Magnet Recognition

Nursing accomplishments

At Baylor Scott & White Health, our nurses are dedicated to the care of a diverse community of patients. As members of our frontline care team, they take pride in seeking opportunities to provide a higher level of care.

The nurses at Baylor Scott & White Medical Center – Waxahachie worked together to deliver excellence in key areas of nursing.

• Fully accredited by the Commission on Cancer for another three years, both Waxahachie and Duncanville Cancer Centers
• American Heart Association and American Stroke Association Get with the Guidelines Stroke SILVER PLUS designation
• Increased PCU capacity from 20 to 25 monitored beds
• Opened Level II Special Care Nursery
• Modified multidisciplinary rounds on units to include physicians, discharge board, and designated times with 90% compliance
• Patient Satisfaction - FYTD22
  • HCAHPS composite score of 75 – 79th percentile, one of the top acute care hospitals
  • Emergency Department – Likelihood to Recommend 84.7 - 90th percentile, 2nd in the system for >60K visits
  • Ambulatory Surgery Center – Likelihood to Recommend 91.4 – 88th percentile
  • Women’s Patient Satisfaction – unit level HCAHPS composite score – 86.3 – 98th percentile
• C-Diff free for 165 days – last one 1/4/22
• CLABSI free for 296 days (ICU)
• Zero Harm – 8 quarters without incidence of:
  • Falls with Injury - ICU, MBU, Simply Moms, Day Surgery, PACU, GI Lab
  • CAUTI free FY21 and FY22
  • Unit Acquired MRSA - PCU, MBU
  • Baby Drops – MBU
• Cathy Gibson, BSN, RN, CBN, Orthopaedic Nurse Navigator/Program Coordinator, presented “Developing an Elective Joint Replacement Same Day Discharge Program” at the National Association of Orthopaedic Nurse Annual Conference in May 2022
• Achieved 93% facility wide People Survey Participation
• Nurse Scholar, Amber Kittley, MSN, RN, NE-BC, presented on Meditation/Yoga and Compassion Fatigue/Satisfaction
• Nurse volunteer team at Marvin Elementary Open House for the upcoming Marvin Biomedical Academy partnership between Waxahachie Independent School District and BSW Waxahachie
• Patient Satisfaction – FY23 December YTD HCAHPS Composite of 76.1 – 89th Percentile exceeding goal of 74.4, one of the top acute care hospitals in BSWH
• National Webinar presentation: Cathy Gibson, BSN, RN, CBN, Orthopedic Nurse Navigator/Program Coordinator,” and Paul Freudigman M.D. Orthopedic Surgeon, “Developing a Hospital Based Same-Day Discharge Program”
• Received the Bill Aston Quality Award for two exemplary projects: Improving Same Day Discharges for Elective Joint Replacements and Reducing Chemotherapy/Infusion Treatment Delays
• Reducing Healthcare Associated Infections (HAIs) FY23 YTD SIR 0.347 with a goal of 0.458 (6 of 15 possible events)
• Staffing: Reduced the RN vacancy rate to 3.2%, eliminated agency to 1 RN, reduced premium pay incentives by 75% comparing July to December (decrease of $225,000), and decreased RN turnover to 9.9%
• BSWMC – Waxahachie and Marvin Biomedical Elementary ongoing partnership –RNs created a lesson on the “Effects of the Sun and Skin Cancer Prevention” and presented to all grade levels during Health Science Week
• Neonatal Designation Survey from the American Academy of Pediatrics - ZERO deficiencies and several best practices highlighted
• Designated as a Hernia Surgery Center of Excellence by the Surgical Review Corporation (SRC)
• Received accreditation under the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP)
• Presented Daisy Awards to three nurses nominated by patients and their families– Kaitlyn Apticar (PCU), Tiffany Nicholson (3rd Floor), Jordan Trahan (4th Floor)
• US News & World Report High Performing Hospitals: COPD, Hip Fracture, Kidney Failure, Stroke
• CMS 5 Star Rating
• Leapfrog Hospital Safety Grade "A"
• People Survey Results
  • Employee Engagement at 85% (system = 81.80%)
  • Culture of Safety at 81% (system = 78.7%)