JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Womans Hospital of Texas,the

4 / 5

At a glance

Womans Hospital of Texas,the 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 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 Limit0.203Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.230Same as national
Central Line Associated Bloodstream Infection: Number of Device Days5447Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases9.008Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases5Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.555Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days548Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.492Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence Limit0.025Same as national
SSI - Colon Surgery: Upper Confidence Limit2.491Same as national
SSI - Colon Surgery: Number of Procedures69Same as national
SSI - Colon Surgery: Predicted Cases1.980Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.505Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.422Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit1.588Same as national
SSI - Abdominal Hysterectomy: Number of Procedures1281Same as national
SSI - Abdominal Hysterectomy: Predicted Cases10.402Same as national
SSI - Abdominal Hysterectomy: Observed Cases9Same as national
SSI - Abdominal Hysterectomy0.865Same as national
MRSA Bacteremia: Lower Confidence Limit0.015Same as national
MRSA Bacteremia: Upper Confidence Limit1.525Same as national
MRSA Bacteremia: Patient Days89684Same as national
MRSA Bacteremia: Predicted Cases3.234Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.309Same as national
Clostridium Difficile (C.Diff): Lower Confidence LimitBetter than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.175Better than national
Clostridium Difficile (C.Diff): Patient Days38737Better than national
Clostridium Difficile (C.Diff): Predicted Cases17.076Better than national
Clostridium Difficile (C.Diff): Observed Cases0Better than national
Clostridium Difficile (C.Diff)0.000Better 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 Rate4.1Same as national31
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 patientsNot available
Death rate for pneumonia patientsNot available
Death rate for stroke patientsNot available
Pressure ulcer rate0.62Same as national32
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.21Same as national86
In-hospital fall-associated fracture rate0.27Same as national86
Postoperative hemorrhage or hematoma rate2.29Same as national79
Postoperative acute kidney injury requiring dialysis rate1.64Same as national70
Postoperative respiratory failure rate8.57Same as national75
Perioperative pulmonary embolism or deep vein thrombosis rate3.41Same as national80
Postoperative sepsis rate5.01Same as national65
Postoperative wound dehiscence rate1.75Same as national30
Abdominopelvic accidental puncture or laceration rate1.01Same as national77
CMS Medicare PSI 90: Patient safety and adverse events composite0.96Same 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 patientsNot available
Hospital return days for pneumonia patientsNot available
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.7Same as national35
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Not available
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 surgery1.1Same as national33
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsNot available
Heart failure (HF) 30-Day Readmission RateNot available
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission RateNot available

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 rating2731
Doctor communication - star rating3731
Communication about medicines - star rating2731
Discharge information - star rating2731
Cleanliness - star rating3731
Quietness - star rating3731
Overall hospital rating - star rating3731
Recommend hospital - star rating3731
Summary star rating3731

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 volumelow
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 Hyperglycemia21841
Hospital Harm - Severe Hypoglycemia2363
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination502077
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 better176431
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 better174419
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 better43211
Left before being seen115288
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing33378
Appropriate care for severe sepsis and septic shock8189
Septic Shock 3-Hour Bundle6414
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle8989
Severe Sepsis 6-Hour Bundle9852
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis97298
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 Womans Hospital of Texas,the rated?
Womans Hospital of Texas,the has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Womans Hospital of Texas,the have emergency services?
Yes. Womans Hospital of Texas,the operates a 24/7 emergency department.
Where is Womans Hospital of Texas,the located?
Womans Hospital of Texas,the is located at 7600 Fannin, Houston, TX 77054.
What type of hospital is Womans Hospital of Texas,the?
Womans Hospital of Texas,the 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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