San Antonio Behavioral Healthcare Hospital
HCO ID: 560328
8550 Huebner Road
San Antonio , TX, 78240
National Quality Improvement Goals:
Measure Area Nationwide Statewide
Compared to Other Joint Commission
Accredited Organizations

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is better than the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is worse than the target range /value
  • naThis measure is not applicable for this organization
  • ndNot displayed

Measures Footnote Key

  1. The measure or measure set was not reported.
  2. The measure set does not have an overall result.
  3. The number 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.
  10. New Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement.
  11. There were no eligible patients that met the denominator criteria.
  12. The measure rate is within optimal range.
  Nationwide Statewide
Measure Hospital
Results 		Top Performer
Threshold 		Average
Rate 		Top Performer
Threshold 		Average
Rate
Assessment of violence risk, substance use disorder, trauma and patient strengths completed - Overall Rate
minus
78% of 1298
Eligible Patients
Nationwide
Statewide
 Top Performer Threshold 100% 95% Average Rate 100% 93%
Assessment of violence risk, substance use disorder, trauma and patient strengths completed - Children (1-12 years)
minus
89% of 185
Eligible Patients
Nationwide
Statewide
 Top Performer Threshold 100% 97% Average Rate 100% 96%
Assessment of violence risk, substance use disorder, trauma and patient strengths completed - Adolescent (13-17 years)
minus
83% of 424
Eligible Patients
Nationwide
Statewide
 Top Performer Threshold 100% 96% Average Rate 100% 96%
Assessment of violence risk, substance use disorder, trauma and patient strengths completed - Adult (18-64 years)
minus
72% of 609
Eligible Patients
Nationwide
Statewide
 Top Performer Threshold 100% 94% Average Rate 100% 93%
Assessment of violence risk, substance use disorder, trauma and patient strengths completed - Older Adult (>= 65 years)
minus
71% of 80
Eligible Patients
Nationwide
Statewide
 Top Performer Threshold 100% 95% Average Rate 100% 89%
Multiple Antipsychotic Medications at Discharge with Appropriate Justification Overall Rate
minus
1% of 192
Eligible Patients
Nationwide
Statewide
 Top Performer Threshold 100% 47% Average Rate 100% 62%
Multiple Antipsychotic Medications at Discharge with Appropriate Justification Children Age 1 - 12
check
0% of 13
Eligible Patients
Nationwide
Statewide
 Top Performer Threshold 100% 21% Average Rate 100% 32%
Multiple Antipsychotic Medications at Discharge with Appropriate Justification Adolescents Age 13 - 17
minus
0% of 55
Eligible Patients
Nationwide
Statewide
 Top Performer Threshold 100% 24% Average Rate 100% 38%
Multiple Antipsychotic Medications at Discharge with Appropriate Justification Adults Age 18 - 64
minus
1% of 113
Eligible Patients
Nationwide
Statewide
 Top Performer Threshold 100% 50% Average Rate 100% 67%
Multiple Antipsychotic Medications at Discharge with Appropriate Justification Older Adults Age 65 and Older
minus
0% of 11
Eligible Patients
Nationwide
Statewide
 Top Performer Threshold 100% 46% Average Rate 100% 50%
Hours of Physical Restraint Use per 1000 Patient Hours - Overall Rate
plus
0.1
(131 Total Hours in Restraints)
Nationwide
Statewide
 Top Performer Threshold N/A 0.58 Average Rate N/A 0.14
Hours of Physical Restraint Use Children Age 1 - 12
check
0.38
(24 Total Hours in Restraints)
Nationwide
Statewide
 Top Performer Threshold N/A 0.38 Average Rate N/A 0.14
Hours of Physical Restraint Use Adolescents Age 13 - 17
plus
0.12
(43 Total Hours in Restraints)
Nationwide
Statewide
 Top Performer Threshold N/A 0.34 Average Rate N/A 0.12
Hours of Physical Restraint Use Adults Age 18 - 64
plus
0.08
(63 Total Hours in Restraints)
Nationwide
Statewide
 Top Performer Threshold N/A 0.68 Average Rate N/A 0.15
Hours of Physical Restraint Use Older Adults Age 65 and Older
nd3
0.0
(0 Total Hours in Restraints)
Nationwide
Statewide
 Top Performer Threshold N/A 0.11 Average Rate N/A 0.03
Hours of Seclusion Use per 1000 Patient Hours - Overall Rate
minus
1.34
(1719 Total Hours in Seclusion)
Nationwide
Statewide
 Top Performer Threshold N/A 0.37 Average Rate N/A 0.13
Hours of Seclusion Use Children Age 1 - 12
check
0.52
(33 Total Hours in Seclusion)
Nationwide
Statewide
 Top Performer Threshold N/A 0.41 Average Rate N/A 0.39
Hours of Seclusion Use Adolescents Age 13 - 17
minus
0.54
(197 Total Hours in Seclusion)
Nationwide
Statewide
 Top Performer Threshold N/A 0.17 Average Rate N/A 0.14
Hours of Seclusion Use Adults Age 18 - 64
minus
1.77
(1485 Total Hours in Seclusion)
Nationwide
Statewide
 Top Performer Threshold N/A 0.44 Average Rate N/A 0.12
Hours of Seclusion Use Older Adults Age 65 and Older
nd3
0.22
(5 Total Hours in Seclusion)
Nationwide
Statewide
 Top Performer Threshold N/A 0.08 Average Rate N/A 0.05

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