Abstract Body: BACKGROUND Baptist Health System [BHS] is a five-hospital system operating under one Provider Number with one combined Medical Staff. During a recent stroke certification survey, the BHS Comprehensive Stroke Center was recognized for consistent compliance with Dysphagia Screening [DS] that was well above the national benchmark. This was also true of all the hospitals within the BHS. PURPOSE Share best practices for achieving and maintaining high compliance with DS within a system of hospitals. METHOD Customized physician stroke orders [CSO] were developed for the Emergency Department [ED] and Inpatient [IP] units and utilization mandated across BHS to ensure completion of DS prior to first oral intake [FOI]. Both the ED and IP Registered Nurse [RN] were required to complete DS. ED CSO included 1] NPO until DS by RN passed; 2] Stat DS by RN prior to FOI, including medication and ice chips [Meds/Ice]. A “Reasons for Dysphagia Screening” job aid was developed and posted in the ED to prompt DS by RN for all stroke alert patients, all ED patients with brain imaging ordered and all patients with conditions/symptoms that may be associated with a high suspicion of aspiration risk. A “Dysphagia Screening Pathway” job aid was developed to ensure appropriate actions taken if passed or failed. IP CSO included 1] DS upon admission by RN prior to FOI, including Meds/Ice; 2] NPO until DS by RN passed, or if failed, then Speech Language Pathologist [SLP] swallow assessment completed; 3] SLP consultation for Evaluation & Treatment Dysphagia/Bedside swallow evaluation within 24 hours of admission. For NPO patients the route for medication administration was updated appropriately. DS metric compliance is shared with ED and IP RNs monthly. A written performance improvement plan using the Plan-Do-Study-Act model is implemented when the goal is not met for 3 consecutive months. RESULTS BHS DS compliance has remained between 91% - 95% for 10 consecutive years 2014-2023. National benchmarks range between 83-85% annually for the same period. CONCLUSION Standardized processes, monthly data review, staff feedback, and written performance improvement plans led to a higher level of DS compliance within BHS.