By Amit Vashist, MD, Chief Clinical Officer & Mary Rodriguez, Chief Quality Officer, Ballad Health Ballad Health reduced all-cause mortality by 22% and lowered its observed-to-expected mortality ratio by 10% between fiscal years 2023 and 2025. This progress is more than an operational win. It reflects a shift in mindset. At its core is a systemwide commitment to identifying deterioration earlier, acting faster and delivering care that is aligned with patient values.

This work is part of Ballad’s broader journey toward becoming a high-reliability organization. Safety, accountability and continuous learning are being embedded into every level of care. From review to redesign A mortality gap analysis in 2023 revealed variation across documentation, care escalation and alignment with clinical

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