Quality Report


Quality Report

KPH-Consolidation, Inc.

DBA: HCA Houston Healthcare Kingwood
HCO ID: 5009
22999 US 59 N
Kingwood, TX, 77339
(281) 348-8000
www.hcahoustonhealthcare.com/locations/north-cypress
Summary of Quality Information

Accreditation Programs

Gold Seal
Hospital
Accreditation Decision
Effective Date
9/2/2023
Last Full Survey Date
8/6/2021
Last On-Site Survey Date
2/2/2024

Advanced Certification Programs

Gold Seal
Certification Decision
Effective Date
8/6/2022
Last Full Survey Date
8/5/2022
Last On-Site Survey Date
8/5/2022

Sites

HCA Houston ER 24/7 Copperfield
DBA: HCA Houston ER 24/7 Copperfield
5835 Hwy 6 N, STE T.
Houston, TX, 77084

Available Services

  • General Laboratory Tests
  • Toxicology

HCA HOUSTON HEALTHCARE North Cypress
DBA: HCA Houston Healthcare North Cypress
21214 NW Freeway
Cypress, TX, 77429

Available Services

  • Cardiac Catheterization Lab (Surgical Services )
  • Cardiac Surgery (Surgical Services )
  • Cardiothoracic Surgery (Surgical Services )
  • CT Scanner (Imaging/Diagnostic Services )
  • Dialysis Unit (Inpatient )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Gastroenterology (Surgical Services )
  • General Laboratory Tests
  • GI or Endoscopy Lab (Imaging/Diagnostic Services )
  • Gynecological Surgery (Surgical Services )
  • Inpatient Unit (Inpatient )
  • Interventional Radiology (Imaging/Diagnostic Services )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Medical ICU (Intensive Care Unit )
  • Neuro/Spine ICU (Intensive Care Unit )
  • Neurosurgery (Surgical Services )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Orthopedic/Spine Unit (Inpatient )
  • Outpatient Clinics (Outpatient )
  • Pediatric Unit (Inpatient )
  • Plastic Surgery (Surgical Services )
  • Positron Emission Tomography (PET) (Imaging/Diagnostic Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Radiation Oncology (Imaging/Diagnostic Services )
  • Sleep Laboratory (Sleep Laboratory )
  • Surgical ICU (Intensive Care Unit )
  • Thoracic Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Primary Stroke Center

Other Clinics/Practices Located at This Site:

  • N CYPRESS CARDIAC REHABILITATION
  • N CYPRESS CHEMOTHERAPY AND INFUSION
  • N CYPRESS MED CTR OP SURGERY CTR
  • N CYPRESS PET & METABOLIC IMAGING
  • NORTH CYPRESS CANCER CENTER
  • NORTH CYPRESS OUTPATIENT RADIOLOGY
  • NORTH CYPRESS SLEEP CENTER
  • NORTH CYPRESS SPORTS MEDICINE CTR

KPH Consolidation, INC
DBA: HCA Houston Healthcare Kingwood
22999 US HWY 59 NORTH
Kingwood, TX, 77339

Available Services

  • Cardiac Catheterization Lab (Surgical Services )
  • Cardiac Surgery (Surgical Services )
  • Cardiothoracic Surgery (Surgical Services )
  • Cardiovascular Unit (Inpatient )
  • CT Scanner (Imaging/Diagnostic Services )
  • Dialysis Unit (Inpatient )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Gastroenterology (Surgical Services )
  • GI or Endoscopy Lab (Imaging/Diagnostic Services )
  • Gynecological Surgery (Surgical Services )
  • Gynecology (Inpatient )
  • Hazardous Medication Compounding (Inpatient )
  • Inpatient Unit (Inpatient )
  • Interventional Radiology (Imaging/Diagnostic Services )
  • Labor & Delivery (Inpatient )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Medical ICU (Intensive Care Unit )
  • Neuro/Spine ICU (Intensive Care Unit )
  • Neurosurgery (Surgical Services )
  • Non-Sterile Medication Compounding (Inpatient )
  • Normal Newborn Nursery (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Outpatient Clinics (Outpatient )
  • Pediatric Unit (Inpatient )
  • Plastic Surgery (Surgical Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Rehabilitation Unit (Inpatient )
  • Rehabilitation Unit (24-hour Acute Care/Crisis Stabilization )
  • Sleep Laboratory (Sleep Laboratory )
  • Surgical ICU (Intensive Care Unit )
  • Surgical Unit (Inpatient )
  • Teleradiology (Imaging/Diagnostic Services )
  • Thoracic Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Other Clinics/Practices Located at This Site:

  • Center for Sleep Excellence
  • Solis Mammography Center

KPH Consolidation, INC
DBA: HCA Houston Healthcare Kingwood ER-Fallcreek
9711 North Sam Houston Pkwy East
Humble, TX, 77396

Available Services

  • Administration of Blood Product (Outpatient )
  • Administration of High Risk Medications (Outpatient )
  • Anesthesia (Outpatient )
  • Perform Invasive Procedure (Outpatient )

KPH Consolidation, Inc
DBA: HCA Houston Healthcare Kingwood ER-Cleveland
1103 E HOUSTON STREET
Cleveland, TX, 77327

Available Services

  • Administration of Blood Product (Outpatient )
  • Administration of High Risk Medications (Outpatient )
  • Anesthesia (Outpatient )
  • Perform Invasive Procedure (Outpatient )

KPH Consolidation, Inc
DBA: HCA Houston Healthcare Kingwood ER - Atascocita
5324 Atascocita Road, Suite T
Humble, TX, 77346

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Anesthesia (Outpatient )
  • General Laboratory Tests
  • Perform Invasive Procedure (Outpatient )

North Cypress Emergency Department -Towne Lake Campus
DBA: North Cypress Emergency Department -Towne Lake Campus
9645 Barker Cypress Road
Cypress, TX, 77433

Available Services

  • Administration of High Risk Medications (Outpatient )
  • General Laboratory Tests
  • Perform Invasive Procedure (Outpatient )
  • Toxicology

Other Clinics/Practices Located at This Site:

  • North Cypress Sports Medicine Center-Towne Lake

North Cypress Emergency Room-Fry Road Campus
DBA: North Cypress Emergency Room-Fry Road Campus
26271 Northwest Freeway
Cypress, TX, 77433

Available Services

  • Administration of High Risk Medications (Outpatient )
  • General Laboratory Tests
  • Perform Invasive Procedure (Outpatient )
  • Toxicology

North Cypress Emergency Room-Willowbrook Campus
DBA: North Cypress Emergency Room-Willowbrook Campus
22475 Tomball Parkway
Houston, TX, 77070

Available Services

  • Administration of High Risk Medications (Outpatient )
  • General Laboratory Tests
  • Perform Invasive Procedure (Outpatient )
  • Toxicology

National Patient Safety Goals and National Quality Improvement Goals

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. Test 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.

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. Test 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.

* This information can also be viewed at Hospital Compare.

**      Indicates per 1000 hours of patient care.
***   The measure was not in effect for this quarter.
----   Null value or data not displayed.

Hospital 2023 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Reporting Period: January 2022 - December 2022
Perinatal Care National Comparison: nd 2 Statewide Comparison: nd 2

New Changes to Quarterly Measure

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* State results are not calculated for the National Patient Safety Goals.