Bay Pines VA Healthcare System

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UPDATE: Bay Pines VA Earns “Top Performer on Key Quality Measures®” Recognition

October 31, 2013

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BAY PINES, FL – Bay Pines VA Healthcare System (VAHCS) today was named Top Performer on Key Quality Measures® by The Joint Commission, the leading accreditor of health care organizations in America. Bay Pines VAHCS was recognized by The Joint Commission for exemplary performance in using evidence-based clinical processes that are shown to improve care for certain conditions.

The organization is one of 1,099 hospitals in the U.S., and the only VA facility out of the 104 hospitals in Florida earning the distinction of Top Performer on Key Quality Measures for attaining and sustaining excellence in accountability measure performance. The healthcare system was recognized for its achievement on the following measure sets: heart attack, heart failure, pneumonia, and surgical care. The ratings are based on an aggregation of accountability measure data reported to The Joint Commission during the 2012 calendar year. The list of Top Performer organizations represents 33 percent of all Joint Commission-accredited hospitals reporting accountability measure performance data for 2012.

The Bay Pines VAHCS and each of the hospitals that were named as a Top Performer on Key Quality Measures must: 1) achieve cumulative performance of 95 percent or above across all reported accountability measures; 2) achieve performance  of 95 percent or above on each and every reported accountability measure where there are at least 30 denominator cases; and 3) have at least one core measure set that has a composite rate of 95 percent or above, and within that measure set all applicable individual accountability measures have a performance rate of 95 percent or above. A 95 percent score means a hospital provided an evidence-based practice 95 times out of 100 opportunities. Each accountability measure represents an evidence-based practice – examples include giving aspirin at arrival for heart attack patients, giving antibiotics one hour
before surgery, or providing a home management plan of care for children with asthma.

"Bay Pines VA Healthcare System and all the Top Performer hospitals have demonstrated an exceptional commitment to quality improvement and they should be proud of their achievement," said Mark R. Chassin, M.D., FACP, M.P.P., M.P.H., president and chief executive officer, The Joint Commission. "We have much to celebrate this year. Nearly half of our accredited hospitals have attained or nearly attained the Top Performer distinction. This truly shows that we are approaching a tipping point in hospital quality performance that will directly contribute to better health outcomes for patients."

"We understand that what matters most to patients at Bay Pines VA Healthcare System is safe, effective care. That’s why our organization has made a commitment to accreditation and to positive patient outcomes through evidence-based care processes. We are proud to receive the distinction of being a Joint Commission Top Performer on Key Quality Measures," said Suzanne M. Klinker, Director. In addition to being included in today’s release of The Joint Commission’s "Improving America’s Hospitals" annual report, Bay Pines VAHCS will be recognized on The Joint Commission’s Quality Check website (www.qualitycheck.org). The Top Performer program will be featured in the December issues of The Joint Commission Perspectives and The Source.

About the Bay Pines VA Healthcare System
The Bay Pines VAHCS is one of the nation’s leading VA healthcare systems, employing more than 3,500 medical professionals and support staff dedicated to providing the very best care to Veterans residing in southwest Florida. The Bay Pines VAHCS is accredited by The Joint Commission and the Commission on Accreditation of Rehabilitation Facilities. The healthcare system  is also a three-time winner of the Robert W. Carey Circle of Excellence Award, the VA’s top honor for quality
achievement. The healthcare system operates nine facilities to include the main medical center located in Bay Pines and outpatient clinics located in Bradenton, Cape Coral, Naples, Palm Harbor, Port Charlotte, Sarasota, St. Petersburg, and Sebring.
Every year Bay Pines VAHCS treats approximately 100,000 Veterans while providing a full range of high quality medical, psychiatric, and extended care services in outpatient, inpatient, nursing home, and home care settings. For more information about the Bay Pines VAHCS, please visit www.baypines.va.gov or "like" us on Facebook at www.facebook.com/vabaypines.