St. David's HealthCare

St. David's HealthCare is one of the largest health systems in Texas and Austin's third-
largest private employer, with more than 60 sites throughout Central Texas, including
seven hospitals, four urgent care centers, four ambulatory surgery centers, and two
freestanding emergency departments, with a third set to open in Bastrop this summer.

St. David's HealthCare has a long history of serving the residents of Central Texas
with exceptional medical care. Our 7,500 employees touch over 858,000 lives each
year with a spirit of warmth, friendliness and personal pride.

Honors, Awards and Certifications

15 Top Health System by Thomson Reuters

St. David’s HealthCare and two El Paso-based hospitals, which together make up the HCA Central and West Texas Division, were named among the nation’s 15 Top Health Systems by Thomson Reuters. This award recognizes hospital systems that have achieved excellence in clinical outcomes, patient safety, patient satisfaction and operational efficiency. Selected from more than 300 healthcare systems across the nation, St. David’s HealthCare is the only system in Central Texas to receive this prestigious ranking in 2012 and only one of two in the entire state.

Unlike many rankings of this type that are more subjective in nature, the Thomson Reuters 15 Top Health Systems study is an annual, quantitative research study that uses objective methodology and independent public data to recognize the best U.S. hospital systems. The public data come primarily from the 2010 Medicare provider data and the Center for Medicare Services’ Hospital Compare data sets. Building on the 100 Top Hospitals® National Balanced Scorecard concept, it is the only study that aggregates individual hospital performance into system-level data. The annual study compares hospital systems against those of similar size based on total operating expense and evaluates them on measures of clinical quality and efficiency.

Similar to the methodology used to identify the 100 Top Hospitals®, Thomas Reuters identified the 15 Top Health Systems by scoring health systems on a set of eight performance measures centered on quality of care, efficiency and consumer satisfaction.

Texas Award for Performance Excellence

Texas Awards for Performance ExcellenceUtilizing the same criteria and process as the Malcolm Baldrige National Quality Award, the Texas Award for Performance Excellence is an annual recognition of Texas organizations that have achieved performance excellence and have applied outstanding quality principles in their day-to-day operations. The award is presented to organizations that serve as role models for quality, customer satisfaction, and performance excellence in the state of Texas.

Administered by the Quality Texas Foundation, the Texas Award for Performance Excellence was established in 1993. The award is open to government, education, healthcare, non profit and other businesses. These organizations go through a rigorous application process where quality and performance excellence must be demonstrated on a variety of measures including: organizational leadership; strategic planning; focus on customers; measurement, analysis and knowledge management; workforce focus; process management; and results.

The Texas Award for Performance Excellence is the highest honor bestowed by the State of Texas based upon world class quality measures. Further, 2008 marks the first time ever that an entire multi-hospital health care system has received this coveted award, and obviously, we are the first health care organization in Central Texas to receive this honor. This recognition is a tribute to all of the outstanding individuals who make up the St. David’s HealthCare team.


Texas Health Care Quality Improvement Award

Texas Health Care Quality Improvement AwardSt. David’s Medical Center has received the Texas Health Care Quality Improvement Award of Excellence from TMF® Health Quality Institute, the Medicare Quality Improvement Organization for Texas. TMF established the awards program in partnership with The Texas Hospital Association, Texas Medical Association, Texas Organization of Rural & Community Hospitals and Texas Osteopathic Medical Association to honor Texas hospitals that are performing quality initiatives aimed at improving outcomes in patient care. TMF recognizes St. David’s Medical Center for improving the hospital’s performance on specific national quality measures.

The awards acknowledge hospitals for improving care related to acute myocardial infarction or AMI (heart attack), heart failure, pneumonia and surgical care. These clinical areas have been designated as national health care priorities by the Centers for Medicare & Medicaid Services (CMS) and The Joint Commission, an independent nonprofit, standards-setting and accrediting body in health care.

The awards recognize hospitals that are active in quality improvement and have made the required improvements on a composite scoring system, called the Appropriate Care Measure (ACM). For acute care hospitals, the ACM consists of 24 quality indicators: eight AMI, four heart failure, seven pneumonia and five surgical care measures.


St. David’s Medical Center Named a 2010 Texas Ten Step Facility For Its Support of Breastfeeding Mothers

Texas 10 Step Program FacilitySt. David’s Medical Center has been designated a 2010 Texas Ten Step Facility by the Department of State Health Services and the Texas Hospital Association. This annual designation is awarded to birthing facilities that provide optimal care to improve breastfeeding outcomes.

The Texas Medical Association officially endorsed the Texas Ten Step Program in 2009 to encourage hospitals to create an environment that supports the breastfeeding mother. Health professionals agree that breastfeeding is the first step toward a healthy life. St. David’s South Austin Hospital is providing an environment that creates positive outcomes for breastfeeding families.

St. David’s Medical Center has implemented 10 goals or “steps,” to support mothers who intend to breastfeed their infants before, during, and after delivery. These practices will help the facility meet Texas Breastfeeding Initiative’s goal of having 75 percent of mothers exclusively breastfeeding when they go home with their newborn. This is an essential step toward longer durations of exclusive breastfeeding after discharge. Among the goals that a facility must maintain to acquire the Texas Ten Step designation are training staff within the first six months of employment and offering annual updates. Staff provides the mother with resources to get continued care after discharge as well. The information provided allows staff to give mothers the care that they need in order to succeed in breastfeeding.

For more information on the Texas Ten Step Program, visit
http://www.dshs.state.tx.us/wichd/lactate/TXfact.shtm

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5 Recommendations for Record Breaking Heat and Pregnant Women


This week I interviewed one of our new Maternal Fetal Medicine physicians, Dr. Linda Fonseca. Here in central Texas, we all know the heat has been exhausting and it has the opportunity to take an even greater toll on those who are pregnant.

Here are the things we chatted about:

Meg – How does the heat affect women who are pregnant?

Dr. Fonseca – “Pregnant women are more susceptible to dehydration because of the pregnancy and it can lead to serious problems. Heat can exacerbate dehydration from other conditions such as morning sickness or the stomach flu worse. Dehydration during pregnancy can lead to pre-term contractions or pre-term labor which can affect the outcome of the baby.”

Meg – What are the signs and symptoms of heat exhaustion and also heat stroke?

Dr. Fonseca – Many of the signs and symptoms of heat exhaustion can be easily disguised as something else. For heat exhaustion, be on the lookout for such things as: headaches, dizziness, cold or clammy skin, thirst, nausea, vomiting, tachycardia, dark urine and fatigue. Dr. Fonseca states that the signs and symptoms for heat stroke are much more severe and life threatening including: mental confusion or lethargy (an abnormal state of drowsiness), core body temperature of 104 degrees, seizures and lack of perspiration.

Meg – What can a patient do to decrease the risk of heat exhaustion?

Dr. Fonseca – “During these days of high temperatures, make sure to stay indoors as much as possible”. Dr. Fonseca encourages women to run errands in the early morning hours when it is still cool outside as opposed to the middle of the day when temperatures are the highest. She also recommends staying hydrated – “carry around a water bottle and take several sips throughout your day even if you are not thirsty”. Dr. Fonseca would like to remind women that they should increase their water intake if they are doing anything outdoors and to stay away from caffeinated drinks like soda or tea that can increase dehydration. “Caffeine is a diuretic which can cause your body to dehydrate much more quickly.” She also recommends wearing light clothing when doing anything outdoors and try to stay in the shade as much as possible.

Meg- What is an adequate water intake to prevent dehydration? Many women feel like 8-10 glasses of water per day are hard to achieve because they feel very full.

Dr. Fonseca – “The goal is still 8-10 glasses per day especially in these high temperatures.” Dr. Fonseca encourages women to take small sips of water throughout the day to prevent those uncomfortable “full” feelings that accompany the growing fetus. The plastic water bottles most people are familiar with are approximately 16oz so a person would need 4-5 bottles of water per day to meet the water requirement.

Meg – Any special foods or drinks you recommend to ward off dehydration or electrolyte imbalance?

Dr. Fonseca - “I generally encourage my patients to eat fresh fruit (instead of dried fruit), especially in the summer that is high in water such as peaches, watermelon, or cantaloupe.” Dr. Fonseca tells her patients to stay away from caffeine and sugary drinks that may rob your body of water. She encourages them to drink water and supplement with electrolyte enhanced liquids such as Gatorade, vitamin water or pedialyte.

Always an advocate for sunscreen, she reminds patients to make sure they are wearing an SPF in the summer wherever their skin will see light, but especially on their face. “During pregnancy there is an increase in melanin which can increase the chance of chloasma during pregnancy. Chloasma is hyper pigmentation caused by an increase of hormones while you are pregnant. Make sure to wear an SPF daily when leaving the house.

-Has anyone out there had a baby during these summer months? What advice do you have for our moms to be?!

Stay cool-
Meg

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