Outcomes 2019 - Baylor Scott & White Heart and Vascular Hospital BSWHHVH_646_2019 Outcomes JOOMAG MOD | Page 8

QUALITY
Overall hospital rating
Patients who gave a rating of 9 or 10
on a scale of 0 to 10
BSW Heart and Vascular Hospital
84%
Texas average
National average
75%
73%
*CMS reporting period through September 2018 – most recent available
Baylor Scott & White Heart and Vascular Hospital
leadership understands that quality data is
complex. Various databases or registries use
a variety of timeframes for data compilation
and calculate benchmarking using various
methodologies. Together with physicians on
the medical staff, the leadership for the hospital
recognizes that potential referring physicians
and healthcare consumers may use this
information to help make informed decisions. Public reporting of healthcare quality
data is available to the public with in-
depth discussions about methodologies.
Information can be found at:
Registries, governmental databases and private
benchmarking organizations are all taken
into account when outcomes are reviewed.
A sampling of the outcomes measures is included
on the next pages along with the Infection
Prevention and Safety plan key elements. Registries and data sources involved in citations
for the fiscal year 2019 outcomes for heart and
vascular data include:
• The Joint Commission
Performance Measurement Initiative:
QualityCheck.org
• CMS via Hospital Compare:
HospitalCompare.hhs.gov
• Centers for Medicare & Medicaid Services (CMS)
• Society for Thoracic Surgeons (STS)