Outcomes 2017 - Baylor Heart and Vascular Services FY2017 | Page 13

THE JOINT COMMISSION RE-ACCREDITATION
Baylor Jack and Jane Hamilton Heart and Vascular Hospital welcomed surveyors with The Joint Commission in early calendar year 2017 . The Joint Commission is an independent , not-for-profit organization accrediting and certifying more than 21,000 health care organizations and programs in the United States . As a result of the multi-day field review , in-depth auditing including interviews with leaders , staff , physicians , Board of Managers , and community leaders , The Joint Commission awarded re-certification to the hospital . The Joint Commission standards address the hospital ’ s level of performance in key functional areas , such as patient rights , patient treatment and infection control . The standards focus not only on the ability to provide safe , quality care , but on the actual performance metrics and the performance expectations for activities that affect the safety and quality of patient care . The survey process also includes a comprehensive review of environmental safety and the building maintenance program .
ACE-ACCREDITED FOR PCI AND CC
Baylor Hamilton Heart and Vascular Hospital has been fully accredited for percutaneous coronary intervention and cardiac catheterization by the Accreditation for Cardiovascular Excellence , an organization dedicated to ensuring adherence to the highest quality standards for cardiovascular and endovascular care . ACE accreditation involves a review of an organization ’ s structure , internal processes , patient safety practices , and clinical outcomes to determine if it meets the standards established by experts in cardiac and endovascular care .

Accreditations

INTERSOCIETAL ACCREDITATION COMMISSION – VASCULAR LABORATORIES ( IAC-VL )
IAC-VL accredits facilities that perform comprehensive non-invasive testing for vascular disease . It is reserved for quality programs like Baylor Hamilton Heart and Vascular Hospital ’ s vascular lab which assess every aspect of daily operation and its impact on the quality of health care .
INTERSOCIETAL ACCREDITATION COMMISSION – ECHO LABORATORIES
Echocardiography laboratories can evaluate and demonstrate the level of quality patient care they provide through the accreditation process . The application undergoes a peer-review by trained reviewers , including both physicians and sonographers , and accreditation is given to laboratories that demonstrate a commitment to quality and operational excellence .
THE AMERICAN COLLEGE OF RADIOLOGY ( ACR ) – GOLD SEAL FOR CT IMAGING
Baylor Hamilton Heart and Vascular Hospital has been accredited in computed tomography ( CT ) by The American College of Radiology ( ACR ). The ACR gold seal of accreditation represents Baylor Hamilton Heart and Vascular Hospital ’ s commitment to providing the highest level of image quality and patient safety . It is awarded only to facilities meeting ACR Practice Guidelines and Technical Standards after a peer-review evaluation by board-certified physicians and medical physicists who are experts in the field . Image quality , personnel qualifications , adequacy of facility equipment , quality control procedures , and quality assurance programs are assessed .

ACCREDITATIONS , AWARDS AND ACCOLADES

SOCIETY OF CARDIOVASCULAR PATIENT CARE CHEST PAIN CENTER WITH PCI
Baylor Hamilton Heart and Vascular Hospital has full Chest Pain Center with PCI accreditation from the Society of Cardiovascular Patient Care ( SCPC ). This accreditation indicates that a hospital has achieved a higher level of expertise in caring for patients who arrive with symptoms of a heart attack .
AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION ( AACVPR ) CERTIFICATION
AACVPR has certified Baylor Hamilton Heart and Vascular Hospital ’ s cardiovascular rehabilitation program . AACVPR is dedicated to the professional development of its members , through information , networking , and educational opportunities . Central to its mission is the improvement in the quality of life for patients and their families .
OUTCOMES 2017
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