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Most, but not all, Rhode Island hospitals get good report cards from national ranking group • Rhode Island Current

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Most, but not all, Rhode Island hospitals get good report cards from national ranking group • Rhode Island Current


Four Rhode Island hospitals — Newport, Miriam, South County and Westerly — received top marks in the fall report from Leapfrog Group, a nonprofit that grades hospitals on safety. 

The Washington, D.C.-based Leapfrog assigns hospitals letter grades based on data from the Centers for Medicare & Medicaid Services (CMS) as well as Leapfrog’s own surveys. Rhode Island’s hospitals didn’t perform much differently than they did in spring 2024 (The Miriam and Newport have consistently earned A’s the past two years), with two notable exceptions. Westerly’s A is its first since 2022. Landmark Medical Center in Woonsocket, which has received nine consecutive A grades, dropped to a B.

Kent Hospital and Rhode Island Hospital also received B grades. The embattled Our Lady of Fatima Hospital and Roger Williams Medical Center both earned C grades. 

Rhode Island’s hospitals collectively ranked seventh nationwide.

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South County Hospital’s good report card was a boon to Dr. Kevin Charpentier, the vice president and chief medical officer at South County Health, the hospital’s parent company.  

“It’s more than a score — it’s a promise to our community of prioritizing the highest level of patient care,” Charpentier wrote in an email.

The score was also a bit of good news amid an ongoing dispute between the hospital’s administration and its staff. A September letter sent by doctors and nurses to the South County Health’s board of trustees detailed escalating tensions between providers and management, with doctor resignations, service cuts and growing patient backlogs among the signatories’ concerns.       

 Landmark’s B left its CEO Mike Souza disappointed.

“We take quality very seriously and our team has already put plans in place to address the areas needing improvement,” Souza said in an emailed response to Rhode Island Current. “Our community will continue to receive great care and our expectation is that we will return to an ‘A’ grade in the near future.”

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Leapfrog aggregates 30 metrics to assess how well hospitals care for patients as well as prevent bad outcomes, like infections and falls. The grades are given to roughly 3,000 hospitals, not including VA hospitals or children’s hospitals. Hospitals that lack enough data for multiple metrics are also excluded.

Lisa P. Tomasso, senior vice president of the Hospital Association of Rhode Island, said via email that the trade group was pleased with the state’s performance. But she added that the grades, while insightful, are “not comprehensive, as they exclude factors like social determinants of health, community-level health challenges, and systemic issues like Medicaid reimbursement rates.”

But grades still hold value. Robert Hackey, a professor of health sciences at Providence College, said that “hospitals that don’t do well tend to poke holes in whatever rating methodology that’s used.”  

“If you look at the hospitals in Rhode Island, for the most part, we’re performing very well,” Hackey said. “Yeah, we obviously have two low performers. It’s Fatima and Roger Williams. And there’s a common thread there. They’re both owned by Prospect and they’re both for-profit institutions, yeah. And they both struggle.”

A representative for CharterCARE Health Partners, the Rhode Island subsidiary for Prospect Medical Holdings, which owns Roger Williams Medical Center and Our Lady of Fatima Hospital, did not respond to requests for comment. Facing growing debt, Prospect has sought to unload many of the hospitals in its portfolio, including the two safety net hospitals in Rhode Island. A proposal to sell Roger Williams and Fatima to a new, nonprofit owner, received conditional approval from state regulators in June, but the status of financing required to complete the transaction is unclear. 

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Hackey said it’s a bad sign when hospitals ignore questions on Leapfrog’s survey — something both Fatima and Roger Williams Medical Center did when it came to inquiries about nursing and leadership.   

Our Lady of Fatima Hospital’s ‘C’ grade is indicative of ongoing quality issues at Prospect Medical Holdings’ hospitals in Rhode Island, says Providence College Professor Robert Hackey. (Michael Salerno/Rhode Island Current)

Meanwhile hospitals owned by the state’s largest health care system — Brown University Health, formerly Lifespan Corporation — all performed well. Rhode Island Hospital, the state’s flagship hospital, received a B grade despite demonstrating below-average prevention rates of blood and urinary tract infections and falls causing broken hips, as well as less-than-stellar marks for hospital leadership and communication about medicines with patients. 

Since 2021, Rhode Island Hospital has received C grades more often than not. The B is evidence that things are improving, said Dr. Dean Roye, senior vice president for medical affairs and chief medical officer at the hospital. The Leapfrog grades “help us pinpoint areas” to work on, Roye said. He added that a reorganization of quality and safety departments across Brown Health’s properties was another factor in Rhode Island Hospital’s improved grade. 

But Hackey is eyeing another Brown property, the A-graded Miriam, for a surgery he has scheduled for December. He explained with a laugh that checking the Leapfrog ratings was one of the first things he did when deciding where to have his surgery.  

“The goal of this is to have a more educated healthcare consumer,” he said.

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Above average results

Leapfrog uses the percentage of A grade hospitals in a state to determine a state’s national ranking. Almost 61% of Utah’s hospitals received A grades, giving it the top slot nationwide. The top 10 states all sported at least 40% A grade hospitals.

An A grade indicates hospitals that prioritize safety, said Alex Campione, program analyst for the Leapfrog Group, who noted that about 32% of hospitals nationwide achieved this grade. Rhode Island was over the national average with 44% of its hospitals receiving an A grade.  

“Each year more than 250,000 people will die in hospitals due to preventable errors, injuries, accidents, and infections,” Campione said. “We estimate that, at the very least, 50,000 of those lives could be saved if all hospitals performed like A hospitals.”

Rhode Island placed fourth nationwide in Leapfrog’s spring 2024 scores, also with 44% at an A grade, but it was pushed out of the top five this time around by three states that rose with higher grades: California, North Carolina and Connecticut. Connecticut was the only other New England state to crack the top 10. Vermont fared worst of all, and was ranked 48th nationwide, tying for last place with North Dakota, South Dakota and Iowa. There was not a single A grade hospital in any of these states.

Grading the graders

But a bad report card might not be the final word on a hospital’s quality. A 2019 article in New England Journal of Medicine Catalyst graded the graders, and gave Leapfrog a C-, the second lowest of the four systems reviewed. The study noted that Leapfrog had a detailed framework for measurement, with a unique focus on the hospitals’ “culture of safety.” But it also relied on its proprietary survey for a good chunk of its data — a problem, the authors thought, since Leapfrog grades hospitals the same regardless of whether they complete the survey.

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Dr. Karl Bilimoria of the Indiana University School of Medicine, who chairs the school’s surgery department and leads its Surgical Outcomes and Quality Improvement Center, led the 2019 study. He wrote in an email Tuesday to Rhode Island Current that Leapfrog’s efforts still leave something to be desired.

“Leapfrog has many issues with their methodology and their general approach that persist and they have been the least receptive to improvement suggestions and the least adaptive to changes in the science of quality measurement,” Bilimoria wrote. 

Asked about Bilimoria’s idea that Leapfrog is not responsive to suggestions, spokesperson Lula Hailesilassie said by email that the public is regularly invited to submit feedback on proposed changes to its surveys. Comments on the 2025 survey are open through Dec. 13, 2024.    

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Rhode Island

The Real Housewives of Rhode Island Recap: Wrong Side of the Tracks

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The Real Housewives of Rhode Island Recap: Wrong Side of the Tracks


As if the aftermath of her explosion at the Studio 54 party wasn’t enough to deal with, Liz also now has to figure out what to do with the six bunches of bananas that Gary accidentally ordered when he meant to order six individual bananas. But until they’re ripe enough to make banana bread, she’ll focus on the other issue. “I came across as a bitter, drunken, witch,” she tells Dolores — three words that I have to imagine also appear on the show’s casting notice.

Meanwhile, Ashley takes some of the other women to her favorite beach, and Alicia, who is used to her country club, is terrified. “This is not my vibe, I’m freaking out,” she whispers as she’s forced to carry her chair, bag, and snacks. The snacks in question are something called “pizza chips,” which appears to just be bread with sauce on it? Alicia, being the brain behind Pizza Mamma, tries to break down the science to us, saying that cheese can’t sit out in the sun, but she need not explain. She had me at pizza chips.

She also had me when she revealed that Rulla apparently met Brian while he was married to Alicia’s high school Spanish teacher. “I don’t know if this is true, Brian cheated on his first wife, my Spanish teacher,” she says with her hands over her heart, “with Rulla. I hope that’s not true because I really did like my Spanish teacher.” Yet again, I’m obsessed with how deep the ties between these women go. A game of six degrees of separation hates to see them coming. I also love Alicia starting a declarative sentence with, “I don’t know if this is true,” but she should say it in Spanish next time.

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And speaking of those deep ties, we already know that there was some connection between Jo-Ellen’s sister and Jo-Ellen’s husband while they were in high school, before Jo-Ellen swooped in. But now we’re finally getting to meet Jen, who is basically subbing for Jo-Ellen at the house while she’s on a work trip. “She perpetuates this fun little game of flirting with my husband,” Jo-Ellen explains, but assures us that nothing is going on. That being said, Jen does joke that they’re like an old married couple and Jo-Ellen tells us that Jen wants his sperm to have a baby…but apart from that I guess everything is totally normal! I’m putting together a list of side characters who should be in the running to hold clams in future seasons, and so far Jen and Alicia’s Spanish teacher are leading the pack.

But when it comes to side characters, the real stars are of course Alicia’s aunts, who are thankfully back on our screens for a backyard barbecue with some of the ladies. And what better group to speak frankly to Rulla about her situation with Brian? The second Rulla alludes to bumps in the road, this beautiful coven of scorned divorcées pounce, encouraging Rulla to leave him. “Do you want to spend the rest of your life looking over your shoulder?” one of them asks her, and later in her confessional Rulla even admits that those words stayed with her. I feel like we’re seeing something real with Rulla and she’s finally letting the glossy veneer slip. But the best commentary comes from Alicia’s mother, who says, “I just hope and pray that you somehow hurt him…I’m gonna pray you get him back.” Forget the usual Bravo aftershows, I want a show that’s just all of Alicia’s aunts watching and commentating on each week’s episode. The ratings will be higher than the MASH finale.

As for Liz and Kelsey’s simmering conflict, the pair finally meet up to clear the air by the water where Liz’s boat is docked. I’ve seen similar meetings play out just like this on The Sopranos, so I had to keep reminding myself that Kelsey was safe because surely Bravo would never broadcast a woman being murdered. Then again, this would be the show to break that glass ceiling. As it turns out, I had no reason to fear because the sit-down goes incredibly smoothly. Liz explains that it felt like Kelsey was co-signing the rumors by bringing them up, and Kelsey says her instinct for Liz to keep her distance from Dino actually had more to do with her own history. She explains that ten years ago she and Dino hooked up but it didn’t go well, and now his presence is a reminder of a time in her life that she’s trying to forget. She even says she has PTSD over it and now avoids him like the plague, but respects that Liz has a meaningful friendship with him. I still have a lot of questions about this, but ultimately Liz and Kelsey clear the air and reconcile.

And thank god, because then they’re able to go rail biking in peace. All of the women split up into groups to cycle their way three miles down an old railroad track, with drinks in hand of course. “Rullala, how you doing back there?” Alicia asks as they ride, which made me scream out in delight upon once again getting to hear my new favorite word: “Rullala.” It’s my mantra. I say it no fewer than 50 times a day. It’s a greeting, it’s a prayer, it’s a way of life. Better yet, when the camera cuts to Rulla, she finally wins me over. Mid-cycle she’s shaking a cocktail shaker and pouring her tequila into a wine glass. Leave Brian and his bullshit at home, this is the woman that I want to see on my screen.

I’m even more enamored with her once they get to their location and she’s horrified to discover Alicia’s financial situation. She’s telling the ladies about not feeling valued given that her husband won’t put her name on the house or business, and Rulla, being a financial planner, springs into action. Seeing this smart, powerful side of her, especially as she’s trying to empower Alicia, is a great look and is far more compelling than watching her meekly defend her cheating husband. It gives a glimpse at what an independent Rulla might look like on this show in a couple of seasons.

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But she’s not the only one supporting Alicia — Kelsey steps up to play Billy in a role-play so Alicia can practice airing her grievances. Sidebar: everyone talks about these women looking alike, but the real problem is that all of their partners have such similar names. Alicia’s is Billy, Kelsey’s boyfriend’s is Bill, Rulla’s is Brian, Jo-Ellen’s is Gary, Liz’s is Gerry, Ashley’s is Jared, and thankfully Rosie’s is just Rich. But oh my god, how am I supposed to keep that all straight? Anyway, the little role-play Alicia does ends up being heartbreaking, as she gets emotional saying that he makes her feel worthless in their relationship. But the fact that we’re talking about this so much feels promising, and I hope we get to see Alicia ultimately bring all of these feelings to Billy. And if he doesn’t listen, I hope her aunts attack him.

The conversation then turns to how Liz has been gelling with newbie Ashley, and they joke about how Ashley is a little scared of her. When the Studio 54 party comes up, Liz says that that wasn’t her finest moment and wasn’t a good representation of what she’s really like. “Alicia, you said she’s always like that,” Rosie says, throwing Alicia right under the bus. “Don’t flip that shit, don’t do that to me, don’t put shit in my mouth,” Alicia fires back, as Dolores looks on like a proud mother. “She twisted my words, you’re a fucking troll,” Alicia yells, saying that Rosie fucked her. It’s a line-o-rama of iconic outbursts, one after another: “Welcome to Rhode Island, bitch, this is how we roll,” then, “Fucking thirsty bitch, so thirsty its scary,” and finally, “I need to get out of here cause I’m gonna end up killing her.” Our first death threat!

But the craziest part of this comes when Alicia and Rosie step away from the group for a moment. It’s allegedly to sidebar, but I was convinced it was so Alicia could murder her with fewer witnesses. Alicia tells her that if she apologizes everything will be good, Rosie apologies, and then things are good. “Did she just hug her?” someone asks from the circle, shocked. The series has had a lot of incredible moments thus far, but this one is what is most promising about its longevity as a Housewives show. The secret sauce of these shows is resilience — the ability to be as angry at someone as humanly possible, and move on like nothing happened so they can do it all over again. Long, drawn-out grudges make for bad television (as RHOBH proves), so this cast’s ability to reconcile and move on will be the thing that makes it great.



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Pulled funding creates a bike path to nowhere. Let’s hope RI fixes it.

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Pulled funding creates a bike path to nowhere. Let’s hope RI fixes it.


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I’ve long thought bike paths are among Rhode Island’s premier attractions, up there with the beaches, the mansions and the bay.

We like to knock government, but credit where it’s due, the state has done an amazing job building out an incredible pedaling network.

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It’s clearly a priority.

At least I thought it was.

But they’ve just dropped the ball on what should have been a beautiful new stretch.

The plan was to finish a mile-long connector from the East Providence end of the Henderson Bridge all the way to the East Bay Bike Path.

There was even $25 million set aside to get it done.

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Except WPRI recently reported that it’s now been canceled.

The main fault lies with the Trump administration, which is no friend of bike paths, and moved to kill that $25 million.

But it gets complicated, as government funding always does.

To try to rescue that money, the state DOT reportedly worked with the administration to refunnel it into a road project. Specifically, the $25 million will now be spent helping upgrade the mile-long highway between the Henderson Bridge and North Broadway in East Providence, turning it into a more pleasant boulevard.

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That totally sounds worthy.

But it’s insane to throw away the bike path plan.

Especially for a particular reason in this case.

They’d already put a ton of money into starting it.

When state planners designed the new Henderson Bridge between the East Side and East Providence, they included a bike path.

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It’s a beauty – well protected from traffic by a barrier, a great asset for safely riding over the Seekonk River.

The plan was to continue it another mile or so along East Providence’s Waterfront Drive, ultimately connecting with the East Bay Bike Path, which runs all the way to Bristol. Which, by the way, is one of the nicest bike paths you’ll find anywhere.

But alas, that connector plan has been canceled.

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So the expensive stretch over the Henderson Bridge to East Providence is now a bike path to nowhere. Once the bridge ends, the path on it continues a few hundred yards or so and then, just … ends.

Too bad.

We were so close.

Most of the stories on the issue have been about the complex negotiation to rescue the $25 million by rerouting it to that nearby highway-to-boulevard project. But I don’t want to get lost in the weeds of that bureaucratic process here because it loses sight of the heart of this story.

Which is that an amazing new addition to one of the nation’s best state bike path systems has just been scrapped.

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You can knock the Rhode Island government for blowing a lot of things.

The PawSox.

The Washington Bridge.

But they’ve done great with bike paths.

And especially, linking many of them together.

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Example: not too many years ago, Providence bikers had to risk dicey traffic on the East Side to get to the more pleasant paths in India Point Park and on the 195 bridge to the East Bay Path.

But the state fixed that by adding an amazing connector that starts behind the Salvation Army building and beautifully winds along the water of the Seekonk River for a mile or so.

That makes a huge difference – and no doubt has avoided some bike-car accidents.

We were close to a comparable stretch on the other side of the river – that’s what the $25 million would have done.

But it’s now apparently dead.

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Online commenters aren’t happy about it.

On a Reddit string, “Toadscoper” accused the state of being “complicit” with the feds in rerouting the money from bikes to cars.

And there was this fascinating post from FineLobster 5322, who apparently is a disappointed planner who worked on the project: “Mind you money has already been spent on phase one so rejecting it at this point is wasting money and also against the public interest … but what do I know? I only worked on the project as an engineer … I didn’t get into this to build more highways. I do it … to give back to communities and give them more access to their environment.”

Wow. One can imagine the state planning team is devastated. That’s not a small consideration. Good people go into government to make life better in Rhode Island, and it’s a bad play to take the spirit out of the job by first assigning a great human-scale project and then, after a ton of work, trashing it.

A poster named Homosapiens simply said, “We just accept this?”

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Hopefully not.

The first stretch of the path over the Henderson Bridge is done, money already sunk.

What a shame to leave that as a path to nowhere.

It doesn’t have to happen.

Between Governor McKee and our Washington delegation, there’s got to be a way to get this done.

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There’s got to be.

mpatinki@providencejournal.com



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2 dead, 1 seriously hurt after crash on I-95 South in Warwick

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2 dead, 1 seriously hurt after crash on I-95 South in Warwick


WARWICK, R.I. (WPRI) — Two people are dead and another person seriously hurt after a crash involving two vehicles on the highway in Warwick Saturday.

Rhode Island State Police said the crash happened around 1:34 p.m. on the ramp from Route 113 West to I-95 South.

According to police, a Hyundai SUV that was driving in the middle lane of the highway started to drift to the right, crossed the first lane, and then crossed onto the on-ramp lane. The car struck the guardrail twice before driving through the grass median.

The Hyundai then struck the driver’s side of a Mercedes SUV that was on the ramp, causing the Mercedes to roll over and come to a rest. The impact sent the Hyundai over the guardrail and down an embankment.

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The driver of the Hyundai, a 73-year-old man, and his passenger, a 69-year-old woman, were both pronounced dead at the hospital.

A woman who was in the Mercedes was rushed to Rhode Island Hospital in critical condition.

State police said all lanes of traffic were reopened by 4:30 p.m.

The investigation remains ongoing.

Download the WPRI 12 and Pinpoint Weather 12 apps to get breaking news and weather alerts.

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