JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

UT Health East Texas Tyler Regional Hospital

2 / 5

At a glance

UT Health East Texas Tyler Regional Hospital carries a 2-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 12 and worse on 0. For 30-day readmissions, it beats the national rate on 0 measures and trails on 1.

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 Limit0.551Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.821Same as national
Central Line Associated Bloodstream Infection: Number of Device Days9793Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases10.497Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases11Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.048Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.240Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.981Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days12419Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases15.486Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases8Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.517Better than national
SSI - Colon Surgery: Lower Confidence Limit0.155Same as national
SSI - Colon Surgery: Upper Confidence Limit1.176Same as national
SSI - Colon Surgery: Number of Procedures293Same as national
SSI - Colon Surgery: Predicted Cases8.207Same as national
SSI - Colon Surgery: Observed Cases4Same as national
SSI - Colon Surgery0.487Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures51Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.402Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.188Same as national
MRSA Bacteremia: Upper Confidence Limit1.138Same as national
MRSA Bacteremia: Patient Days121648Same as national
MRSA Bacteremia: Predicted Cases9.741Same as national
MRSA Bacteremia: Observed Cases5Same as national
MRSA Bacteremia0.513Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.105Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.346Better than national
Clostridium Difficile (C.Diff): Patient Days117324Better than national
Clostridium Difficile (C.Diff): Predicted Cases55.225Better than national
Clostridium Difficile (C.Diff): Observed Cases11Better than national
Clostridium Difficile (C.Diff)0.199Better 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 patients2.6Same as national376
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.7Same as national2466
Death rate for heart attack patients13Same as national335
Death rate for CABG surgery patients2.9Same as national178
Death rate for COPD patients13.6Worse than national153
Death rate for heart failure patients13.7Same as national471
Death rate for pneumonia patients17.3Same as national548
Death rate for stroke patients15Same as national394
Pressure ulcer rate0.50Same as national7396
Death rate among surgical inpatients with serious treatable complications230.74Worse than national158
Iatrogenic pneumothorax rate0.26Same as national9677
In-hospital fall-associated fracture rate0.24Same as national10118
Postoperative hemorrhage or hematoma rate3.03Same as national3448
Postoperative acute kidney injury requiring dialysis rate1.90Same as national1851
Postoperative respiratory failure rate11.07Same as national1864
Perioperative pulmonary embolism or deep vein thrombosis rate3.81Same as national3594
Postoperative sepsis rate7.84Same as national1795
Postoperative wound dehiscence rate1.46Same as national629
Abdominopelvic accidental puncture or laceration rate1.62Same as national2058
CMS Medicare PSI 90: Patient safety and adverse events composite1.15Same 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 patients24.2Not available368
Hospital return days for heart failure patients25.1Not available548
Hospital return days for pneumonia patients21.5Not available613
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.4Same as national4047
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.7Same as national1303
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.9Same as national108
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.7Same as national108
Ratio of unplanned hospital visits after hospital outpatient surgery1.3Worse than national1125
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate15.6Same as national368
Rate of readmission for CABG11.7Same as national173
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19Same as national163
Heart failure (HF) 30-Day Readmission Rate20.4Same as national548
Rate of readmission after hip/knee replacement4.3Same as national405
Pneumonia (PN) 30-Day Readmission Rate17Same as national613

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 rating2968
Doctor communication - star rating2968
Communication about medicines - star rating2968
Discharge information - star rating3968
Cleanliness - star rating2968
Quietness - star rating3968
Overall hospital rating - star rating2968
Recommend hospital - star rating3968
Summary star rating2968

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 Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination763205
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 better158416
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 better158408
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 seen037162
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10081
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing198066
Appropriate care for severe sepsis and septic shock73587
Septic Shock 3-Hour Bundle80173
Septic Shock 6-Hour Bundle97107
Severe Sepsis 3-Hour Bundle83587
Severe Sepsis 6-Hour Bundle93267
Discharged on Antithrombotic Therapy97544
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis9211544
Intensive Care Unit Venous Thromboembolism Prophylaxis984398

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 UT Health East Texas Tyler Regional Hospital rated?
UT Health East Texas Tyler Regional Hospital has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does UT Health East Texas Tyler Regional Hospital have emergency services?
Yes. UT Health East Texas Tyler Regional Hospital operates a 24/7 emergency department.
Where is UT Health East Texas Tyler Regional Hospital located?
UT Health East Texas Tyler Regional Hospital is located at 1000 South Beckham Ave, Tyler, TX 75701.
What type of hospital is UT Health East Texas Tyler Regional Hospital?
UT Health East Texas Tyler Regional Hospital 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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