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First published on January 28, 2008, doi:10.1177/1077558707312499

Medical Care Research and Review 2008;65:207.

A more recent version of this article appeared on April 1, 2008

Article

Hospital Responses to the Leapfrop Group in Local Markets

Dennis P. Scanlon, Ph.D1*, Jon B. Christianson, Ph.D2, and Eric W. Ford, Ph.D3

1 The Pennsylvania State University
2 University of Minnesota
3 Texas Tech University

* To whom correspondence should be addressed. E-mail: dpscanlon{at}psu.edu.


  Abstract
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.


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