Houston Behavioral Healthcare Hospital, LLC
HCO ID: 560331
2801 Gessner
Houston , TX, 77080
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
plus
99% of 1181
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)
check
96% of 104
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)
plus
99% of 293
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)
plus
99% of 677
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)
check
97% of 107
Eligible Patients
Nationwide
Statewide
 Top Performer Threshold 100% 95% Average Rate 100% 89%
Multiple Antipsychotic Medications at Discharge with Appropriate Justification Overall Rate
check
50% of 107
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
(No Quarterly Result are available)
nd3
----
Nationwide
Statewide
 Top Performer Threshold 100% 21% Average Rate 100% 32%
Multiple Antipsychotic Medications at Discharge with Appropriate Justification Adolescents Age 13 - 17
check
50% of 6
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
check
50% of 90
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
check
45% 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
0.01
(12 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
nd3
0.03
(1 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
0.01
(3 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
0.01
(9 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
plus
0.12
(133 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
nd3
0.07
(1 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
plus
0.09
(22 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
plus
0.13
(110 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
0.01
(0 Total Hours in Seclusion)
Nationwide
Statewide
 Top Performer Threshold N/A 0.08 Average Rate N/A 0.05

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