JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Houston Methodist Hospital

5 / 5

At a glance

Houston Methodist Hospital carries a 5-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 30 and worse on 0. For 30-day readmissions, it beats the national rate on 3 measures and trails on 0.

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 Limit0.320Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.672Better than national
Central Line Associated Bloodstream Infection: Number of Device Days55105Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases59.380Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases28Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.472Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.226Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.607Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days25393Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases41.863Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases16Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.382Better than national
SSI - Colon Surgery: Lower Confidence Limit0.050Better than national
SSI - Colon Surgery: Upper Confidence Limit0.533Better than national
SSI - Colon Surgery: Number of Procedures589Better than national
SSI - Colon Surgery: Predicted Cases15.319Better than national
SSI - Colon Surgery: Observed Cases3Better than national
SSI - Colon Surgery0.196Better than national
SSI - Abdominal Hysterectomy: Lower Confidence LimitSame as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit1.378Same as national
SSI - Abdominal Hysterectomy: Number of Procedures285Same as national
SSI - Abdominal Hysterectomy: Predicted Cases2.174Same as national
SSI - Abdominal Hysterectomy: Observed Cases0Same as national
SSI - Abdominal Hysterectomy0.000Same as national
MRSA Bacteremia: Lower Confidence Limit0.183Better than national
MRSA Bacteremia: Upper Confidence Limit0.688Better than national
MRSA Bacteremia: Patient Days336077Better than national
MRSA Bacteremia: Predicted Cases24.023Better than national
MRSA Bacteremia: Observed Cases9Better than national
MRSA Bacteremia0.375Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.188Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.331Better than national
Clostridium Difficile (C.Diff): Patient Days333512Better than national
Clostridium Difficile (C.Diff): Predicted Cases190.384Better than national
Clostridium Difficile (C.Diff): Observed Cases48Better than national
Clostridium Difficile (C.Diff)0.252Better 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 patients3.3Same as national145
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2.6Better than national4886
Death rate for heart attack patients11.6Same as national209
Death rate for CABG surgery patients2.2Same as national336
Death rate for COPD patients6.1Same as national163
Death rate for heart failure patients6.3Better than national1253
Death rate for pneumonia patients8.9Better than national1051
Death rate for stroke patients10.3Better than national473
Pressure ulcer rate0.32Better than national18878
Death rate among surgical inpatients with serious treatable complications103.18Better than national295
Iatrogenic pneumothorax rate0.22Same as national19542
In-hospital fall-associated fracture rate0.22Same as national21799
Postoperative hemorrhage or hematoma rate1.12Better than national5787
Postoperative acute kidney injury requiring dialysis rate2.32Same as national3371
Postoperative respiratory failure rate7.59Same as national3564
Perioperative pulmonary embolism or deep vein thrombosis rate3.74Same as national6560
Postoperative sepsis rate3.27Better than national3513
Postoperative wound dehiscence rate1.87Same as national1719
Abdominopelvic accidental puncture or laceration rate0.61Same as national4888
CMS Medicare PSI 90: Patient safety and adverse events composite0.79Better than 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 patients33.1Not available235
Hospital return days for heart failure patients7.6Not available1518
Hospital return days for pneumonia patients21.4Not available1122
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.2Better than national8382
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.2Same as national1588
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.2Same as national372
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy3.9Same as national372
Ratio of unplanned hospital visits after hospital outpatient surgery0.8Better than national2723
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.7Same as national235
Rate of readmission for CABG10.5Same as national330
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.7Same as national198
Heart failure (HF) 30-Day Readmission Rate18Better than national1518
Rate of readmission after hip/knee replacement4.7Same as national149
Pneumonia (PN) 30-Day Readmission Rate15.6Same as national1122

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 rating36495
Doctor communication - star rating46495
Communication about medicines - star rating36495
Discharge information - star rating46495
Cleanliness - star rating36495
Quietness - star rating46495
Overall hospital rating - star rating46495
Recommend hospital - star rating56495
Summary star rating46495

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 volumevery high
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 Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination5920467
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 better167398
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 better166379
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better22019
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 seen2104335
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10082
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing2111917
Appropriate care for severe sepsis and septic shock57175
Septic Shock 3-Hour Bundle5246
Septic Shock 6-Hour Bundle9623
Severe Sepsis 3-Hour Bundle76175
Severe Sepsis 6-Hour Bundle8990
Discharged on Antithrombotic Therapy98593
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis9327393
Intensive Care Unit Venous Thromboembolism Prophylaxis996123

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 MeasureYes

Frequently asked questions

How is Houston Methodist Hospital rated?
Houston Methodist Hospital has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Houston Methodist Hospital have emergency services?
Yes. Houston Methodist Hospital operates a 24/7 emergency department.
Where is Houston Methodist Hospital located?
Houston Methodist Hospital is located at 6565 Fannin, Houston, TX 77030.
What type of hospital is Houston Methodist Hospital?
Houston Methodist Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).

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.

Report an issue with this page