Bottom quartile Middle Top quartile Percentile badges compare this hospital to all 5,426 hospitals nationally.

Overview

Address
1000 SOUTH BECKHAM AVE, TYLER, TX 75701
Phone
(903) 597-0351
Hospital Type
Acute Care
Ownership
For-Profit
Emergency Services
Yes
Birthing Friendly
Yes
1 /5
CMS Overall Rating
p0
Acute Care — General medical and surgical hospital participating in Medicare IPPS. Subject to CMS quality reporting and payment adjustment programs (VBP, HRRP, HAC).

CMS Star Rating — Quality Domain Breakdown

CMS computes the overall star rating from five quality domains. Each domain compares this hospital's measures against national benchmarks.

Mortality 7 of 7 measures reported
5
2
Better No different Worse
30-day death rates for heart attack, heart failure, pneumonia, COPD, stroke, CABG, and kidney disease.
Safety of Care 7 of 8 measures reported
1
6
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 11 of 11 measures reported
7
4
Better No different Worse
30-day unplanned readmission rates for heart attack, heart failure, pneumonia, COPD, hip/knee replacement, and CABG.
Patient Experience 8 of 8 measures reported
8 measures reported (comparative data not available for this domain)
HCAHPS survey scores — patient-reported experience with communication, responsiveness, cleanliness, and discharge planning.
Timely & Effective Care 11 of 12 measures reported
11 measures reported (comparative data not available for this domain)
Process-of-care measures including flu immunization, blood clot prevention, and appropriate use of imaging.

Readmissions — Hospital Readmissions Reduction Program

The Excess Readmission Ratio (ERR) compares this hospital's 30-day readmission rate to expected, adjusting for patient mix. An ERR of 1.0 means readmissions are as expected; > 1.0 triggers a Medicare payment penalty (up to 3%).

This hospital has excess readmissions in at least one condition and is subject to HRRP payment reduction.
Acute Myocardial Infarction (Heart Attack) 368 discharges
1.1497 p97
Heart Failure 548 discharges
1.0192 p63
Pneumonia 617 discharges
1.0612 p83
COPD 163 discharges
1.0460 p83
Hip/Knee Replacement 405 discharges
0.8622 p15
CABG Surgery 173 discharges
1.1115 p88
Expected (1.0) National median

CMS Payment Programs

Three Medicare programs adjust hospital payments based on quality performance. Hospitals can be penalized under multiple programs simultaneously.

Readmissions (HRRP)
Penalized
Worst ERR: 1.1497
Value-Based Purchasing
HAC Reduction
No Reduction
HAC Score: 0.2332

Complications & Deaths

30-day mortality rates, patient safety indicators, and complication rates. "Better" means statistically significantly better than the national rate.

Measure Score vs. National Denominator
COMP_HIP_KNEE 2.60 No Different Than the National Rate 376
Hybrid_HWM 4.70 No Different Than the National Rate 2,466
MORT_30_AMI 13.00 No Different Than the National Rate 335
MORT_30_CABG 2.90 No Different Than the National Rate 178
MORT_30_COPD 13.60 Worse Than the National Rate 153
MORT_30_HF 13.70 No Different Than the National Rate 471
MORT_30_PN 17.30 No Different Than the National Rate 548
MORT_30_STK 15.00 No Different Than the National Rate 394
PSI_03 0.50 No Different Than the National Rate 7,396
PSI_04 230.74 Worse Than the National Rate 158
PSI_06 0.26 No Different Than the National Rate 9,677
PSI_08 0.24 No Different Than the National Rate 10,118
PSI_09 3.03 No Different Than the National Rate 3,448
PSI_10 1.90 No Different Than the National Rate 1,851
PSI_11 11.07 No Different Than the National Rate 1,864
PSI_12 3.81 No Different Than the National Rate 3,594
PSI_13 7.84 No Different Than the National Rate 1,795
PSI_14 1.46 No Different Than the National Rate 629
PSI_15 1.62 No Different Than the National Rate 2,058
PSI_90 1.15 No Different Than the National Value

Patient Experience (HCAHPS)

Hospital Consumer Assessment of Healthcare Providers and Systems — standardized patient survey measuring satisfaction with care.

Measure Score Star Rating
H_COMP_1_A_P: Nurses "always" communicated well 74%
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 7%
H_COMP_1_U_P: Nurses "usually" communicated well 19%
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score
H_COMP_1_STAR_RATING: Nurse communication - star rating 2
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 82%
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 5%
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 13%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 72%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 8%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 20%
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 69%
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 8%
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 23%
H_COMP_2_A_P: Doctors "always" communicated well 74%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 8%
H_COMP_2_U_P: Doctors "usually" communicated well 18%
H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score
H_COMP_2_STAR_RATING: Doctor communication - star rating 2
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 82%
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 6%
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 12%
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 71%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 8%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 21%
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 68%
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 9%
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 23%
H_COMP_5_A_P: Staff "always" explained 54%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 25%
H_COMP_5_U_P: Staff "usually" explained 21%
H_COMP_5_LINEAR_SCORE: Communication about medicines - linear mean score
H_COMP_5_STAR_RATING: Communication about medicines - star rating 2
H_MED_FOR_A_P: Staff "always" explained new medications 68%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 13%
H_MED_FOR_U_P: Staff "usually" explained new medications 19%
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 39%
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 38%
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 23%
H_COMP_6_N_P: No, staff "did not" give patients this information 16%
H_COMP_6_Y_P: Yes, staff "did" give patients this information 84%
H_COMP_6_LINEAR_SCORE: Discharge information - linear mean score
H_COMP_6_STAR_RATING: Discharge information - star rating 3
H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge 14%
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 86%
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 17%
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 83%
H_CLEAN_HSP_A_P: Room was "always" clean 63%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 15%
H_CLEAN_HSP_U_P: Room was "usually" clean 22%
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score
H_CLEAN_STAR_RATING: Cleanliness - star rating 2
H_QUIET_HSP_A_P: "Always" quiet at night 56%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 14%
H_QUIET_HSP_U_P: "Usually" quiet at night 30%
H_QUIET_LINEAR_SCORE: Quietness - linear mean score
H_QUIET_STAR_RATING: Quietness - star rating 2
H_HSP_RATING_0_6: Patients who gave a rating of "6" or lower (low) 12%
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 23%
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 65%
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating 3
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 8%
H_RECMND_DY: "YES", patients would definitely recommend the hospital 66%
H_RECMND_PY: "YES", patients would probably recommend the hospital 26%
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score
H_RECMND_STAR_RATING: Recommend hospital - star rating 3
H_STAR_RATING: Summary star rating 2

Healthcare Associated Infections

Standardized Infection Ratios (SIR). A SIR < 1.0 means fewer infections than predicted based on national baseline data.

Measure Score (SIR) vs. National
HAI_1_CILOWER 0.412 No Different than National Benchmark
HAI_1_CIUPPER 1.551 No Different than National Benchmark
HAI_1_DOPC 10011.000 No Different than National Benchmark
HAI_1_ELIGCASES 10.648 No Different than National Benchmark
HAI_1_NUMERATOR 9.000 No Different than National Benchmark
HAI_1_SIR 0.845 No Different than National Benchmark
HAI_2_CILOWER 0.371 No Different than National Benchmark
HAI_2_CIUPPER 1.227 No Different than National Benchmark
HAI_2_DOPC 12511.000 No Different than National Benchmark
HAI_2_ELIGCASES 15.588 No Different than National Benchmark
HAI_2_NUMERATOR 11.000 No Different than National Benchmark
HAI_2_SIR 0.706 No Different than National Benchmark
HAI_3_CILOWER 0.219 No Different than National Benchmark
HAI_3_CIUPPER 1.327 No Different than National Benchmark
HAI_3_DOPC 297.000 No Different than National Benchmark
HAI_3_ELIGCASES 8.351 No Different than National Benchmark
HAI_3_NUMERATOR 5.000 No Different than National Benchmark
HAI_3_SIR 0.599 No Different than National Benchmark
HAI_4_CILOWER
HAI_4_CIUPPER
HAI_4_DOPC 43.000
HAI_4_ELIGCASES 0.322
HAI_4_NUMERATOR 1.000
HAI_4_SIR
HAI_5_CILOWER 0.192 No Different than National Benchmark
HAI_5_CIUPPER 1.159 No Different than National Benchmark
HAI_5_DOPC 119702.000 No Different than National Benchmark
HAI_5_ELIGCASES 9.565 No Different than National Benchmark
HAI_5_NUMERATOR 5.000 No Different than National Benchmark
HAI_5_SIR 0.523 No Different than National Benchmark
HAI_6_CILOWER 0.206 Better than the National Benchmark
HAI_6_CIUPPER 0.522 Better than the National Benchmark
HAI_6_DOPC 115730.000 Better than the National Benchmark
HAI_6_ELIGCASES 53.420 Better than the National Benchmark
HAI_6_NUMERATOR 18.000 Better than the National Benchmark
HAI_6_SIR 0.337 Better than the National Benchmark

Timely & Effective Care

Process-of-care measures including ED wait times, treatment timeliness, and preventive care.

Measure Score Condition
EDV medium Emergency Department
GMCS Electronic Clinical Quality Measure
GMCS_Malnutrition_Diagnosis_Documented Electronic Clinical Quality Measure
GMCS_Malnutrition_Screening Electronic Clinical Quality Measure
GMCS_Nutrition_Assessment Electronic Clinical Quality Measure
GMCS_Nutritional_Care_Plan Electronic Clinical Quality Measure
HH_HYPER Electronic Clinical Quality Measure
HH_HYPO Electronic Clinical Quality Measure
HH_ORAE Electronic Clinical Quality Measure
IMM_3 76.0 Healthcare Personnel Vaccination
OP_18a 160.0 Emergency Department
OP_18b 158.0 Emergency Department
OP_18c Emergency Department
OP_18d Emergency Department
OP_22 0.0 Emergency Department
OP_23 Emergency Department
OP_29 100.0 Colonoscopy care
OP_31 Cataract surgery outcome
OP_40 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 19.0 Electronic Clinical Quality Measure
SEP_1 74.0 Sepsis Care
SEP_SH_3HR 79.0 Sepsis Care
SEP_SH_6HR 97.0 Sepsis Care
SEV_SEP_3HR 84.0 Sepsis Care
SEV_SEP_6HR 94.0 Sepsis Care
STK_02 97.0 Electronic Clinical Quality Measure
STK_03 Electronic Clinical Quality Measure
STK_05 Electronic Clinical Quality Measure
VTE_1 92.0 Electronic Clinical Quality Measure
VTE_2 98.0 Electronic Clinical Quality Measure

Unplanned Hospital Visits

Readmission and ED return rates within 30 days of discharge.

Measure Score vs. National
EDAC_30_AMI 24.20 More Days Than Average per 100 Discharges
EDAC_30_HF 25.10 More Days Than Average per 100 Discharges
EDAC_30_PN 21.50 More Days Than Average per 100 Discharges
Hybrid_HWR 15.40 No Different Than the National Rate
OP_32 13.70 No Different Than the National Rate
OP_35_ADM 10.90 No Different Than the National Rate
OP_35_ED 4.70 No Different Than the National Rate
OP_36 1.30 Worse than expected
READM_30_AMI 15.60 No Different Than the National Rate
READM_30_CABG 11.70 No Different Than the National Rate
READM_30_COPD 19.00 No Different Than the National Rate
READM_30_HF 20.40 No Different Than the National Rate
READM_30_HIP_KNEE 4.30 No Different Than the National Rate
READM_30_PN 17.00 No Different Than the National Rate

Medicare Spending Per Beneficiary

MSPB ratio: values > 1.0 mean this hospital's episode spending is higher than the national median hospital.

Value
1.07

Financial Health (Cost Report — FY 2023)

All Data

Every labeled metric surfaced for this hospital, with national medians and percentiles where a benchmark is available.

Download CSV

Show 93 rows
Source Metric Value National Median Pctl. Raw key
Cost Report Cost-to-Charge Ratio 0.11 metrics.cost_to_charge_ratio
Cost Report Current Ratio 0.63 metrics.current_ratio
Cost Report Employees per Bed 5.42 metrics.employees_per_bed
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Fund Balance ($) $148,852,438 metrics.fund_balance
Cost Report Net Income ($) $-116,953,320 metrics.net_income
Cost Report Net Patient Revenue ($) $544,051,951 metrics.net_patient_revenue
Cost Report Operating Margin (%) -23.7% metrics.operating_margin
Cost Report Total Assets ($) $114,358,248 metrics.total_assets
Cost Report Total Costs ($) $437,490,768 metrics.total_costs
Cost Report Total Liabilities ($) $-34,494,190 metrics.total_liabilities
Cost Report Total Margin (%) -21.0% metrics.total_margin
Cost Report Uncompensated Care (%) 8.0% metrics.uncompensated_care_pct
General Information Address 1000 SOUTH BECKHAM AVE Address
General Information City/Town TYLER City/Town
General Information Count of Facility MORT Measures 7 Count of Facility MORT Measures
General Information Count of Facility Pt Exp Measures 8 Count of Facility Pt Exp Measures
General Information Count of Facility READM Measures 11 Count of Facility READM Measures
General Information Count of Facility Safety Measures 7 Count of Facility Safety Measures
General Information Count of Facility TE Measures 11 Count of Facility TE Measures
General Information Count of MORT Measures Better 0 Count of MORT Measures Better
General Information Count of MORT Measures No Different 5 Count of MORT Measures No Different
General Information Count of MORT Measures Worse 2 Count of MORT Measures Worse
General Information Count of READM Measures Better 0 Count of READM Measures Better
General Information Count of READM Measures No Different 7 Count of READM Measures No Different
General Information Count of READM Measures Worse 4 Count of READM Measures Worse
General Information Count of Safety Measures Better 1 Count of Safety Measures Better
General Information Count of Safety Measures No Different 6 Count of Safety Measures No Different
General Information Count of Safety Measures Worse 0 Count of Safety Measures Worse
General Information County/Parish SMITH County/Parish
General Information Emergency Services Yes Emergency Services
General Information Facility ID 450083 Facility ID
General Information Facility Name UT HEALTH EAST TEXAS TYLER REGIONAL HOSPITAL Facility Name
General Information Hospital overall rating 1 Hospital overall rating
General Information Hospital overall rating footnote Hospital overall rating footnote
General Information Hospital Ownership Proprietary Hospital Ownership
General Information Hospital Type Acute Care Hospitals Hospital Type
General Information Meets criteria for birthing friendly designation Y Meets criteria for birthing friendly designation
General Information MORT Group Footnote MORT Group Footnote
General Information MORT Group Measure Count 7 MORT Group Measure Count
General Information Pt Exp Group Footnote Pt Exp Group Footnote
General Information Pt Exp Group Measure Count 8 Pt Exp Group Measure Count
General Information READM Group Footnote READM Group Footnote
General Information READM Group Measure Count 11 READM Group Measure Count
General Information Safety Group Footnote Safety Group Footnote
General Information Safety Group Measure Count 8 Safety Group Measure Count
General Information State TX State
General Information TE Group Footnote TE Group Footnote
General Information TE Group Measure Count 12 TE Group Measure Count
General Information Telephone Number (903) 597-0351 Telephone Number
General Information ZIP Code 75701 ZIP Code
HAC Reduction Program fiscal_year 2,026 fiscal_year
HAC Reduction Program measures — cauti — sir 0.78 measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.37 measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.87 measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.47 measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 0.60 measures.ssi.sir
HAC Reduction Program payment_reduction No payment_reduction
HAC Reduction Program total_hac_score 0.23 total_hac_score
Medicare Spending per Beneficiary End Date 12/31/2024 End Date
Medicare Spending per Beneficiary Measure ID MSPB-1 Measure ID
Medicare Spending per Beneficiary Start Date 01/01/2024 Start Date
Medicare Spending per Beneficiary Value 1.07 Value
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 1.15 0.9995 p97 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 13.0% READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 368 READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 62 READM-30-AMI-HRRP.num_readmissions
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 14.9% READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) CABG Surgery — Excess readmission ratio 1.11 1.0000 p88 READM-30-CABG-HRRP.excess_readmission_ratio
Readmissions (HRRP) CABG Surgery — Expected readmission rate 11.5% READM-30-CABG-HRRP.expected_readmission_rate
Readmissions (HRRP) CABG Surgery — Number of discharges 173 READM-30-CABG-HRRP.num_discharges
Readmissions (HRRP) CABG Surgery — Number of readmissions 25 READM-30-CABG-HRRP.num_readmissions
Readmissions (HRRP) CABG Surgery — Predicted readmission rate 12.8% READM-30-CABG-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 1.05 0.9969 p83 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 19.1% READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 163 READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 36 READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 20.0% READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 1.02 0.9983 p63 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 20.9% READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 548 READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 118 READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 21.3% READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Excess readmission ratio 0.86 0.9916 p15 READM-30-HIP-KNEE-HRRP.excess_readmission_ratio
Readmissions (HRRP) Hip/Knee Replacement — Expected readmission rate 5.9% READM-30-HIP-KNEE-HRRP.expected_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Number of discharges 405 READM-30-HIP-KNEE-HRRP.num_discharges
Readmissions (HRRP) Hip/Knee Replacement — Number of readmissions 19 READM-30-HIP-KNEE-HRRP.num_readmissions
Readmissions (HRRP) Hip/Knee Replacement — Predicted readmission rate 5.1% READM-30-HIP-KNEE-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 1.06 0.9955 p83 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 17.2% READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 617 READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 117 READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 18.3% READM-30-PN-HRRP.predicted_readmission_rate
Methodology

Full methodology →