UT Southwestern Zale Lipshy Pavilion at William P. Clements Jr. University Hospital

This hospital provides a detailed bill within 30 days of receiving insurance payments: Yes

This hospital provides access to a representative who can quickly investigate billing errors and establish payment plans: Yes

This hospital sues patients: No

All staff involved in the informed consent process achieve the appropriate training: No

Doctors explain expected difficulties and recovery time and allow patients to ask questions: Yes

Doctors involved in the procedure are listed on the consent form, and patients are notified if the doctor will be absent and if trainees will be involved: Yes

Consent forms are written at a 6th grade reading level: No, all forms are at a 9th grade reading level or lower

Staff ask patients about their preferred language for decision-making and make a trained medical interpreter available if appropriate: Yes

Doctors use the "teach back method" to ensure patients understand what will be performed and what are the risks: Yes

This hospital's total number of nursing hours per patient day is: 12.21

This hospital did achieve Magnet status, nationally recognized for nursing excellence.

This hospital's total number of RN nursing hours per patient day is: 7.82

This hospital's proportion of RN nursing hours per patient day to total nursing hours per patient day is: 63.98% (where a higher percentage is better).

This hospital scored 110.77 out of 120.00 possible points.

This hospital scored 120.00 out of 120.00 possible points.

This hospital's percentage of inpatient medication orders entered electronically: 85% or greater

This hospital's score on the CPOE Evaluation Tool: Full Demonstration of National Safety Standard for Decision Support

This hospital's rate of unintentional discrepancies per medication is: 0.107

This hospital achieved the standard using on-site intensivist coverage.

This hospital performed 39 carotid artery surgeries compared to Leapfrog’s standard of 20 procedures annually.

As part of their process for privileging surgeons, this hospital does not ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 10 procedures annually for carotid artery surgery.

This hospital performed 175 mitral valve repairs and replacements compared to Leapfrog’s standard of 40 procedures annually.

As part of their process for privileging surgeons, this hospital does not ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 20 procedures annually for mitral valve repair and replacement.

This hospital does participate in the Society of Thoracic's Surgeons Adult Cardiac Surgery Database.

This hospital's outcome (absence of mortality and major morbidity) for mitral valve repairs and replacements is: Better than Expected.

This hospital performed 83 open aortic procedures compared to Leapfrog’s standard of 10 procedures annually.

As part of their process for privileging surgeons, this hospital does not ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 7 procedures annually for open aortic procedures.

This hospital performed 2 bariatric surgeries for weight loss compared to Leapfrog’s standard of 50 procedures annually.

As part of their process for privileging surgeons, this hospital does ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 20 procedures annually for bariatric surgeries for weight loss.

This hospital performed 12 esophageal resections for cancer compared to Leapfrog’s standard of 20 procedures annually.

As part of their process for privileging surgeons, this hospital does not ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 7 procedures annually for esophageal resection for cancer.

This hospital performed 83 lung resections for cancer compared to Leapfrog’s standard of 40 procedures annually.

As part of their process for privileging surgeons, this hospital does not ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 15 procedures annually for lung resection for cancer.

This hospital performed 56 pancreatic resections for cancer compared to Leapfrog’s standard of 20 procedures annually.

As part of their process for privileging surgeons, this hospital does not ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 10 procedures annually for pancreatic resection for cancer.

This hospital performed 43 rectal cancer surgeries compared to Leapfrog’s standard of 16 procedures annually.

As part of their process for privileging surgeons, this hospital does not ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 6 procedures annually for rectal cancer surgery.

This hospital performed 200 total knee replacement surgeries compared to Leapfrog’s standard of 50 procedures annually.

As part of their process for privileging surgeons, this hospital does not ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 25 procedures annually for total knee replacement surgeries.

This hospital performed 141 total hip replacement surgeries compared to Leapfrog’s standard of 50 procedures annually.

As part of their process for privileging surgeons, this hospital does not ensure that each surgeon meets or exceeds Leapfrog’s minimum surgeon volume standard of at least 25 procedures annually for total hip replacement surgeries.

Performance on the following four domains of the Outpatient and Ambulatory Surgery (OAS) CAHPS Survey make up a hospital’s score on Leapfrog’s “Experience of Patients Undergoing Elective Outpatient Surgery” measure. “Top Box Score” represents the percentage of respondents who gave the most favorable response.