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Medical Care Research and Review
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Hospital Responses to the Leapfrog Group in Local Markets

Dennis P. Scanlon

The Pennsylvania State University

Jon B. Christianson

University of Minnesota

Eric W. Ford

Texas Tech University

The Leapfrog (LF) initiative, directed at improving patient safety in hospitals, may be the most ambitious, coordinated attempt to date on the part of large employers to shape the delivery of health care in America. This article assesses the role of market conditions and other factors in influencing hospital responses to LF activities at the community level. Community characteristics were found to be important in explaining hospital participation in a LF safety standards survey at the study sites. However, characteristics of the individual hospitals, and of the LF goals themselves, were more important in explaining the relatively limited progress by hospitals across all sites in achieving those goals over a 5-year period.

Key Words: The Leapfrog Group • patient safety • hospitals • health care coalitions • quality improvement • health reform • hospital competition

This version was published on April 1, 2008

Medical Care Research and Review, Vol. 65, No. 2, 207-231 (2008)
DOI: 10.1177/1077558707312499
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L. P. Kernisan, S. J. Lee, W. J. Boscardin, C. S. Landefeld, and R. A. Dudley
Association Between Hospital-Reported Leapfrog Safe Practices Scores and Inpatient Mortality
JAMA, April 1, 2009; 301(13): 1341 - 1348.
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