Quality Report


Quality Report

BIR JV, LLP

DBA: Baylor Scott & White Institute for Rehabilitation - Frisco
HCO ID: 485662
2990 Legacy Drive
Frisco, TX, 75034
(469) 888-5100
https://www.bswrehab.com/
Summary of Quality Information

Accreditation Programs

Gold Seal
Hospital
Accreditation Decision
Effective Date
8/24/2019
Last Full Survey Date
8/23/2019
Last On-Site Survey Date
8/23/2019

Core Certification Programs

Gold Seal
Certification Decision
Effective Date
1/27/2021
Last Full Survey Date
1/26/2021
Last On-Site Survey Date
1/26/2021
Gold Seal
Certification Decision
Effective Date
1/28/2021
Last Full Survey Date
1/27/2021
Last On-Site Survey Date
1/27/2021

Sites

BIR JV LLP
DBA: Baylor Scott & White Institute for Rehabilitation
1450 North Preston Road, Suite 40
Prosper, TX, 75078

Available Services

  • Outpatient Clinics (Outpatient )

BIR JV LLP
26795 US Highway 380 ste 100A
Aubrey, TX, 76227

Available Services

  • Outpatient Clinics (Outpatient )

BIR JV LLP
2817 South Mayhill Rd Ste 120
Denton, TX, 76208

Available Services

  • Outpatient Clinics (Outpatient )

BIR JV LLP
250 HIGHWAY 77 STE 300
Argyle, TX, 76226

Available Services

  • Outpatient Clinics (Outpatient )

BIR JV, LLP
DBA: Baylor Scott & White Institute for Rehabilitation at Frisco
2990 Legacy Drive
Frisco, TX, 75034

Available Services

  • Inpatient Unit (Inpatient )
  • Outpatient Clinics (Outpatient )
  • Rehabilitation Unit (Inpatient )
  • Rehabilitation Unit (24-hour Acute Care/Crisis Stabilization )

Certification Programs

  • Stroke Rehabilitation
  • Traumatic Brain Injury Rehabilitation

Other Clinics/Practices Located at This Site:

  • Baylor Scott & White Rehab - Frisco Day Neuro
  • Baylor Scott & White Rehab - Frisco HUB

National Patient Safety Goals and National Quality Improvement Goals

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is above the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is below the target range/value
  • naThis measure is not applicable for this organization
  • ndNot displayed

Measures Footnote Key

  1. The measure or measure set was not reported.
  2. The measure set does not have an overall result.
  3. The number is not enough for comparison purposes.
  4. The measure meets the Privacy Disclosure Threshold rule.
  5. The organization scored above 90% but was below most other organizations.
  6. The measure results are not statistically valid.
  7. The measure results are based on a sample of patients.
  8. The number of months with measure data is below the reporting requirement.
  9. The measure results are temporarily suppressed pending resubmission of updated data.
  10. Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement.
  11. There were no eligible patients that met the denominator criteria.

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is above the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is below the target range/value
  • naThis measure is not applicable for this organization
  • ndNot displayed

Measures Footnote Key

  1. The measure or measure set was not reported.
  2. The measure set does not have an overall result.
  3. The number is not enough for comparison purposes.
  4. The measure meets the Privacy Disclosure Threshold rule.
  5. The organization scored above 90% but was below most other organizations.
  6. The measure results are not statistically valid.
  7. The measure results are based on a sample of patients.
  8. The number of months with measure data is below the reporting requirement.
  9. The measure results are temporarily suppressed pending resubmission of updated data.
  10. Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement.
  11. There were no eligible patients that met the denominator criteria.

The Joint Commission only reports measures endorsed by the National Quality Forum.
* This information can also be viewed at Hospital Compare.

**      Indicates per 1000 hours of patient care.
***   The measure was not in effect for this quarter.
----   Null value or data not displayed.

Hospital 2019 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na

New Changes to Quarterly Measure

Download Quarterly Measure Results

The Joint Commission only reports measures endorsed by the National Quality Forum.
* State results are not calculated for the National Patient Safety Goals.