanta Atlanta TX Declined to Respond Declined to RespondCitizens Medical Center Victoria TX Declined to Respond Declined to RespondClear Lake Regional Medical Center Webster TX Substantial Progress 0.255 Substantial Progress 0.461Cleveland Regional Medical Center Cleveland TX Declined to Respond Declined to RespondCogdell Memorial Hospital Snyder TX Declined to Respond Declined to RespondCollege Station Medical Center College Station TX Declined to Respond Declined to RespondColumbus Community Hospital Columbus TX Declined to Respond Declined to RespondConnally Medical Center Floresville TX Declined to Respond Declined to RespondConroe Regional Medical Center Conroe TX Substantial Progress 0.100 Some Progress 1.051Cook Children's Medical Center Fort Worth TX Substantial Progress 0.291 Fully Meets Standard 0.357Cornerstone Regional Hospital Edinburg TX Does Not Apply Does Not ApplyCorpus Christi Medical Center Corpus Christi TX Substantial Progress 0.373 Some Progress 1.391

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp84 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Covenant Children's Hospital Lubbock TX Declined to Respond Declined to RespondCovenant Hospital Plainview Plainview TX Declined to Respond Declined to RespondCovenant Hospital‐Levelland Levelland TX Declined to Respond Declined to RespondCovenant Medical Center Lubbock TX Substantial Progress 0.398 Substantial Progress 0.455Cuero Community Hospital Cuero TX Declined to Respond Declined to RespondCypress Fairbanks Medical Center Hospital Houston TX Declined to Respond Declined to RespondDallas Medical Center Dallas TX Fully Meets Standard 0.000 Fully Meets Standard 0.000Dallas Regional Medical Center Mesquite TX Fully Meets Standard 0.000 Fully Meets Standard 0.000Del Sol Medical Center El Paso TX Some Progress 0.577 Willing to Report 1.627Dell Children's Medical Center of Central Texas Austin TX Substantial Progress 0.466 Some Progress 1.209Denton Regional Medical Center Denton TX Some Progress 0.877 Substantial Progress 0.484Detar Healthcare System Victoria TX Declined to Respond Declined to RespondDimmit County Memorial Hospital Carrizo Springs TX Declined to Respond Declined to RespondDoctor's Hospital ‐ Tidwell Houston TX Declined to Respond Declined to RespondDoctors Hospital at Renaissance Edinburg TX Some Progress 0.514 Substantial Progress 0.696Doctors Hospital at White Rock Lake Dallas TX Declined to Respond Declined to RespondDoctors Hospital of Laredo Laredo TX Declined to Respond Declined to RespondDriscoll Childrens Hospital Corpus Christi TX Declined to Respond Declined to RespondEast El Paso Physicians Medical Center El Paso TX Declined to Respond Declined to RespondEast Houston Regional Medical Center Houston TX Substantial Progress 0.455 Substantial Progress 0.700East Texas Medical Center Carthage Carthage TX Declined to Respond Declined to RespondEast Texas Medical Center Clarksville Clarksville TX Declined to Respond Declined to RespondEast Texas Medical Center Crockett Crockett TX Declined to Respond Declined to RespondEast Texas Medical Center Fairfield Fairfield TX Declined to Respond Declined to RespondEast Texas Medical Center Henderson Henderson TX Declined to Respond Declined to RespondEast Texas Medical Center Jacksonville Jacksonville TX Declined to Respond Declined to RespondEast Texas Medical Center of Athens Athens TX Declined to Respond Declined to RespondEast Texas Medical Center of Quitman Quitman TX Declined to Respond Declined to RespondEast Texas Medical Center Trinity Trinity TX Declined to Respond Declined to RespondEast Texas Medical Center Tyler Tyler TX Declined to Respond Declined to RespondEastland Memorial Hospital Eastland TX Declined to Respond Declined to RespondEl Campo Memorial Hospital El Campo TX Declined to Respond Declined to RespondEnnis Regional Medical Center Ennis TX Unable to Calculate Score N/A Unable to Calculate Score N/AFaith Community Hospital Jacksboro TX Declined to Respond Declined to RespondFalls Community Hospital and Clinic Marlin TX Declined to Respond Declined to RespondFirst Street Hospital Bellaire TX Declined to Respond Declined to RespondFort Duncan Regional Medical Center Eagle Pass TX Fully Meets Standard 0.000 Unable to Calculate Score N/AFrio Regional Hospital Pearsall TX Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp85 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Glen Rose Medical Center Glen Rose TX Declined to Respond Declined to RespondGood Shepherd Medical Center Longview TX Declined to Respond Declined to RespondGood Shepherd Medical Center‐Marshall Marshall TX Declined to Respond Declined to RespondGoodall‐Witcher Hospital Authority Clifton TX Declined to Respond Declined to RespondGrace Medical Center Lubbock TX Unable to Calculate Score N/A Unable to Calculate Score N/AGraham Regional Medical Center Graham TX Declined to Respond Declined to RespondGuadalupe Regional Medical Center Seguin TX Declined to Respond Declined to RespondGulf Coast Medical Center Wharton TX Declined to Respond Declined to RespondHamilton General Hospital Hamilton TX Declined to Respond Declined to RespondHamlin Memorial Hospital Hamlin TX Declined to Respond Declined to RespondHarlingen Medical Center Harlingen TX Declined to Respond Declined to RespondHarris County Hospital District Houston TX Declined to Respond Declined to RespondHealthbridge Children's Hospital of Houston Houston TX Declined to Respond Declined to RespondHeart Hospital of Austin Austin TX Declined to Respond Declined to RespondHemphill County Hospital Canadian TX Declined to Respond Declined to RespondHendrick Health System Abilene TX Fully Meets Standard 0.000 Substantial Progress 0.479Hereford Regional Medical Center Hereford TX Declined to Respond Declined to RespondHill Country Memorial Fredericksburg TX Unable to Calculate Score N/A Unable to Calculate Score N/AHill Regional Hospital Hillsboro TX Declined to Respond Declined to RespondHillcrest Baptist Medical Center Waco TX Fully Meets Standard 0.000 Fully Meets Standard 0.000Hopkins County Memorial Hospital Sulphur Springs TX Declined to Respond Declined to RespondHouston Methodist Hospital Houston TX Some Progress 0.548 Some Progress 1.308Houston Methodist San Jacinto Hospital Baytown TX Declined to Respond Declined to RespondHouston Methodist St. John Hospital Nassau Bay TX Declined to Respond Declined to RespondHouston Methodist West Hospital Houston TX Declined to Respond Declined to RespondHouston Methodist Willowbrook Hospital Houston TX Declined to Respond Declined to RespondHouston Northwest Medical Center Houston TX Substantial Progress 0.275 Substantial Progress 0.941Hunt Regional Medical Center of Greenville Greenville TX Declined to Respond Declined to RespondHuntsville Memorial Hospital Huntsville TX Declined to Respond Declined to RespondJohn Peter Smith Hospital Fort Worth TX Substantial Progress 0.294 Willing to Report 3.918Kell West Regional Hospital Wichita Falls TX Declined to Respond Declined to RespondKingwood Medical Center Kingwood TX Some Progress 0.641 Some Progress 1.115Knapp Medical Center Weslaco TX Some Progress 2.105 Fully Meets Standard 0.000Knox County Hospital Knox City TX Declined to Respond Declined to RespondLake Granbury Medical Center Granbury TX Declined to Respond Declined to RespondLake Pointe Medical Center Rowlett TX Declined to Respond Declined to RespondLake Whitney Medical Center Whitney TX Declined to Respond Declined to RespondLakeway Regional Medical Center Lakeway TX Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp86 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Lamb Healthcare Center Littlefield TX Declined to Respond Declined to RespondLaredo Medical Center Laredo TX Declined to Respond Declined to RespondLas Colinas Medical Center Irving TX Unable to Calculate Score N/A Fully Meets Standard 0.000Las Palmas Medical Center El Paso TX Substantial Progress 0.113 Substantial Progress 0.515Longview Regional Medical Center Longview TX Some Progress 0.716 Some Progress 1.428Mainland Medical Center Texas City TX Fully Meets Standard 0.000 Fully Meets Standard 0.424Matagorda Regional Medical Center Bay City TX Declined to Respond Declined to RespondMcLane Children's Hospital BaylorScott&White Healthcar Temple TX Substantial Progress 0.268 Substantial Progress 0.470Medical Arts Hospital Lamesa TX Declined to Respond Declined to RespondMedical Center Arlington Arlington TX Substantial Progress 0.087 Some Progress 1.042Medical Center Hospital Odessa TX Substantial Progress 0.173 Substantial Progress 0.445Medical Center of Lewisville Lewisville TX Substantial Progress 0.195 Fully Meets Standard 0.000Medical Center of McKinney McKinney TX Substantial Progress 0.249 Willing to Report 3.003Medical Center of Plano Plano TX Some Progress 0.529 Some Progress 1.087Medical City Dallas Hospital Dallas TX Substantial Progress 0.408 Some Progress 1.058Memorial Health System of East Texas Lufkin TX Declined to Respond Declined to RespondMemorial Hermann ‐ Texas Medical Center Houston TX Declined to Respond Declined to RespondMemorial Hermann Katy Hospital Katy TX Declined to Respond Declined to RespondMemorial Hermann Memorial City Medical Center Houston TX Declined to Respond Declined to RespondMemorial Hermann Northeast Humble TX Declined to Respond Declined to RespondMemorial Hermann Northwest Hospital Houston TX Declined to Respond Declined to RespondMemorial Hermann Southeast Houston TX Declined to Respond Declined to RespondMemorial Hermann Southwest Hospital Houston TX Declined to Respond Declined to RespondMemorial Hermann Sugar Land Hospital Sugar Land TX Declined to Respond Declined to RespondMemorial Hermann The Woodlands Hospital The Woodlands TX Declined to Respond Declined to RespondMemorial Hospital Gonzales TX Declined to Respond Declined to RespondMemorial Medical Center ‐ Livingston Livingston TX Declined to Respond Declined to RespondMethodist Ambulatory Surgery Hosp NW San Antonio TX Does Not Apply Does Not ApplyMethodist Charlton Medical Center Dallas TX Substantial Progress 0.326 Willing to Report 2.176Methodist Children's Hospital of South Texas San Antonio TX Declined to Respond Declined to RespondMethodist Dallas Medical Center Dallas TX Substantial Progress 0.088 Substantial Progress 0.772Methodist Hospital & Methodist Children's Hospital San Antonio TX Substantial Progress 0.413 Some Progress 1.497Methodist Mansfield Medical Center Mansfield TX Substantial Progress 0.394 Willing to Report 2.505Methodist McKinney Hospital Mckinney TX Declined to Respond Declined to RespondMethodist Richardson Medical Center Richardson TX Substantial Progress 0.176 Willing to Report 2.012Methodist Specialty & Transplant Hospital San Antonio TX Some Progress 1.556 Some Progress 1.586Methodist Stone Oak Hospital San Antonio TX Some Progress 0.985 Willing to Report 2.718Methodist Sugar Land Hospital Sugar Land TX Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp87 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Methodist Texsan Hospital San Antonio TX Some Progress 1.454 Substantial Progress 0.925Metroplex Hospital Killeen TX Fully Meets Standard 0.000 Fully Meets Standard 0.000Metropolitan Methodist Hospital San Antonio TX Some Progress 0.785 Some Progress 1.552Midland Memorial Hospital Midland TX Some Progress 0.735 Willing to Report 1.712Mission Regional Medical Center Mission TX Some Progress 0.652 Willing to Report 2.033Mission Trail Baptist Hospital San Antonio TX Declined to Respond Declined to RespondMoore County Hospital District Dumas TX Declined to Respond Declined to RespondMother Frances Hospital Regional Health Care Center Tyler TX Substantial Progress 0.438 Substantial Progress 0.541Nacogdoches Medical Center Nacogdoches TX Declined to Respond Declined to RespondNacogdoches Memorial Hospital Nacogdoches TX Some Progress 0.870 Substantial Progress 0.712Navarro Regional Hospital Corsicana TX Declined to Respond Declined to RespondNix Community General Hospital Dilley TX Declined to Respond Declined to RespondNix Medical Center San Antonio TX Willing to Report 1.272 Willing to Report 2.003Nocona General Hospital Nocona TX Declined to Respond Declined to RespondNorth Central Baptist Hospital San Antonio TX Declined to Respond Declined to RespondNorth Cypress Medical Center Cypress TX Unable to Calculate Score N/A Unable to Calculate Score N/ANorth Hills Hospital North Richland Hills TX Some Progress 0.849 Willing to Report 2.219North Texas Medical Center Gainesville TX Declined to Respond Declined to RespondNortheast Baptist Hospital San Antonio TX Declined to Respond Declined to RespondNortheast Methodist Hospital Live Oak TX Substantial Progress 0.364 Substantial Progress 0.873Northwest Texas Healthcare System Amarillo TX Declined to Respond Declined to RespondOakbend Medical Center Richmond TX Substantial Progress 0.409 Fully Meets Standard 0.000Odessa Regional Medical Center Odessa TX Substantial Progress 0.303 Fully Meets Standard 0.000Our Children's House at Baylor Dallas TX Declined to Respond Declined to RespondPalestine Regional Medical Center‐East Palestine TX Unable to Calculate Score N/A Substantial Progress 0.530Palo Pinto General Hospital Mineral Wells TX Declined to Respond Declined to RespondPampa Regional Medical Center Pampa TX Unable to Calculate Score N/A Unable to Calculate Score N/AParis Regional Medical Center Paris TX Declined to Respond Declined to RespondPark Plaza Hospital Houston TX Declined to Respond Declined to RespondParkland Health & Hospital System Dallas TX Substantial Progress 0.439 Some Progress 1.112Parkview Regional Hospital Mexia TX Declined to Respond Declined to RespondPecos County Memorial Hospital Fort Stockton TX Declined to Respond Declined to RespondPermian Regional Medical Center Andrews TX Declined to Respond Declined to RespondPeterson Regional Medical Center Kerrville TX Fully Meets Standard 0.000 Substantial Progress 0.747Pine Creek Medical Center Dallas TX Declined to Respond Declined to RespondPlaza Medical Center of Fort Worth Fort Worth TX Some Progress 1.090 Some Progress 1.303Providence Health Center Waco TX Declined to Respond Declined to RespondResolute Health New Braunfels TX Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp88 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Rio Grande Regional Hospital McAllen TX Some Progress 0.698 Willing to Report 2.072Rolling Plains Memorial Hospital Sweetwater TX Declined to Respond Declined to RespondRollins Brook Community Hospital Lampasas TX Does Not Apply Does Not ApplySan Angelo Community Medical Center San Angelo TX Declined to Respond Declined to RespondScenic Mountain Medical Center Big Spring TX Declined to Respond Declined to RespondScott & White Hospital ‐ Brenham Brenham TX Unable to Calculate Score N/A Unable to Calculate Score N/AScott & White Memorial Hospital Temple TX Substantial Progress 0.479 Substantial Progress 0.735Seton Medical Center Austin Austin TX Some Progress 0.733 Substantial Progress 0.653Seton Medical Center Harker Heights Harker Heights TX Declined to Respond Declined to RespondSeton Medical Center Hays Kyle TX Substantial Progress 0.181 Some Progress 1.011Seton Medical Center Williamson Round Rock TX Substantial Progress 0.349 Willing to Report 1.858Seton Northwest Hospital Austin TX Some Progress 0.766 Willing to Report 2.989Seton Southwest Healthcare Center Austin TX Declined to Respond Declined to RespondSeymour Hospital Seymour TX Declined to Respond Declined to RespondShannon Medical Center San Angelo TX Declined to Respond Declined to RespondSmithville Regional Hospital Smithville TX Declined to Respond Declined to RespondSouth Texas Health System Edinburg TX Declined to Respond Declined to RespondSouth Texas Regional Medical Center Jourdanton TX Declined to Respond Declined to RespondSouthwest General Hospital San Antonio TX Some Progress 2.096 Willing to Report 3.236St Luke's Hospital at the Vintage Houston TX Declined to Respond Declined to RespondSt Luke's Sugar Land Hospital Sugar Land TX Declined to Respond Declined to RespondSt. Anthony's Hospital Houston TX Declined to Respond Declined to RespondSt. David's Georgetown Hospital Georgetown TX Some Progress 0.530 Willing to Report 1.650St. David's Medical Center Austin TX Substantial Progress 0.258 Willing to Report 3.604St. David's North Austin Medical Center Austin TX Substantial Progress 0.185 Willing to Report 1.947St. David's Round Rock Medical Center Round Rock TX Some Progress 0.815 Some Progress 0.971St. David's South Austin Medical Center Austin TX Some Progress 0.685 Willing to Report 1.876St. Joseph Medical Center Houston TX Some Progress 0.929 Fully Meets Standard 0.366St. Joseph Regional Health Center Bryan TX Declined to Respond Declined to RespondSt. Luke's Baptist Hospital San Antonio TX Declined to Respond Declined to RespondSt. Luke's Lakeside Hospital The Woodlands TX Declined to Respond Declined to RespondSt. Luke's Patients Medical Center Pasadena TX Declined to Respond Declined to RespondSt. Mark's Medical Center La Grange TX Declined to Respond Declined to RespondStamford Memorial Hospital Stamford TX Declined to Respond Declined to RespondStarr County Memorial Hospital Rio Grande City TX Declined to Respond Declined to RespondStephens Memorial Hospital Breckenridge TX Does Not Apply Does Not ApplyTexas Children's Hospital Houston TX Some Progress 0.582 Fully Meets Standard 0.289Texas Children's Hospital Pavilion for Women Houston TX Does Not Apply Does Not Apply

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp89 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

Page 90: CLABSI CAUTI Data Formatted - Leapfrog...Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital Survey Central Line‐associated Blood Stream Infection (CLABSI) and

Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Texas Children's Hospital West Campus Houston TX Unable to Calculate Score N/A Unable to Calculate Score N/ATexas General Hospital Grand Prairie TX Declined to Respond Declined to RespondTexas Health Arlington Memorial Hospital Arlington TX Substantial Progress 0.293 Some Progress 1.342Texas Health Harris Methodist Hospital Alliance Fort Worth TX Fully Meets Standard 0.000 Substantial Progress 0.697Texas Health Harris Methodist Hospital Azle Azle TX Unable to Calculate Score N/A Unable to Calculate Score N/ATexas Health Harris Methodist Hospital Cleburne Cleburne TX Unable to Calculate Score N/A Willing to Report 1.637Texas Health Harris Methodist Hospital Fort Worth Fort Worth TX Substantial Progress 0.300 Some Progress 1.155Texas Health Harris Methodist Hospital Hurst‐Euless‐BedfBedford TX Substantial Progress 0.221 Some Progress 1.560Texas Health Harris Methodist Hospital Southlake Southlake TX Declined to Respond Declined to RespondTexas Health Harris Methodist Hospital Southwest Fort WFort Worth TX Fully Meets Standard 0.000 Fully Meets Standard 0.000Texas Health Harris Methodist Hospital Stephenville Stephenville TX Unable to Calculate Score N/A Unable to Calculate Score N/ATexas Health Huguley Hospital Burleson TX Substantial Progress 0.174 Fully Meets Standard 0.149Texas Health Presbyterian Hospital Allen Allen TX Fully Meets Standard 0.000 Unable to Calculate Score N/ATexas Health Presbyterian Hospital Dallas Dallas TX Substantial Progress 0.391 Willing to Report 1.745Texas Health Presbyterian Hospital Denton DENTON TX Substantial Progress 0.216 Some Progress 1.302Texas Health Presbyterian Hospital Flower Mound Flower Mound TX Fully Meets Standard 0.000 Substantial Progress 0.883Texas Health Presbyterian Hospital Kaufman Kaufman TX Unable to Calculate Score N/A Unable to Calculate Score N/ATexas Health Presbyterian Hospital Plano Plano TX Substantial Progress 0.492 Some Progress 1.066Texas Health Presbyterian Hospital Rockwall Rockwall TX Fully Meets Standard 0.000 Substantial Progress 0.945Texas Orthopedic Hospital Houston TX Does Not Apply Does Not ApplyTexas Regional Medical Center Sunnyvale TX Declined to Respond Declined to RespondTexoma Medical Center Denison TX Declined to Respond Declined to RespondThe Heart Hospital Baylor Denton Denton TX Does Not Apply Does Not ApplyThe Heart Hospital Baylor Plano Plano TX Does Not Apply Does Not ApplyThe Hospital at Westlake Medical Center Austin TX Declined to Respond Declined to RespondThe Hospitals of Providence East Campus El Paso TX Declined to Respond Declined to RespondThe Hospitals of Providence Memorial Campus El Paso TX Declined to Respond Declined to RespondThe Hospitals of Providence Sierra Campus El Paso TX Declined to Respond Declined to RespondThe Medical Center of Southeast Texas Port Arthur TX Fully Meets Standard 0.000 Fully Meets Standard 0.152The Physicians Centre Hospital Bryan TX Declined to Respond Declined to RespondThe University of Texas Health Science Center at Tyler Tyler TX Declined to Respond Declined to RespondThe Woman's Hospital of Texas Houston TX Substantial Progress 0.155 Unable to Calculate Score N/ATitus Regional Medical Center Mount Pleasant TX Declined to Respond Declined to RespondTomball Regional Hospital Tomball TX Declined to Respond Declined to RespondTyler County Hospital Woodville TX Declined to Respond Declined to RespondUnited Regional Health Care System Wichita Falls TX Substantial Progress 0.323 Fully Meets Standard 0.000University General Hospital Houston TX Declined to Respond Declined to RespondUniversity Health System San Antonio TX Substantial Progress 0.407 Some Progress 1.242

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp90 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*University Medical Center Lubbock TX Substantial Progress 0.405 Substantial Progress 0.632University Medical Center at Brackenridge Austin TX Substantial Progress 0.461 Some Progress 1.129University Medical Center of El Paso El Paso TX Declined to Respond Declined to RespondUniversity of Texas Medical Branch Hospitals Galveston TX Some Progress 0.566 Some Progress 1.165USMD Hospital at Arlington Arlington TX Unable to Calculate Score N/A Unable to Calculate Score N/AUT Southwestern University Hospital  ‐ Zale Lipshy CampuDallas TX Declined to Respond Declined to RespondUvalde County Hospital Authority Uvalde TX Declined to Respond Declined to RespondVal Verde Regional Medical Center Del Rio TX Declined to Respond Declined to RespondValley Baptist Medical Center‐Brownsville Brownsville TX Substantial Progress 0.213 Fully Meets Standard 0.166Valley Baptist Medical Center‐Harlingen Harlingen TX Declined to Respond Declined to RespondValley Regional Medical Center Brownsville TX Substantial Progress 0.355 Substantial Progress 0.543Victory Medical Center Mid‐Cities‐Hurst Hurst TX Declined to Respond Declined to RespondWadley Regional Medical Center Texarkana TX Some Progress 1.480 Some Progress 1.252Weatherford Regional Medical Center Weatherford TX Declined to Respond Declined to RespondWest Houston Medical Center Houston TX Some Progress 0.542 Substantial Progress 0.498Wilbarger General Hospital Vernon TX Declined to Respond Declined to RespondWilliam P. Clements Jr. University Hospital Dallas TX Declined to Respond Declined to RespondWilson N. Jones Regional Medical Center Sherman TX Declined to Respond Declined to RespondWise Regional Health System ‐ Bridgeport Bridgeport TX Declined to Respond Declined to RespondWise Regional Health System ‐ East Campus Decatur Decatur TX Some Progress 0.661 Fully Meets Standard 0.000Woodland Heights Medical Center Lufkin TX Declined to Respond Declined to RespondAlta View Hospital Sandy UT Unable to Calculate Score N/A Unable to Calculate Score N/AAmerican Fork Hospital American Fork UT Unable to Calculate Score N/A Unable to Calculate Score N/AAshley Regional Medical Center Vernal UT Unable to Calculate Score N/A Unable to Calculate Score N/ABear River Valley Hospital Tremonton UT Declined to Respond Declined to RespondBeaver Valley Hospital Beaver UT Declined to Respond Declined to RespondBrigham City Community Hospital Brigham City UT Does Not Apply Does Not ApplyCache Valley Hospital North Logan UT Unable to Calculate Score N/A Unable to Calculate Score N/ACastleview Hospital Price UT Unable to Calculate Score N/A Unable to Calculate Score N/ADavis Hospital and Medical Center Layton UT Substantial Progress 0.350 Some Progress 1.208Dixie Regional Medical Center Saint George UT Declined to Respond Declined to RespondGarfield Memorial Hospital Panguitch UT Declined to Respond Declined to RespondIntermountain Medical Center Murray UT Substantial Progress 0.415 Willing to Report 2.051Jordan Valley Medical Center West Jordan UT Fully Meets Standard 0.000 Willing to Report 2.446Jordan Valley Medical Center, West Valley Campus West Valley City UT Fully Meets Standard 0.000 Fully Meets Standard 0.000Lakeview Hospital Bountiful UT Unable to Calculate Score N/A Willing to Report 2.906LDS Hospital Salt Lake City UT Fully Meets Standard 0.000 Some Progress 1.039Logan Regional Hospital Logan UT Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp91 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Lone Peak Hospital Draper UT Does Not Apply Does Not ApplyMcKay‐Dee Hospital Center Ogden UT Some Progress 0.664 Willing to Report 2.328Mountain View Hospital Payson UT Unable to Calculate Score N/A Willing to Report 1.881Mountain West Medical Center Tooele UT Declined to Respond Declined to RespondOgden Regional Medical Center Ogden UT Substantial Progress 0.382 Willing to Report 1.647Orem Community Hospital Orem UT Declined to Respond Declined to RespondPark City Medical Center Park City UT Declined to Respond Declined to RespondPrimary Children's Medical Center Salt Lake City UT Declined to Respond Declined to RespondRiverton Hospital Riverton UT Unable to Calculate Score N/A Unable to Calculate Score N/ASalt Lake Regional Medical Center Salt Lake City UT Some Progress 0.749 Substantial Progress 0.832Sevier Valley Medical Center Richfield UT Declined to Respond Declined to RespondSt. Mark's Hospital Salt Lake City UT Some Progress 0.731 Some Progress 1.315Timpanogos Regional Hospital Orem UT Substantial Progress 0.401 Fully Meets Standard 0.000Uintah Basin Medical Center Roosevelt UT Declined to Respond Declined to RespondUniversity of Utah Health Care ‐ Hospital and Clinics Salt Lake City UT Declined to Respond Declined to RespondUtah Valley Regional Medical Center Provo UT Fully Meets Standard 0.000 Some Progress 1.426Valley View Medical Center Cedar City UT Declined to Respond Declined to RespondAugusta Medical Center Fishersville VA Declined to Respond Declined to RespondBath Community Hospital Hot Springs VA Declined to Respond Declined to RespondBedford Memorial Hospital Bedford VA Declined to Respond Declined to RespondBon Secours DePaul Medical Center Norfolk VA Some Progress 0.783 Some Progress 1.184Bon Secours Mary Immaculate Hospital Newport News VA Some Progress 0.510 Willing to Report 3.000Bon Secours Maryview Medical Center Portsmouth VA Some Progress 0.952 Some Progress 1.109Bon Secours Memorial Regional Medical Center Mechanicsville VA Substantial Progress 0.177 Fully Meets Standard 0.000Bon Secours Richmond Community Hospital Richmond VA Unable to Calculate Score N/A Unable to Calculate Score N/ABon Secours St. Francis Medical Center Midlothian VA Some Progress 0.804 Fully Meets Standard 0.000Bon Secours St. Mary's Hospital of Richmond Richmond VA Substantial Progress 0.196 Fully Meets Standard 0.000Buchanan General Hospital Grundy VA Declined to Respond Declined to RespondCarilion Franklin Memorial Hospital Rocky Mount VA Declined to Respond Declined to RespondCarilion Giles Memorial Hospital Pearisburg VA Declined to Respond Declined to RespondCarilion New River Valley Medical Center Christiansburg VA Fully Meets Standard 0.000 Fully Meets Standard 0.000Carilion Roanoke Memorial Hospital Roanoke VA Substantial Progress 0.404 Willing to Report 1.775Carilion Stonewall Jackson Hospital Lexington VA Declined to Respond Declined to RespondCarilion Tazewell Community Hospital Tazewell VA Declined to Respond Declined to RespondCentra Lynchburg General Hospital Lynchburg VA Declined to Respond Declined to RespondCentra Southside Community Hospital Farmville VA Declined to Respond Declined to RespondCentra Virginia Baptist Hospital Lynchburg VA Declined to Respond Declined to RespondChesapeake Regional Medical Center Chesapeake VA Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp92 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Children's Hospital of Richmond at VCU Richmond VA Declined to Respond Declined to RespondChildren's Hospital of The King's Daughters Norfolk VA Declined to Respond Declined to RespondCJW Medical Center ‐ Chippenham Campus Richmond VA Some Progress 0.824 Some Progress 1.074CJW Medical Center ‐ Johnston‐Willis Campus Richmond VA Substantial Progress 0.293 Substantial Progress 0.883Clinch Valley Medical Center Richlands VA Unable to Calculate Score N/A Substantial Progress 0.759Community Memorial Healthcenter South Hill VA Declined to Respond Declined to RespondDanville Regional Medical Center Danville VA Declined to Respond Declined to RespondDickenson Community Hospital Clintwood VA Does Not Apply Does Not ApplyFauquier Hospital Warrenton VA Fully Meets Standard 0.000 Some Progress 1.461Henrico Doctors' Hospital Richmond VA Substantial Progress 0.146 Some Progress 0.975Inova Alexandria Hospital Alexandria VA Substantial Progress 0.354 Substantial Progress 0.758Inova Fair Oaks Hospital Fairfax VA Fully Meets Standard 0.000 Willing to Report 2.198Inova Fairfax Hospital Falls Church VA Substantial Progress 0.139 Some Progress 1.104Inova Loudoun Hospital Leesburg VA Fully Meets Standard 0.000 Substantial Progress 0.522Inova Mount Vernon Hospital Alexandria VA Fully Meets Standard 0.000 Some Progress 0.990John Randolph Medical Center Hopewell VA Fully Meets Standard 0.000 Fully Meets Standard 0.000Johnston Memorial Hospital Abingdon VA Fully Meets Standard 0.000 Fully Meets Standard 0.000LewisGale Hospital ‐ Alleghany Low Moor VA Unable to Calculate Score N/A Unable to Calculate Score N/ALewisGale Hospital ‐ Montgomery Blacksburg VA Fully Meets Standard 0.000 Fully Meets Standard 0.000LewisGale Hospital ‐ Pulaski Pulaski VA Unable to Calculate Score N/A Willing to Report 2.498LewisGale Medical Center Salem VA Substantial Progress 0.094 Fully Meets Standard 0.440Martha Jefferson Hospital Charlottesville VA Fully Meets Standard 0.000 Substantial Progress 0.582Mary Washington Hospital Fredericksburg VA Substantial Progress 0.162 Fully Meets Standard 0.340Memorial Hospital of Martinsville Martinsville VA Fully Meets Standard 0.000 Substantial Progress 0.783Mountain View Regional Medical Center Norton VA Unable to Calculate Score N/A Unable to Calculate Score N/ANorton Community Hospital Norton VA Unable to Calculate Score N/A Fully Meets Standard 0.000Novant Health Prince William Medical Center Manassas VA Fully Meets Standard 0.000 Substantial Progress 0.452Page Memorial Hospital Luray VA Declined to Respond Declined to RespondParham Doctors' Hospital Richmond VA Fully Meets Standard 0.000 Some Progress 1.067Pioneer Community Hospital of Patrick County Stuart VA Declined to Respond Declined to RespondRappahannock General Hospital Kilmarnock VA Declined to Respond Declined to RespondReston Hospital Center Reston VA Fully Meets Standard 0.000 Fully Meets Standard 0.408Retreat Doctors' Hospital Richmond VA Fully Meets Standard 0.000 Substantial Progress 0.800Riverside Doctors Hospital of Williamsburg Williamsburg VA Declined to Respond Declined to RespondRiverside Regional Medical Center Newport News VA Declined to Respond Declined to RespondRiverside Shore Memorial Hospital Nassawadox VA Declined to Respond Declined to RespondRiverside Tappahannock Hospital Tappahannock VA Declined to Respond Declined to RespondRiverside Walter Reed Hospital Gloucester VA Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp93 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Russell County Medical Center Lebanon VA Unable to Calculate Score N/A Unable to Calculate Score N/ASentara CarePlex Hospital Hampton VA Some Progress 0.986 Willing to Report 1.779Sentara Halifax Regional Hospital South Boston VA Unable to Calculate Score N/A Some Progress 1.562Sentara Leigh Hospital Norfolk VA Fully Meets Standard 0.000 Substantial Progress 0.908Sentara Norfolk General Hospital Norfolk VA Substantial Progress 0.036 Some Progress 1.074Sentara Northern Virginia Medical Center Woodbridge VA Some Progress 1.533 Substantial Progress 0.468Sentara Obici Hospital Suffolk VA Fully Meets Standard 0.000 Some Progress 1.365Sentara Princess Anne Hospital Virginia Beach VA Some Progress 0.521 Some Progress 1.360Sentara RMH Medical Center Harrisonburg VA Substantial Progress 0.280 Substantial Progress 0.483Sentara Virginia Beach General Hospital Virginia Beach VA Fully Meets Standard 0.000 Fully Meets Standard 0.369Sentara Williamsburg Regional Medical Center Williamsburg VA Unable to Calculate Score N/A Unable to Calculate Score N/AShenandoah Memorial Hospital Woodstock VA Declined to Respond Declined to RespondSmyth County Community Hospital Marion VA Unable to Calculate Score N/A Unable to Calculate Score N/ASouthampton Memorial Hospital Franklin VA Declined to Respond Declined to RespondSouthern Virginia Regional Medical Center Emporia VA Declined to Respond Declined to RespondSouthside Regional Medical Center Petersburg VA Declined to Respond Declined to RespondSpotsylvania Regional Medical Center Fredericksburg VA Fully Meets Standard 0.000 Substantial Progress 0.772Stafford Hospital Stafford VA Fully Meets Standard 0.000 Substantial Progress 0.633Twin County Regional Healthcare Galax VA Unable to Calculate Score N/A Substantial Progress 0.842University of Virginia Medical Center Charlottesville VA Some Progress 0.603 Some Progress 1.237UVA Culpeper Hospital Culpeper VA Unable to Calculate Score N/A Substantial Progress 0.912VCU Health System Richmond VA Declined to Respond Declined to RespondVirginia Hospital Center‐‐Arlington Health System Arlington VA Substantial Progress 0.306 Some Progress 1.196Warren Memorial Hospital Front Royal VA Declined to Respond Declined to RespondWellmont Lonesome Pine Hospital Big Stone Gap VA Does Not Apply Does Not ApplyWinchester Medical Center Winchester VA Substantial Progress 0.092 Some Progress 1.069Wythe County Community Hospital Wytheville VA Unable to Calculate Score N/A Unable to Calculate Score N/ABrattleboro Memorial Hospital Brattleboro VT Declined to Respond Declined to RespondCentral Vermont Medical Center Berlin VT Declined to Respond Declined to RespondFletcher Allen Health Care Burlington VT Declined to Respond Declined to RespondNorthwestern Medical Center Saint Albans VT Declined to Respond Declined to RespondRutland Regional Medical Center Rutland VT Declined to Respond Declined to RespondSouthwestern Vermont Medical Center Bennington VT Declined to Respond Declined to RespondCapital Medical Center Olympia WA Declined to Respond Declined to RespondCascade Valley Hospital and Clinics Arlington WA Declined to Respond Declined to RespondCentral Washington Hospital Wenatchee WA Declined to Respond Declined to RespondDeaconess Medical Center Spokane WA Declined to Respond Declined to RespondEvergreenHealth Kirkland WA Substantial Progress 0.290 Substantial Progress 0.851

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp94 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Grays Harbor Community Hospital Aberdeen WA Declined to Respond Declined to RespondHarborview Medical Center Seattle WA Substantial Progress 0.477 Some Progress 1.254Harrison Medical Center Bremerton WA Some Progress 0.503 Substantial Progress 0.706Harrison Medical Center ‐ Silverdale Silverdale WA Does Not Apply Does Not ApplyHighline Medical Center Burien WA Some Progress 1.247 Willing to Report 2.971Island Hospital Anacortes WA Declined to Respond Declined to RespondKadlec Regional Medical Center Richland WA Substantial Progress 0.139 Substantial Progress 0.931Kennewick General Hospital Kennewick WA Declined to Respond Declined to RespondLegacy Salmon Creek Hospital Vancouver WA Declined to Respond Declined to RespondMary Bridge Children's Hospital and Health Center Tacoma WA Declined to Respond Declined to RespondMason General Hospital Shelton WA Declined to Respond Declined to RespondMid‐Valley Hospital Omak WA Unable to Calculate Score N/A Unable to Calculate Score N/AMultiCare Allenmore Hospital Tacoma WA Unable to Calculate Score N/A Fully Meets Standard 0.000MultiCare Auburn Medical Center Auburn WA Substantial Progress 0.376 Willing to Report 1.688Multicare Good Samaritan Hospital Puyallup WA Substantial Progress 0.468 Substantial Progress 0.944Northwest Hospital and Medical Center Seattle WA Some Progress 0.711 Willing to Report 2.578Olympic Medical Center Port Angeles WA Declined to Respond Declined to RespondOverlake Hospital Medical Center Bellevue WA Some Progress 0.670 Some Progress 1.509Peace Health St. John Medical Center Longview WA Declined to Respond Declined to RespondProvidence Centralia Hospital Centralia WA Unable to Calculate Score N/A Some Progress 0.968Providence Holy Family Hospital Spokane WA Declined to Respond Declined to RespondProvidence Regional Medical Center Everett Everett WA Substantial Progress 0.225 Some Progress 1.541Providence Sacred Heart Medical Center Spokane WA Declined to Respond Declined to RespondProvidence St. Mary Medical Center Walla Walla WA Declined to Respond Declined to RespondProvidence St. Peter Hospital Olympia WA Some Progress 0.778 Substantial Progress 0.556Samaritan Hospital Moses Lake WA Declined to Respond Declined to RespondSeattle Children's Hospital Seattle WA Substantial Progress 0.428 Fully Meets Standard 0.368Skagit Regional Health Mount Vernon WA Fully Meets Standard 0.000 Fully Meets Standard 0.000Snoqualmie Valley Hospital Snoqualmie WA Declined to Respond Declined to RespondSouthwest Washington Medical Center Vancouver WA Declined to Respond Declined to RespondSt. Anthony Hospital Gig Harbor WA Some Progress 0.739 Substantial Progress 0.893St. Clare Hospital Lakewood WA Substantial Progress 0.390 Fully Meets Standard 0.000St. Elizabeth Hospital Enumclaw WA Unable to Calculate Score N/A Unable to Calculate Score N/ASt. Francis Hospital of Federal Way Federal Way WA Some Progress 0.598 Fully Meets Standard 0.000St. Joseph Hospital of Bellingham Bellingham WA Declined to Respond Declined to RespondSt. Joseph Medical Center of Tacoma Tacoma WA Substantial Progress 0.323 Fully Meets Standard 0.376Swedish Edmonds Hospital Edmonds WA Substantial Progress 0.495 Substantial Progress 0.535Swedish Health Services ‐ Issaquah Issaquah WA Unable to Calculate Score N/A Unable to Calculate Score N/A

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp95 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Swedish Medical Center Ballard Seattle WA Does Not Apply Does Not ApplySwedish Medical Center Cherry HIll Seattle WA Some Progress 0.617 Willing to Report 4.043Swedish Medical Center First Hill Seattle WA Substantial Progress 0.132 Willing to Report 2.166Tacoma General Hospital Tacoma WA Substantial Progress 0.338 Some Progress 1.025Toppenish Community Hospital Toppenish WA Declined to Respond Declined to RespondUnited General Hospital Sedro Woolley WA Declined to Respond Declined to RespondUniversity of Washington Medical Center Seattle WA Substantial Progress 0.199 Fully Meets Standard 0.406Valley General Hospital Monroe WA Declined to Respond Declined to RespondValley Hospital of Spokane Valley Spokane Valley WA Declined to Respond Declined to RespondValley Medical Center Renton WA Some Progress 0.873 Substantial Progress 0.841Virginia Mason Medical Center Seattle WA Substantial Progress 0.234 Substantial Progress 0.479Walla Walla General Hospital Walla Walla WA Declined to Respond Declined to RespondWenatchee Valley Hospital Wenatchee WA Declined to Respond Declined to RespondWhidbey General Hospital Coupeville WA Declined to Respond Declined to RespondYakima Regional Medical and Cardiac Center Yakima WA Declined to Respond Declined to RespondYakima Valley Memorial Hospital Yakima WA Declined to Respond Declined to RespondAmery Regional Medical Center Amery WI Declined to Respond Declined to RespondAppleton Medical Center Appleton WI Declined to Respond Declined to RespondAspirus Wausau Hospital Wausau WI Declined to Respond Declined to RespondAurora BayCare Medical Center Green Bay WI Declined to Respond Declined to RespondAurora Lakeland Medical Center Elkhorn WI Declined to Respond Declined to RespondAURORA MEDICAL CENTER GRAFTON WI Declined to Respond Declined to RespondAurora Medical Center of Kenosha Kenosha WI Declined to Respond Declined to RespondAurora Medical Center of Oshkosh Oshkosh WI Declined to Respond Declined to RespondAurora Medical Center of Two Rivers Two Rivers WI Declined to Respond Declined to RespondAurora Medical Center of Washington County Hartford WI Declined to Respond Declined to RespondAurora Medical Center Summit Summit WI Declined to Respond Declined to RespondAurora Memorial Hospital of Burlington Burlington WI Declined to Respond Declined to RespondAurora Sheboygan Memorial Medical Center Sheboygan WI Declined to Respond Declined to RespondAurora Sinai Medical Center Milwaukee WI Declined to Respond Declined to RespondAurora St. Luke's Medical Center Milwaukee WI Declined to Respond Declined to RespondAurora St. Luke's South Shore Cudahy WI Declined to Respond Declined to RespondAurora West Allis Medical Center West Allis WI Declined to Respond Declined to RespondBaldwin Area Medical Center Baldwin WI Declined to Respond Declined to RespondBay Area Medical Center Marinette WI Unable to Calculate Score N/A Fully Meets Standard 0.000Beaver Dam Community Hospitals, Inc. Beaver Dam WI Unable to Calculate Score N/A Unable to Calculate Score N/ABellin Health Oconto Hospital Oconto WI Declined to Respond Declined to RespondBellin Memorial Hospital Green Bay WI Fully Meets Standard 0.000 Fully Meets Standard 0.000

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp96 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Beloit Memorial Hospital Beloit WI Declined to Respond Declined to RespondBerlin Memorial Hospital Berlin WI Declined to Respond Declined to RespondBlack River Memorial Hospital Black River Falls WI Declined to Respond Declined to RespondBurnett Medical Center Grantsburg WI Declined to Respond Declined to RespondCalumet Medical Center Chilton WI Declined to Respond Declined to RespondChildren's Hospital of Wisconsin Milwaukee WI Declined to Respond Declined to RespondChildren's Hospital of Wisconsin Fox Valley Campus Neenah WI Declined to Respond Declined to RespondChippewa Valley Hospital and Oakview Care Center Durand WI Declined to Respond Declined to RespondColumbia St Marys Hospital Milwaukee Milwaukee WI Declined to Respond Declined to RespondColumbia St. Mary's Ozaukee Hospital Mequon WI Declined to Respond Declined to RespondColumbus Community Hospital Columbus WI Declined to Respond Declined to RespondCommunity Memorial Hospital of Oconto Falls Oconto Falls WI Declined to Respond Declined to RespondCrossing Rivers Health Prairie Du Chien WI Declined to Respond Declined to RespondCumberland Memorial Hospital Cumberland WI Declined to Respond Declined to RespondDivine Savior Healthcare, Inc. Portage WI Declined to Respond Declined to RespondEdgerton Hospital and Health Services Edgerton WI Declined to Respond Declined to RespondFlambeau Hospital Park Falls WI Declined to Respond Declined to RespondFort HealthCare Fort Atkinson WI Declined to Respond Declined to RespondFroedtert & The Medical College of Wisconsin CommunityMenomonee Falls WI Declined to Respond Declined to RespondFroedtert & The Medical College of Wisconsin Froedtert HMilwaukee WI Declined to Respond Declined to RespondFroedtert & The Medical College of Wisconsin St. Joseph'sWest Bend WI Declined to Respond Declined to RespondGrant Regional Health Center Lancaster WI Declined to Respond Declined to RespondGundersen Boscobel Hospital & Clinics Boscobel WI Declined to Respond Declined to RespondGundersen Lutheran Medical Center La Crosse WI Declined to Respond Declined to RespondGundersen Tri County Hospital & Clinics Whitehall WI Declined to Respond Declined to RespondHayward Area Memorial Hospital and Nursing Home Hayward WI Declined to Respond Declined to RespondHoly Family Memorial Medical Center Manitowoc WI Unable to Calculate Score N/A Unable to Calculate Score N/AHoward Young Medical Center Woodruff WI Declined to Respond Declined to RespondHSHS Sacred Heart Hospital Eau Claire WI Substantial Progress 0.172 Fully Meets Standard 0.000HSHS St. Mary's Hospital of Green Bay Green Bay WI Unable to Calculate Score N/A Unable to Calculate Score N/AHSHS St. Nicholas Hospital Sheboygan WI Unable to Calculate Score N/A Unable to Calculate Score N/AHSHS St. Vincent Hospital of Green Bay Green Bay WI Substantial Progress 0.273 Some Progress 1.182Hudson Hospital Hudson WI Declined to Respond Declined to RespondIndianhead Medical Center Shell Lake WI Declined to Respond Declined to RespondLakeview Medical Center Rice Lake WI Declined to Respond Declined to RespondLanglade Memorial Hospital Antigo WI Declined to Respond Declined to RespondMayo Clinic Health System ‐ Chippewa Valley in Bloomer BLOOMER WI Declined to Respond Declined to RespondMayo Clinic Health System ‐ Franciscan Healthcare in LaC La Crosse WI Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp97 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Mayo Clinic Health System ‐ Franciscan Healthcare in Spa Sparta WI Declined to Respond Declined to RespondMayo Clinic Health System ‐ Northland in Barron Barron WI Declined to Respond Declined to RespondMayo Clinic Health System ‐ Oakridge in Osseo Osseo WI Declined to Respond Declined to RespondMayo Clinic Health System ‐ Red Cedar in Menomonie Menomonie WI Declined to Respond Declined to RespondMayo Clinic Health System in Eau Claire EAU CLAIRE WI Declined to Respond Declined to RespondMemorial Health Center of Medford Medford WI Declined to Respond Declined to RespondMemorial Hospital of Lafayette County Darlington WI Declined to Respond Declined to RespondMemorial Medical Center ‐ Ashland Ashland WI Declined to Respond Declined to RespondMemorial Medical Center ‐ Neillsville Neillsville WI Declined to Respond Declined to RespondMercy Health System Corporation Janesville WI Declined to Respond Declined to RespondMercy Medical Center of Oshkosh Oshkosh WI Declined to Respond Declined to RespondMercy Walworth Hospital and Medical Center Lake Geneva WI Declined to Respond Declined to RespondMeriter Hospital Madison WI Substantial Progress 0.359 Willing to Report 2.850Mile Bluff Medical Center Mauston WI Declined to Respond Declined to RespondMINISTRY ‐ ST JOSEPHS HOSPITAL MARSHFIELD WI Declined to Respond Declined to RespondMinistry Door County Medical Center Sturgeon Bay WI Declined to Respond Declined to RespondMinistry Eagle River Memorial Hospital Eagle River WI Declined to Respond Declined to RespondMinistry Good Samaritan Health Center Merrill WI Declined to Respond Declined to RespondMinistry Health Care ‐ Our Lady of Victory Hospital Stanley WI Declined to Respond Declined to RespondMinistry Health Care ‐ Sacred Heart ‐ St. Mary's Hospital Rhinelander WI Declined to Respond Declined to RespondMinistry Health Care ‐ Sacred Heart Hospital of Tomahaw Tomahawk WI Declined to Respond Declined to RespondMinistry Health Care ‐ St. Clare's Hospital Weston WI Declined to Respond Declined to RespondMinistry Health Care ‐ St. Michael's Hospital of Stevens PoStevens Point WI Declined to Respond Declined to RespondMonroe Clinic Monroe WI Declined to Respond Declined to RespondMoundview Memorial Hospital and Clinics Friendship WI Declined to Respond Declined to RespondNew London Family Medical Center New London WI Declined to Respond Declined to RespondOakleaf Surgical Hospital Altoona WI Declined to Respond Declined to RespondOconomowoc Memorial Hospital Oconomowoc WI Declined to Respond Declined to RespondOsceola Medical Center Osceola WI Does Not Apply Does Not ApplyReedsburg Area Medical Center Reedsburg WI Declined to Respond Declined to RespondRichland Hospital Richland Center WI Declined to Respond Declined to RespondRipon Medical Center Ripon WI Declined to Respond Declined to RespondRiver Falls Area Hospital River Falls WI Declined to Respond Declined to RespondRiverside Medical Center Waupaca WI Declined to Respond Declined to RespondRiverview Hospital Association Wisconsin Rapids WI Declined to Respond Declined to RespondRusk County Memorial Hospital Ladysmith WI Declined to Respond Declined to RespondSauk Prairie Memorial Hospital & Clinics Prairie Du Sac WI Declined to Respond Declined to RespondShawano Medical Center Shawano WI Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp98 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Southwest Health Center Platteville WI Declined to Respond Declined to RespondSpooner Health System Spooner WI Declined to Respond Declined to RespondSt. Agnes Hospital Fond du Lac WI Declined to Respond Declined to RespondSt. Clare Hospital Baraboo WI Declined to Respond Declined to RespondSt. Croix Regional Medical Center St. Croix Falls WI Declined to Respond Declined to RespondSt. Elizabeth Hospital of Appleton Appleton WI Declined to Respond Declined to RespondSt. Joseph's Health Services Hillsboro WI Declined to Respond Declined to RespondSt. Joseph's Hospital Chippewa Falls WI Declined to Respond Declined to RespondSt. Mary's Hospital Madison WI Declined to Respond Declined to RespondSt. Mary's Hospital of Superior Superior WI Declined to Respond Declined to RespondSt. Mary's Janesville Janesville WI Declined to Respond Declined to RespondStoughton Hospital Stoughton WI Declined to Respond Declined to RespondTheda Clark Medical Center Neenah WI Declined to Respond Declined to RespondTomah Memorial Hospital Tomah WI Declined to Respond Declined to RespondUnited Health System‐Kenosha Campus Kenosha WI Declined to Respond Declined to RespondUnited Hospital System, St. Catherine's Medical Center CaPleasant Prairie WI Declined to Respond Declined to RespondUniversity of Wisconsin Hospital and Clinics Madison WI Declined to Respond Declined to RespondUpland Hills Health Center Dodgeville WI Declined to Respond Declined to RespondVernon Memorial Hospital Viroqua WI Declined to Respond Declined to RespondWatertown Regional Medical Center Watertown WI Unable to Calculate Score N/A Unable to Calculate Score N/AWaukesha Memorial Hospital Waukesha WI Declined to Respond Declined to RespondWaupun Memorial Hospital Waupun WI Declined to Respond Declined to RespondWestfields Hospital New Richmond WI Declined to Respond Declined to RespondWheaton Franciscan Healthcare ‐ All Saints Racine WI Declined to Respond Declined to RespondWheaton Franciscan Healthcare ‐ Elmbrook Memorial Ho Brookfield WI Declined to Respond Declined to RespondWheaton Franciscan Healthcare ‐ Franklin Franklin WI Declined to Respond Declined to RespondWheaton Franciscan Healthcare ‐ St. Francis Milwaukee WI Declined to Respond Declined to RespondWheaton Franciscan Healthcare ‐ St. Joseph Milwaukee WI Declined to Respond Declined to RespondWild Rose Community Memorial Hospital Wild Rose WI Declined to Respond Declined to RespondBeckley ARH Hospital Beckley WV Declined to Respond Declined to RespondBerkeley Medical Center Martinsburg WV Declined to Respond Declined to RespondBluefield Regional Medical Center Bluefield WV Declined to Respond Declined to RespondCabell Huntington Hospital Huntington WV Declined to Respond Declined to RespondCAMC Teays Valley Hospital Hurricane WV Declined to Respond Declined to RespondCamden‐Clark Memorial Hospital Parkersburg WV Declined to Respond Declined to RespondCharleston Area Medical Center Charleston WV Declined to Respond Declined to RespondDavis Memorial Hospital Elkins WV Declined to Respond Declined to RespondFairmont General Hospital Fairmont WV Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp99 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

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Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*Greenbrier Valley Medical Center Ronceverte WV Declined to Respond Declined to RespondLogan Regional Medical Center Logan WV Fully Meets Standard 0.000 Fully Meets Standard 0.000Monongalia General Hospital Morgantown WV Declined to Respond Declined to RespondOhio Valley Medical Center Wheeling WV Fully Meets Standard 0.000 Some Progress 1.252Pleasant Valley Hospital Point Pleasant WV Declined to Respond Declined to RespondPocahontas Memorial Hospital Buckeye WV Does Not Apply Does Not ApplyPrinceton Community Hospital Princeton WV Declined to Respond Declined to RespondRaleigh General Hospital Beckley WV Fully Meets Standard 0.000 Fully Meets Standard 0.201Reynolds Memorial Hospital Glen Dale WV Declined to Respond Declined to RespondSaint Francis Hospital Charleston WV Declined to Respond Declined to RespondSt. Joseph's Hospital of Buckhannon Buckhannon WV Declined to Respond Declined to RespondSt. Mary's Medical Center Huntington WV Declined to Respond Declined to RespondStonewall Jackson Memorial Hospital Weston WV Declined to Respond Declined to RespondSummersville Regional Medical Center Summersville WV Declined to Respond Declined to RespondThomas Memorial Hospital South Charleston WV Declined to Respond Declined to RespondUnited Hospital Center Bridgeport WV Declined to Respond Declined to RespondWeirton Medical Center Weirton WV Declined to Respond Declined to RespondWelch Community Hospital Welch WV Declined to Respond Declined to RespondWest Virginia University Hospitals, Inc Morgantown WV Declined to Respond Declined to RespondWetzel County Hospital New Martinsville WV Declined to Respond Declined to RespondWheeling Hospital Wheeling WV Declined to Respond Declined to RespondWilliamson Memorial Hospital Williamson WV Declined to Respond Declined to RespondCampbell County Health Gillette WY Unable to Calculate Score N/A Unable to Calculate Score N/ACheyenne Regional Medical Center Cheyenne WY Some Progress 0.674 Fully Meets Standard 0.325Crook County Memorial Hospital Sundance WY Declined to Respond Declined to RespondEvanston Regional Hospital Evanston WY Declined to Respond Declined to RespondHot Springs County Memorial Hospital Thermopolis WY Declined to Respond Declined to RespondIvinson Memorial Hospital Laramie WY Unable to Calculate Score N/A Unable to Calculate Score N/AJohnson County Healthcare Center Buffalo WY Declined to Respond Declined to RespondMemorial Hospital of Carbon County Rawlins WY Declined to Respond Declined to RespondMemorial Hospital of Converse County Douglas WY Unable to Calculate Score N/A Unable to Calculate Score N/AMemorial Hospital of Sheridan County Sheridan WY Declined to Respond Declined to RespondMemorial Hospital of Sweetwater County Rock Springs WY Declined to Respond Declined to RespondMountain View Regional Hospital Casper WY Declined to Respond Declined to RespondNiobrara Health and Life Center Lusk WY Declined to Respond Declined to RespondNorth Big Horn Hospital District Lovell WY Declined to Respond Declined to RespondPlatte County Memorial Hospital Wheatland WY Does Not Apply Does Not ApplyPowell Valley Healthcare Powell WY Declined to Respond Declined to Respond

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

For more, visit www.leapfroggroup.org/cp100 of 101

Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015

Page 101: CLABSI CAUTI Data Formatted - Leapfrog...Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital Survey Central Line‐associated Blood Stream Infection (CLABSI) and

Health Care‐Acquired Infection Results from the 2015 Leapfrog Hospital SurveyCentral Line‐associated Blood Stream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in ICUs

Hospital City State CLABSI Results CLABSI SIR* CAUTI Results CAUTI SIR*SageWest Health Care ‐ Lander Lander WY Unable to Calculate Score N/A Unable to Calculate Score N/ASageWest Health Care ‐ Riverton Riverton WY Unable to Calculate Score N/A Unable to Calculate Score N/ASouth Big Horn County Hospital Basin WY Does Not Apply Does Not ApplySouth Lincoln Medical Center Kemmerer WY Declined to Respond Declined to RespondSt. John's Medical Center and Living Center Jackson WY Declined to Respond Declined to RespondStar Valley Medical Center Afton WY Declined to Respond Declined to RespondTorrington Community Hospital Torrington WY Does Not Apply Does Not ApplyWashakie Medical Center Worland WY Unable to Calculate Score N/A Unable to Calculate Score N/AWest Park Hospital Cody WY Declined to Respond Declined to RespondWeston County Health Services Newcastle WY Declined to Respond Declined to RespondWyoming Medical Center Casper WY Substantial Progress 0.379 Willing to Report 2.038

*Standard Infection Ratio (SIR)These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group.

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Results reflect 2015 Leapfrog Hospital Survey submissions received by December 31, 2015