2022_Outcomes_Digi | Page 13

• Catheter-associated urinary tract infections per 1,000 catheter days
• Percent of surveyed patients with hospital acquired medical device related and any injury
• Hospital acquired pressure injury – medical device related
• C . diff rate – New event , healthcare acquired per 1,000 patient days
• Leadership structures and systems
• Appropriate staffing and staff * engagement
• Effective communication , * knowledge management , and * learning and development
• Evidence-based practice and * processes
• Outcome measurement
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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 . Five stars is the highest attainable rating in the report . CMS created the 5-Star Quality Rating System to help consumers , their families and caregivers compare healthcare organizations more easily and to help identify areas where patients and families might wish to ask questions . Only 455 hospitals out of 4,586 total received 5-Stars .
TOP 10TH PERCENTILE - MAGNET HOSPITAL INPATIENT COMPARISON GROUP
Baylor Scott & White Heart and Vascular Hospital remains in the top 10th percentile for all hospitals in the Magnet Hospital Inpatient Comparison Group for the prior four quarters pertaining to :

• Catheter-associated urinary tract infections per 1,000 catheter days

• Percent of surveyed patients with hospital acquired medical device related and any injury

stage 2 or higher

• Hospital acquired pressure injury – medical device related

• C . diff rate – New event , healthcare acquired per 1,000 patient days

* Source : NDNQI Q1 2022
BEACON AWARD FOR EXCELLENCE
The American Association of Critical-Care Nurses ( AACN ) bestowed a bronze-level Beacon Award for Excellence on the cardiovascular intensive care unit at Baylor Scott & White Heart and Vascular Hospital – Dallas . The Beacon Award for Excellence ― a significant milestone on the path to exceptional patient care and healthy work environments ― recognizes unit caregivers who successfully improve patient outcomes and align practices with AACN ’ s six Healthy Work Environment Standards . Units that earn this three-year , three-level award with a gold , silver or bronze designation , meet national criteria consistent with the ANCC Magnet Recognition Program ® , the Malcolm Baldrige National Quality Award and the National Quality Healthcare Award . The hospital ’ s cardiovascular intensive care unit earned a bronze award by the unit meeting the following evidence-based Beacon Award for Excellence criteria :

• Leadership structures and systems

• Appropriate staffing and staff * engagement

• Effective communication , * knowledge management , and * learning and development

• Evidence-based practice and * processes

• Outcome measurement

LEAPFROG GROUP ASSIGNS “ A ” TO HOSPITAL FOR PATIENT SAFETY
Baylor Scott & White Heart and Vascular Hospital – Dallas received its fourteenth consecutive “ A ” grade . The Leapfrog Group , a nonprofit organization committed to driving quality , safety and transparency in the US healthcare system , assigned the “ A ” rating for the hospital ’ s 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 .”
Baylor Scott & White Heart and Vascular Hospital | Quality and Patient Safety