• Identifying and mitigating post-discharge complications leading to readmission
• Ensuring patient compliance with new medications
• Assessing patient ’ s understanding of care through the teach-back method
• Validating successful transition to home and post-discharge appointment follow-up
• Execution of a closed-loop system for any issues needing escalation
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Baylor Scott & White Heart and Vascular Hospital | PATIENT SATISFACTION , QUALITY AND PATENT SAFETY
Discharge care call program
The discharge care call program extends connection and support as patients transition to home after discharge by ensuring quality of care , safety and patient experience . All of our patients receive a follow-up call within 72 hours of discharge by the discharge care call-back team of experienced cardiovascular registered nurses . The team consistently maintains a contact rate of 80-85 % by attempting up to three calls / messages per patient . The objectives for these calls are :
• Identifying and mitigating post-discharge complications leading to readmission
• Ensuring patient compliance with new medications
• Assessing patient ’ s understanding of care through the teach-back method
• Validating successful transition to home and post-discharge appointment follow-up
• Execution of a closed-loop system for any issues needing escalation
Should any issues and concerns arise , real-time contact is made with providers and / or their office with patients transferred during business hours or an immediate next business day , monitoring for rapid response and resolution for patients .
Hospital acquired conditions
Hospital acquired conditions ( HACs ) are reported including any surgical site infections for pacemaker implants , lower extremity bypass , carotid endarterectomy , AAA repair , onset MRSA , onset CDI , hospital acquired VTE-6 , hospital-acquired pressure ulcer ( Prevalence study Stage II , III , IV ), catheter associated urinary tract infection ( CAUTI ), and central line associated blood stream infection ( CLABSI ).
Hospital-acquired condition performance FY23 * Target Result
Reduction of hospital onset C . diff infection SIR 0.373 SIR 0.373 Reduction of hospital onset MRSA bacteremia SIR 2.76 SIR 0
MET
• This report includes facility-wide inpatient data from acute care hospitals for 2015 forward
• The SIR is only calculated if number predicted is ≥1 . Lower bound of 95 % Confident Interval only calculated when number of observed events > 0 .
• The number of predicted events is calculated based on national 2015 NHSN data . It is adjusted for inpatient community-onset CDI prevalence rate , ED / OBS reporting , CDI test type , medical school teaching status , facility type , number of beds , and number of ICU beds .
• Events from rehabilitation wards and behavioral health / psych wards with unique CCN are excluded . Information on how to determine which events are counted in the SIR can be found here : http // www . cdc . gov / nhsn / pdfs / ps-analysis-reources / mrsacdi _ tips . pdf
• If any risk factor data are missing , the record is excluded from the SIR .
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 .