Quality & Patient Safety

In the information following, Texas Health Presbyterian Hospital Flower Mound (THFM) lists performance on a number of nationally recognized quality indicators and practices. Where available, performance of the average hospital in Texas and the United States are displayed.

The information in these reports is the property of THFM and may not be reproduced or distributed in any manner without express written permission. THFM has attempted to ensure the accuracy of the data it is reporting for the hospital, but makes no representations or warranties, expressed or implied, as to the accuracy or completeness of the information reported. THFM also makes no representations or warranties, expressed or implied, as to the accuracy of the comparative data for hospitals in Texas and the nation.

THFM assumes no legal liability or responsibility for any errors or omissions in the information or for any loss or damage resulting from the use of any information contained in this report, and it is not intended to provide medical advice or to offer any guarantee regarding the services provided to patients by THFM.

Treatment options and hospital choice are decisions you should make by talking with your physician. You should not attempt to choose a hospital based solely on statistics and descriptions such as those given here. Links to other sites are not endorsements by THFM of any site and it does not have any control over or responsibility for the content of these sites.

Infection Prevention Report

Infection prevention refers to activities performed to reduce the risk of infections, and although it is a longstanding activity for hospitals the practices do not have well-established comparative indicators.

We follow federal Centers for Disease Control and Prevention (CDC) guidelines for the identification and public reporting of infections. Like other hospitals, we practice standard precautions to reduce infections and practice evidence-based strategies to prevent Hospital-Acquired Infections (HAI).

Infections are measured in both rates and a standardized infection ratio (SIR), which we are including both of the metrics in the spirit of transparency. The first section shows our infection data as rates which are calculated by using the number of infections divided by the number of line days multiplied by 1,000.

Many other sections of this report also have infection prevention indicators. The Texas Health Presbyterian Hospital Flower Mound (THFM) metric below represents the performance of THFM only.

Desired Performance

Texas Health
Flower Mound

Texas

U.S.

Infections per 1000 Device Days (NHSN)9/16 to 8/179/17 to 8/18
Catheter-associated UITs (CAUTI)low0.850.21No Statistic1.00
Central-line associated BSIs (CLABSI)low0.950.70No Statistic1.00
Standardized Infection Ratio (SIR)9/16 to 8/179/17 to 8/18
Catheter-associated UITs (CAUTI)low1.370.38No Statistic1.00
Central-line associated BSIs (CLABSI)low1.401.03No Statistic1.00
C. Difficile eventslow1.510.57No Statistic1.00
Surgical Site Infection (SIR)7/16 to 6/177/17 to 6/18
Colon Surgery (COLO)low0.000.00No Statistic1.00
Hip Prosthesis (HPRO)low0.000.00No Statistic1.00
Abdominal Hysterectomylow0.000.00No Statistic1.00
Knee Prosthesis (KPRO)low3.180.00No Statistic1.00
Vaginal Hysterectomy (VHYS)low0.000.00No Statistic1.00

Core Measures Report

Core Measures are national standardized processes and best practices to improve patient care. These processes are designed to provide the right care at the right time for common conditions such as Stroke, VTE, Sepsis, ED throughput and Perinatal Care. The Texas Health Presbyterian Hospital Flower Mound (THFM) metric below represents the performance of THFM only.

Desired Performance

Texas Health
Flower Mound

Texas

National

Sepsis
Early Mgmt Bundle Severe
Sepsis/Septic Shock
No standard57.45No statistic51.40
VTE
Hospital Acquired Potentially - Preventable Venous Thromboembolismlow0.002.002.00
Stroke
Venous Thromboembolism (VTE) Prophylaxishigh100.00No statistic97.90
Assessed for Rehabilitationhigh100.00No statistic98.60
Discharged on Antithrombotic Therapyhigh100.00No statistic99.30
Anticoagulation Therapy for Atrial Fibrillation/Flutterhigh100.00No statistic96.80
Thrombotic TherapyhighnaNo statistic87.60
Antithrombotic Therapy By End of Hospital Day 2high96.43No statistic98.20
Discharged on Statin Medicationhigh100.00No statistic97.10
Stroke Educationhigh82.35No statistic95.10
ED Throughput (continuous variable measure)*
Median Time from ED arrival to ED departure for admitted patients (reporting)No standard247.00No statisticNo statistic
Admit decision time to ED departure time for admitted patients (reporting)No standard72.50No statisticNo statistic
Perinatal
Elective Deliverylow5.26No statistic1.54
Cesarean Birthlow27.71No statistic25.80
Antenatal Steroidshigh100No statistic83.23
Exclusive Breastfeeding Milk Feedinghigh41.72No statistic50.68
Health Care-Associated Blood Stream Infections in Newbornslow0.00No statisticNo statistic

Data from 07/2017 to 06/2018 (3Q 2017-2Q 2018)

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