The Leapfrog Group 2019 Hospital Survey: Maternity Results & High Risk Surgeries Reports

The Leapfrog Group, an independent national health care watchdog organization has released its 2019 Maternity Care and High-Risk Surgeries Performed at American Hospitals Reports. These reports are based on the results of the 2018 Leapfrog Hospital Survey, with data voluntarily submitted by more than 2000 U.S.

2019 Maternity Care Report

This report provides an in-depth look at how participating hospitals perform against best practices across three areas of maternity care: cesarean sections, early elective delivery and episiotomy rates. While some hospitals have made strides in maternity quality, only 20% of all Safety in Numbers: The Leapfrog Group’s Report on High-Risk Surgeries Performed at American Hospitals. This report analyzes eight high-risk procedures to determine which hospitals and surgeons perform enough of them to minimize the risk of patient harm or death and whether hospitals actively monitor to assure that each surgery is necessary. The report finds that the vast majority of participating hospitals do not meet The Leapfrog Group’s minimum hospital or surgeon volume standards for safety nor do they have adequate policies in place to monitor for appropriateness. This is the first year Leapfrog reported the new surgical standard by the hospital, assessing whether both hospitals and surgeons met volume standards and whether hospitals monitored for surgical necessity.


Of the eight high-risk procedures assessed in the report, open abdominal aortic aneurysm repair and esophageal resection for cancer are the two procedures where the fewest hospitals met the volume standard for patient safety (less than 3% fully meeting for each). The procedure for which hospitals were most likely to meet the safety standard was bariatric surgery for weight loss (38%).

Colorado specific reports:
2018 Leapfrog Hospital Maternity Report
2018 Leapfrog Hospital Survey Surgical Volume Report_CO

The full reports are available for free at