Outcomes 2016 - Baylor Hamilton Heart and Vascular Hospital FY 2016 | Page 65

Patient Satisfaction
Key Indicators – National Cardiology Data Registry ® ( NCDR )

Patient Satisfaction

Baylor Heart and Vascular Services at Fort Worth collaborates with Press Ganey Associates , Inc . to measure patient satisfaction across the patient experience continuum . The goal is to support patient satisfaction that reflects service excellence as those outcomes have a direct correlation to quality and safety outcomes .
Patient satisfaction scores and comments are regularly reviewed by Board of Managers , hospital leadership , hospital care teams , and medical staff in order to focus improvement efforts and monitor subsequent actions that reflect expected results and become hardwired as a standard of practice . Additionally , positive comments are shared with the team to recognize success and service excellence .
The scores below represent the outcomes of the ambulatory surgery patient experience for Baylor Heart and Vascular Services at Fort Worth ; specifically patients who have received cardiac care that originated on the sixth floor of Baylor Scott & White All Saints Medical Center – Fort Worth .
Source : Press Ganey and Associates , Outpatient Patient Satisfaction

Key Indicators – National Cardiology Data Registry ® ( NCDR )

The Cardiac Catheterization area of Baylor Heart and Vascular Services at Fort Worth participates in the Cath / PCI Registry . A sample of the indicators are :
PERCUTANEOUS CORONARY INTERVENTION ( PCI ) Goal Baylor HHVH Fort Worth +
Patients with Acute Coronary Syndrome
Proportion of Percutaneous Coronary Intervention Patients
PCI Patients
Proportion of evaluated PCI procedures that were inappropriate ( per NCDR )
0 %
0 %
With sudden death , emergency CABG , stroke , repeat revascularization
0 %
2.16 %
Total Risk-Adjusted Bleeding Event ( PCI )
0 %
0 %
Emergency CABG Post-PCI
0 %
0 %
Fort Worth : 96.5 %
Discharge Medications in Eligible PCI Patients
0 %
National : 96.1 %
( Better than National )
( NCDR through Q2 2016 )
STEMI STATS
Door-to-balloon time for those who experience a ST-segment elevation myocardial infarction ( STEMI ) is an important measurement . Baylor Heart and Vascular Services at Fort Worth in fiscal year 2016 had a median time for immediate PCI for STEMI patients of 60 minutes . The average US hospital measurement is 60 minutes , according to the NCDR data . The median time from ED arrival at STEMI transferring facility to ED arrival at STEMI receiving facility among transferred patients is 58 minutes . The US 50th percentile is 72 minutes , according to NCDR data . While the Baylor Heart and Vascular Services at Fort Worth time of 58 minutes is better than national average , there are continual efforts to work closely with transferring facilities around Tarrant and surrounding counties to improve the door-to-balloon time .
The Electrophysiology area of Baylor Heart and Vascular Services at Fort Worth participates in the ICD Registry . A sample of the indicators are :
ICD Goal Baylor HHVH Fort Worth +
Prophylactic antibiotic administration
Percent of ICD Patients with post-procedure hematoma
Percent of ICD Lead Placement Issues
Total Length of Stay
Primary Prevention ICD
100 % 100 %
0 % 0 %
0 % 0 %
Secondary Prevention ICD
0.8 day average 0.6 day average
( NCDR through Q2 2016 ) + Baylor Jack and Jane Hamilton Heart and Vascular Hospital – services provided in Fort Worth
OUTCOMES 2016
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