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CENTERS FOR MEDICARE & MEDICAID SERVICES
Centers for Medicare & Medicaid Services ( CMS ) publicly launched the hospital Quality Star Rating System in mid-2016 with the goal of improving the usability of existing quality measurements on the website ,
Medicare . gov / HospitalCompare , as well as improving the ability of consumers to make informed and important healthcare decisions .
While the ratings were developed to encompass a broad array of quality measures to provide consumers with a simple overall rating generated by combining multiple dimensions of quality into a single summary score , the data is often a year or 18 months old .
OVERALL HOSPITAL RATING * 5 OUT OF 5 STARS
Hospitals that earn a CMS 5-Star Rating generally have better scores in the heavily weighted categories , i . e ., mortality , patient experience , safety , and readmission .
LEAPFROG GROUP ASSIGNS “ A ” TO HOSPITAL FOR PATIENT SAFETY
Baylor Scott & White Heart and Vascular Hospital – Dallas received its ninth consecutive “ A ” grade for the hospital . The Leapfrog Group , a nonprofit organization committed to driving quality , safety and transparency in the US healthcare system , assigned the “ A ” rating for its commitment to reducing errors , infections and accidents that can harm patients . According to the Leapfrog Group ’ s information , “ Hospitals that earn top marks nationally in the Leapfrog Hospital Safety Grade have achieved the highest safety standards in the country .”
TOP 10TH PERCENTILE - MAGNET HOSPITAL COMPARISON GROUP
Baylor Scott & White Heart and Vascular Hospital remains in the top 10th percentile for all hospitals in the Magnet ® Hospital Comparison Group pertaining to :
• Percent of patient falls that were of moderate or greater injury severity
• Percent of surveyed patients with hospitalacquired pressure injuries
• Percent of surveyed patients with hospital acquired pressure injuries stage 2 and above
• Catheter-associated urinary tract infections per 1,000 catheter days
Source : NDNQI Q1 2020
READMISSION RATE
Unplanned 30-day readmission rates are a marker of quality patient care across many disciplines . Baylor Scott & White Heart and Vascular Hospital focuses on all-cause , all-condition readmission rates as well as readmission rates for disease-specific cohorts ( vascular surgery , AMI , CHF ).
Efforts to reduce readmissions start with our preadmission call . Patients receive daily rounding by a multidisciplinary team . At a weekly meeting of a readmission prevention team , a multidisciplinary group of clinicians , plans for high-risk patients are developed . The team also reviews opportunities and lessons learned from any patient who has an unplanned return to the hospital . The team works with post-discharge organizations ( including home health agencies and skilled nursing facilities ) to build and maintain relationships focused on quality outcomes and smooth transitions .
All of our patients receive a call from our dedicated Discharge Care Call RN 24 to 72 hours postdischarge to assure the patient is transitioning home as expected and needs have been addressed . A review of discharge instructions , new medications and post-discharge follow-up appointments occurs .
All-cause readmission rate ( FY20 ):
8.3 %
Baylor Scott & White Health recognizes teams across the organization that demonstrate exceptional results from a quality or process improvement initiative reducing clinical practice variation and improving patient outcomes . The annually bestowed Bill Aston Exemplary Project Award was presented to the Baylor Scott & White Heart and Vascular Hospital team involved in efforts to reduce vascular surgery readmissions specifically . During the annual summit , attendees hear from the organization ’ s leadership on all efforts to advance patient safety culture , celebrating successes and sharing in best practices .
Baylor Scott & White Heart and Vascular Hospital Quality and Patient Safety