JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Hca Houston Healthcare Medical Center

4 / 5

At a glance

Hca Houston Healthcare Medical Center carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 and worse on 6.

Healthcare-Associated Infections

lower is better · 36 measures reported

Rates of infections patients can acquire while receiving care, such as central-line and catheter-associated infections, MRSA, and C. difficile.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit0.247Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.878Same as national
Central Line Associated Bloodstream Infection: Number of Device Days7094Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases5.137Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases4Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.779Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.090Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.774Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days5136Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.724Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.537Same as national
SSI - Colon Surgery: Lower Confidence Limit0.627Same as national
SSI - Colon Surgery: Upper Confidence Limit2.358Same as national
SSI - Colon Surgery: Number of Procedures253Same as national
SSI - Colon Surgery: Predicted Cases7.004Same as national
SSI - Colon Surgery: Observed Cases9Same as national
SSI - Colon Surgery1.285Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitSame as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit1.704Same as national
SSI - Abdominal Hysterectomy: Number of Procedures205Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.758Same as national
SSI - Abdominal Hysterectomy: Observed Cases0Same as national
SSI - Abdominal Hysterectomy0.000Same as national
MRSA Bacteremia: Lower Confidence Limit1.210Worse than national
MRSA Bacteremia: Upper Confidence Limit7.320Worse than national
MRSA Bacteremia: Patient Days35014Worse than national
MRSA Bacteremia: Predicted Cases1.514Worse than national
MRSA Bacteremia: Observed Cases5Worse than national
MRSA Bacteremia3.303Worse than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.042Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.449Better than national
Clostridium Difficile (C.Diff): Patient Days35014Better than national
Clostridium Difficile (C.Diff): Predicted Cases18.188Better than national
Clostridium Difficile (C.Diff): Observed Cases3Better than national
Clostridium Difficile (C.Diff)0.165Better than national

Complications & Deaths

lower is better · 20 measures reported

Rates of serious complications (like hip/knee replacement problems or accidental cuts during surgery) and 30-day mortality rates for common conditions.

MeasureScoreCompared to nationalSample
Rate of complications for hip/knee replacement patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.6Same as national303
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patientsNot available
Death rate for heart failure patients7.9Same as national76
Death rate for pneumonia patients12.7Same as national60
Death rate for stroke patientsNot available
Pressure ulcer rate0.23Same as national1094
Death rate among surgical inpatients with serious treatable complications137.97Same as national68
Iatrogenic pneumothorax rate0.19Same as national1377
In-hospital fall-associated fracture rate0.25Same as national1502
Postoperative hemorrhage or hematoma rate2.48Same as national608
Postoperative acute kidney injury requiring dialysis rate1.79Same as national360
Postoperative respiratory failure rate15.19Same as national419
Perioperative pulmonary embolism or deep vein thrombosis rate2.68Same as national706
Postoperative sepsis rate6.88Same as national383
Postoperative wound dehiscence rate1.67Same as national141
Abdominopelvic accidental puncture or laceration rate0.86Same as national376
CMS Medicare PSI 90: Patient safety and adverse events composite1.05Same as national

Unplanned Hospital Visits & Readmissions

lower is better · 14 measures reported

How often patients return to the hospital unexpectedly within 30 days of discharge — a marker of care quality and discharge planning.

MeasureScoreCompared to nationalSample
Hospital return days for heart attack patientsNot available
Hospital return days for heart failure patients14.6Not available95
Hospital return days for pneumonia patients71.5Not available62
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.9Same as national569
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.6Same as national93
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national157
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.9Same as national43
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsNot available
Heart failure (HF) 30-Day Readmission Rate19.4Same as national95
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate17.1Same as national62

Patient Experience (HCAHPS)

higher is better · 9 measures reported

What patients say about their hospital stay — communication with nurses and doctors, responsiveness, cleanliness, pain management, and whether they would recommend the hospital.

MeasureScoreSample
Nurse communication - star rating2736
Doctor communication - star rating2736
Communication about medicines - star rating2736
Discharge information - star rating2736
Cleanliness - star rating3736
Quietness - star rating4736
Overall hospital rating - star rating2736
Recommend hospital - star rating2736
Summary star rating2736

Timely & Effective Care

higher is better (unless a wait time) · 30 measures reported

How consistently hospitals follow recommended care processes — for example, giving heart-attack patients aspirin on arrival, or the average time spent in the emergency department.

MeasureScoreSample
Emergency department volumemedium
Global Malnutrition Composite Score
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented
Global Malnutrition Composite Score: Malnutrition Risk Screening
Global Malnutrition Composite Score: Nutrition Assessment
Global Malnutrition Composite Score: Nutritional Care Plan
Hospital Harm - Severe Hyperglycemia611113
Hospital Harm - Severe Hypoglycemia21665
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination531557
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better82432
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better80420
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better
Left before being seen135661
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients94105
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing171399
Appropriate care for severe sepsis and septic shock6050
Septic Shock 3-Hour Bundle
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle7450
Severe Sepsis 6-Hour Bundle9522
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis943276
Intensive Care Unit Venous Thromboembolism Prophylaxis

Maternal Health

lower is better · 4 measures reported

Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.

MeasureScoreSample
Cesarean Birth
Risk Adjusted Severe Obstetric Complications (All)
Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases)
Maternal Morbidity Structural MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is Hca Houston Healthcare Medical Center rated?
Hca Houston Healthcare Medical Center has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Hca Houston Healthcare Medical Center have emergency services?
Yes. Hca Houston Healthcare Medical Center operates a 24/7 emergency department.
Where is Hca Houston Healthcare Medical Center located?
Hca Houston Healthcare Medical Center is located at 1313 Hermann Dr, Houston, TX 77004.
What type of hospital is Hca Houston Healthcare Medical Center?
Hca Houston Healthcare Medical Center is classified by CMS as a Acute Care Hospitals facility (Proprietary).

Data as of 2026-06-14. Source: CMS Provider Data Catalog. This is public data provided for informational purposes only and is not medical advice. See our methodology and editorial policy.

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