Outcomes 2017 - Baylor Heart and Vascular Services FY2017 | Page 28

QUALITY

ACTION Registry ® GWTG Platinum Status

Baylor Jack and Jane Hamilton Heart and Vascular Hospital was awarded Platinum status by the American College of Cardiology . The hospital demonstrates achievement by sustaining performance measures in the treatment of heart attack patients through the implementation of ACTION Registry ® and in-hospital initiation of the American College of Cardiology / American Heart Association Clinical Guideline recommendations . Platinum is the highest level awarded .

99.1 %

Overall AMI composite score for Baylor Hamilton Heart and Vascular Hospital patients on 11 acute and discharge performance measures for STEMI patients
OVERALL AMI PERFORMANCE COMPOSITE
Baylor Hamilton Heart and Vascular Hospital US Hospitals 50th percentile US Hospitals 90th percentile
20 40 60 80 100
DISCHARGE AMI PERFORMANCE COMPOSITE
Baylor Hamilton Heart and Vascular Hospital US Hospitals 50th percentile US Hospitals 90th percentile
99.6 %
95.9 % 99.2 %
99.6 % 95.3 %
99.3 %
20 40 60 80 100
Top 90th percentile for last four quarters prior to calendar year Q2 .
MEASURING INNOVATION IN HEART AND VASCULAR CARE
ACUTE AMI PERFORMANCE COMPOSITE
Baylor Hamilton Heart and Vascular Hospital US Hospitals 50th percentile US Hospitals 90th percentile
99 % 97.9 % 99.6 %
20 40 60 80 100
OVERALL DEFECT FREE CARE
Baylor Hamilton Heart and Vascular Hospital US Hospitals 50th percentile US Hospitals 90th percentile
79.2 %
96.1 %
95.2 %
20 40 60 80 100

96.1 % on

Includes all five acute composite performance measures for all AMI patients . Measures include : Aspirin at Arrival , Evaluation of LV Systolic Function , Reperfusion Therapy ( STEMI only ), Time to Fibrinolytics ( STEMI only ), Time to Primary PCI ( STEMI only ).
AMI : Acute Myocardial Infarction ; STEMI : ST-elevation Myocardial Infarction
Note : Defect Free Care includes patients that receive “ perfect care ” based upon their eligibility for each performance measure . If a patient fails to receive even one therapy for which he or she is eligible , that patient fails to meet the “ defect free ” criteria and will be removed from the numerator . That patient will still be included in the denominator .
Baylor Hamilton Heart and Vascular Hospital patients who received Defect Free Care – based their eligibility for each performance measure
For the four quarters prior to the end of fiscal year 2017 , the following Get With The Guidelines data was reported :
BHVH
Comparable Hospitals
All U . S . hospitals in database
Cardiac rehabilitation patient referral from an inpatient setting 98.8 % 72.95 % 77.7 % ACEI or ARB for LVSD at discharge 97.9 % 86.9 % 90.8 % Beta-blocker prescribed at discharge 99.6 % 95.6 % 97.4 % High Intensity Statin Therapy for all AMI patients 100 % 99.1 % 99.4 %
* Source : ACTION Registry ® - GWTG Published Outcomes report through June 30 , 2017 .
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