• Heart Failure 30-day readmission percentage was 14.7 % compared to the CMS average of 20.2 %.
• Hospital-Wide readmission percentage was 10.5 % compared to CMS ’ average of 15 %.
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Baylor Scott & White Heart and Vascular Hospital | Patient Satisfaction , Quality and Patient Safety
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 associated with specific conditions ( vascular surgery , AMI , CHF ). Efforts to reduce readmissions start with the pre-admission call .
Patients receive daily rounding by a multidisciplinary team . Plans for high-risk patients are developed at the weekly multidisciplinary team meeting . 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 .
One of the Center for Medicare and Medicaid Services ’ ( CMS ) foundational measures of quality is the percentage of unplanned 30-day readmissions to the hospital . Not only do high unplanned readmission rates indicate less than the highest quality care , they also negatively impact reimbursement to the hospitals .
Providers scoring better than the CMS national average rate are judged to be among the highest quality providers in the nation .
Specifically for Baylor Scott & White Heart and Vascular Hospital — Dallas in fiscal year 2024 , the hospital scored better than expected on two key indicators : Heart Failure and Hospital-Wide .
• Heart Failure 30-day readmission percentage was 14.7 % compared to the CMS average of 20.2 %.
• Hospital-Wide readmission percentage was 10.5 % compared to CMS ’ average of 15 %.
For all campus locations , Baylor Scott & White Heart and Vascular Hospital teams remain focused on all-cause , all-condition readmission rates as well as readmission rates associated with specific conditions such as vascular surgery , AMI , CHF , and others .
Infection prevention and hospital acquired conditions
Annually , the hospital team develops a comprehensive patient safety and quality plan . The plan is presented by the hospital patient safety officer to the Board of Managers and the medical leadership for review and approval . Employees are engaged in the hospital ’ s commitment to “ Zero Harm ,” hearing from the President and Chief Nursing Officer , Nancy Vish , PhD , RN , NEA-BC , FACHE , regularly .
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 ).