On December 3, 2009, The Leapfrog Group issued its annual list of "Top Hospitals." For the first time, The Leapfrog Group added efficiency measures into the equation. Across three categories including urban, rural and children's, Leapfrog recognized 34 hospitals, among the 1206 who participated in the voluntary Leapfrog Hospital Survey, as hitting high marks on quality, patient safety and efficiency.
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