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

Overview

Address
1504 TAUB LOOP, HOUSTON, TX 77030
Phone
(713) 873-2000
Hospital Type
Acute Care
Ownership
Government (District)
Emergency Services
Yes
Birthing Friendly
Yes
3 /5
CMS Overall Rating
p30
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 2 of 7 measures reported
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
2
5
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 6 of 11 measures reported
6
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 10 of 12 measures reported
10 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)
— Not reported
Heart Failure 54 discharges
1.0334 p71
Pneumonia
— Not reported
COPD
— Not reported
Hip/Knee Replacement
— Not reported
CABG Surgery
— Not reported
Expected (1.0) National median

Value-Based Purchasing

The Hospital VBP Program adjusts Medicare payments based on clinical quality. The Total Performance Score (TPS) is a weighted composite of four domains, each worth 25%. This hospital's TPS is below the national median, suggesting a negative payment adjustment.

16.0 p6
Total Performance Score
National median: 29.5
Clinical Outcomes 25% weight
3.8 p37
Nat'l median: 5.0
Measures mortality rates for conditions like heart attack, heart failure, pneumonia, and COPD. Based on 30-day risk-standardized mortality.
Safety 25% weight
2.5 p3
Nat'l median: 10.0
Patient safety measures including healthcare-associated infections (CLABSI, CAUTI, SSI, MRSA, C. diff) and perioperative complications.
Person & Community Engagement 25% weight
9.8 p58
Nat'l median: 8.8
Based on HCAHPS patient experience survey results — communication with nurses and doctors, hospital cleanliness, pain management, discharge information.
Efficiency & Cost Reduction 25% weight
0.0 p0
Nat'l median: 2.5
Based on Medicare Spending Per Beneficiary (MSPB). Measures episode-of-care costs from 3 days before admission through 30 days after discharge.

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: 1.0334
Value-Based Purchasing
16.0 TPS
Below national median
HAC Reduction
No Reduction
HAC Score: 0.3776

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 Number of Cases Too Small
Hybrid_HWM 3.80 No Different Than the National Rate 216
MORT_30_AMI Number of Cases Too Small
MORT_30_CABG Number of Cases Too Small
MORT_30_COPD 8.60 No Different Than the National Rate 25
MORT_30_HF 10.20 No Different Than the National Rate 38
MORT_30_PN Number of Cases Too Small
MORT_30_STK Number of Cases Too Small
PSI_03 0.26 No Different Than the National Rate 1,636
PSI_04 175.71 No Different Than the National Rate 34
PSI_06 0.19 No Different Than the National Rate 1,814
PSI_08 0.25 No Different Than the National Rate 1,877
PSI_09 2.29 No Different Than the National Rate 476
PSI_10 2.06 No Different Than the National Rate 105
PSI_11 14.51 No Different Than the National Rate 100
PSI_12 3.63 No Different Than the National Rate 475
PSI_13 6.41 No Different Than the National Rate 97
PSI_14 1.69 No Different Than the National Rate 99
PSI_15 0.94 No Different Than the National Rate 412
PSI_90 1.08 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 77%
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 4%
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 3
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 83%
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 3%
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 14%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 73%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 4%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 23%
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 74%
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 5%
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 21%
H_COMP_2_A_P: Doctors "always" communicated well 80%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 4%
H_COMP_2_U_P: Doctors "usually" communicated well 16%
H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score
H_COMP_2_STAR_RATING: Doctor communication - star rating 4
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 86%
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 3%
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 11%
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 80%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 4%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 16%
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 74%
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 5%
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 21%
H_COMP_5_A_P: Staff "always" explained 59%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 21%
H_COMP_5_U_P: Staff "usually" explained 20%
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 74%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 10%
H_MED_FOR_U_P: Staff "usually" explained new medications 16%
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 44%
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 31%
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 25%
H_COMP_6_N_P: No, staff "did not" give patients this information 15%
H_COMP_6_Y_P: Yes, staff "did" give patients this information 85%
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 15%
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 85%
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 15%
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 85%
H_CLEAN_HSP_A_P: Room was "always" clean 67%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 9%
H_CLEAN_HSP_U_P: Room was "usually" clean 24%
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score
H_CLEAN_STAR_RATING: Cleanliness - star rating 3
H_QUIET_HSP_A_P: "Always" quiet at night 53%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 16%
H_QUIET_HSP_U_P: "Usually" quiet at night 31%
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) 8%
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 20%
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 72%
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating 4
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 6%
H_RECMND_DY: "YES", patients would definitely recommend the hospital 72%
H_RECMND_PY: "YES", patients would probably recommend the hospital 22%
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score
H_RECMND_STAR_RATING: Recommend hospital - star rating 4
H_STAR_RATING: Summary star rating 3

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 0.718 No Different than National Benchmark
HAI_1_CIUPPER 1.821 No Different than National Benchmark
HAI_1_DOPC 12434.000 No Different than National Benchmark
HAI_1_ELIGCASES 15.323 No Different than National Benchmark
HAI_1_NUMERATOR 18.000 No Different than National Benchmark
HAI_1_SIR 1.175 No Different than National Benchmark
HAI_2_CILOWER 0.344 Better than the National Benchmark
HAI_2_CIUPPER 0.990 Better than the National Benchmark
HAI_2_DOPC 12387.000 Better than the National Benchmark
HAI_2_ELIGCASES 23.160 Better than the National Benchmark
HAI_2_NUMERATOR 14.000 Better than the National Benchmark
HAI_2_SIR 0.604 Better than the National Benchmark
HAI_3_CILOWER 1.317 Worse than the National Benchmark
HAI_3_CIUPPER 3.052 Worse than the National Benchmark
HAI_3_DOPC 314.000 Worse than the National Benchmark
HAI_3_ELIGCASES 10.733 Worse than the National Benchmark
HAI_3_NUMERATOR 22.000 Worse than the National Benchmark
HAI_3_SIR 2.050 Worse than the National Benchmark
HAI_4_CILOWER 0.034 No Different than National Benchmark
HAI_4_CIUPPER 3.369 No Different than National Benchmark
HAI_4_DOPC 142.000 No Different than National Benchmark
HAI_4_ELIGCASES 1.464 No Different than National Benchmark
HAI_4_NUMERATOR 1.000 No Different than National Benchmark
HAI_4_SIR 0.683 No Different than National Benchmark
HAI_5_CILOWER 0.795 No Different than National Benchmark
HAI_5_CIUPPER 1.880 No Different than National Benchmark
HAI_5_DOPC 200327.000 No Different than National Benchmark
HAI_5_ELIGCASES 16.780 No Different than National Benchmark
HAI_5_NUMERATOR 21.000 No Different than National Benchmark
HAI_5_SIR 1.251 No Different than National Benchmark
HAI_6_CILOWER 0.145 Better than the National Benchmark
HAI_6_CIUPPER 0.357 Better than the National Benchmark
HAI_6_DOPC 180110.000 Better than the National Benchmark
HAI_6_ELIGCASES 81.463 Better than the National Benchmark
HAI_6_NUMERATOR 19.000 Better than the National Benchmark
HAI_6_SIR 0.233 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 very high 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 4.0 Electronic Clinical Quality Measure
HH_HYPO Electronic Clinical Quality Measure
HH_ORAE Electronic Clinical Quality Measure
IMM_3 89.0 Healthcare Personnel Vaccination
OP_18a 352.0 Emergency Department
OP_18b 352.0 Emergency Department
OP_18c 560.0 Emergency Department
OP_18d Emergency Department
OP_22 3.0 Emergency Department
OP_23 Emergency Department
OP_29 99.0 Colonoscopy care
OP_31 Cataract surgery outcome
OP_40 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 5.0 Electronic Clinical Quality Measure
SEP_1 52.0 Sepsis Care
SEP_SH_3HR 56.0 Sepsis Care
SEP_SH_6HR 73.0 Sepsis Care
SEV_SEP_3HR 80.0 Sepsis Care
SEV_SEP_6HR 93.0 Sepsis Care
STK_02 Electronic Clinical Quality Measure
STK_03 Electronic Clinical Quality Measure
STK_05 Electronic Clinical Quality Measure
VTE_1 97.0 Electronic Clinical Quality Measure
VTE_2 99.0 Electronic Clinical Quality Measure

Unplanned Hospital Visits

Readmission and ED return rates within 30 days of discharge.

Measure Score vs. National
EDAC_30_AMI Number of Cases Too Small
EDAC_30_HF 61.70 More Days Than Average per 100 Discharges
EDAC_30_PN Number of Cases Too Small
Hybrid_HWR 15.10 No Different Than the National Rate
OP_32 12.70 No Different Than the National Rate
OP_35_ADM 9.30 No Different Than the National Rate
OP_35_ED 5.60 No Different Than the National Rate
OP_36 Number of cases too small
READM_30_AMI Number of Cases Too Small
READM_30_CABG Number of Cases Too Small
READM_30_COPD Number of Cases Too Small
READM_30_HF 20.30 No Different Than the National Rate
READM_30_HIP_KNEE Number of Cases Too Small
READM_30_PN Number of Cases Too Small

Medicare Spending Per Beneficiary

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

Value
0.98

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.

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Show 72 rows
Source Metric Value National Median Pctl. Raw key
Cost Report Cost-to-Charge Ratio 0.57 metrics.cost_to_charge_ratio
Cost Report Current Ratio 4.34 metrics.current_ratio
Cost Report Employees per Bed 16.17 metrics.employees_per_bed
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Fund Balance ($) $1,213,396,463 metrics.fund_balance
Cost Report Net Income ($) $251,954,589 metrics.net_income
Cost Report Net Patient Revenue ($) $753,634,922 metrics.net_patient_revenue
Cost Report Total Assets ($) $2,801,034,489 metrics.total_assets
Cost Report Total Costs ($) $1,702,390,366 metrics.total_costs
Cost Report Total Liabilities ($) $1,587,638,026 metrics.total_liabilities
Cost Report Total Margin (%) 9.9% metrics.total_margin
Cost Report Uncompensated Care (%) 50.0% metrics.uncompensated_care_pct
General Information Address 1504 TAUB LOOP Address
General Information City/Town HOUSTON City/Town
General Information Count of Facility MORT Measures 2 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 6 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 10 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 2 Count of MORT Measures No Different
General Information Count of MORT Measures Worse 0 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 6 Count of READM Measures No Different
General Information Count of READM Measures Worse 0 Count of READM Measures Worse
General Information Count of Safety Measures Better 2 Count of Safety Measures Better
General Information Count of Safety Measures No Different 5 Count of Safety Measures No Different
General Information Count of Safety Measures Worse 0 Count of Safety Measures Worse
General Information County/Parish HARRIS County/Parish
General Information Emergency Services Yes Emergency Services
General Information Facility ID 450289 Facility ID
General Information Facility Name HARRIS HEALTH Facility Name
General Information Hospital overall rating 3 Hospital overall rating
General Information Hospital overall rating footnote Hospital overall rating footnote
General Information Hospital Ownership Government - Hospital District or Authority 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 (713) 873-2000 Telephone Number
General Information ZIP Code 77030 ZIP Code
HAC Reduction Program fiscal_year 2,026 fiscal_year
HAC Reduction Program measures — cauti — sir 0.59 measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.24 measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.75 measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.93 measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 1.61 measures.ssi.sir
HAC Reduction Program payment_reduction No payment_reduction
HAC Reduction Program total_hac_score 0.38 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 0.98 Value
Readmissions (HRRP) Heart Failure — Excess readmission ratio 1.03 0.9983 p71 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 22.4% READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 54 READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 15 READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 23.2% READM-30-HF-HRRP.predicted_readmission_rate
Value-Based Purchasing Clinical Outcomes 3.75 5.00 p37 clinical_outcomes_score
Value-Based Purchasing Efficiency & Cost Reduction 0.00 2.50 p0 efficiency_score
Value-Based Purchasing Person & Community Engagement 9.75 8.75 p58 person_community_score
Value-Based Purchasing Safety 2.50 10.00 p3 safety_score
Value-Based Purchasing Total Performance Score 16.00 29.50 p6 total_performance_score
Methodology

Full methodology →