Outcomes 2016 - Baylor Hamilton Heart and Vascular Hospital FY 2016 | Page 22

Quality
Quality and safety are anchors within Baylor Heart and Vascular
Services at Dallas. This fiscal year 2016 outcomes book is
dedicated to measurement and innovation: focusing on outcomes
data and providing an informative overview of new technologies.
Whether the indicators are specific to cardiac and vascular care
within Baylor Hamilton Heart and Vascular Hospital, or cardiac
and thoracic surgical care at Baylor University Medical Center
at Dallas, the team of medical staff and clinicians coordinate
ongoing performance improvement in a collaborative way for the
benefit of providing quality care for patients.
Baylor Hamilton Heart and Vascular Hospital, together with
Baylor University Medical Center at Dallas, is committed
to transparent reporting of accurate and timely information
regarding patient care and quality measures. Quality data can
be complex. Various databases or registries use a variety of
timeframes for data compilation and calculate benchmarks using
various methodologies. Together with physicians on the medical
staff, the leadership for Baylor Heart and Vascular Services at
Dallas understand that potential referring physicians may use
this information to help make informed decisions.
Registries, governmental databases, and private benchmarking
organizations are all taken into account when outcomes are
reviewed. A sampling of the outcomes measures are included
on these two pages along with the Infection Prevention and
Safety plan key elements. Public reporting of healthcare quality
data is available to the public with in depth discussions about
methodologies. Information can be found at:
• The Joint Commission Performance Measurement Initiative
(qualitycheck.org)
• Centers for Medicare and Medicaid Services (CMS) via
Hospital Compare at HospitalCompare.hhs.gov
Registries and data sources involved in citations for the fiscal
year 2016 outcomes for heart and vascular data include:
•
•
•
•
Society for Thoracic Surgeons (STS)
Vascular Quality Initiative (VQI)
National Cardiology Database and Registry (NCDR)
Baylor Scott & White Quality and Health Care Improvement
Additional years of outcomes books are available at:
BaylorHeartHospital.com
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Centers For Medicare &
Medicaid Services (CMS)
*CMS data from: https://www.medicare.gov/hospitalcompare/profile.html#profTab=0&ID=4
50851&Distn=0.7&dist=25&loc=75226&lat=32.7802521&lng=-96.7788461
NCDR Data