Quality, patient-centered care
We strive to deliver superior care to our patients during every interaction. Our approach to ensuring high-quality care is rooted in our belief of always doing what is right for our patients.
From our more than 35 million annual patient encounters, we develop and share best practices across our enterprise that help continuously improve patient care, using evidence-based guidance, tools, measurement, advanced analytics and data science to support safe, effective, efficient, compassionate care.
Improving COVID-19 care
We continue to support and care for patients during the COVID-19 pandemic. From treating suspected and positive COVID-19 cases, we share our learnings with research institutions to improve treatments, outcomes and care. Since the beginning of the pandemic, HCA Healthcare has conducted various COVID-19 related research projects and worked to spearhead COVID-19 literature to accelerate the understanding and treatment of the coronavirus.
As of December 2021, HCA Healthcare has nearly 50 clinical publications in print, in press, under review or in late preparation.
Reducing opioid misuse and improving surgical outcomes
HCA Healthcare’s Enhanced Surgical Recovery (ESR) program helps improve surgical recovery, patient length of stay (LOS) and overall complications. The program focuses on acute care level interventions which are shown to have the most clinical validation. In 2021, the ESR program helped decrease complication rates by 20% compared to those surgeries not using ESR. In addition, ESR has resulted in the following improvements:
Enhanced Surgical Recovery (ESR) patient outcomes
up to a
decrease in opioid usage compared to those surgeries not using ESR
decrease in 30-day readmissions compared to those surgeries not using ESR
Providing faster stroke care
Our network of providers uses a proven rapid assessment approach to swiftly assess and treat stroke patients.
As of December 2021, HCA Healthcare facilities achieved a median door-to-needle time of 35 minutes for stroke care, which is 42% faster than the national stroke treatment goal of 60 minutes (American Heart Association/American Stroke Association). This performance is recognized by payers and accreditors, who recognize numerous HCA Healthcare facilities as centers of excellence.
NATE (Next-gen Analytics for Treatment and Efficiency) – Developed by HCA Healthcare’s Data Science team, NATE provides real-time decision support to front-line clinicians. The NATE COVID-Acute Respiratory Decision Support (C-ARDS) application combines treatment of Acute Respiratory Distress Syndrome with clinical observations and ventilator-streamed data to improve care for COVID-19 patients. C-ARDS ensures ventilator pressures, lung volume settings and patient positioning are optimized. The program has contributed to decreased length of stay, while increasing COVID-19 survival by 28 percent.
- In addition to work on Acute Respiratory Distress, NATE technology has also been used for cohorting COVID-19 patients, inpatient load balancing and to create Post-Acute Care (PAC) Forecast Signals, which leverages technology in decision support to forecast the appropriate PAC setting for patients at discharge.
- HCA Healthcare’s Continental Division, which includes HealthONE, was named to IBM Watson Health’s 15 Top Health Systems list for the second consecutive year
- In addition, 16 of the best performing hospitals in the nation are part of HCA Healthcare, according to the 2021 Fortune/IBM Watson Health 100 Top Hospitals list
- Five of these hospitals also received the Everest Award, an additional honor for those who ranked among the top for current performance and had the highest rates of improvement during a five-year period
- Newsweek magazine recognized 18 HCA Healthcare facilities as America’s Best Physical Rehab Centers in 2021
- In February 2021, 14 HCA Healthcare hospitals were recognized among the ‘250 Best Hospitals’ by Healthgrades
- Mission Hospital, an HCA Healthcare affiliated hospital, was listed as one of the ‘50 Best Hospitals’ by Healthgrades
Equity of Care
HCA Healthcare is committed to providing equitable access to high-quality care for our patients and fostering a diverse and inclusive workplace for our colleagues. We have signed a national Equity of Care pledge, through the American Hospital Association Institute for Diversity and Health Equity, to reinforce this commitment. Our Equity of Care program provides compassionate and patient-focused solutions and resources through the following focus areas:
Our Health Equity Council analyzes data to address disparities and improve patient outcomes, and data from our more than 35 million annual patient encounters helps provide insights to advance health equity nationwide.
More than 182,000 HCA Healthcare colleagues have completed our equity of care education course, which was created to advance our colleagues’ cultural competence.
Pastoral and spiritual care
HCA Healthcare maintains a large network of professionally certified and accredited chaplains and qualified pastoral and spiritual care providers who provide spiritual care for our patients, their companions, and colleagues and the communities we serve.
Our facilities deliver healthcare services in more than 170 languages and dialects.
Access to services
More than 1,000 Equity of Care Coordinators (ECCs) across the HCA Healthcare enterprise advance health equity for patients and their loved ones by ensuring equitable access to high-quality healthcare services for individuals who are deaf or hard of hearing, are blind or have low vision, utilize service animals or are limited English proficient (LEP).
“This most recent COVID surge has been the most challenging experience for our patients and our colleagues yet. We’ve seen our patients’ anxiety levels and fears accelerate to a degree to where it is truly affecting their well-being. Our chaplain team has been able to provide emotional comfort to our patients and that’s helped improve their overall health.”
Emanuel Harris, Chaplain Director
HCA Florida North Florida Hospital
“To build a culture of health equity, we must first ensure everyone has the basics to be healthy. And when it comes to expanding opportunities for health, thinking the same approach will work universally is like expecting everyone to be able to ride the same bike. The key is to remember there is no ‘off-the-shelf’ solution. It takes time, ingenuity, patience and compassion to fully understand their needs and to truly help them heal.”
Dean Beasley, Equity of Care Coordinator
at Doctors Hospital of Augusta
Health Equity Council
As part of our continued commitment to providing equitable access to care, HCA Healthcare formed the Health Equity Council in January 2021 to help identify and address health disparities within and outside of our hospitals, as well as to develop strategies that advance health equity. This cross-functional group of senior leaders — co-led by our chief clinical officer and chief diversity officer — analyzes race, ethnicity and language (REaL) data, sexual orientation and gender identity (SOGI) data and other socio-demographic characteristics to address disparities and improve patient quality, safety and satisfaction outcomes for diverse populations.
The findings from our annual equitable outcomes analysis have been used to shape the focus of initiatives undertaken by the council, including partnerships with community organizations and industry partners to address specific opportunities related to cardiovascular health, cancer screenings and navigation services, and maternal health for communities of color. To support the goal of monitoring and reporting health equity data on a regular cadence, a health equity dashboard has been developed to provide insight into potential disparities in care outcomes on a quarterly basis.
At HCA Healthcare, we work to ease the stress that the healthcare insurance and billing process can bring. Serving both uninsured and underinsured patients, HCA Healthcare applies a sliding scale discount on patient amounts due based on federal poverty guidelines (FPG) and household income. We provide one of the most generous patient financial assistance programs in the country. Our programs and resources include pricing information, financial counseling, patient-friendly billing practices and financial assistance programs for uninsured and underinsured patients.
In 2021, HCA Healthcare contributed an estimated $3.3B+ for the delivery of charity care, uninsured discounts and other uncompensated care.
Through our Patient Benefit Advisor hotline which operated from the beginning of the pandemic through March 2021, we assisted nearly 11,000 patients who experienced unemployment and/or loss of health insurance during the height of the pandemic.