Spe­cial fea­ture: 27 hos­pi­tals join 100 Top club for the first time

Clin­i­cal qual­ity-im­prove­ment pro­grams among ef­forts help­ing or­ga­ni­za­tions place among the an­nual 100 Top Hos­pi­tals ros­ter

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Read­mis­sions at an in­pa­tient heart­fail­ure unit at Bay­lor Univer­sity Med­i­cal Cen­ter at Dal­las plum­meted to 7% from 29% in nine months.

To garner those re­sults, pa­tients par­tic­i­pated in a stan­dard­ized ed­u­ca­tion process and then signed an agree­ment, sig­nal­ing their in­tent to fol­low their care plans. They also were sent home with a two-week sup­ply of all of their med­i­ca­tions.

Nurses on the unit fol­lowed up with these pa­tients through reg­u­lar tele­phone calls, which con­tin­ued un­til pa­tients’ first post-dis­charge visit with their car­di­ol­o­gist.

The nurs­ing unit’s man­ager de­vel­oped the pro­gram af­ter she at­tended ABC Bay­lor, a sys­temwide qual­ity-im­prove­ment train­ing pro­gram.

“Qual­ity is ev­ery­body’s re­spon­si­bil­ity,” says John Mcwhorter, pres­i­dent of Bay­lor Univer­sity Med­i­cal Cen­ter and a se­nior vice pres­i­dent at Bay­lor Health Care Sys­tem.

The fo­cus on clin­i­cal qual­ity im­prove­ment ap­pears to have had an im­pact be­cause Bay­lor have been peren­nial mem­bers of the list were not on it this year, in­clud­ing Northshore Univer­sity Health Sys­tem, Evanston, Ill.; Ad­vo­cate Lutheran Gen­eral Hospi­tal, Park Ridge, Ill.; North­west­ern Me­mo­rial Hospi­tal, Chicago; Mayo Clin­icRochester (Minn.) Methodist Hospi­tal; and Brigham and Women’s Hospi­tal, Bos­ton.

To se­lect the 100 Top, or bench­mark in­sti­tu­tions, hos­pi­tals with at least 25 beds were scored against oth­ers within the same cat­e­gories: Ma­jor teach­ing hos­pi­tals (400 or more beds and high lev­els of physi­cian ed­u­ca­tion and re­search); teach­ing hos­pi­tals (200 or more beds and some physi­cian ed­u­ca­tion) and three tiers of com­mu­nity hos­pi­tals: large (250 or more beds), medium (100-249 beds) and small (25-99 beds). A to­tal of 2,886 hos­pi­tals were in­cluded in this year’s study.

Data for the Thom­son Reuters anal­y­sis came from a va­ri­ety of CMS sources, in­clud­ing cost re­ports, the Medi­care Provider Anal­y­sis and Re­view (MEDPAR) data, Hospi­tal Com­pare, and Hospi­tal Con­sumer As­sess- Univer­sity Med­i­cal Cen­ter was named for the first time to the Thom­son Reuters 100 Top Hos­pi­tals: Na­tional Bench­marks for Suc­cess, 2012. The hospi­tal’s sis­ter in­sti­tu­tion, Bay­lor Med­i­cal Cen­ter at Wax­a­hachie (Texas), was named to the list for the sec­ond time.

Thom­son Reuters re­leased the list ex­clu­sively to Mod­ern Health­care.

Among this year’s 100 Top hos­pi­tals, 27 are new­com­ers to the list. Oth­ers are long-time mem­bers of the list, in­clud­ing:

Mun­son Med­i­cal Cen­ter, Tra­verse City, Mich., which has ap­peared 14 times; two hos­pi­tals in Nashville: Van­der­bilt Univer­sity Med­i­cal Cen­ter, 13 times, and St. Thomas Hospi­tal, 11 times; and Beth Is­rael Dea­coness Med­i­cal Cen­ter in Bos­ton, 10 times.

But other well-known or­ga­ni­za­tions that

“Qual­ity is ev­ery­body’s re­spon­si­bil­ity,” says John Mcwhorter, pres­i­dent of Bay­lor Univer­sity Med­i­cal Cen­ter at Dal­las and a se­nior vice pres­i­dent at Bay­lor Health Care Sys­tem.

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