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 of identification of stroke symptoms can reduce disability.

As a Primary Stroke Center, Lexington Medical Center (LMC) utilizes specialized orders and protocols to improve patient outcomes. Best practice guidelines recommend specific medications to reduce risk for, or recurrence of stroke, as well as to reduce disability, complications, and or death related to stroke. The risk of developing venous thromboembolism (VTE), which is blood clots in the leg or lungs, is increased after stroke. Atrial fibrillation (A-fib) is a common irregular heart rhythm which significantly increases risk of stroke. Prevention of VTE and control of A-fib through prescribed anticoagulants (blood thinners) are effective strategies to reduce complications of stroke and prevent recurrence of stroke. Cholesterol and anti-thrombotic medications may also be prescribed as an effective secondary prevention for patients who have had an ischemic stroke.

In 2017, through collaboration with the American Heart Association/American Stroke Association Get with the Guidelines© program (GWTG), LMC achieved the American Heart Association American Stroke Association GWTG Gold Plus Target: Stroke Honor Roll Award. This award reflects LMC’s dedication to providing quality stroke care.

2017 Get with the guidelines.

DNV Certified Primary Stroke Center

Stroke
Medications During Hospitalization
(Higher Percentage is Better)

Source:
Quintiles/American Heart Association Get with the Guidelines ©

Stroke
Medications Prescribed When Sent Home
(Higher Percentage is Better)

Source:
Quintiles/American Heart Association Get with the Guidelines ©


Ventilator-Associated Pneumonia (VAP)

VAP is associated with prolonged hospitalization and an increase in the risk of death. Reducing a patient’s risk of a VAP is a priority at Lexington Medical Center.

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?

  • 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.
  • 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) 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), a Clinical Registry of the Centers for Disease Control. 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
    Ventilator-Associated Pneumonia (VAP)


    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 prophylactic treatment that could have potentially prevented it from occurring was not contraindicated. DVT occurs in the arms or legs while 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.

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

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