Tirr Memorial Hermann

Ratings, patient outcomes, and contact information for their location in Houston, Texas


Patient Ratings
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Address:

TIRR MEMORIAL HERMANN
1333 MOURSUND AVE -
HOUSTON, TX 77030 [Harris county]

Phone Number:

(713) 799-7022

Ownership Type:

Non-profit

Medicare Certified on:

01/01/1984

Conditions during the last survey period

Condition Treated
# of Times Treated

Brain disease or condition (non-traumatic)

68

Brain injury (traumatic)

89

Hip or femur fracture

36

Hip or knee replacement, amputation or other bone or joint condition

48

Nervous system disorder (excluding stroke)

38

Spinal cord disease or condition (non-traumatic)

87

Spinal cord injury (traumatic)

67

Stroke

218

Patient outcomes at TIRR MEMORIAL HERMANN during the last survey period:

(compared to national levels and expectations)
Click to expand each topic and view patient results:
Infections from using a urinary catheter

Lowest estimate for how common catheter infections are: 1.318

Highest estimate for how common catheter infections are: 3.258

How the facility compares to others: Worse than the National Benchmark

Days patients had a catheter: 4,383

Expected number of infections: 8.938

Actual number of infections: 19

Infection ratio compared to the national average: 2.126

How often patients were checked for their ability to do everyday activities and had goals set to improve it

Total number of patients: 666

Number of assessed patients: 666

Rate of patients assessed for functionality: 100.0

Improvement in patients taking care of themselves

Adjusted score for patient self-care improvement: 9.1

Total number of patients: 519

Actual score for patient self-care improvement: 7.9

Improvement in patients moving around

Adjusted score for patient mobility improvement: 21.5

Total number of patients: 519

Actual score for patient mobility improvement: 17.5

Patients who can take care of themselves as expected when they leave

Total number of patients: 519

Number of patients self-caring as expected at discharge: 156

Rate of patients self-caring as expected at discharge: 30.1

Patients who can move around as expected when they leave

Total number of patients: 519

Number of patients mobile as expected at discharge: 147

Rate of patients mobile as expected at discharge: 28.3

Patients who fall and get seriously hurt during their stay

Total number of patients: 666

Number of falls with major injury: 0

Rate of falls with major injury: 0.0

Infections caused by a tough-to-treat bacteria called Clostridium difficile

Lowest estimate for how common Clostridium difficile infections are: 0.030

Highest estimate for how common Clostridium difficile infections are: 0.588

How the facility compares to others in infection control: Better than the National Benchmark

Days patients were at risk for infection: 36,295

Expected number of Clostridium difficile infections: 11.236

Actual number of Clostridium difficile infections: 2

Infection ratio compared to the national average: 0.178

Healthcare workers who got a flu shot for the current season

Total number of healthcare workers: 1,576

Number of healthcare workers vaccinated against flu: 1,482

Rate of flu vaccination among healthcare workers: 94.0

Rate of avoidable hospital visits 30 days after leaving

How the facility compares to others in preventing readmissions: No Different than the National Rate

Rate of avoidable readmissions after leaving: 5.06

Number of avoidable readmissions after leaving: 25

Risk-adjusted rate of avoidable readmissions after leaving: 7.43

Lowest estimate of the risk-adjusted rate: 5.93

Highest estimate of the risk-adjusted rate: 9.15

Total number of patients: 494

Rate of avoidable hospital visits during the stay

How the facility compares to others in preventing readmissions: No Different than the National Rate

Rate of avoidable readmissions during the stay: 5.38

Number of avoidable readmissions during the stay: 30

Risk-adjusted rate of avoidable readmissions during the stay: 4.67

Lowest estimate of the risk-adjusted rate: 3.67

Highest estimate of the risk-adjusted rate: 6.08

Total number of patients: 558

Success rate of returning home or to the community from the hospital

How the facility compares to others in returning patients home or to the community: No Different than the National Rate

Number of patients who went home or to the community: 262

Rate of patients going home or to the community: 59.41

Risk-adjusted rate of patients going home or to the community: 64.69

Lowest estimate of the risk-adjusted rate: 60.38

Highest estimate of the risk-adjusted rate: 68.65

Total number of patients: 441

How much Medicare spends on a patient compared to others

Number of patient episodes evaluated: 509

Score for how much Medicare spends per patient: 1.11

Checking and following up on patients’ medications

Total number of patients: 666

Number of patients with reviewed medications: 638

Rate of medication review and follow-up care: 95.8

Patients who developed or worsened pressure ulcers/injuries

Adjusted rate of new or worsened pressure ulcers/injuries: 0.9

Total number of patients at risk: 666

Number of new or worsened pressure ulcers/injuries: 8

Rate of new or worsened pressure ulcers/injuries: 1.2


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