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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, 2010

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Austin-San Marcos MSA

THCIC ID: 035000
Hospital Name:  St. David’s Hospital

  1.  Mortality indicators for inpatient procedures-This data does not exclude/ account for patients that were palliative comfort care.
  2. Mortality indicators for inpatient conditions- All RAMR reflects lower rate than state observed mortality rate.
  3. Utilization indicators- Hospital is a high risk facility (OB Level III).  Many high risk OB patients are transferred to this facility for care/ delivery.

College Station-Bryan MSA

THCIC ID: 679000
Hospital Name:
Burleson St. Joseph Health Center

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: 002001
Hospital Name: St. Joseph Regional Health Center

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.

Dallas MSA

THCIC ID: 332000
Hospital Name: Cook Children’s Medical Center

Comment:

General statement

Cook Children’s Health Care System exists for the purpose of improving the health status of every child in our region through the prevention and treatment of illness, disease and injury.  Cook Children’s believes in the right of consumers to have accurate quality of care information to make informed health care decisions.  We have long participated in public reporting of patient encounter data to the State of Texas as well as our national pediatric organizations.  We believe that the State of Texas PDI reporting as currently represented will distort and misinform the health care public debate regarding quality pediatric care in Texas hospitals.

Issue 1 - the data is not correct.   It should be noted that for the 2010 period Cook Children’s actual Accidental Puncture and Laceration observed complication rate (0.14%) is significantly less than the State of Texas has published.  The data used in these reports are administrative data.  This data is collected for billing purposes and cannot be used to fully assess the quality of care provided to a patient.   This data may not represent all the diagnosis and procedures performed which can alter the true picture of the patient’s hospitalization.   

Issue 2 – there was no method for tracking present on admission complication data in the 2010 THCIC data.   As a quaternary and tertiary care referral hospital we often receive patients with pre-existing medical complications.

Issue 3 – the measure is not intended for comparison purposes.  The clinical review panel advising AHRQ have stated that some measures are “Not Recommended” for public hospital-to-hospital comparison but intended for internal quality improvement programs. 

For more information about Cook Children’s Health Care System visit our website at: www.cookchildrens.org

For more information about this report contact Public Relations Department  682-885-4107

Lubbock MSA

THCIC ID: 109000
Hospital Name: Covenant Children’s Hospital

"The complexity of the cases conducted at Covenant Children's has been significantly undervalued causing the Risk Adjusted Rate to be significantly over stated."

Miscellaneous (Non-Metropolitan) MSA

THCIC ID: 728800
Hospital Name: Grimes St. Joseph Health Center

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
Hospital Name: Madison St. Joseph Health Center

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.

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Last updated October 11, 2013