19 MA Hospitals Earn ‘A’ Grades, 1 Gets ‘D’ In Latest Leapfrog Ratings

MASSACHUSETTS — Hospitals in Massachusetts and nationwide made significant improvements in preventing a “disturbing” increase in hospital infections during the coronavirus pandemic, The Leapfrog Group said with the release Monday of its Fall 2023 Hospital Safety Grades Report.

The Leapfrog Group, an independent nonprofit health care watchdog group, used an academic grading scale with five letter grades to score nearly 3,000 hospitals nationwide on how well they prevent medical errors, accidents and infections. Overall, the report shows hospitals significantly reduced infections after the pandemic spike, but patient-reported experiences declined for the second year in a row.

Among 57 Massachusetts hospitals evaluated in the report, 19 received the gold-standard “A” safety grade. Another 17 earned a “B,” 20 earned a “C” and one earned a “D.” No hospitals received an F.

Massachusetts hospitals earning “A” grades are:

• Mount Auburn Hospital
• Salem Hospital
• Cape Cod Hospital
• Saint Anne's Hospital
• Anna Jaques Hospital
• Boston Medical Center
• Beverly Hospital
• St. Elizabeth's Medical Center
• Beth Israel Deaconess Hospital, Plymouth
• Mercy Medical Center
• Melrose-Wakefield Hospital
• Massachusetts General Hospital
• Milford Regional Medical Center
• Newton-Wellesley Hospital
• Winchester Hospital
• Beth Israel Deaconess Hospital, Milton
• Brigham and Women's Hospital
• Tufts Medical Center
• Addison Gilbert Hospital

Among some notable improvements on the list of the state's top hospitals include Addison Gilbert Hospital, in Gloucester, and Cape Cod Hospital, in Hyannis, which are up from a B in the past two reviews.

Melrose-Wakefield Hospital and Anna Jaques Hospital, in Newburyport, also improved, getting an "A" ranking after two consecutive "C" rankings in the previous reviews.

The Leapfrog Group grades hospitals twice a year. In the fall report, the first report using post-pandemic data, 30 percent of hospitals nationwide earned an “A,” 24 percent earned a “B,” 39 percent earned a “C,” 7 percent earned a “D,” and fewer than 1 percent earned an “F.”

The 10 states with the highest number of “A” hospitals are Utah, Virginia, North Carolina, Pennsylvania, South Carolina, Connecticut, Montana, Tennessee, Florida and Texas.

States that had no “A” hospitals are Vermont, Wyoming, Delaware and North Dakota, as well as Washington, D.C.

More than 85 percent of hospitals saw decreases in the three most dangerous infections — MRSA, central-line bloodstream infections and catheter-associated urinary tract infections.

• 19 percent improved in all three infection measures;
• 66 percent improved in at least one infection measure;
• 16 percent continued to worsen or did not improve.

“Now that we have pre- and post-pandemic data for patient safety measures, we are encouraged by the improvement in infections and applaud hospitals for reversing the disturbing infection spike we saw during the pandemic,” Leapfrog president and CEO Leah Binder said in a news release.

However, Binder said the continued decline in patient experiences is “deeply concerning.” Hospitals in all states have seen a significant decline in reported patient experiences since the fall of 2021, the report said.

Leapfrog says its hospital rating system is the only one in the country focusing solely on a hospital’s ability to protect patients from preventable errors.