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QUALITY AND PATIENT SAFETY
Baylor Scott & White Heart and Vascular Hospital leadership understands that quality data is complex . Various databases or registries use a variety of timeframes for data compilation and calculate benchmarking using various methodologies . Together with physicians on the medical staff , the leadership for the hospital recognizes that potential referring physicians and healthcare consumers may use this information to help make informed decisions .
Registries , governmental databases and private benchmarking organizations are all taken into account when outcomes are reviewed . A sampling of the outcomes measures is included on the next pages along with the infection prevention and safety plan key elements .
Public reporting of healthcare quality data is available to the public with in-depth discussions about methodologies . Information can be found at :
• The Joint Commission Performance Measurement Initiative : QualityCheck . org
Registries and data sources involved in citations for the fiscal year 2020 outcomes for heart and vascular data include :
• National Cardiovascular Database and Registry ( NCDR ) – Cath PCI Registry – LAAO Registry – STS / ACC TVT Registry – Chest Pain - MI Registry
• Society for Thoracic Surgeons ( STS ) – Adult Cardiac Surgery Database – General Thoracic Surgery Database – Intermacs Database
• Vascular Quality Initiative ( VQI ) – Endo AAA Repair – Open AAA Repair – Thoracic and Complex EVAR – Carotid Artery Stent – Carotid Endarterectomy – Infra-Inguinal Bypass
• American Heart Association ( AHA ) Mission : Lifeline ( GWTG ) – Coronary Artery Disease ( CAD ) – Stroke
Additional data sources include :
• Centers for Medicare & Medicaid Services ( CMS )
• Press Ganey ® Associates
• Progress CTO – Prospective Global Registry for the Study of Chronic Total Occlusion Intervention
• Baylor Scott & White Quality and Healthcare Improvement