JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Memorial Hermann - Texas Medical Center

4 / 5

At a glance

Memorial Hermann - Texas 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 18 and worse 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 Limit0.203Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.490Better than national
Central Line Associated Bloodstream Infection: Number of Device Days48091Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases61.964Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases20Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.323Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.215Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.544Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days25577Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases51.292Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases18Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.351Better than national
SSI - Colon Surgery: Lower Confidence Limit0.645Same as national
SSI - Colon Surgery: Upper Confidence Limit1.790Same as national
SSI - Colon Surgery: Number of Procedures419Same as national
SSI - Colon Surgery: Predicted Cases13.509Same as national
SSI - Colon Surgery: Observed Cases15Same as national
SSI - Colon Surgery1.110Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.165Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit1.766Same as national
SSI - Abdominal Hysterectomy: Number of Procedures453Same as national
SSI - Abdominal Hysterectomy: Predicted Cases4.623Same as national
SSI - Abdominal Hysterectomy: Observed Cases3Same as national
SSI - Abdominal Hysterectomy0.649Same as national
MRSA Bacteremia: Lower Confidence Limit0.528Same as national
MRSA Bacteremia: Upper Confidence Limit1.126Same as national
MRSA Bacteremia: Patient Days362423Same as national
MRSA Bacteremia: Predicted Cases34.400Same as national
MRSA Bacteremia: Observed Cases27Same as national
MRSA Bacteremia0.785Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.081Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.192Better than national
Clostridium Difficile (C.Diff): Patient Days302813Better than national
Clostridium Difficile (C.Diff): Predicted Cases164.012Better than national
Clostridium Difficile (C.Diff): Observed Cases21Better than national
Clostridium Difficile (C.Diff)0.128Better 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 Rate3.1Better than national2086
Death rate for heart attack patients11.9Same as national170
Death rate for CABG surgery patients2.4Same as national89
Death rate for COPD patients10.9Same as national64
Death rate for heart failure patients9.5Same as national386
Death rate for pneumonia patients13.5Same as national315
Death rate for stroke patients12.9Same as national413
Pressure ulcer rate0.61Same as national9104
Death rate among surgical inpatients with serious treatable complications158.49Same as national360
Iatrogenic pneumothorax rate0.22Same as national9923
In-hospital fall-associated fracture rate0.18Same as national9628
Postoperative hemorrhage or hematoma rate2.88Same as national3572
Postoperative acute kidney injury requiring dialysis rate1.07Same as national996
Postoperative respiratory failure rate5.90Same as national1048
Perioperative pulmonary embolism or deep vein thrombosis rate5.51Worse than national3925
Postoperative sepsis rate8.07Same as national1039
Postoperative wound dehiscence rate1.71Same as national612
Abdominopelvic accidental puncture or laceration rate1.00Same as national2066
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 patients-17.5Not available225
Hospital return days for heart failure patients16.6Not available480
Hospital return days for pneumonia patients32.8Not available330
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.6Same as national3979
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.6Same as national1039
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.4Same as national128
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.3Same as national128
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national645
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.1Same as national225
Rate of readmission for CABG10.8Same as national84
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.8Same as national71
Heart failure (HF) 30-Day Readmission Rate18.7Same as national480
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.5Same as national330

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 rating32120
Doctor communication - star rating32120
Communication about medicines - star rating22120
Discharge information - star rating32120
Cleanliness - star rating32120
Quietness - star rating32120
Overall hospital rating - star rating32120
Recommend hospital - star rating42120
Summary star rating32120

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 Hyperglycemia680736
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination9517421
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 better256484
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 better252460
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better77424
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 seen5105827
Head CT results6327
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients96176
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing106340
Appropriate care for severe sepsis and septic shock40230
Septic Shock 3-Hour Bundle4549
Septic Shock 6-Hour Bundle7117
Severe Sepsis 3-Hour Bundle62230
Severe Sepsis 6-Hour Bundle8194
Discharged on Antithrombotic Therapy89899
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis9020347
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 MeasureYes

Frequently asked questions

How is Memorial Hermann - Texas Medical Center rated?
Memorial Hermann - Texas Medical Center has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Memorial Hermann - Texas Medical Center have emergency services?
Yes. Memorial Hermann - Texas Medical Center operates a 24/7 emergency department.
Where is Memorial Hermann - Texas Medical Center located?
Memorial Hermann - Texas Medical Center is located at 6411 Fannin, Houston, TX 77030.
What type of hospital is Memorial Hermann - Texas Medical Center?
Memorial Hermann - Texas Medical Center 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