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    Mailing Address
    THCIC
    Dept. of State Health Services
    Center for Health Statistics, MC 1898
    PO Box 149347
    Austin, Texas 78714-9347

    Location
    Moreton Building, M-660
    1100 West 49th Street
    Austin, TX 78756

    512-776-7261
    512-776-7740 (fax)
    Email: thcichelp@dshs.state.tx.us

Comments by Hospitals on Indicators of Inpatient Care in Texas Hospitals, 2009

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Bryan-College Station MSA

THCIC ID 679000
Burleson St. Joseph Health Center (BSJ)

Burleson St. Joseph Health Center (BSJ) actively pursues improving the quality of healthcare by involving physicians, nurses, clinical support staff and other team members in continued performance improvements.

BSJ believes the public should be able to make healthcare decisions based on a variety of quality-related information. The THCIC data is one of several sources of information available to the public and should be considered along with other information available on quality of care. Patients should ask their physician and their hospital if they have questions about the quality of their health care.

Comparison in quality between hospitals is difficult due to varying patient populations and increased risk factors that may not be accounted for in the reports released by THCIC. Very sick patients may have more complicating health factors than can be represented in the risk adjustment formulas used by THCIC. Some hospitals, such as BSJ, offer Swing Bed Services that can alter the quality outcomes when compared to a typical acute care only hospital.

THCIC ID 728800
Grimes St. Joseph Health Center (GSJ)

Grimes St. Joseph Health Center (GSJ) actively pursues improving the quality of healthcare by involving physicians, nurses, clinical support staff and other team members in continued performance improvements.

GSJ believes the public should be able to make healthcare decisions based on a variety of quality-related information. The THCIC data is one of several sources of information available to the public and should be considered along with other information available on quality of care. Patients should ask their physician and their hospital if they have questions about the quality of their health care.

Comparison in quality between hospitals is difficult due to varying patient populations and increased risk factors that may not be accounted for in the reports released by THCIC. Very sick patients may have more complicating health factors than can be represented in the risk adjustment formulas used by THCIC. Some hospitals, such as GSJ, offer Swing Bed Services that can alter the quality outcomes when compared to a typical acute care only hospital.

THCIC ID 041000
Madison St. Joseph Health Center (MSJ)

Madison St. Joseph Health Center (MSJ) actively pursues improving the quality of healthcare by involving physicians, nurses, clinical support staff and other team members in continued performance improvements.

MSJ believes the public should be able to make healthcare decisions based on a variety of quality-related information. The THCIC data is one of several sources of information available to the public and should be considered along with other information available on quality of care. Patients should ask their physician and their hospital if they have questions about the quality of their health care.

Comparison in quality between hospitals is difficult due to varying patient populations and increased risk factors that may not be accounted for in the reports released by THCIC. Very sick patients may have more complicating health factors than can be represented in the risk adjustment formulas used by THCIC. Some hospitals, such as MSJ, offer Swing Bed Services that can alter the quality outcomes when compared to a typical acute care only hospital.

THCIC ID 002001
St. Joseph Regional Health Center (SJRHC)

St. Joseph Regional Health Center (SJRHC) actively pursues improving the quality of healthcare by involving physicians, nurses, clinical support staff and other team members in continued performance improvements.

SJRHC believes the public should be able to make healthcare decisions based on a variety of quality-related information. The THCIC data is one of several sources of information available to the public and should be considered along with other information available on quality of care. Patients should ask their physician and their hospital if they have questions about the quality of their health care.

Comparison in quality between hospitals is difficult due to varying patient populations and increased risk factors that may not be accounted for in the reports released by THCIC. Very sick patients, such as commonly cared for at a regional hospital like SJRHC, may have more complicating health factors than can be represented in the risk adjustment formulas used by THCIC. Some hospitals offer Skilled Nursing Facilities services that can alter the quality outcomes when compared to a typical acute care only hospital.

Austin MSA

THCIC ID 035000
St. David’s Hospital

In some indicators, our case volumes and mortality rates varied from the data being reported.

THCIC ID 829900
North Austin Medical Center

The data does not reflect the actual volume of cases for this time period and the omission of a number of cases results in mortality rates higher than actually observed.

Dallas MSA

THCIC ID 042000
Baylor Medical Center Carrollton aka Trinity Medical Center

  • Baylor Carrollton supports the Patient, Provider, and Payer and “empowered”, “educated” decision-making.
  • Quality improvement is not new; it is a continuous process and is an on-going commitment.
  • We recommend the Patient communicate with the Hospital and the Physician regarding Hospital quality information and data.
  • Patient and physician preference contributes to the care rendered to the patient. This is specifically significant for cesarean section and vaginal birth after cesarean section data.
  • Patients and physicians consider many factors when making health care decisions that are not available in administrative data. These include a patient’s preference for life-sustaining treatments, functional status, and other factors.
  • This data is administrative data, which hospitals collect for billing purposes, and is not a substitute for clinical data in medical records, from which more accurate assessments about patient care may be made.
  • This data file may not fully represent all diagnoses treated by the hospital or all procedures performed, which can alter the true picture of the patient’s hospitalization, sometimes significantly.
  • While this data sent by us does meet state requirements, it may not reflect all the diagnoses and procedures in an individual patient’s record.
  • Baylor Carrollton is an acute care Hospital and does not provide invasive heart procedures. In such instances that a patient presents with a heart attack (MI), the hospital stabilizes the patient and transfers the patient to another facility for the appropriate level of care. These patients are not included in this data, which may reflect a higher mortality rate.

For more information, please access our web sites at:

http://www.baylorhealth.com/PhysiciansLocations/Carrollton/Pages/Default.aspx

Or contact the following for information:

The Business Development office at 972.394.2298

The Health Care Improvement office at 972.394.2382

The Health Information Management office at 972.394.2492

Houston MSA

THCIC ID 534001
Memorial Hermann Katy Hospital

Memorial Hermann supports the process of providing consumers with access to quality information. We agree with the limitations on use of the data as published in the Agency for Healthcare Research on Quality's (AHRQ's) Guide to Inpatient Quality Indicators: Quality of Care in Hospitals--Volume, Mortality, and Utilization and how the data should be used and interpreted (http://www.qualityindicators.ahrq.gov/).

We utilize the data in our internal quality review process for developing our performance improvement plan, which is approved by our board of directors after input from our medical staff, hospital leadership and staff of all levels. Our performance improvement plan continually evaluates, recommends and implements quality improvement initiatives derived from analyses of system data, industry trends and practices, and administrative database analysis such as THCIC.

Questions concerning Memorial Hermann data can be directed to Beth Sartori, Corporate Communications by either phone (713-242-4757) or email (Beth.Sartori@memorialhermann.org).

THCIC ID 302000
Memorial Hermann Memorial City Hospital

Memorial Hermann supports the process of providing consumers with access to quality information. We agree with the limitations on use of the data as published in the Agency for Healthcare Research on Quality's (AHRQ's) Guide to Inpatient Quality Indicators: Quality of Care in Hospitals--Volume, Mortality, and Utilization and how the data should be used and interpreted (http://www.qualityindicators.ahrq.gov/).

We utilize the data in our internal quality review process for developing our performance improvement plan, which is approved by our board of directors after input from our medical staff, hospital leadership and staff of all levels. Our performance improvement plan continually evaluates, recommends and implements quality improvement initiatives derived from analyses of system data, industry trends and practices, and administrative database analysis such as THCIC.

Questions concerning Memorial Hermann data can be directed to Beth Sartori, Corporate Communications by either phone (713-242-4757) or email (Beth.Sartori@memorialhermann.org).

THCIC ID 847100
Memorial Hermann Northeast Hospital

Memorial Hermann supports the process of providing consumers with access to quality information. We agree with the limitations on use of the data as published in the Agency for Healthcare Research on Quality's (AHRQ's) Guide to Inpatient Quality Indicators: Quality of Care in Hospitals--Volume, Mortality, and Utilization and how the data should be used and interpreted (http://www.qualityindicators.ahrq.gov/).

We utilize the data in our internal quality review process for developing our performance improvement plan, which is approved by our board of directors after input from our medical staff, hospital leadership and staff of all levels. Our performance improvement plan continually evaluates, recommends and implements quality improvement initiatives derived from analyses of system data, industry trends and practices, and administrative database analysis such as THCIC.

Questions concerning Memorial Hermann data can be directed to Beth Sartori, Corporate Communications by either phone (713-242-4757) or email (Beth.Sartori@memorialhermann.org).

THCIC ID 172000
Memorial Hermann Northwest Hospital

Memorial Hermann supports the process of providing consumers with access to quality information. We agree with the limitations on use of the data as published in the Agency for Healthcare Research on Quality's (AHRQ's) Guide to Inpatient Quality Indicators: Quality of Care in Hospitals--Volume, Mortality, and Utilization and how the data should be used and interpreted (http://www.qualityindicators.ahrq.gov/).

We utilize the data in our internal quality review process for developing our performance improvement plan, which is approved by our board of directors after input from our medical staff, hospital leadership and staff of all levels. Our performance improvement plan continually evaluates, recommends and implements quality improvement initiatives derived from analyses of system data, industry trends and practices, and administrative database analysis such as THCIC.

Questions concerning Memorial Hermann data can be directed to Beth Sartori, Corporate Communications by either phone (713-242-4757) or email (Beth.Sartori@memorialhermann.org).

THCIC ID 119000
Memorial Hermann Southeast Hospital

Memorial Hermann supports the process of providing consumers with access to quality information. We agree with the limitations on use of the data as published in the Agency for Healthcare Research on Quality's (AHRQ's) Guide to Inpatient Quality Indicators: Quality of Care in Hospitals--Volume, Mortality, and Utilization and how the data should be used and interpreted (http://www.qualityindicators.ahrq.gov/).

We utilize the data in our internal quality review process for developing our performance improvement plan, which is approved by our board of directors after input from our medical staff, hospital leadership and staff of all levels. Our performance improvement plan continually evaluates, recommends and implements quality improvement initiatives derived from analyses of system data, industry trends and practices, and administrative database analysis such as THCIC.

Questions concerning Memorial Hermann data can be directed to Beth Sartori, Corporate Communications by either phone (713-242-4757) or email (Beth.Sartori@memorialhermann.org).

THCIC ID 407000
Memorial Hermann Southwest Hospital

Memorial Hermann supports the process of providing consumers with access to quality information. We agree with the limitations on use of the data as published in the Agency for Healthcare Research on Quality's (AHRQ's) Guide to Inpatient Quality Indicators: Quality of Care in Hospitals--Volume, Mortality, and Utilization and how the data should be used and interpreted (http://www.qualityindicators.ahrq.gov/).

We utilize the data in our internal quality review process for developing our performance improvement plan, which is approved by our board of directors after input from our medical staff, hospital leadership and staff of all levels. Our performance improvement plan continually evaluates, recommends and implements quality improvement initiatives derived from analyses of system data, industry trends and practices, and administrative database analysis such as THCIC.

Questions concerning Memorial Hermann data can be directed to Beth Sartori, Corporate Communications by either phone (713-242-4757) or email (Beth.Sartori@memorialhermann.org).

THCIC ID 609001
Memorial Hermann Sugar Land Hospital

Memorial Hermann supports the process of providing consumers with access to quality information. We agree with the limitations on use of the data as published in the Agency for Healthcare Research on Quality's (AHRQ's) Guide to Inpatient Quality Indicators: Quality of Care in Hospitals--Volume, Mortality, and Utilization and how the data should be used and interpreted (http://www.qualityindicators.ahrq.gov/).

We utilize the data in our internal quality review process for developing our performance improvement plan, which is approved by our board of directors after input from our medical staff, hospital leadership and staff of all levels. Our performance improvement plan continually evaluates, recommends and implements quality improvement initiatives derived from analyses of system data, industry trends and practices, and administrative database analysis such as THCIC.

Questions concerning Memorial Hermann data can be directed to Beth Sartori, Corporate Communications by either phone (713-242-4757) or email (Beth.Sartori@memorialhermann.org).

THCIC ID 347000
Memorial Hermann Texas Medical Center

Memorial Hermann supports the process of providing consumers with access to quality information. We agree with the limitations on use of the data as published in the Agency for Healthcare Research on Quality's (AHRQ's) Guide to Inpatient Quality Indicators: Quality of Care in Hospitals--Volume, Mortality, and Utilization and how the data should be used and interpreted (http://www.qualityindicators.ahrq.gov/).

We utilize the data in our internal quality review process for developing our performance improvement plan, which is approved by our board of directors after input from our medical staff, hospital leadership and staff of all levels. Our performance improvement plan continually evaluates, recommends and implements quality improvement initiatives derived from analyses of system data, industry trends and practices, and administrative database analysis such as THCIC.

Memorial Hermann Texas Medical Center Hospital is one of only two level-one trauma centers in the Houston Metropolitan area and serves as a major tertiary care referral center. Over 60% of our inpatients arrive emergently, many as a result of a traumatic event. 25% of our patients are transferred patients from other hospitals seeking a higher level of care.

Questions concerning Memorial Hermann data can be directed to Beth Sartori, Corporate Communications by either phone (713-242-4757) or email (Beth.Sartori@memorialhermann.org).

THCIC ID 615000
Memorial Hermann The Woodlands Hospital

Memorial Hermann supports the process of providing consumers with access to quality information. We agree with the limitations on use of the data as published in the Agency for Healthcare Research on Quality's (AHRQ's) Guide to Inpatient Quality Indicators: Quality of Care in Hospitals--Volume, Mortality, and Utilization and how the data should be used and interpreted (http://www.qualityindicators.ahrq.gov/).

We utilize the data in our internal quality review process for developing our performance improvement plan, which is approved by our board of directors after input from our medical staff, hospital leadership and staff of all levels. Our performance improvement plan continually evaluates, recommends and implements quality improvement initiatives derived from analyses of system data, industry trends and practices, and administrative database analysis such as THCIC.

Questions concerning Memorial Hermann data can be directed to Beth Sartori, Corporate Communications by either phone (713-242-4757) or email (Beth.Sartori@memorialhermann.org).


Table of Hospital Characteristics

Released October 2010

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Last updated July 25, 2012