About the Quality at Baylor Scott & White Health

The Office of the Chief Quality Officer improves the quality of healthcare across Baylor Scott & White Health and aims to ensure the delivery of value-based healthcare.

The ongoing successes of these healthcare quality improvement efforts have led to the receipt of several regional and national awards including the National Quality Healthcare Award of the National Quality Forum and the Leapfrog Patient-Centered Care Award. Baylor recently ranked third among 73 multi-hospital healthcare systems across the United States in overall quality of care according to the American Hospital Association.

The Office of Patient Safety was formed in 2005 to address the increasing concern of patient safety across the healthcare industry.

Our Value-Based Healthcare Reporting and Analytics groups are essential elements in the journey to deliver value-based healthcare to our patients through the ongoing measurement of outcomes linked to safety, effectiveness and quality of life.

Patient Safety                                                                                                                                  Value-Based Healthcare Reporting and Analytics 

Essential components of our safety and quality plan

Quality improvement across the continuum

Exceptional, high-quality care is essential to our brand and supports our Commitment to the communities and members we serve. To ensure patients and members are receiving established, high-quality care at the right time—in the manner they choose across all aspects of the care continuum—organizational alignment, culture and standardized care models are fundamental to organizational success

Patient safety

One person does not own patient safety. Everyone in the organization must work together to eliminate preventable harm. Our patient safety program leads our efforts to develop and implement evidence-based patient safety practices intended to support our pursuit of zero preventable harm.




Patient experience

Patient experience focuses on achieving our aim to deliver an exceptional experience consistently and predictably, regardless of the location or type of service.







Our quality initiatives are the cornerstone of our ambition and commitment to our patients

The expectation to deliver high quality, safe care guides our daily decisions and provides a roadmap to achieving excellence in what we do for patients and members.

Baylor Scott & White Health's goal for safety and quality is to:

  • Achieve zero preventable harm
  • Deliver consistent and high-quality care as measured by objective national rankings
  • Recognized excellence on select rankings within specific delivery locations
  • Consistent performance across delivery locations with none below the median
  • Be recognized as a highly integrated delivery network with 4-star or better performance of Scott and White Health Plan products, including Medicare Advantage and National Committee for Quality Assurance-rated (NCQA) commercial plans
  • Be at least a top quartile performer on established experience surveys across all sites of care

Quality leadership

Brett Stauffer

Brett Stauffer, MD, MHS, FHM

Chief Quality Officer

Core Commitment:
I commit to strengthening our quality foundation while addressing the need in our community for personalized access and convenience so our customers, patients and team members are empowered to live well.

Sunni Barnes

Sunni Barnes, PhD

Vice President,
Patient Experience & Quality/Survey Operations

Core Commitment:
I commit to developing feedback channels and analytic insights to support the continuous improvement of the experience with BSWH so that customers, patients and team members are empowered to live well.

Jan Compton

Jan Compton, MS HCAD, BSN, RN, CPHQ

Vice President,
Patient Safety, Quality Improvement, and Infection Prevention & Control

Core Commitment:
I commit to advancing quality and safety outcomes with passion and joy, supporting all levels of the organization so our customers, patients and team members are empowered to live well.

Nanette Myers

Nanette Myers, MBA, CPHQ

Vice President,
Clinical Integration

Core Commitment:
I commit to being in the moment, asking "why" and simplifying the complicated so that patients and members receive quality care and service that exceeds their expectations.

Dana Choate

Dana Choate, MBA, RHIA, CHP

Vice President,
Health Information Management

Core Commitment:
I commit to lead our team to ignite innovation and experience, so our customers are empowered to live well.

Sunita Varghees

Sunita Varghees, MD, PhD, CHCQM

Vice President,
Clinical Documentation Integrity

Core Commitment:
I commit to listen with intent and an open mind to maximize the effectiveness of our teams and providers so our patients and team members are empowered to live well.

Contact us

Brett Stauffer, MD, MHS, FHM
Chief Quality Officer, 
Baylor Scott & White

Phone: 214.865.4390
Email: Brett.Stauffer@BSWHealth.org