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

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 region’s 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, five years later, our surgical team has performed over 1800 cardiovascular 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.

Lexington Medical Center participates in the Society for Thoracic Surgery (STS) Registry which, as shown below, continues to validate Lexington Medical Center’s excellent patient outcomes compared to other programs in the nation.


The Society of Thoracic Surgeons (STS)
National Adult Cardiac Surgery Database
Isolated CABG Case Volume



The Society of Thoracic Surgeons (STS)
National Adult Cardiac Surgery Database
CABG Intra-operative/Post-operative Blood Products Used
(Lower Percentages are Better)

Perioperative bleeding requiring the need for blood transfusion is common during cardiac operations, especially those that require cardiopulmonary bypass . Interventions aimed at decreasing the need for blood products improves patient’s short and long-term outcomes. LMC has consistently maintained lower than average usage of blood products.




The Society of Thoracic Surgeons (STS)
National Adult Cardiac Surgery Database
Discharged to Home Following CABG Procedures
(Higher Percentages are Better)

After a coronary artery bypass graft procedure (CABG), many patients across the nation need to be discharged to a transitional care/rehab facility or a nursing home for additional care. At LMC, the majority of our patients are able to be discharged to their home.





TAVR (Transcatheter Aortic Valve Replacement)

Lexington Medical Center has continued to build its heart program by offering a variety of new services. In May of 2014, LMC began to offer transcatheter aortic valve replacement, known as TAVR, with a team of board-certified physicians and clinicians. This state-of-the-art cardiovascular technology allows doctors to replace the aortic valve in patients without open heart surgery.

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
Volume of Transcatheter Aortic Valve Replacement (TAVR) Procedures



STS/ACC TVT Registry
Length of Stay
(Lower Numbers are Better)

It has been a goal of LMC’s TAVR program to enable our patients to return home as quickly as possible after this procedure. LMC performs better than the National Average in achieving this positive outcome.




STS/ACC TVT Registry
Discharged to Home
(Higher Percentages are Better)

After the TAVR procedure is completed, many patients across the nation have to be discharged to a rehab facility or a nursing home for additional care. At LMC, the majority of our patients are able to be discharged to their home.





Acute Myocardial Infarction (AMI) (also known as Heart Attack)
ST elevated MI (STEMI) and Non-ST elevated MI (NSTEMI)

National guidelines recommend standards for treatment of STEMI and NSTEMI patients. In 2017, Lexington Medical Center received the Gold Plus Performance Achievement Award for our patient outcomes related to STEMI Care as a Receiving Hospital from the American Heart Association.

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. As a Duke Medical Center Affiliate, we benchmark our efforts against the best healthcare centers in the nation.

2016 Mission Lifeline2017 Mission LifelineBlue Distinction Center for Cardiac Care


When a patient has a heart attack, it is imperative to minimize the amount of heart muscle damage. By getting the patient to the catheterization lab within 90 minutes, physicians and hospital teams ensure the best outcome for their heart attack patients.

ACTION-GWTG
Proportion of STEMI Patients receiving Catheterization within 90 Minutes
(Higher is better)




One proven way to ensure the best outcomes for heart attack patients is to help them reduce their risk factors for additional cardiac events. Tobacco use is a major risk factor for heart disease. By educating heart attack patients to stop smoking, Lexington Medical Center is helping to reduce the patient’s risk of further cardiac events.

ACTION-GWTG
Adult Smoking Cessation Counseling
(Higher is better)




Not all heart attack patients require coronary intervention. When this occurs, physicians optimize the patient’s medicines without adding the risks of an invasive procedure. Making sure that medically treated heart attack patients are discharged on appropriate medications is essential to improving the patient’s outcome.

Patients who Receive Appropriate Anti-Platelet
Medication for Medically Treated Heart Attacks
(Higher is better)


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.

Source: Hospital Compare Reporting Period 7/12 - 6/15

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 and to take home with them reinforcing patient education, scheduling early follow-up appointments, follow-up phone calls within 72 hours of discharge, and identifying and connecting patients with a primary care physician. Lexington Medical Center has received a grant from the Lexington Medical Center Foundation for three consecutive years to purchase digital scales for our HF patients who do not own a scale.

In the spring of 2014, 2015, 2016 and 2017, 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 and other chronic diagnoses 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. In the fall of 2016, a Heart Failure Navigator was hired as an advocate for HF patients and provides dedicated support and education.

In February of 2017, a pilot was begun on PCU for Occupational Therapy (OT) to complete a cognitive screen, if needed, to evaluate for barriers for medication management and/or completing basic Activities of Daily Living (ADL’s). Some research has shown that OT referrals have been associated with lower readmission rates for this population of patients.

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.


Catheter-Associated Urinary Tract Infections (CAUTI)

What is a urinary catheter?

A urinary catheter is a thin tube placed in the bladder to drain urine. Urine drains through the tube into a bag that collects the urine. A urinary catheter may be used if you are unable to urinate on your own; to measure the amount of urine you make, for example during intensive care; during and after some types of surgery and during some tests of the kidneys and bladder. People with urinary catheters have a much higher chance of getting a urinary tract infection than people who don’t have a catheter.


How do patients get a catheter-associated urinary tract infection (CAUTI)?

If germs enter the urinary tract, they may cause an infection. Many of the germs that cause a catheter-associated urinary tract infection are common germs found in your intestines that usually do not cause an infection there. Germs can enter the urinary tract when the catheter is being put in or while the catheter remains in the bladder.


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

  • Catheters are put in only when necessary and they are removed as soon as possible
  • Lexington utilizes a nurse driven catheter removal protocol. When ordered by physicians, nurses evaluate the patient daily to insure the urinary catheter is removed as soon as it is no longer needed.
  • Only properly trained persons insert catheters using sterile technique.
  • The skin in the area where the catheter will be inserted is cleaned before inserting the catheter.
  • Other methods to drain urine are sometimes used such as external catheters in men and putting a temporary catheter in to drain the urine and removing it right away
  • Bladder scanners are used to assess the amount of urine in a patient’s bladder to avoid unnecessary urinary catheterization.
  • Healthcare providers clean their hands by washing with soap and water or using alcohol-based hand rub before and after touching your catheter.
  • Healthcare providers avoid disconnecting the catheter and drain tube. This helps to prevent germs from getting into the catheter tube.
  • The catheter is secured to the leg to prevent pulling on the catheter.
  • Specialized cleansing wipes are used to perform daily catheter care while catheters are in place.

Lexington Medical Center closely monitors patients with urinary catheters. Interdisciplinary health care teams carefully evaluate clinical practice issues and infection outcome data. Lexington Medical Center reports CAUTI data to the National Healthcare Safety Network (NHSN), a Clinical Registry of the Centers for Disease Control. This data is shared with health consumers through the Center for Medicare and Medicaid Services Quality website.


Catheter-Associated Urinary Tract Infections
(Lower is Better)

Reducing Early Elective Deliveries PC-01

According to the National Quality Forum, 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.

Studies have shown that babies delivered prior to 39 weeks gestation have higher rates of mortality, and longer stays in the Neonatal Intensive Care Unit (NICU).

PC-01 is aimed at lowering the number of elective deliveries prior to 39 weeks gestation, unless there is a medical reason why it is safer for the mother and/or baby to be delivered early.


Early Elective Delivery Rates 37 to 39
Completed Weeks of Gestation
(Lower Percentage is Better)


Newborn Metabolic Screenings

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

Lexington Medical Center has participated in a collaborative initiative with DHEC and the SCHA since February 2014 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. Goal: 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. The goal is 100% for < 24 hours. We developed a process improvement to yield excellent results.


Newborn Metabolic Screenings
(Higher Percentage is Better)

Total Joint Program

Lexington Medical Center’s Total Joint Program provides a patient centered experience that focuses on patient and family preparation and education to ensure our patient’s safety and a speedy recovery. Lexington Medical Center is dedicated to always providing the best care experience, which includes a comprehensive program that covers your care from start to finish. We combine innovative surgical techniques and after surgery rehabilitation with skilled, compassionate care. Lexington Medical Center values a team approach whereby all disciplines involved work together to always provide the best possible experience for all patients.

Total Knee Readmission
(Lower Percentage is Better)



Discharge Disposition After Knee Replacement