Outcomes 2019 - Baylor Scott & White Heart and Vascular Hospital BSWHHVH_646_2019 Outcomes JOOMAG MOD | Page 9

(NCDR ® )
• Baylor Scott & White Quality and Healthcare
Improvement
• Progress-CTO – Prospective Global Registry for
the Study of Chronic Total Occlusion Intervention
• Press Ganey Associates
• American Heart Association
®
Centers for Medicare & Medicaid Services
(CMS)
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,
HospitalCompare.gov, 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.
Leapfrog Group assigns “A” grade
to hospital for patient safety
Baylor Scott & White Heart and
Vascular Hospital – Dallas received its
eighth consecutive “A” grade for the hospital.
The Leapfrog Group, a nonprofit organization
committed to driving quality, safety and
transparency in the US healthcare system,
assigned the “A” rating for its 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.”
Top 10th percentile - Magnet hospital
comparison group
Baylor Scott & White Heart and Vascular Hospital
remains in the top 10th percentile for all hospitals
in the Magnet Hospital Comparison Group
pertaining to:
• Percent of patient falls that were of moderate
or greater injury severity
• Percent of surveyed patients with hospital-
acquired pressure injuries
• Percent of surveyed patients with hospital
acquired pressure injuries stage 2 and above
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.
• Catheter-associated urinary tract infections
per 1,000 catheter days
• Central line-associated blood stream
infections per 1,000 central line days
Source: NDNQI Q1 2019
Hospital Compare Public Report
Patient
Satisfaction Description
State
Average National
Average BSWHVH*
Willingness to
recommend the
hospital Patients who reported “yes” they would
definitely recommend the hospital 74% 72% 88%
Communication
with nurses Patients who reported that their nurses
“always” treated with courtesy and respect 87% 87% 91%
Communication
with doctors Patients who reported that their doctors
“always” treated with courtesy and respect 88% 87% 90%
Overall rating
of hospital Patients who gave the hospital a rating of 9
or 10; on a scale from 0 to 10, 10 being highest 75% 73% 84%
Reporting period through December 2018
*BSWHVH Dallas and Fort Worth locations
All
indicators
are better
than
state and
national
averages
• Vascular Quality Initiative (VQI)
• National Cardiovascular Database and Registry
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