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

Process of Care Measures

Stroke Care Quality Initiatives

Stroke is the fifth leading cause of death in the nation and the leading cause of disability. Recognizing the signs of stroke and calling 911 are the first steps to improving patient outcomes. Our Acute Stroke Team in the Emergency Department rapidly identifies potential stroke patients eligible for thrombolytics (a clot-busting drug that reduces disability) and facilitates timely treatment. Research shows only a small percentage of stroke patients arrive in time for thrombolytics. Treatment within 60 minutes can reduce disability.

Best practice guidelines recommend specific medications to reduce death due to stroke, recurrence and risk of stroke, disability, complications, coronary artery disease and improve outcomes. As a Primary Stroke Center, Lexington Medical Center (LMC) utilizes specialized orders and protocols to improve patient care. In 2015, LMC received the American Heart Association/American Stroke Association Get With the Guidelines® Stroke Gold Plus, and Target Stroke Honor Roll awards. These prestigious awards recognize commitment and success in implementing excellent care for stroke patients.

Stroke patients are at increased risk for developing venous thromboembolism (VTE), which is blood clots in the leg or lung; therefore, prevention of VTE is very important. Atrial fibrillation is a common irregular heart rhythm and an important risk factor for stroke. Treating these patients with an anticoagulant (blood thinner) is an effective strategy in prevention of recurrent stroke. Prescribing cholesterol lowering medications is an effective secondary prevention for patients who have had an ischemic stroke.

2015 Get with the guidelines.

DNV Certified Primary Stroke Center

Medications During Hospitalization
(Higher is better)

Quantros and Hospital Compare

Medications Prescribed When Sent Home
(Higher is better)

Outcome Science (OS), Quantros, and Hospital Compare

Community-Acquired Pneumonia

The current North American antibiotic guidelines for Community-Acquired Pneumonia identify Streptococcus pneumoniae as the most common cause of pneumonia. The guidelines provide a consensus on the most appropriate antibiotic regimens and are reflected in the process of care measures. These measures show the percentage of hospital patients who receive treatments known to get the best results within the appropriate time. Lexington Medical Center’s electronic health record supports standardized best practice care by utilizing order sets that include the recommended guidelines for treatment.

Community-Acquired Pneumonia
FY 2015

Quantros - sample of 20 cases/month | National Rate - Hospital Compare

Improving Access to Patient Care

Lexington Medical Center is committed to improving access to patient care. By rapid evaluation by a medical provider, care related to a patient’s condition can be provided sooner. Rapid identification and diagnostic testing of patients with chest pain symptoms has been shown to benefit the outcome and quality of life of the patient. LMC is an accredited Chest Pain Center with Percutaneous Coronary Intervention (PCI) from the Society of Cardiovascular Patient Care. This accreditation is granted to facilities that have committed and shown to provide quality care and outcomes for the care of patients suspected of having an acute coronary event.

Accredited Chest Pain Center

Blue Distinction Center Cardiac Care

Percentage of patients with Chest Pain who received an ECG within 10 minutes of arrival

ACTION Q3 2015 Report

Median Time from Emergency Department Arrival to Evaluation by Qualified Medical Personnel

Hospital Compare Preview Report 2Q 14 - 1Q 15

Surgical Care Quality Initiatives

The Surgical Care Improvement Project reviews several different measures to ensure that surgical patients receive quality care while at Lexington Medical Center. These measures are the result of evidence-based research in order to improve surgical care and reduce surgical complications.

Research has shown that when antibiotics are given to surgical patients within the hour before surgery, there is a lower incidence of postoperative infections. Depending on the surgery type, specific antibiotics are acceptable in order to ensure a safe and cost-effective result in reducing infections. Studies have shown that continuing antibiotics beyond 24 hours (48 hours for cardiac surgeries) offer no benefit to the surgical patient.

The risk of catheter-associated urinary tract infection (UTI) increases with increasing duration of indwelling urinary catheterization. Patients who had indwelling bladder catheters for more than 2 days post-op were 21% more likely to develop UTI, significantly less likely to be discharged to home, and had a significant increase in mortality at 30 days.

Beta blockers are a type of medications that primarily treat certain heart conditions and hypertension. It is important that patients who take beta blockers prior to hospitalization remain on beta blockers 24 hours before surgery throughout the recovery period.

Venous Thromboembolism (VTE) Prophylaxis is one of the most common postoperative complications and prophylaxis is the most effective strategy to reduce morbidity and mortality. Appropriately used thromboprophylaxis has a positive risk/benefit ratio and is cost effective.

Lexington Medical Center works as a team to ensure that all surgical patients receive quality care in order to reduce surgical complications.

Lexington Medical Center Surgery Quality Measures:
Infection Prevention Measures, Cardiac and VTE Complication Prevention
(Higher is better)

Ventilator-Associated Pneumonia (VAP)

VAP is the leading cause of death among infections that patients may acquire in the hospital. In addition, VAP prolongs time spent on the ventilator, length of Intensive Care Unit (ICU) stay, and length of hospital stay after discharge from the ICU. Reducing a patient’s risk of a VAP is an LMC priority.

What is a Ventilator-Associated Pneumonia?
“Pneumonia” is an infection of the lungs. A “ventilator” is a machine that helps a patient breathe by giving oxygen through a tube. A tube can be placed in a patient’s mouth, nose, or through a hole in the front of the neck. The tube is connected to a ventilator. A “ventilator-associated pneumonia” of “VAP” is a lung infection or pneumonia that develops in a person who is on a ventilator.

Why do patients need a ventilator?
A patient may need a ventilator when he or she is very ill or after surgery. Ventilators are life-saving, but they can increase a patient’s risk of getting pneumonia by making it easier for germs to get into the patient’s lung.

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

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

* Lexington Medical Center follows CDC (Centers for Disease Control) and other nationally recognized guidelines for care and treatment of the patient on the ventilator.

* LMC also follows the Institute of Healthcare Improvement recommendations or “VAP bundle” to reduce patient’s risk of acquiring an infection while on the ventilator.

* Bundle elements include:
Keeping the head of patient’s bed raised between 30 and 45 degrees unless other medical conditions do not allow this occur.

Checking the patient’s ability to breathe on his or her own every day so that the patient can be taken off the ventilator as soon as possible.

Treatments and medications for Peptic Ulcer Disease (PUD) Prevention and Deep Venous Thrombosis (DVT) Prevention.

Frequent cleaning of the patient’s mouth and oral rinsing with chlorhexidine.

Lexington Medical Center closely monitors all patients on the ventilator. Interdisciplinary health care teams carefully evaluate clinical practice issues and infection outcome data. Lexington Medical Center reports VAP outcome data to the National Healthcare Safety Network (NHSN), secure Centers for Disease Control managed data reporting system. This data is expected to be shared in the near future with health consumers through the SC DHEC Hospital Acquired Infection Website.

Adult Intensive Care Units
2015 Ventilator-Associated Pneumonia (VAP) Bundle Compliance

Adult Intensive Care Unit
Possible Ventilator-Associated Pneumonia (PVAP)

Hospital Acquired Potentially-Preventable Venous Thromboembolism (VTE)

Preventable VTE is defined as a diagnosed deep vein thrombosis (DVT) or pulmonary emboli (PE) which occurred in a setting in which prevention was indicated but was either administered inadequately or not administered at all. DVT occurs in the extremities and PE is a blood clot in the lung.

This measure assesses the number of patients diagnosed with confirmed VTE during hospitalization (not present on admission) who did not receive VTE prevention between hospital admission and the day before the VTE diagnostic testing order date. This information is publicly reported on the Centers for Medicare and Medicaid Services (CMS) website.

The incidence of preventable VTE among hospitalized patients is overwhelming, and contributes to extended hospital stays, and the rising cost of health care.

Lexington Medical Center patients are assessed on admission and post-operatively. Order sets include VTE preventive measures.

VTE-6 Hospital Acquired
Potentially-Preventable Venous Thromboembolism (VTE)
(Lower % is Better)