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REGIONALIZED STEMI PROGRAM
Baylor Scott & White Heart and Vascular Hospital , together with Baylor University Medical Center , collaborates with area free-standing emergency departments , urgent cares and community hospitals to provide quick treatment for patients who experience a STEMI – segment elevation myocardial infarction . Door-to-balloon time for STEMI patients is a key measurement for any STEMI patient transported to the emergency department . However , during FY20 , the NCDR changed its preferred metric definition for the time to reflect the first medical contact with the patient until the interventional cardiologist makes first device activation in the cath lab .
AMI performance
US Registry 90th percentile
BSWHVH - Dallas
Overall AMI performance composite 97.3 % 98.3 % Discharge AMI performance composite 97.9 % 98.5 % Overall defect-free care 83.3 % 87.1 % STEMI performance composite 98.8 % 98.9 % NSTEMI performance composite 97 % 98.3 % Beta-blocker prescribed at discharge 100 % 100 % ACE-I or ARB for LVSD at discharge 100 % 100 %
AMI performance
Cardiac rehabilitation patient referral from an inpatient setting
US Registry 75th percentile
BSWHVH - Dallas
96.4 % 98.9 % Acute AMI performance composite 96.9 % 97.9 % High-intensity statin therapy for all AMI patients 96.2 % 96.2 %
National Cardiovascular Database and Registry ( NCNDR *) Baylor Scott & White Heart and Vascular Hospital – Dallas Source : RQ 2020 Q1 published information
Better , same , worse than US Registry 90th percentile
Better
Same
Better , same , worse than US Registry 75th percentile
Better
* Overall AMI performance composite : Includes ASA at arrival , Eval LV function , Reperfusion , Time to PCI / Therapy , DC Meds : ASA , BB , ACEI / ARB , Statin , Smoking , Cardiac Rehab . Overall defect-free care : The proportion of patients that receive “ perfect care ” based upon their eligibility for each performance measure . Acute AMI performance composite : ASA at arrival , Eval LV , Time to PCI / Therapy . Discharge AMI performance composite : DC BB , ACE / ARB , Statin , Smoking Cessation , Cardiac Rehab .
Overall AMI composite
score ( FY20 ):**
98.3 %
** For STEMI patients on acute discharge and performance metrics
Total AMIs ( FY20 ):
381
STEMIs ( FY20 ):
168
NSTEMI ( FY20 ):
202
Total number of
transfers ( FY20 ):
155
Median door-toballoon time :
61 minutes
Baylor Scott & White Heart and Vascular Hospital – Dallas Interventional Cardiology
SPECIALIZED INTERVENTIONAL PROCEDURES
Angioplasty-related interventional cardiology procedures – PCI , balloon angioplasty , coronary angioplasty , coronary artery angioplasty , percutaneous transluminal coronary angioplasty , and heart artery dilatation – are foundational components of the hospital ’ s interventional cardiology program . In addition , patients diagnosed with unprotected left main disease ( ULM ) continue to be referred to the skilled and experienced interventional cardiologists on the hospital ’ s medical staff for advanced treatment . Other specialized interventional procedures available to patients at Baylor Scott & White Heart and Vascular Hospital – Dallas include :
• Atrial septal defect ( ASD ) and patent foramen ovale ( PFO ) closure
• Balloon valve repair
• Cardiac assist devices
• CardioMEMS™ heart failure system
• Carotid stenting
• Coronary angioplasty and stenting with advanced generation stents
• Coronary atherectomy
• Extracorporeal membrane oxygenation ( ECMO )
• Left atrial appendage occlusion ( LAAO )
• Percutaneous coronary intervention ( PCI ) of chronic total occlusions
• Peripheral angiography and angioplasty
• Peripheral atherectomy
• Unprotected left main disease intervention