SAN JACINTO METHODIST HOSPITAL (BAYTOWN, TX) Detailed Hospital Profile

Inpatient Prospective Payment System (IPPS) - Medicare Provider Charge Data

Acute Myocardial Infarction, Discharged Alive with Complications

Average Covered Charges

This Hospital:	$49,725
Texas:	$37,029

Average Total Payments

This Hospital:	$7,829
State:	$7,756

Number of discharges: 22

This Hospital:	0.74%
Texas:	0.50%

Acute Myocardial Infarction, Discharged Alive with Major Complications

Average Covered Charges

This Hospital:	$80,854
Texas:	$56,705

Average Total Payments

This Hospital:	$12,536
Texas:	$12,129

Number of discharges: 36

Here:	1.22%
State:	0.85%

Atherosclerosis without Major Complications

Average Covered Charges

This Hospital:	$41,345
State:	$21,485

Average Total Payments

This Hospital:	$5,210
Texas:	$3,893

Number of discharges: 11

Here:	0.37%
State:	0.32%

Back and Neck Procedures Except Spinal Fusion without Complications

Average Covered Charges

This Hospital:	$20,714
Texas:	$31,687

Average Total Payments

This Hospital:	$6,659
Texas:	$6,679

Number of discharges: 25

Here:	0.85%
State:	0.47%

Bronchitis and Asthma with Complications

Average Covered Charges

Here:	$39,954
Texas:	$28,888

Average Total Payments

Here:	$5,803
Texas:	$5,710

Number of discharges: 25

Here:	0.85%
Texas:	0.52%

Cardiac Arrhythmia and Conduction Disorders with Complications

Average Covered Charges

Here:	$34,982
State:	$25,580

Average Total Payments

Here:	$6,074
Texas:	$5,548

Number of discharges: 60

Here:	2.03%
Texas:	1.35%

Cardiac Arrhythmia and Conduction Disorders with Major Complications

Average Covered Charges

This Hospital:	$53,831
State:	$39,117

Average Total Payments

Here:	$8,413
Texas:	$8,276

Number of discharges: 28

Here:	0.95%
State:	0.84%

Cardiac Arrhythmia and Conduction Disorders without Complications

Average Covered Charges

This Hospital:	$23,428
State:	$17,909

Average Total Payments

This Hospital:	$4,054
State:	$3,737

Number of discharges: 37

This Hospital:	1.25%
State:	1.48%

Cellulitis with Major Complications

Average Covered Charges

Here:	$60,759
Texas:	$40,242

Average Total Payments

Here:	$10,625
Texas:	$9,735

Number of discharges: 17

Here:	0.58%
Texas:	0.31%

Cellulitis without Major Complications

Average Covered Charges

This Hospital:	$36,101
Texas:	$22,187

Average Total Payments

This Hospital:	$6,178
State:	$5,512

Number of discharges: 77

Here:	2.61%
Texas:	2.13%

Chest Pain

Average Covered Charges

Here:	$36,052
State:	$21,153

Average Total Payments

This Hospital:	$3,759
State:	$3,684

Number of discharges: 29

Here:	0.98%
State:	1.64%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

Here:	$37,269
Texas:	$29,940

Average Total Payments

Here:	$6,654
Texas:	$6,395

Number of discharges: 72

Here:	2.44%
State:	2.05%

Chronic Obstructive Pulmonary Disease with Major Complications

Average Covered Charges

This Hospital:	$52,818
State:	$35,718

Average Total Payments

This Hospital:	$8,814
Texas:	$7,640

Number of discharges: 83

This Hospital:	2.81%
Texas:	2.27%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

This Hospital:	$34,496
State:	$22,469

Average Total Payments

This Hospital:	$4,970
State:	$4,747

Number of discharges: 59

Here:	2.00%
Texas:	1.59%

Circulatory Disorders Except Acute Myocardial Infarction, with Card Cath with Major Complications

Average Covered Charges

This Hospital:	$74,284
State:	$71,511

Average Total Payments

This Hospital:	$12,763
Texas:	$14,371

Number of discharges: 21

Here:	0.71%
State:	0.32%

Circulatory Disorders Except Acute Myocardial Infarction, with Card Cath without Major Complications

Average Covered Charges

Here:	$57,257
Texas:	$41,312

Average Total Payments

Here:	$7,925
Texas:	$7,361

Number of discharges: 32

Here:	1.08%
State:	1.54%

Cranial and Peripheral Nerve Disorders without Major Complications

Average Covered Charges

This Hospital:	$40,938
State:	$29,822

Average Total Payments

Here:	$6,056
Texas:	$6,498

Number of discharges: 20

Here:	0.68%
State:	0.29%

Degenerative Nervous System Disorders without Major Complications

Average Covered Charges

Here:	$35,740
State:	$29,257

Average Total Payments

Here:	$6,138
Texas:	$6,351

Number of discharges: 13

Here:	0.44%
State:	0.30%

Diabetes with Complications

Average Covered Charges

This Hospital:	$33,383
Texas:	$25,425

Average Total Payments

This Hospital:	$6,593
Texas:	$5,709

Number of discharges: 21

This Hospital:	0.71%
Texas:	0.71%

Disorders of Pancreas Except Malignancy with Complications

Average Covered Charges

Here:	$43,672
Texas:	$32,768

Average Total Payments

This Hospital:	$6,863
Texas:	$7,170

Number of discharges: 17

This Hospital:	0.58%
State:	0.25%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders with Major Complications

Average Covered Charges

This Hospital:	$59,171
Texas:	$38,893

Average Total Payments

This Hospital:	$8,089
Texas:	$8,137

Number of discharges: 16

Here:	0.54%
Texas:	0.68%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

Here:	$38,835
Texas:	$24,361

Average Total Payments

Here:	$5,102
State:	$4,830

Number of discharges: 68

This Hospital:	2.30%
State:	3.07%

G.I. Hemorrhage with Complications

Average Covered Charges

This Hospital:	$39,697
State:	$30,533

Average Total Payments

Here:	$7,044
State:	$6,742

Number of discharges: 70

This Hospital:	2.37%
State:	1.83%

G.I. Hemorrhage with Major Complications

Average Covered Charges

This Hospital:	$54,926
Texas:	$52,594

Average Total Payments

This Hospital:	$11,781
Texas:	$11,790

Number of discharges: 33

Here:	1.12%
State:	0.73%

G.I. Hemorrhage without Complications

Average Covered Charges

This Hospital:	$30,124
State:	$21,763

Average Total Payments

Here:	$4,881
State:	$4,668

Number of discharges: 17

This Hospital:	0.58%
State:	0.43%

G.I. Obstruction with Complications

Average Covered Charges

Here:	$38,465
State:	$28,958

Average Total Payments

This Hospital:	$6,338
State:	$6,052

Number of discharges: 25

Here:	0.85%
Texas:	0.64%

G.I. Obstruction without Complications

Average Covered Charges

This Hospital:	$32,576
State:	$19,820

Average Total Payments

Here:	$4,367
State:	$4,189

Number of discharges: 19

This Hospital:	0.64%
Texas:	0.37%

Heart Failure and Shock with Complications

Average Covered Charges

Here:	$41,385
Texas:	$29,852

Average Total Payments

Here:	$7,038
State:	$6,718

Number of discharges: 85

This Hospital:	2.88%
Texas:	3.09%

Heart Failure and Shock with Major Complications

Average Covered Charges

Here:	$57,585
Texas:	$46,288

Average Total Payments

This Hospital:	$10,377
State:	$9,846

Number of discharges: 110

This Hospital:	3.72%
State:	2.71%

Heart Failure and Shock without Complications

Average Covered Charges

This Hospital:	$25,909
Texas:	$20,982

Average Total Payments

This Hospital:	$4,669
Texas:	$4,507

Number of discharges: 35

Here:	1.18%
Texas:	1.18%

Hip and Femur Procedures Except Major Joint with Complications

Average Covered Charges

This Hospital:	$64,039
Texas:	$55,186

Average Total Payments

This Hospital:	$12,592
State:	$11,865

Number of discharges: 38

Here:	1.29%
Texas:	1.25%

Hip and Femur Procedures Except Major Joint with Major Complications

Average Covered Charges

Here:	$103,587
State:	$84,559

Average Total Payments

This Hospital:	$20,525
Texas:	$19,805

Number of discharges: 12

Here:	0.41%
State:	0.30%

Hypertension without Major Complications

Average Covered Charges

Here:	$33,861
Texas:	$21,529

Average Total Payments

Here:	$4,201
State:	$4,067

Number of discharges: 11

This Hospital:	0.37%
Texas:	0.48%

Infectious and Parasitic Diseases with O.R. Procedure with Major Complications

Average Covered Charges

Here:	$142,591
State:	$151,066

Average Total Payments

This Hospital:	$34,705
State:	$37,618

Number of discharges: 33

This Hospital:	1.12%
State:	0.64%

Intracranial Hemorrhage or Cerebral Infarction with Complications

Average Covered Charges

Here:	$44,922
State:	$36,171

Average Total Payments

This Hospital:	$7,636
State:	$7,674

Number of discharges: 49

This Hospital:	1.66%
Texas:	1.60%

Intracranial Hemorrhage or Cerebral Infarction with Major Complications

Average Covered Charges

This Hospital:	$74,327
State:	$58,647

Average Total Payments

Here:	$12,891
Texas:	$12,879

Number of discharges: 24

Here:	0.81%
Texas:	0.95%

Intracranial Hemorrhage or Cerebral Infarction without Complications

Average Covered Charges

This Hospital:	$38,060
State:	$28,468

Average Total Payments

Here:	$5,735
Texas:	$5,476

Number of discharges: 24

This Hospital:	0.81%
State:	0.81%

Kidney and Urinary Tract Infections with Major Complications

Average Covered Charges

This Hospital:	$45,662
Texas:	$34,831

Average Total Payments

This Hospital:	$8,135
State:	$7,778

Number of discharges: 77

Here:	2.61%
Texas:	1.15%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

This Hospital:	$28,848
State:	$22,532

Average Total Payments

Here:	$5,309
Texas:	$5,086

Number of discharges: 118

Here:	3.99%
Texas:	3.62%

Laparoscopic Cholecystectomy without C.D.E. with Complications

Average Covered Charges

Here:	$58,316
Texas:	$54,550

Average Total Payments

Here:	$13,246
Texas:	$11,127

Number of discharges: 17

This Hospital:	0.58%
Texas:	0.37%

Major Cardiovasc Procedures without Major Complications

Average Covered Charges

This Hospital:	$85,450
Texas:	$91,890

Average Total Payments

This Hospital:	$20,053
State:	$20,962

Number of discharges: 11

Here:	0.37%
State:	0.51%

Major Gastrointestinal Disorders and Peritoneal Infections with Complications

Average Covered Charges

Here:	$39,148
Texas:	$34,403

Average Total Payments

Here:	$7,998
State:	$8,357

Number of discharges: 13

This Hospital:	0.44%
State:	0.30%

Major Joint Replacement or Reattachment of Lower Extremity with Major Complications

Average Covered Charges

This Hospital:	$116,559
Texas:	$89,048

Average Total Payments

Here:	$23,028
Texas:	$21,542

Number of discharges: 27

Here:	0.91%
State:	0.30%

Major Joint Replacement or Reattachment of Lower Extremity without Major Complications

Average Covered Charges

This Hospital:	$60,080
Texas:	$60,653

Average Total Payments

This Hospital:	$14,366
Texas:	$13,908

Number of discharges: 126

Here:	4.27%
State:	6.27%

Major Small and Large Bowel Procedures with Major Complications

Average Covered Charges

Here:	$205,994
Texas:	$150,283

Average Total Payments

This Hospital:	$34,764
Texas:	$36,010

Number of discharges: 15

This Hospital:	0.51%
Texas:	0.55%

Medical Back Problems without Major Complications

Average Covered Charges

This Hospital:	$36,172
Texas:	$27,706

Average Total Payments

This Hospital:	$5,753
State:	$5,557

Number of discharges: 23

This Hospital:	0.78%
Texas:	0.64%

Misc Disorders of Nutrition, Metabolism, Fluids or Electrolytes with Major Complications

Average Covered Charges

This Hospital:	$46,290
Texas:	$32,026

Average Total Payments

This Hospital:	$7,620
Texas:	$7,792

Number of discharges: 30

Here:	1.02%
State:	1.15%

Misc Disorders of Nutrition, Metabolism, Fluids or Electrolytes without Major Complications

Average Covered Charges

This Hospital:	$36,380
State:	$20,255

Average Total Payments

Here:	$5,253
Texas:	$4,589

Number of discharges: 58

Here:	1.96%
Texas:	2.39%

Other Circulatory System Diagnoses with Major Complications

Average Covered Charges

This Hospital:	$76,721
Texas:	$54,093

Average Total Payments

This Hospital:	$16,838
Texas:	$12,909

Number of discharges: 35

This Hospital:	1.18%
State:	0.86%

Other Digestive System Diagnoses with Complications

Average Covered Charges

This Hospital:	$35,592
Texas:	$31,108

Average Total Payments

This Hospital:	$6,786
Texas:	$6,860

Number of discharges: 13

This Hospital:	0.44%
State:	0.55%

Other Kidney and Urinary Tract Diagnoses with Complications

Average Covered Charges

This Hospital:	$33,390
Texas:	$34,652

Average Total Payments

Here:	$7,483
State:	$8,474

Number of discharges: 18

This Hospital:	0.61%
Texas:	0.35%

Other Vascular Procedures with Complications

Average Covered Charges

Here:	$97,143
State:	$76,478

Average Total Payments

This Hospital:	$16,160
State:	$16,388

Number of discharges: 19

Here:	0.64%
State:	0.60%

Other Vascular Procedures with Major Complications

Average Covered Charges

This Hospital:	$96,907
State:	$86,969

Average Total Payments

This Hospital:	$20,541
State:	$21,111

Number of discharges: 31

This Hospital:	1.05%
State:	0.69%

Percutaneous Cardiovascular Procedures with Drug-Eluting Stent with Major Complications or 4+ Vessels/Stents

Average Covered Charges

Here:	$134,095
State:	$107,551

Average Total Payments

This Hospital:	$22,266
Texas:	$21,607

Number of discharges: 22

This Hospital:	0.74%
Texas:	0.42%

Percutaneous Cardiovascular Procedures with Drug-Eluting Stent without Major Complications

Average Covered Charges

This Hospital:	$93,734
Texas:	$75,722

Average Total Payments

Here:	$13,252
State:	$13,471

Number of discharges: 42

This Hospital:	1.42%
Texas:	1.24%

Peripheral Vascular Disorders with Complications

Average Covered Charges

This Hospital:	$43,165
Texas:	$26,933

Average Total Payments

Here:	$6,652
Texas:	$6,471

Number of discharges: 23

Here:	0.78%
Texas:	0.55%

Permanent Cardiac Pacemaker Implant without Complications

Average Covered Charges

Here:	$61,286
Texas:	$60,525

Average Total Payments

This Hospital:	$13,684
State:	$13,164

Number of discharges: 13

Here:	0.44%
Texas:	0.36%

Poisoning and Toxic Effects of Drugs with Major Complications

Average Covered Charges

This Hospital:	$48,941
State:	$45,629

Average Total Payments

This Hospital:	$9,907
State:	$10,467

Number of discharges: 16

Here:	0.54%
State:	0.22%

Pulmonary Edema and Respiratory Failure

Average Covered Charges

This Hospital:	$62,995
State:	$41,085

Average Total Payments

This Hospital:	$9,595
Texas:	$8,523

Number of discharges: 31

Here:	1.05%
State:	1.20%

Red Blood Cell Disorders without Major Complications

Average Covered Charges

This Hospital:	$27,367
State:	$22,785

Average Total Payments

This Hospital:	$5,357
State:	$5,348

Number of discharges: 35

This Hospital:	1.18%
Texas:	1.52%

Renal Failure with Complications

Average Covered Charges

Here:	$41,348
Texas:	$29,456

Average Total Payments

Here:	$6,975
Texas:	$6,717

Number of discharges: 91

Here:	3.08%
Texas:	2.33%

Renal Failure with Major Complications

Average Covered Charges

Here:	$57,422
Texas:	$44,595

Average Total Payments

Here:	$11,543
Texas:	$10,908

Number of discharges: 64

This Hospital:	2.17%
Texas:	1.68%

Respiratory Infections and Inflammations with Complications

Average Covered Charges

Here:	$64,161
Texas:	$42,475

Average Total Payments

This Hospital:	$9,659
State:	$9,270

Number of discharges: 19

Here:	0.64%
State:	0.80%

Respiratory Infections and Inflammations with Major Complications

Average Covered Charges

This Hospital:	$73,342
Texas:	$61,030

Average Total Payments

This Hospital:	$13,568
State:	$13,022

Number of discharges: 36

Here:	1.22%
State:	0.87%

Respiratory System Diagnosis with Ventilator Support 96+ Hours

Average Covered Charges

This Hospital:	$143,346
State:	$155,606

Average Total Payments

This Hospital:	$33,090
Texas:	$33,988

Number of discharges: 17

This Hospital:	0.58%
State:	0.41%

Respiratory System Diagnosis with Ventilator Support <96 Hours

Average Covered Charges

This Hospital:	$109,189
State:	$70,898

Average Total Payments

Here:	$15,693
Texas:	$15,222

Number of discharges: 66

Here:	2.23%
State:	1.10%

Seizures without Major Complications

Average Covered Charges

This Hospital:	$30,880
State:	$25,913

Average Total Payments

Here:	$5,266
Texas:	$5,335

Number of discharges: 15

Here:	0.51%
State:	0.63%

Septicemia or Severe Sepsis with Mechanical Ventilation 96+ Hours

Average Covered Charges

Here:	$194,864
State:	$170,190

Average Total Payments

This Hospital:	$36,438
State:	$39,582

Number of discharges: 14

This Hospital:	0.47%
Texas:	0.37%

Septicemia or Severe Sepsis without Mechanical Ventilation 96+ Hours with Major Complications

Average Covered Charges

Here:	$77,263
State:	$55,259

Average Total Payments

This Hospital:	$12,898
State:	$12,623

Number of discharges: 136

This Hospital:	4.60%
State:	4.83%

Septicemia or Severe Sepsis without Mechanical Ventilation 96+ Hours without Major Complications

Average Covered Charges

Here:	$45,142
Texas:	$31,223

Average Total Payments

This Hospital:	$8,420
Texas:	$7,429

Number of discharges: 33

Here:	1.12%
State:	1.68%

Signs and Symptoms without Major Complications

Average Covered Charges

Here:	$21,215
State:	$21,891

Average Total Payments

Here:	$4,572
Texas:	$4,614

Number of discharges: 16

Here:	0.54%
State:	0.61%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

Here:	$48,572
State:	$30,598

Average Total Payments

This Hospital:	$7,195
Texas:	$6,580

Number of discharges: 78

This Hospital:	2.64%
Texas:	2.99%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

This Hospital:	$67,489
Texas:	$46,624

Average Total Payments

This Hospital:	$10,006
Texas:	$9,603

Number of discharges: 71

Here:	2.40%
State:	1.99%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

This Hospital:	$33,060
Texas:	$21,702

Average Total Payments

Here:	$4,861
Texas:	$4,627

Number of discharges: 28

This Hospital:	0.95%
Texas:	1.33%

Syncope and Collapse

Average Covered Charges

Here:	$30,704
State:	$26,197

Average Total Payments

Here:	$4,857
State:	$4,788

Number of discharges: 46

Here:	1.56%
Texas:	1.55%

Transient Ischemia

Average Covered Charges

This Hospital:	$37,202
Texas:	$26,817

Average Total Payments

Here:	$5,039
Texas:	$4,792

Number of discharges: 37

This Hospital:	1.25%
State:	1.11%

Quality Measures

Percent of short-stay residents who self-report moderate to severe pain

This Hospital:	21.8%
Texas:	20.2%

Percent of short-stay residents with Pressure ulcers that are new or worsened

Here:	4.5%
State:	1.4%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Hospital:	90.7%
Texas:	76.2%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	99.3%
State:	74.3%

Percent of short-stay residents who newly received an antipsychotic medication

This Hospital:	1.0%
Texas:	3.6%

Complaint Deficiency

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Smoke barrier doors that can resist smoke for at least 20 minutes
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Rooms that can be unlocked from inside without a key
- Harm: Minimal harm or potential for actual harm
- Scope: Many
A fire alarm system that can be heard throughout the facility
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly working alarms on sprinkler valves
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Many
No-smoking signs where oxygen is used
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Allow residents to easily view the results of the nursing home's most recent survey
- Harm: Potential for minimal harm
- Scope: Many
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Keep each resident's personal and medical records private and confidential
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function
- Harm: Minimal harm or potential for actual harm
- Scope: Few
1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public
- Harm: Potential for minimal harm
- Scope: Some
Put firmly secured handrails on each side of hallways
- Harm: Potential for minimal harm
- Scope: Some
Emergency lighting that can last at least 1 1/2 hours
- Harm: Potential for minimal harm
- Scope: Many
A fire alarm system that can be heard throughout the facility
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Have an adequate water supply for the sprinkler system
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Smoke barrier doors that can resist smoke for at least 20 minutes
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Proper backup exit lighting
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly working alarms on sprinkler valves
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Other fire safety features required by fire safety codes
- Harm: Minimal harm or potential for actual harm
- Scope: Many
No-smoking signs where oxygen is used
- Harm: Potential for minimal harm
- Scope: Many
Properly installed electrical wiring and equipment
- Harm: Potential for minimal harm
- Scope: Many
Provide care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs
- Harm: Minimal harm or potential for actual harm
- Scope: Some

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 19%

How often did nurses communicate well with patients?

Sometimes or never

Here:	4%
State:	5%

Usually

This Hospital:	16%
State:	17%

Always

This Hospital:	80%
State:	78%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	5%
State:	4%

Usually

This Hospital:	16%
Texas:	13%

Always

This Hospital:	79%
State:	83%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	7%
State:	10%

Usually

Here:	23%
Texas:	23%

Always

Here:	70%
State:	67%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	6%
Texas:	7%

Usually

This Hospital:	23%
Texas:	21%

Always

This Hospital:	71%
State:	72%

How often did staff explain about medicines before giving them to patients?

Sometimes or never

This Hospital:	21%
Texas:	19%

Usually

This Hospital:	18%
Texas:	17%

Always

Here:	61%
State:	64%

How often were the patients' rooms and bathrooms kept clean?

Sometimes or never

Here:	8%
Texas:	9%

Usually

This Hospital:	19%
State:	18%

Always

Here:	73%
State:	73%

How often was the area around patients' rooms kept quiet at night?

Sometimes or never

This Hospital:	11%
Texas:	8%

Usually

Here:	29%
Texas:	25%

Always

Here:	60%
Texas:	67%

Were patients given information about what to do during their recovery at home?

Yes

Here:	82%
State:	83%

Here:	18%
State:	17%

How do patients rate the hospital overall on a scale from 0 (lowest) to 10 (highest)?

6 or lower

Here:	7%
Texas:	8%

7 or 8

This Hospital:	23%
State:	21%

9 or 10

Here:	70%
Texas:	71%

Would patients recommend the hospital to friends and family?

Here:	4%
Texas:	5%

Yes, probably

This Hospital:	27%
Texas:	23%

Yes, definitely

Here:	69%
Texas:	72%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

This Hospital:	98.0%
State:	99.2%

Percent of Patients Given Aspirin at Discharge

Here:	99.0%
State:	98.8%

Percent of Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

This Hospital:	95.0%
State:	97.9%

Percent of Patients Given Beta Blocker at Discharge

Here:	100.0%
Texas:	98.9%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
Texas:	99.8%

Percent of Patients Given PCI Within 90 Minutes Of Arrival

Here:	92.0%
State:	94.0%

Average number of minutes before outpatients with chest pain or possible heart attack got an ECG

This Hospital:	14
State:	8

Outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival

This Hospital:	95.0%
State:	95.6%

Patients Given a Prescription for a Statin at Discharge

This Hospital:	99.0%
Texas:	97.4%

Heart Failure

Percent of patients who were given an evaluation of Left Ventricular Systolic Dysfunction (LVSD)

Here:	99.0%
Texas:	98.7%

Percent of Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

This Hospital:	96.0%
State:	96.8%

Percent of Patients Given Discharge Instructions

Here:	95.0%
State:	93.1%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
Texas:	99.5%

Pneumonia

Percent of Patients Given Initial Antibiotic(s) within 6 Hours After Arrival

Here:	96.0%
Texas:	96.4%

Percent of Patients Whose Initial ER Blood Culture Was Performed Prior To Administration Of First Dose Of Antibiotics

This Hospital:	98.0%
State:	97.4%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
State:	98.9%

Percent of Patients Given the Most Appropriate Initial Antibiotic(s)

This Hospital:	98.0%
Texas:	95.2%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	96.0%
Texas:	94.7%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	100.0%
Texas:	96.2%

Surgery

Percent of Surgery Patients given an antibiotic at the right time (within one hour before surgery) to help prevent infection

This Hospital:	100.0%
Texas:	98.4%

Percent of Surgery Patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)

This Hospital:	95.0%
Texas:	97.0%

Percent of Surgery Patients who were given the right kind of antibiotic to help prevent infection

Here:	98.0%
State:	98.4%

Percent of Surgery Patients who got treatment at right time (within 24 hours before or after surgery) to help prevent blood clot

This Hospital:	96.0%
Texas:	96.7%

Percent of Surgery Patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries

This Hospital:	97.0%
Texas:	97.6%

Percent of all Heart Surgery Patients whose blood sugar is kept under good control in the days right after surgery

This Hospital:	95.0%
Texas:	94.4%

Percent of Surgery Patients needing hair removed from the surgical area before surgery who had hair removed using a safer method

Here:	100.0%
Texas:	99.9%

Percent of Surgery Patients whose urinary catheters were removed on the first or second day after surgery

This Hospital:	95.0%
Texas:	95.1%

Surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on them

This Hospital:	97.0%
Texas:	96.7%

Outpatients having surgery who got an antibiotic at the right time - within one hour before surgery (higher numbers are better)

This Hospital:	95.0%
State:	97.2%

Outpatients having surgery who got the right kind of antibiotic (higher numbers are better)

This Hospital:	96.0%
State:	96.5%

Patients having surgery who were actively warmed in the operating room or whose body temperature was near normal

Here:	100.0%
State:	99.7%

Outcome of Care

30-Day Mortality Rates from Heart Attack

Here:	13.5%
Texas:	15.6%

30-Day Mortality Rates from Heart Failure

This Hospital:	9.9%
State:	11.2%

30-Day Mortality Rates from Pneumonia

This Hospital:	11.2%
State:	11.8%

30-Day Readmission Rates from Heart Attack

This Hospital:	19.0%
Texas:	19.3%

30-Day Readmission Rates from Heart Failure

Here:	21.7%
State:	24.2%

30-Day Readmission Rates from Pneumonia

Here:	18.1%
Texas:	18.0%

Use of Medical Imaging

Outpatients with low back pain who had an MRI without trying recommended treatments first, such as physical therapy.

This Hospital:	48.700%
State:	37.857%

Outpatients who had a follow-up mammogram or ultrasound within 45 days after a screening mammogram.

Here:	9.000%
Texas:	8.275%

Outpatient CT scans of the abdomen that were combination (double) scans.

Here:	0.487%
Texas:	0.250%

Outpatient CT scans of the chest that were combination (double) scans.

This Hospital:	0.409%
Texas:	0.110%

Outpatients who got cardiac imaging stress tests before low-risk outpatient surgery

Here:	5.400%
Texas:	5.401%

Outpatients with brain CT scans who got a sinus CT scan at the same time

This Hospital:	3.600%
Texas:	2.420%

SAN JACINTO METHODIST HOSPITAL - BAYTOWN, TX

Inpatient Prospective Payment System (IPPS) - Medicare Provider Charge Data

Quality Measures

Complaint Deficiency

Hospital Consumer Assessment of Healthcare Providers

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Use of Medical Imaging

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