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Hospital Process of Care Measures – Surgical Care Improvement Project

Row numberProvider NumberHospital NameAddress 1Address 2Address 3CityStateZIP CodeCounty NamePhone NumberPercent of Surgery Patients given an antibiotic at the right time (within one hour before surgery) to help prevent infectionNumber of Patients-1Footnote-1Percent of Surgery Patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)Number of Patients-2Footnote-2Percent of Surgery Patients who were given the right kind of antibiotic to help prevent infectionNumber of Patients-3Footnote-3Percent of Surgery Patients who got treatment at right time (within 24 hours before or after surgery) to help prevent blood clotNumber of Patients-4Footnote-4Percent of all Heart Surgery Patients whose blood sugar is kept under good control in the days right after surgeryNumber of Patients-6Footnote-6Percent of Surgery Patients whose urinary catheters were removed on the first or second day after surgeryNumber of Patients 11Footnote 11Surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on themNumber of Patients 8Footnote 8Outpatients having surgery who got an antibiotic at the right time - within one hour before surgery (higher numbers are better)Number of Patients 9Footnote 9Outpatients having surgery who got the right kind of antibiotic (higher numbers are better)Number of Patients 10Footnote 10Patients having surgery who were actively warmed in the operating room or whose body temperature was near normal Number of Patients 13Footnote 13
4651450808NORTHWEST HILLS SURGICAL HOSPITAL6818 AUSTIN CTR BLVD SUITE 100AUSTINTX78731TRAVIS5123461994The number of cases/patients is too few to reportThe number of cases/patients is too few to reportThe number of cases/patients is too few to report100%150No cases met the criteria for this measure0No cases met the criteria for this measureThe number of cases/patients is too few to report98%213100%20965%20
4652450809NORTH AUSTIN MEDICAL CENTER12221 MOPAC EXPRESSWAY NORTHAUSTINTX78758TRAVIS5129011000100%388Data submitted were based on a sample of cases/patients100%387Data submitted were based on a sample of cases/patients100%389Data submitted were based on a sample of cases/patients100%445Data submitted were based on a sample of cases/patients100%83Data submitted were based on a sample of cases/patients100%326Data submitted were based on a sample of cases/patients100%153Data submitted were based on a sample of cases/patients100%573100%572100%509Data submitted were based on a sample of cases/patients
4653450820METHODIST SUGAR LAND HOSPITAL16655 SOUTHWEST FREEWAYSUGAR LANDTX77479FORT BEND2812748000100%436Data submitted were based on a sample of cases/patients99%385Data submitted were based on a sample of cases/patients99%436Data submitted were based on a sample of cases/patients100%430Data submitted were based on a sample of cases/patients99%96Data submitted were based on a sample of cases/patients100%298Data submitted were based on a sample of cases/patients98%182Data submitted were based on a sample of cases/patients98%44896%447100%546Data submitted were based on a sample of cases/patients
4654450822LAS COLINAS MEDICAL CENTER6800 N MACARTHUR BLVDIRVINGTX75039DALLAS9729692000100%160Data submitted were based on a sample of cases/patients99%154Data submitted were based on a sample of cases/patients100%160Data submitted were based on a sample of cases/patients100%227Data submitted were based on a sample of cases/patientsData submitted were based on a sample of cases/patients., The number of cases/patients is too few to report100%127Data submitted were based on a sample of cases/patients98%57Data submitted were based on a sample of cases/patients100%13799%137100%261Data submitted were based on a sample of cases/patients
4655450825CORNERSTONE REGIONAL HOSPITAL2302 CORNERSTONE BOULEVARDEDINBURGTX78539HIDALGO956618444499%275Data submitted were based on a sample of cases/patients100%274Data submitted were based on a sample of cases/patients99%275Data submitted were based on a sample of cases/patients100%258Data submitted were based on a sample of cases/patients0Data submitted were based on a sample of cases/patients., No cases met the criteria for this measureData submitted were based on a sample of cases/patients., The number of cases/patients is too few to report100%38Data submitted were based on a sample of cases/patients95%19Results are based on a shorter time period than required89%19Results are based on a shorter time period than required100%301Data submitted were based on a sample of cases/patients
4656450827KELL WEST REGIONAL HOSPITAL5402 KELL WEST BOULEVARDWICHITA FALLSTX76310WICHITA940692588899%29297%288100%29198%3300No cases met the criteria for this measure98%17498%101100%28399%28498%361
4657450828CHRISTUS SPOHN HOSPITAL ALICE2500 E MAIN STREETALICETX78332JIM WELLS361661801688%16The number of cases/patients is too few to report100%1689%470No cases met the criteria for this measure82%2893%1490%5847%55100%51
4658450831SURGERY SPECIALTY HOSPITALS OF AMERICA SE HOUSTON4301 B VISTAPASADENATX77504HARRIS7133783000The number of cases/patients is too few to reportThe number of cases/patients is too few to reportThe number of cases/patients is too few to reportThe number of cases/patients is too few to report0No cases met the criteria for this measureThe number of cases/patients is too few to report0No cases met the criteria for this measure100%2496%24The number of cases/patients is too few to report
4659450832CHRISTUS ST CATHERINE HOSPITAL701 SOUTH FRY ROADKATYTX77450HARRIS281599570099%10298%97100%10299%155The number of cases/patients is too few to report99%7898%4095%2190%20100%183
4660450833ENNIS REGIONAL MEDICAL CENTER2201 WEST LAMPASAS STREETENNISTX75119ELLIS972875090094%1894%17100%1894%340No cases met the criteria for this measure78%23The number of cases/patients is too few to report95%22100%25100%40
4661450834PHYSICIANS CENTRE,THE3131 UNIVERSITY DRIVE EASTBRYANTX77802BRAZOS9797313100100%80100%79100%80100%890No cases met the criteria for this measure99%75100%29100%30Results are based on a shorter time period than required100%30Results are based on a shorter time period than required100%161
4662450840TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN1105 CENTRAL EXPRESSWAY NORTHALLENTX75013COLLIN972747619799%109Data submitted were based on a sample of cases/patients97%105Data submitted were based on a sample of cases/patients100%109Data submitted were based on a sample of cases/patients99%158Data submitted were based on a sample of cases/patients0Data submitted were based on a sample of cases/patients., No cases met the criteria for this measure99%104Data submitted were based on a sample of cases/patients100%36Data submitted were based on a sample of cases/patients98%10298%101100%193Data submitted were based on a sample of cases/patients
4663450844METHODIST WILLOWBROOK HOSPITAL18220 TOMBALL PARKWAYHOUSTONTX77070HARRIS2814771000100%215Data submitted were based on a sample of cases/patients100%196Data submitted were based on a sample of cases/patients100%214Data submitted were based on a sample of cases/patients100%277Data submitted were based on a sample of cases/patients98%58Data submitted were based on a sample of cases/patients100%200Data submitted were based on a sample of cases/patients99%136Data submitted were based on a sample of cases/patients99%315100%315100%325Data submitted were based on a sample of cases/patients
4664450845EL PASO SPECIALTY HOSPITAL1755 CURIE SUITE AEL PASOTX79902EL PASO9155443636100%41399%41299%413100%4200No cases met the criteria for this measure100%3693%101100%47100%47100%432
4665450847MEMORIAL HERMANN KATY HOSPITAL23900 KATY FREEWAYKATYTX77494HARRIS2813921111100%293Data submitted were based on a sample of cases/patients99%286Data submitted were based on a sample of cases/patients100%293Data submitted were based on a sample of cases/patients98%419Data submitted were based on a sample of cases/patients0Data submitted were based on a sample of cases/patients., No cases met the criteria for this measure99%256Data submitted were based on a sample of cases/patients98%95Data submitted were based on a sample of cases/patients100%22998%228100%443Data submitted were based on a sample of cases/patients
4666450848MEMORIAL HERMANN SUGAR LAND HOSPITAL17500 W GRAND PARKWAY SOUTHSUGAR LANDTX77479FORT BEND2814994800100%233Data submitted were based on a sample of cases/patients100%225Data submitted were based on a sample of cases/patients99%233Data submitted were based on a sample of cases/patients98%317Data submitted were based on a sample of cases/patients0Data submitted were based on a sample of cases/patients., No cases met the criteria for this measure98%178Data submitted were based on a sample of cases/patients98%104Data submitted were based on a sample of cases/patients100%10999%109100%354Data submitted were based on a sample of cases/patients
4667450851BAYLOR HEART AND VASCULAR HOSPITAL621 NORTH HALL STREETDALLASTX75226DALLAS2148200670100%9299%86100%92The number of cases/patients is too few to report0No cases met the criteria for this measure96%108100%79100%70199%701100%146
4668450853BAYLOR MEDICAL CENTER AT FRISCO5601 WARREN PARKWAYFRISCOTX75034COLLIN214618200099%78199%77799%781100%8610No cases met the criteria for this measure99%66499%15899%48299%481100%895
4669450855HARLINGEN MEDICAL CENTER5501 SOUTH EXPRESSWAY 77HARLINGENTX78550CAMERON9563651000100%519Data submitted were based on a sample of cases/patients99%505Data submitted were based on a sample of cases/patients100%519Data submitted were based on a sample of cases/patients100%470Data submitted were based on a sample of cases/patients99%103Data submitted were based on a sample of cases/patients100%491Data submitted were based on a sample of cases/patients99%219Data submitted were based on a sample of cases/patients100%9198%91100%535Data submitted were based on a sample of cases/patients
4670450856SOUTH TEXAS SPINE AND SURGICAL HOSPITAL18600 NORTH HARDY OAK BLVDSAN ANTONIOTX78258BEXAR210404080099%23099%230100%230100%1500No cases met the criteria for this measure98%128100%4899%34199%341100%273
4671450860SUGAR LAND SURGICAL HOSPITAL LLP1211 HIGHWAY 6, SUITE 70SUGAR LANDTX77478FORT BEND281243100099%16099%15998%160100%1610No cases met the criteria for this measure99%115100%4299%126100%126100%173
4672450862ST LUKE'S THE WOODLANDS HOSPITAL17200 ST LUKE'S WAYTHE WOODLANDSTX77384MONTGOMERY9362664050100%422Data submitted were based on a sample of cases/patients99%399Data submitted were based on a sample of cases/patients100%422Data submitted were based on a sample of cases/patients99%409Data submitted were based on a sample of cases/patients96%108Data submitted were based on a sample of cases/patients98%376Data submitted were based on a sample of cases/patients100%217Data submitted were based on a sample of cases/patients100%32499%324100%509Data submitted were based on a sample of cases/patients
4673450864TEXAS SPINE AND JOINT HOSPITAL1814 ROSELAND BOULEVARDTYLERTX75701SMITH9035253300100%212Data submitted were based on a sample of cases/patients98%212Data submitted were based on a sample of cases/patients100%212Data submitted were based on a sample of cases/patients100%217Data submitted were based on a sample of cases/patients0Data submitted were based on a sample of cases/patients., No cases met the criteria for this measure97%173Data submitted were based on a sample of cases/patients97%74Data submitted were based on a sample of cases/patients98%39699%396100%235Data submitted were based on a sample of cases/patients
4674450865SETON SOUTHWEST HOSPITAL7900 FM 1826AUSTINTX78737TRAVIS5123249000100%15100%1593%15100%200No cases met the criteria for this measure95%19The number of cases/patients is too few to reportResults are based on a shorter time period than required., The number of cases/patients is too few to reportResults are based on a shorter time period than required., The number of cases/patients is too few to report100%33
4675450867SETON NORTHWEST HOSPITAL11113 RESEARCH BOULEVARDAUSTINTX78759TRAVIS5123246000100%21399%20397%21399%2990No cases met the criteria for this measure99%14197%6198%4798%46100%318
4676450869DOCTORS HOSPITAL AT RENAISSANCE5501 SOUTH MCCOLLEDINBURGTX78539HIDALGO9563628677100%727Data submitted were based on a sample of cases/patients97%689Data submitted were based on a sample of cases/patients100%723Data submitted were based on a sample of cases/patients99%784Data submitted were based on a sample of cases/patients98%229Data submitted were based on a sample of cases/patients99%534Data submitted were based on a sample of cases/patients99%304Data submitted were based on a sample of cases/patients98%80198%795100%991Data submitted were based on a sample of cases/patients
467745086FTEMPLE VA MEDICAL CENTER - VA CENTRAL TEXAS1901 VETERANS MEMORIAL DRIVETEMPLETX76504254778481198%20098%19390%199100%239Data submitted were based on a sample of cases/patientsResults are not available for this reporting period95%174Data submitted were based on a sample of cases/patients94%88Data submitted were based on a sample of cases/patients98%293Data submitted were based on a sample of cases/patients
4678450871ARISE AUSTIN MEDICAL CENTER3003 BEE CAVES ROADAUSTINTX78746TRAVIS512347988898%252Data submitted were based on a sample of cases/patients98%252Data submitted were based on a sample of cases/patients100%252Data submitted were based on a sample of cases/patients99%289Data submitted were based on a sample of cases/patients0Data submitted were based on a sample of cases/patients., No cases met the criteria for this measure98%48Data submitted were based on a sample of cases/patients98%40Data submitted were based on a sample of cases/patientsResults are not available for this reporting periodResults are not available for this reporting period100%302Data submitted were based on a sample of cases/patients
4679450872USMD HOSPITAL AT ARLINGTON L P801 W INTERSTATE 20ARLINGTONTX76017TARRANT817472340099%71Data submitted were based on a sample of cases/patients99%69Data submitted were based on a sample of cases/patients100%71Data submitted were based on a sample of cases/patients96%130Data submitted were based on a sample of cases/patients0Data submitted were based on a sample of cases/patients., No cases met the criteria for this measure98%61Data submitted were based on a sample of cases/patients97%36Data submitted were based on a sample of cases/patients98%58396%584100%214Data submitted were based on a sample of cases/patients
4680450874BAYLOR SURGICAL HOSPITAL AT LAS COLINAS400 WEST INTERSTATE 635 SUITE 101IRVINGTX75063DALLAS972868400099%9999%97100%9899%1120No cases met the criteria for this measure100%92100%16100%6497%64100%117
4681450875QUAIL CREEK SURGICAL HOSPITAL6819 PLUM CREEKAMARILLOTX79124POTTER806354610099%691100%691100%691100%7350No cases met the criteria for this measure99%697100%23199%194100%194100%794
4682450876LUBBOCK HEART HOSPITAL LP4810 NORTH LOOP 289LUBBOCKTX79416LUBBOCK806687777796%251Data submitted were based on a sample of cases/patients85%247Data submitted were based on a sample of cases/patients99%251Data submitted were based on a sample of cases/patients98%149Data submitted were based on a sample of cases/patients85%101Data submitted were based on a sample of cases/patients92%185Data submitted were based on a sample of cases/patients92%132Data submitted were based on a sample of cases/patients99%26999%26694%198Data submitted were based on a sample of cases/patients
4683450877FOUNDATION SURGICAL HOSPITAL OF EL PASO1416 GEORGE DIETEREL PASOTX79936EL PASO9155984240100%128Data submitted were based on a sample of cases/patients99%127Data submitted were based on a sample of cases/patients99%128Data submitted were based on a sample of cases/patients96%125Data submitted were based on a sample of cases/patients0Data submitted were based on a sample of cases/patients., No cases met the criteria for this measure94%52Data submitted were based on a sample of cases/patients92%25Data submitted were based on a sample of cases/patients100%11197%111100%175Data submitted were based on a sample of cases/patients
4684450880BAYLOR SURGICAL HOSPITAL AT FORT WORTH750 12TH AVENUEFORT WORTHTX76104TARRANT817334505098%35397%351100%35399%3940No cases met the criteria for this measure99%38497%10298%28099%277100%396
4685450883BAYLOR MEDICAL CENTER AT TROPHY CLUB2850 E STATE HIGHWAY 114TROPHY CLUBTX76262DENTON8178374600100%4298%42100%42100%570No cases met the criteria for this measure100%49The number of cases/patients is too few to report95%10899%107100%60
4686450884EAST TEXAS MEDICAL CENTER - GILMER712 NORTH WOODGILMERTX75644UPSHUR9038417100Results are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting period
4687450885CENTENNIAL MEDICAL CENTER12505 LEBANON ROADFRISCOTX75035COLLIN972963333399%9799%8395%9794%159100%2096%109100%63100%5798%5799%198
4688450888TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE1545 E SOUTHLAKE BLVDSOUTHLAKETX76092TARRANT8177488700100%385Data submitted were based on a sample of cases/patients99%385Data submitted were based on a sample of cases/patients100%385Data submitted were based on a sample of cases/patients100%418Data submitted were based on a sample of cases/patients0Data submitted were based on a sample of cases/patients., No cases met the criteria for this measure99%354Data submitted were based on a sample of cases/patients100%129Data submitted were based on a sample of cases/patients99%31899%318100%460Data submitted were based on a sample of cases/patients
4689450889TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT7115 GREENVILLE AVENUE SUITE 100DALLASTX75231DALLAS214647530098%114Results are based on a shorter time period than required100%114Results are based on a shorter time period than required99%114Results are based on a shorter time period than required100%112Results are based on a shorter time period than required0No cases met the criteria for this measure., Results are based on a shorter time period than required100%110Results are based on a shorter time period than required0No cases met the criteria for this measure., Results are based on a shorter time period than required95%255100%25598%108Results are based on a shorter time period than required
4690450890BAYLOR REGIONAL MEDICAL CENTER AT PLANO4700 ALLIANCE BOULEVARDPLANOTX75093COLLIN469814200099%282Data submitted were based on a sample of cases/patients99%264Data submitted were based on a sample of cases/patients100%282Data submitted were based on a sample of cases/patients100%442Data submitted were based on a sample of cases/patients0Data submitted were based on a sample of cases/patients., No cases met the criteria for this measure100%245Data submitted were based on a sample of cases/patients100%131Data submitted were based on a sample of cases/patients100%259100%259100%487Data submitted were based on a sample of cases/patients
4691450891TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY PLAN6020 W PARKER ROADPLANOTX75093COLLIN9724032700100%5598%5398%55100%610No cases met the criteria for this measure0No cases met the criteria for this measureThe number of cases/patients is too few to report100%39499%394100%64
4692450893THE HEART HOSPITAL BAYLOR DENTON2801 SOUTH MAYHILL ROADDENTONTX76208DENTON9402200600100%38Results are based on a shorter time period than required100%38Results are based on a shorter time period than required100%38Results are based on a shorter time period than required100%30Results are based on a shorter time period than required0No cases met the criteria for this measure., Results are based on a shorter time period than requiredResults are based on a shorter time period than required., The number of cases/patients is too few to reportResults are based on a shorter time period than required., The number of cases/patients is too few to report98%148Results are based on a shorter time period than required95%145Results are based on a shorter time period than required100%38Results are based on a shorter time period than required
4693450894PINE CREEK MEDICAL CENTER LLP9032 HARRY HINES BLVDDALLASTX75235DALLAS214231227387%150Data submitted were based on a sample of cases/patients94%149Data submitted were based on a sample of cases/patients95%149Data submitted were based on a sample of cases/patients82%282Data submitted were based on a sample of cases/patients0Data submitted were based on a sample of cases/patients., No cases met the criteria for this measure98%232Data submitted were based on a sample of cases/patients55%44Data submitted were based on a sample of cases/patients96%24692%24298%324Data submitted were based on a sample of cases/patients
469445090FSAN ANTONIO VA MEDICAL CENTER - VA SOUTH TEXAS7400 MERTON MINTER BLVD.SAN ANTONIOTX78229210617530098%26698%25799%26697%294Data submitted were based on a sample of cases/patients97%106Data submitted were based on a sample of cases/patients99%213Data submitted were based on a sample of cases/patients97%181Data submitted were based on a sample of cases/patients99%313Data submitted were based on a sample of cases/patients
4695451301REAGAN MEMORIAL HOSPITAL805 NORTH MAINBIG LAKETX76932REAGAN3258442561Results are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting period
4696451302GOOD SHEPHARD MEDICAL CENTER-LINDEN404 NORTH KAUFMAN STREETLINDENTX75563CASS9037565561Results are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting period
4697451303LIMESTONE MEDICAL CENTER701 MCCLINTIC DRIVEGROESBECKTX76642LIMESTONE2547293281Results are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting period
4698451305BURLESON ST JOSEPH HEALTH CENTER1101 WOODSON DRIVECALDWELLTX77836BURLESON9795673245Results are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting period
4699451308YOAKUM COUNTY HOSPITAL412 MUSTANG AVENUEDENVER CITYTX79323YOAKUM8065922121Results are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting period
4700451309MCCAMEY HOSPITAL2500 HWY 305 SOUTHMCCAMEYTX79752UPTON4326528626Results are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting periodResults are not available for this reporting period

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cms cms

created Mar 10, 2010

updated Apr 16, 2014

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Process of Care measures - Surgical Care Improvement Project - provider data. These measures show how often a hospital gives recommended care, that is, treatment known to give the best results for most patients with certain conditions or procedures.

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