Phone Numbers

Main Campus Front Desk
(803) 791-2000
Public Relations & Marketing
(803) 791-2191
Patient Admissions
(803) 791-2570
Patient Billing (Hospital)
(803) 791-2300
(877) 835-0975

Outcomes

Isolated Coronary Artery Bypass Grafting (CABG) Outcomes

One of Lexington Medical Center’s (LMC) goals for many years has been to be able to provide a full range of cardiac care to the community. LMC is now this regions only Heart Center that is affiliated with Duke Heart Center, ranked in the top 10 programs nationally for cardiovascular care.

The LMC Cardiovascular Committee, an interdisciplinary committee, in collaboration with Duke Heart Center developed the program for the care of the cardiovascular surgery patient at LMC. In preparation for the program, the Duke Heart Center provided quality hands on education for our nurses, clinical specialists, the cardiovascular OR team, and other disciplines on the care of the cardiovascular patient and their families.

On March 28, 2012, the Lexington Medical Heart Center performed its first open heart surgery. Now, 3 years later, we have 2 cardiac board certified surgeons, Dr. Jeffrey Travis and Dr. Deyanira Prastein, and have performed nearly 800 procedures. Through the Cardiovascular Committee, the Center for Best Practice department at LMC and Duke Heart Center, there is continual process improvement. We monitor 100% of the cardiac surgery patients, benchmarking ourselves nationally and identifying any opportunities for improvement. There is also continual education for staff from LMC and from Duke Heart Center, not only for cardiac surgery, but for all cardiac care.





Society of Thoracic Surgeons
Adult Cardiac Surgery Database (STS)
Isolated CABG Mortality and Complication Rates



Society of Thoracic Surgeons
Adult Cardiac Surgery Database (STS)




TAVR (Transcatheter Aortic Valve Replacement)

Lexington Medical Center has continued to build its heart program by offering a variety of new services. This spring, LMC began to offer transcatheter aortic valve replacement, known as TAVR. This state-of-the-art cardiovascular technology allows doctors to replace the aortic valve in high-risk patients without open heart surgery. In May of 2014, LMC performed the first fully percutaneous TAVR procedure in South Carolina.

Lexington Medical Center participates in the Society for Thoracic Surgery (STS) and American College of Cardiology (ACC)’s national TAVR Registry which, as shown below, continues to validate Lexington Medical Center’s excellent patient outcomes compared to the TAVR programs in the nation.

STS/ACC TVT Registry
In-Hospital Mortality Rate (2Q14 & 3Q14)

STS/ACC TVT Registry
Renal Complications

STS/ACC TVT Registry
Neurologic Complications


Acute Myocardial Infarction (AMI),
ST elevated MI (STEMI)
and Non-ST elevated MI (NSTEMI)

National guidelines recommend standards for treatment of STEMI and NSTEMI patients. In 2014 Lexington Medical Center, a Duke Medical Center Affiliate received the Platinum Performance Achievement Award for our patient outcomes.

Minutes matter with a heart attack since time is muscle. Anyone experiencing the signs and symptoms of a heart attack should contact 911 immediately. Our Cardiovascular Action Team meets quarterly discussing processes, outcomes and identifying opportunities for improvement.

2014 Platinum Performance Achievement Award - ACTION Registry-GWTG


ACTION-GWTG
3 Composite Metrics (Overall Care Metrics)
Dark Shaded boxes indicate LMC > National 90th Percentile


Heart Failure (HF) Readmissions

Nationally nearly one in 5 patients discharged from hospitals are readmitted within 30 days which is also mirrored in SC. According to the Medicare Payment Advisory Committee (MedPAC), up to 76% of these re-hospitalizations within 30 days in the Medicare population could be avoided.

One of Lexington Medical Center’s goals is preparing our HF patients for a safe transition home with the desired outcome of preventing the need for readmission. Some strategies to meet this goal are a dedicated Social Worker on Progressive Coronary Unit (PCU), increasing referrals to Home Health Services, providing digital scales to patients on admission for use while hospitalized reinforcing patient education, scheduling early follow-up appointments, follow-up phone calls within 72 hours of discharge by Social Worker, and identifying and connecting patients with a primary care physician.

In the spring of 2014, Lexington Medical Center received a grant from our Lexington Medical Center Foundation to provide 20 hours of non-medical in-home assistance to community dwelling individuals with a known diagnosis of heart failure who are at high risk for readmission for up to 30 days after discharge from an acute care hospital stay. Lexington Medical Center has contracted with a non-medical home care agency to provide this transitional support. Patients must meet all eligibility requirements to qualify for this service. This program is used in conjunction with all other discharge planning activities that are applicable to the individual patient’s needs, including home health services, durable medical equipment, pharmaceutical assistance programs, and referral to other community programs.

Our method of patient education, Teach-Back, is very effective and powerful. This method is a way to confirm that we have explained to the patient what they need to know in a manner that they understand. Patient understanding is confirmed when they explain the information back to the staff member.


Central Line Associated Bloodstream Infections (CLABSI)

Central line-associated bloodstream infections (CLABSIs) result in thousands of deaths each year and billions of dollars in added costs to the U.S. healthcare system. LMC is committed to reducing our central line infections through a variety of mechanisms.


What is a central line?

A central line (also known as a central venous catheter) is a catheter (tube) that doctors often place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. Intravenous catheters (also known as IVs) are used frequently to give medicine or fluids into a vein near the skin’s surface (usually on the arm or hand), for short periods of time.


What is a central line-associated bloodstream infection?

A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs (usually bacteria or virus) enter the bloodstream through the central line. Patients who get a CLABSI have a fever, and might also have red skin and soreness around the central line. If this happens, healthcare providers can do tests to learn if there is an infection present.


What are some of the things that healthcare providers at Lexington Medical Center are doing to prevent CLABSI?

Healthcare providers at Lexington Medical Center have taken the following steps to help prevent CLABSI’s:

  • Lexington Medical Center follows CDC (Centers for Disease Control) recommended central line insertion and maintenance practices to prevent infection when the central line is placed, including: Perform hand hygiene, apply appropriate skin antiseptic, ensure that the skin prep agent has completely dried before inserting the central line.
  • We have several types of central line catheters coated with antimicrobial infection protection available.
  • We use maximal sterile barrier precautions during insertion (sterile gloves, sterile gown, cap, mask and large sterile drape).
  • Once the central line is in place our staff follow recommended CDC central line maintenance practices.
  • We bathe all central line patients with antiseptic impregnated cloths to further reduce risk of infection.
  • We remove a central line as soon as it is no longer needed.

Lexington Medical Center closely monitors patients with central lines. Interdisciplinary health care teams carefully evaluate clinical practice issues and infection outcome data. Lexington Medical Center reports CLABSI data to the National Healthcare Safety Network (NHSN), a secure Centers for Disease Control managed data reporting system. This data is shared with health consumers through the SD DHEC Hospital Acquired Infection Website as well as the Center for Medicare and Medicaid Services Quality website.


2014 Central Line-Associated Bloodstream Infections

Reducing Early Elective Deliveries PC-01

Inductions or cesarean section procedures performed prior to 39 completed weeks gestation without medical necessity carry significant risks to babies and mothers. For almost 3 decades, the American College of Obstetricians and Gynecologists (ACOG) and the American Academy of Pediatrics (AAP) have had in place a standard requiring 39 completed weeks gestation prior to ELECTIVE delivery, either vaginal or operative.

LMC remains committed to continuing on with this standard in the quality of maternity care offered within our hospital. Through the Department of Obstetrics and Gynecology and the Center for Best Practice department at LMC, there is continual process improvement. We monitor 100% of the early elective delivery patients, benchmarking ourselves nationally and identifying any opportunities for improvement while providing ongoing education for staff.


Newborn Metabolic Screenings

South Carolina state law requires that South Carolina newborns receive metabolic screenings to detect conditions that can lead to death or disability.

Lexington Medical Center participated in a collaborative initiative with DHEC and the SCHA to improve the birth outcomes in our state by strengthening the newborn screening program and improving the collection of the newborn screens and their delivery to the DHEC State Lab for processing.

The name of the initiative: On Time, Every Time. Goals: Timing of the collection is to be between 24-48 hours of age for the infant and all specimens to be sent to DHEC Bureau of Laboratories within 24 hours of collection. We have a process that yields excellent results.