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Quality Report

Summary of Accreditation Quality Information
Harris County Hospital District
Org ID: 9085
1504 Taub Loop
Houston, TX  77030
(713)566-6410
www.hchdonline.com

Accreditation
Programs		 Accreditation
Decision		 Effective
Date		 Last Full Survey Date Last On-Site Survey Date  
Hospital
Accredited 2/14/2009 2/13/2009 2/13/2009  



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  Symbol Key
This organization achieved the best possible results
This organization’s performance is above the target range/value.
This organization’s performance is similar to the target range/value.
This organization’s performance is below the target range/value.
This measure is not applicable for this organization.
Not displayed
  Footnote Key
1. The measure or measure set was not reported.
2. The measure set does not have an overall result.
3. The number of patients is not enough for comparison purposes.
4. The measure meets the Privacy Disclosure Threshold rule.
5. The organization scored above 90% but was below most other organizations.
6. The measure results are not statistically valid.
7. The measure results are based on a sample of patients.
8. The number of months with measure data is below the reporting requirement.
9. The measure results are temporarily suppressed pending resubmission of updated data.
National Patient Safety Goals and National Quality Improvement Goals
    Compared to other Joint Commission Accredited Organizations
    Nationwide Statewide
Hospital
2009 National Patient Safety Goals See Detail
This organization’s performance is similar to the target range/value.
This Goal is not applicable for this organization.
*
National Quality Improvement Goals:    
Reporting Period:
Jan  2009 -
Dec  2009
Heart Attack Care See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
Heart Failure Care See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
Pneumonia Care See Detail
This organization’s performance is below the target range/value.
This organization’s performance is below the target range/value.
Surgical Care Improvement Project (SCIP)    
SCIP - Cardiac See Detail
   
SCIP - Infection Prevention
For All Reported Procedures:
 See Detail
This organization’s performance is below the target range/value.
This organization’s performance is below the target range/value.
  • Blood Vessel Surgery
 See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
  • Colon/Large Intestine Surgery
 See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
  • Coronary Artery Bypass Graft
 See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
  • Hip Joint Replacement
 See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
  • Hysterectomy
 See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
  • Knee Replacement
 See Detail
This organization’s performance is below the target range/value.
This organization’s performance is below the target range/value.
  • Open Heart Surgery
 See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
SCIP – Venous Thromboembolism (VTE) See Detail
   
  30 Day Risk Adjusted Mortality Rates (see details)
  30 Day Hospital Readmission Rates (see details)
  Survey of Patients' Hospital Experiences (see details)
 
Hospitals voluntarily participate in the Survey of Patients' Hospital Experiences(HCAHPS).
Pediatric and psychiatric hospitals are not eligible to participate in the HCAHPS survey based on their patient population.
National Quality Forum The Joint Commission only reports measures endorsed by the National Quality Forum.
 
* State results are not calculated for the National Patient Safety Goals.

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Sites and Services
* Primary Location

An organization may provide services not listed here. For more information refer to the Quality Report User Guide .

Locations of Care Available Services
Acres Home Health Center
818 Ringold Street
Houston, TX  77088
  • General Laboratory Tests
  • General Outpatient Services (Outpatient)
Aldine Health Center
4755 Aldine Mail Route
Houston, TX  77039
  • General Laboratory Tests
  • General Outpatient Services (Outpatient)
Almatha Clark Taylor Clinic at Cloverleaf Elementary
13940 Bonham Street
Houston, TX  77015
  • General Outpatient Services (Outpatient)
Baytown Health Center
1602 Garth Road
Baytown, TX  77520
  • General Laboratory Tests
  • General Outpatient Services (Outpatient)
Ben Taub General Hospital  *
1504 Taub Loop
Houston, TX  77030
  • Audiology (Outpatient)
  • Behavioral Health (Non 24 Hour Care - Adult)
    (24-hour Acute Care/Crisis Stabilization - Adult)
  • Cardiac Catheterization Lab (Inpatient)
  • Cardiac Unit/Cardiology (Inpatient, Outpatient)
  • CT Scanner (Inpatient, Outpatient)
  • Dialysis (Outpatient)
  • EEG/EKG/EMG Lab (Outpatient)
  • Emergency Room (Outpatient)
  • General Laboratory Tests
  • General Medical Services (Inpatient)
  • General Surgery (Inpatient)
  • GI or Endoscopy Lab (Outpatient)
  • Gynecology (Inpatient, Outpatient)
  • Imaging/Radiology (Outpatient)
  • Infectious Diseases (Inpatient)
  • Infusion Therapy (Outpatient)
  • Intensive Care Unit (Inpatient)
  • Internal Medicine (Inpatient, Outpatient)
  • Labor & Delivery (Inpatient)
  • Magnetic Resonance Imaging (Outpatient)
  • Mental Health (Inpatient, Outpatient, 24-hour Acute Care/Crisis Stabilization)
  • Nuclear Medicine (Outpatient)
  • Nursery (Inpatient)
  • Obstetrics (Inpatient, Outpatient)
  • Operating Room (Inpatient)
  • Ophthalmology/Eye Surgery (Outpatient)
  • Oral Maxillofacial Surgery (Outpatient)
  • Otolaryngology/Ear, Nose, and Throat (Outpatient)
  • Pediatric Care (Inpatient, Outpatient)
  • Post Anesthesia Care Unit (PACU) (Inpatient)
  • Pulmonary Function Lab (Outpatient)
  • Subacute Care (Inpatient)
  • Telemetry (Inpatient)
  • Urgent Care/Emergency Medicine (Outpatient)
  • Vascular Surgery (Outpatient)
Casa De Amigos Health Center
1615 North Main
Houston, TX  77009
  • General Laboratory Tests
  • General Outpatient Services (Outpatient)
Casa Juan Diego
4818 Rose
Houston, TX  77009
  • General Outpatient Services (Outpatient)
Compass Healthcare for Homeless
1212 Prairie Street
Houston, TX  77002
  • General Outpatient Services (Outpatient)
Deepwater School Based Clinic
305 Glenmore
Pasadena, TX  77503
  • General Outpatient Services (Outpatient)
Dental Health Center
5230 Griggs Rd.
Houston, TX  77021
  • General Outpatient Services (Outpatient)
E. A. Squatty Lyons Health Center
1712 First Street M20
Humble, TX  77338
  • General Outpatient Services (Outpatient)
El Franco Lee Health Center
8901 Boone Rd.
Houston, TX  77099
  • General Outpatient Services (Outpatient)
Gulfgate Health Center
7550 Office City Drive
Houston, TX  77012
  • General Laboratory Tests
  • General Outpatient Services (Outpatient)
Harmony House Healthcare for the Homeless
602 Girard
Houston, TX  77007
  • General Outpatient Services (Outpatient)
Jackson Hinds Garden Healthcare for Homeless
607 Thornton
Houston, TX  77018
  • General Outpatient Services (Outpatient)
Jerry Neal Clinic at Channelview Independent School
828 1/2 Sheldon Road
Channelview, TX  77530
  • General Outpatient Services (Outpatient)
Lord of the Streets Healthcare for Homeless
3401 Fannin
Houston, TX  77004
  • General Outpatient Services (Outpatient)
Lyndon B. Johnson General Hospital
5656 Kelley
Houston, TX  77026
  • Allergy (Outpatient)
  • Audiology (Inpatient, Outpatient)
  • Cancer Center/Oncology (Inpatient, Outpatient)
  • Cardiac Unit/Cardiology (Inpatient)
  • CT Scanner (Inpatient)
  • Dentistry (Outpatient)
  • Dialysis (Inpatient)
  • EEG/EKG/EMG Lab (Inpatient)
  • Emergency Room (Outpatient)
  • Endocrinology (Inpatient, Outpatient)
  • Gastroenterology (Inpatient, Outpatient)
  • General Medical Services (Inpatient, Outpatient)
  • General Surgery (Inpatient, Outpatient)
  • GI or Endoscopy Lab (Inpatient, Outpatient)
  • Gynecology (Inpatient, Outpatient)
  • Hematology/Blood Treatment (Inpatient, Outpatient)
  • Imaging/Radiology (Inpatient, Outpatient)
  • Infectious Diseases (Inpatient, Outpatient)
  • Infusion Therapy (Inpatient, Outpatient)
  • Intensive Care Unit (Inpatient)
  • Internal Medicine (Inpatient, Outpatient)
  • Labor & Delivery (Inpatient)
  • Lithotripsy/Kidney Stone Treatment (Outpatient)
  • Magnetic Resonance Imaging (Inpatient, Outpatient)
  • Neonatal Intensive Care (Inpatient)
  • Nephrology (Inpatient, Outpatient)
  • Neurology (Inpatient, Outpatient)
  • Nuclear Medicine (Inpatient, Outpatient)
  • Nursery (Inpatient)
  • Obstetrics (Inpatient, Outpatient)
  • Occupational Health (Inpatient, Outpatient)
  • Operating Room (Inpatient, Outpatient)
  • Ophthalmology/Eye Surgery (Inpatient, Outpatient)
  • Oral Maxillofacial Surgery (Inpatient, Outpatient)
  • Orthopedic Surgery (Inpatient, Outpatient)
  • Otolaryngology/Ear, Nose, and Throat (Inpatient, Outpatient)
  • Outpatient Surgery (Outpatient)
  • Pediatric Care (Inpatient, Outpatient)
  • Plastic Surgery (Inpatient, Outpatient)
  • Post Anesthesia Care Unit (PACU) (Inpatient)
  • Pulmonary Function Lab (Inpatient)
  • Radiation Oncology (Outpatient)
  • Rehabilitation and Physical Medicine (Inpatient, Outpatient)
  • Respiratory Care (Ventilator) (Inpatient)
  • Rheumatology (Outpatient)
  • Sleep Center (Outpatient)
  • Telemetry (Inpatient)
  • Thoracic Surgery (Inpatient)
  • Ultrasound (Inpatient, Outpatient)
  • Urgent Care/Emergency Medicine (Outpatient)
  • Urology (Inpatient, Outpatient)
  • Vascular Surgery (Inpatient, Outpatient)
  • Wound Care (Inpatient, Outpatient)
Martin L. King Health Center
3601 North MacGregor Way
Houston, TX  77004
  • General Outpatient Services (Outpatient)
Mobile Dental Van Healthcare for Homeless
5656 Kelly Street
Houston, TX  77026
  • General Outpatient Services (Outpatient)
Mobile Medical Van for Homeless
5656 Kelly Street
Houston, TX  77026
  • General Outpatient Services (Outpatient)
Northwest Health Center
1100 West 34th
Houston, TX  77018
  • General Laboratory Tests
  • General Outpatient Services (Outpatient)
Patrick Henry Middle School
10702 East Hardy
Houston, TX  77093
  • General Outpatient Services (Outpatient)
Peoples Health Center
6630 DeMoss
Houston, TX  77074
  • General Laboratory Tests
  • General Outpatient Services (Outpatient)
Quentin Mease Community Hospital
3601 N. MacGregor Way
Houston, TX  77004
  • Imaging/Radiology (Outpatient)
  • Long Term Care
  • Rehabilitation and Physical Medicine (Inpatient)
  • Rehabilitation Services
  • Skilled Nursing Care
  • Skilled Nursing Facility (Inpatient)
  • Subacute Care (Inpatient)
  • Wound Care (Inpatient)
Riverside Dialysis Center
3315 Delano
Houston, TX  77004
  • General Outpatient Services (Outpatient)
Robert Carrasco School Clinic at Marshall Middle School
1115 1/2 Noble St.
Houston, TX  77009
  • General Outpatient Services (Outpatient)
Sally's House
1717 Congress
Houston, TX  77002
  • General Outpatient Services (Outpatient)
Salvation Army Adult Rehabilitation Center
2118 Washington
Houston, TX  77007
  • General Outpatient Services (Outpatient)
Salvation Army Family Residence
1603 McGowen
Houston, TX  77004
  • General Outpatient Services (Outpatient)
Salvation Army Men's Shelter (Harbor Light)
2407 North Main
Houston, TX  77008
  • General Outpatient Services (Outpatient)
Search Healthcare for Homeless
2505 Fannin
Houston, TX  77002
  • General Outpatient Services (Outpatient)
Settegast Health Center
9105 North Wayside
Houston, TX  77028
  • General Laboratory Tests
  • General Outpatient Services (Outpatient)
Sheldon School Based Clinic
17203 1/2 Hall Sheppard
Houston, TX  77049
  • General Outpatient Services (Outpatient)
Smiley High School-based Clinic at Smiley Vocational
10726 Mesa Road
Houston, TX  77078
  • General Outpatient Services (Outpatient)
Southside School Based Health Center
1721 16th Street
Galena Park, TX  77547
  • General Outpatient Services (Outpatient)
Star of Hope Men's Shelter
1811 Ruiz
Houston, TX  77009
  • General Outpatient Services (Outpatient)
Star of Hope Transitional Living Center
6801 Ardmore
Houston, TX  77054
  • General Outpatient Services (Outpatient)
Star of Hope Women and Family Shelter
419 Dowling
Houston, TX  77003
  • General Outpatient Services (Outpatient)
Strawberry Health Center
927 East Shaw
Pasadena, TX  77506
  • General Laboratory Tests
  • General Outpatient Services (Outpatient)
Thomas Street Clinic
2015 Thomas Street
Houston, TX  77009
  • General Outpatient Services (Outpatient)
TroubleShooting for Health Mobile Program
5656 Kelly Street
Houston, TX  77026
  • General Outpatient Services (Outpatient)

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