Becky Carter: How Care Quality is Defined and Measured, and What We Strive for as We Look to the Future

By Becky Carter
President and CNO, Blue Ridge Regional Hospital

The Centers for Medicaid and Medicare Services (CMS) publish an annual star-rating listing that assesses hospital efficiency in numerous areas resembling entry to care, affected person expertise and medical outcomes of care. The star scores of all hospitals can be found to the general public to assist the lay individual select the place to go for care. We at Blue Ridge Regional Hospital (BRRH) are thrilled to announce that we earned a 5-star score for 2017, the best score attainable.  We, together with Mission Hospital and Mission Hospital McDowell, are considered one of solely ten hospitals in North Carolina to earn this rating.

Of course we’re proud and humbled to have acquired this score, however extra importantly, it speaks volumes concerning the dedication and professionalism of our workers: suppliers, nurses, pharmacists, laboratorians, radiology technicians, respiratory therapists and a bunch of others. These staff members care deeply concerning the high quality of care they supply and try to enhance constantly. Not solely do our staff members possess the best degree of medical experience, day-in-and-day-out dedication and an unwavering emphasis on security, they by no means lose sight of the truth that our focus – all the time – is on the affected person and household.

I additionally wish to speak about a couple of different issues that this score signifies about BRRH, which could not be so apparent. A 5-star score symbolizes that we concentrate on offering the most secure surroundings for care. Some of the instruments we use to offer this care embrace superior affected person monitoring methods, like a knowledge analytic system that identifies doubtlessly dangerous tendencies in a affected person’s situation earlier than that affected person truly experiences any decline and notifies nurses that an intervention or larger degree of care could also be wanted. Our 5-Star score additionally signifies that we provide our sufferers, resembling a person who enters our emergency division with chest ache or stroke signs receives the identical normal of care as any glorious state-of-the-art ED.  Simply put, our potential to satisfy these excessive requirements means sooner, safer care that ends in higher affected person outcomes.

Other elements that contribute to our excessive score are low numbers of readmitted sufferers, constructive affected person expertise outcomes from sufferers themselves and low mortality or loss of life charges. These elements embrace, for instance, how rapidly we may give sufferers the proper care. If a affected person walks in with chest pains, she or he receives an EKG promptly and that tracing might be seen by physicians and cardiologists anyplace within the Mission system. If a affected person enters with stroke signs, we are able to present a state-of-the-art, quick, low-radiation-dose CT scan inside minutes which might be considered by 24 hour stroke specialists at Mission Hospital in Asheville. At BRRH, it’s all about assembly and exceeding remedy requirements that embrace thoroughness, precision and velocity. When we meet these, lives are saved and households are reunited.

The CMS is consistently refining the measures they use to find out hospital care high quality and security. This ensures that the star-rating system stays dependable and that we do too. For instance, a number of years in the past, the CMS made stroke and coronary heart assault measures “all or none.” If a facility doesn’t meet each single normal set forth, they don’t get any credit score for efficiency in that kind of care. The stakes are excessive, they usually should be.

To be certain that BRRH stays a 5-star-caliber hospital, we take a look at the care we offer not as a broad activity, however a mission that’s delivered mindfully, day by day. Our success signifies that those that come to BRRH for care can ensure that they’re in the perfect palms attainable, it doesn’t matter what type of care they want.

Rebecca W. Carter, MSN, RN, FACHE is President and Chief Nursing Officer of Blue Ridge Regional Hospital in Spruce Pine. Carter has served in senior hospital administration for over 20 years and beforehand served as Chief Operating Officer and Chief Nursing Officer of Transylvania Regional Hospital in Brevard, additionally part of the Mission Health system.

Ms. Carter is board licensed in healthcare administration and is a Fellow of the American College of Healthcare Executives (FACHE).  A local of North Carolina, she holds undergraduate and graduate levels in nursing from the University of North Carolina at Chapel Hill. Ms. Carter is at the moment a resident of Burnsville.

For extra info on Blue Ridge Regional Hospital, go to


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