Applicable to certain unions enrolled in the Traditional Medical Plan. These unions include:
- IAM 751, 24, 70, 86
- IAFF I-66
- IBEW 271
- IUOE 286, 286W
- SPEEA WEU
- SPEEA WTPU (retired 6/30/07 or before)
- SPFPA 2, 5, 255
A program based on patient safety standards developed by The Leapfrog Group, a non-profit organization that identifies safety standards aimed at reducing medical errors, improving the quality of care, and affordability.
How the Hospital Safety Incentive works
- If you choose a network hospital that meets the Leapfrog patient safety standards and is in the Find a Hospital list below, the benefit level is 100% instead of the standard network percentage. Note: Services must be rendered at the address listed in order for the benefit level to be at 100%.
- Benefit applies to inpatient and outpatient services (including emergency room services) that are billed by the hospital.
- Network hospital must meet the patient safety standard on the day of admission for inpatient services or date when outpatient services are received.
- Based on a patient's primary diagnosis.
- Benefits subject to all terms of the Plan.
Leapfrog Patient Standards
Evidence-based Hospital Referral (EHR) - Extensive experience in performing specific complex procedures and treating particular conditions resulting in better outcomes for patients.
Computerized Physician Order Entry (CPOE) - Using a computerized prescription system that alerts physicians to drug interactions and helps eliminate confusion over paper prescriptions thereby increasing the accuracy of your prescriptions.
Intensive Care Unit Physician Staffing (IPS) - Intensive Care Units (ICU) are staffed with specialists who focus on the care of critically ill and injured patients.
Find a hospital
To qualify for benefits at 100% the hospital must meet the EHR standard for the procedures listed below.
Abdominal Aortic Aneurysm Repair - Abdomninal Aortic Aneurysm surgery repairs a weakened main artery to the bottom half of the body before it ruptures and can result in death. Find a Hospital
Coronary Artery Bypass Graft - Coronary artery bypass graft improves blood flow into the heart by adding a new artery for blood to "bypass" clogged arteries. Find a Hospital
Esophagectomy - Esophageal cancer surgery removes cancerous sections of the esophagus. Find a Hospital
High-Risk Deliveries and NICU's - Infants are typically cared for in a Neonatal Intensive Care Unit (NICU) following: births in which infants are predicted to weigh less than 1,500 grams at birth, born before 32 weeks of pregnancy, or have correctable major birth defects. Find a Hospital
Pancreatic Cancer Resection - Pancreatic cancer resection surgery removes cancerous sections of the pancreas. Find a Hospital
Percutaneous Coronary Intervention - Percutaneous Coronary Intervention improves blood flow into the heart by reopening a clogged artery such as coronary angioplasties and stents. Find a Hospital
To qualify for benefits at 100% for all other covered services, either inpatient or outpatient (including emergency room services), the hospital must meet the CPOE/IPS standards.
CPOE/IPS - Find a Hospital
