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Smith, director of public relations for Richmond University Medical Center, questioned the methodology used by Leapfrog in creating the report. "The Leapfrog Survey, which is entirely based on data, needs to be carefully considered in light of its controversial methodology, which is a subject of intense debate among health care providers and academic institutions across America," he said. Leapfrog's criteria for grading is based on observation of the amount of infections, practices to prevent errors, problems with surgery, safety procedures and the medical staff abilities. The study shows the hospital also received below average grades in its practices to prevent errors. The hospital ranked in the above average category in several areas, including having specially trained doctors for ICU patients, and having enough qualified nurses. "The release of these ratings is meant to generate headlines, as several major health systems are also rated negatively, but the scoring system does not provide an accurate representation of patient safety and quality at health care facilities across the country," Smith said. He added: "Richmond University is proud of the dozens of accreditations for quality patient care that we've received, including the coveted Joint Commission Gold Seal of Approval, which mandates a rigorous on-site survey." Northwell Health, the parent company of SIUH, said the "C" score is a result of the fact that the hospital system chose not to participate. "Because of that, the best score we can get under the best of circumstances is a 'C.' As you may be aware, there has been a proliferation of so-called hospital report cards that use different metrics to assess hospital quality," said a statement issued by Northwell. "That's in addition to state and federal government agencies that also require health care providers to gather and submit data. We obviously need to give preference to government regulators when it comes to devoting staff to comply these surveys," said Terry Lynam, senior vice president and chief public relations officer at Northwell Health, in a statement.
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