Quality
A Community built on Quality
Here at Baptist, we’re committed to providing the most attentive staff and highest quality of compassionate care.
Patients and families who seek care and healing in our facilities deserve a safe, top-quality experience. That's why everything we do at Baptist Health System focuses on advancing patient care and satisfaction. These are important aspects of our community built on care – a community also built on quality.
“Baptist has taken great care to hand-select the best staffing, the best doctors, the best nurses, and the best techs,” says Dr. Stephen Reich, cardiac electrophysiologist. “Everyone has the patients in mind when it comes to making sure they’re cared for and comfortable and have a good experience at the hospital.”
Our patients and their families can expect to experience safe, reliable and compassionate care at Baptist Health System. We strive to create an environment that distinguishes our hospitals as preferred places to work, to practice medicine and to receive compassionate care.
Office of Quality Monitoring
Please see the below avenues that can be used to file a complaint:
The Joint Commission (TJC)
by Fax (630-792-5636) or by mail to the following address:
Office of Quality and Patient Safety
The Joint Commission
One Renaissance Boulevard
Oakbrook Terrace, Illinois 60181
Department of State Health Services - TexasGeneral Inquiries: 512-776-7111 or 1-888-963-7111
Online at http://www.dshs.texas.gov/contact-us
By mail to the following address:
Texas Department of State Health Services
P.O. Box 149347
Austin, TX 78714-9347
To contact the Hospital Administration Team regarding a concern, please visit the location page https://www.baptisthealthsystem.com/locations to be connected to the hospital main line - ask to be transferred to the Administration Department.
Louise Batz Patient Safety Foundation
Baptist Health System has partnered with the Louise Batz Patient Safety Foundation to help save lives from preventable medical errors. Download the Batz Foundation Patient Safety Guide and their App.
Here’s a look at our quality achievements:
The Joint Commission Accredited
- Baptist Health System
- Resolute Baptist Hospital
The Joint Commission Disease Specific Certification for Advanced Primary Stroke Center
- Baptist Medical Center
- North Central Baptist Hospital
- Mission Trail Baptist Hospital
- Resolute Baptist Hospital
DNV Comprehensive Stroke Certification
- St. Luke’s Baptist Hospital
DNV Primary Stroke Center Plus Certification
- Northeast Baptist Hospital
Get with the Guidelines Stroke Target Stroke Honor Roll Elite Gold Plus Award (American Heart Association/American Stroke Association)
- Baptist Health System
The Joint Commission Disease Specific Certification for Joint Replacement – Hips & Knees
- Mission Trail Baptist Hospital
- St. Luke’s Baptist Hospital
The Joint Commission Disease Specific Advanced Certification for Total Hip and Total Knee Replacement
- North Central Baptist Hospital
- Northeast Baptist Hospital
The Joint Commission Disease Specific Certification for Hip Fragility Fracture
- North Central Baptist Hospital
- Northeast Baptist Hospital
The Joint Commission Disease Specific Certification for Spine Surgery
- North Central Baptist Hospital
CARF certification for Inpatient Rehabilitation Centers, Comprehensive Rehab, Amputation Specialty, Stroke Specialty
- Baptist Medical Center
- St. Luke’s Baptist Hospital
- Northeast Baptist
- North Central Baptist
Trauma Designation
- TDSHS Level III
- North Central Baptist Hospital
- TDSHS Level IV
- Baptist Medical Center
- Mission Trail Baptist Hospital
- Northeast Baptist Hospital
- St. Luke’s Baptist Hospital
- Resolute Baptist Hospital
Bariatric
- American Society for Metabolic and Bariatric Surgery (ASMBS) – Bariatric Survey Center of Excellence
- Northeast Baptist Hospital
Commission on Cancer (CoC)– Baptist Health System
Breast Centers
- National Accreditation Program for Breast Centers (NAPBC)
- North Central Baptist
Laboratory Services
- College of American Pathologists (CAP)
- Baptist Health System
Imaging
- American College Radiology (ACR)
- Baptist Medical Center – Ultrasound
- Mission Trail Baptist Hospital – CT
- Northeast Baptist – Ultrasound
- St. Luke’s Baptist – Ultrasound, CT
- Resolute Health – CT, MRI, Ultrasound and Mammography
DSHS Neonatal Designation
- North Central Baptist – Level IV
- St. Luke’s Baptist – Level IV
- Mission Trail Baptist – Level II
- Resolute Baptist Hospital – Level II
DSHS Maternal Designation
- North Central Baptist – Level IV
- St. Luke’s Baptist – Level IV
- Mission Trail Baptist – Level II
- Resolute Baptist Hospital – Level II
U.S. News & World Report - Recognized as high-performing in services for COPD, Colon Cancer Surgery, Heart Failure, Hip Replacement & Knee Replacement
Leapfrog A grade for all 6 hospitals
Breast Imaging Center of Excellence — American College of Radiology
Cardiac
- Accredited Chest Pain Centers through the American College of Cardiology