QUALITY
ACTION Registry ®
Baylor Scott & White Heart and Vascular Hospital was awarded Platinum status by the American College of Cardiology . The hospital demonstrates achievement by sustaining performance measures in the treatment of heart attack patients through the implementation of ACTION Registry ® and in-hospital initiation of the American College of Cardiology Clinical Guideline recommendations . Platinum is the highest level awarded .
NATIONAL CARDIOVASCULAR DATABASE AND REGISTRY ( NCDR ® ) Baylor Scott & White Heart and Vascular Hospital ( BSWHVH )
Metric
U . S . 90th Percentile
BSWHVH- Dallas
Overall AMI performance composite |
99.2 % |
99 % |
Overall defect free care |
95.6 % |
94.3 % |
Acute AMI performance composite |
99.6 % |
99.7 % |
Discharge AMI performance composite |
99.3 % |
98.6 % |
Door to balloon <= 90 minutes ( non-transfers ) |
-- |
100 % |
Source : 2017Q4 – Published outcomes report . Retrieved 7 / 30 / 2018
Overall AMI performance composite : Includes ASA at arrival , Eval LV function , Reperfusion , Time to PCI / Therapy , DC Meds : ASA , BB , ACEI / ARB , Statin , Smoking , Cardiac Rehab . Overall defect free care : The proportion of patients that receive “ perfect care ” based upon their eligibility for each performance measure . Acute AMI performance composite : ASA at arrival , Eval LV , Time to PCI / Therapy . Discharge AMI performance composite : DC BB , ACE / ARB , Statin , Smoking Cessation , Cardiac Rehab .
For the four quarters prior to the end of fiscal year 2018 , the following ACTION Registry data was reported with all indicators better than “ All U . S . Hospitals in the Database .”
Metric
Comparable Hospitals *
All U . S . Hospitals in the Database
BSWHVH- Dallas
Cardiac rehabilitation patient referral from an inpatient setting 76.8 % 81.1 % 89.6 % ACEI or ARB for LVSD at discharge 87.3 % 90.4 % 94.3 % Beta-blocker prescribed at discharge 95.6 % 97.4 % 98.3 % High Intensity Statin Therapy for all AMI patients 99 % 99.4 % 100 %
Source : ACTION Registry through 1Q2018 as reported on 8 / 11 / 2018 . * Comparable Hospitals are tertiary and specialty hospitals .