Hca Houston Healthcare Southeast


About the Facility

CMS Certification Number (CCN)
45T097
Ownership Type
For Profit
CMS Region
Dallas
Certification Date
Address
4000 Spencer Highway
Phone Number
(713) 359-5381

Facility Medical Condition Statistics

All other conditions
96
Brain disease or condition (non-traumatic)
30
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
44
Hip or knee replacement, amputation or other bone or joint condition
35
Nervous system disorder (excluding stroke)
27
Spinal cord disease or condition (non-traumatic)
19
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
82

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
Not Available
Comparative performance category
Not Available
Catheter days
421
Predicted number of infections (B)
0.607
Number of infections reported (A)
0
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
259
Denominator
260
Facility rate
99.6
Change in patients ability to care for themselves
Average risk-adjusted change score
13.3
Denominator
227
Average observed change score
13.8
Change in patients ability to move around
Average risk-adjusted change score
35.0
Denominator
227
Average observed change score
33.7
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
168
Denominator
227
Facility rate
74.0
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
176
Denominator
227
Facility rate
77.5
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
260
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
1.581
Comparative performance category
No Different than the National Benchmark
Patient days
4,770
Predicted number of infections (B)
1.895
Number of infections reported (A)
0
SIR (A/B)
0.000
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
4
Number of health care workers
19
Rate of flu vaccination
21.1
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
38
Number of eligible stays
279
Unadjusted potentially preventable readmission rate
13.62
Risk-standardized potentially preventable readmission rate (RSRR)
9.79
Lower limit of the 95% confidence interval on the RSRR
7.95
Upper limit of the 95% confidence interval on the RSRR
12.10
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
12
Number of eligible stays
306
Unadjusted potentially preventable readmission rate
3.92
Risk-standardized potentially preventable readmission rate (RSRR)
4.29
Lower limit of the 95% confidence interval on the RSRR
3.20
Upper limit of the 95% confidence interval on the RSRR
6.14
Comparative performance category
No Different than the National Rate
Rate of successful return to home or community from an IRF
Observed number of discharges to community (DTC)
159
Number of eligible stays
237
Observed discharge to community rate
67.09
Risk-standardized discharge to community rate
69.81
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
64.17
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
75.19
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.05
Number of eligible episodes
262
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
258
Denominator
260
Facility rate
99.2
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
6
Denominator
260
Facility observed rate
2.3
Facility risk-adjusted rate
1.9
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
21
Number of health care workers
35
Rate of COVID-19 vaccination
60.0