Outcomes 2016 - Baylor Hamilton Heart and Vascular Hospital FY 2016 | Page 23

Expertise and high volumes often go hand-in-hand in driving quality indicators. Our volumes indicate that the
programs at Baylor Heart and Vascular Services at Dallas are leading the nation. However, we continually strive for
improvement in all of our outcomes and remain diligent in our efforts to strive for excellence with every measure.
Kevin Wheelan, MD, FACC, Chief of Medical Staff and Co-Medical Director of Quality
ACTION Registry® GWTG Platinum Status
Baylor Jack and Jane Hamilton Heart and Vascular Hospital was awarded Platinum status by the
American College of Cardiology due to the outcomes from the eight quarters prior to end of second
quarter, calendar year 2016. Platinum is the highest level awarded.
Includes all 11 acute and discharge performance measures
for STEMI patients. Proportion of performance measure
opportunities that were met among eligible opportunities.
Measures include: Aspirin at Arrival, Evaluation of LV Systolic
Function, Reperfusion Therapy (STEMI only), Time to
Fibrinolytics (STEMI only), Time to Primary PCI (STEMI
only), Aspirin at Discharge, Beta Blocker at Discharge, ACE-I
or ARB for LVSD at Discharge, Statin at Discharge, Adult
Smoking Cessation Advice and Cardiac Rehabilitation Referral.
99.1
%
Overall AMI composite
score for Baylor Heart and
Vascular patients on 11 acute
and discharge performance
measures for STEMI patients
Includes all five acute composite performance measures for all
AMI patients. Measures include: Aspirin at Arrival, Evaluation
of LV Systolic Function, Reperfusion Therapy (STEMI only),
Time to Fibrinolytics (STEMI only), Time to Primary PCI
(STEMI only).
Note: Defect Free Care includes patients that receive “perfect
care” based upon their eligibility for each performance measure.
If a patient fails to receive even one therapy for which he or she
is eligible, that patient fails to meet the “defect free” criteria and
will be removed from the numerator. That patient will still be
included in the denominator.
95.3
%
Includes all six acute composite performance measures for all
AMI patients. Measures include: Aspirin at Discharge, Beta
Blocker at Discharge, ACE-I or ARB for LVSD at Disch arge,
Statin at Discharge, Adult Smoking Cessation Advice, Cardiac
Rehab Referral.
Baylor Hamilton Heart and
Vascular Hospital patients who
received Defect Free Care –
based on their eligibility for
each performance measure
AMI: Acute Myocardial Infarction
STEMI: ST-elevation Myocardial Infarction
OUTCOMES 2016
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