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Letter Grade B

Memorial Hermann Southeast

11800 Astoria Blvd.
Houston, TX 77074

Outcomes measures include errors, accidents, and injuries that this hospital has publicly reported.

Measure The Hospital's Score Worst Performing Hospital Avg. Performing Hospital Best Performing Hospital Data Source Time Period Covered
Foreign Object Retained After Surgery What's This? 0.031 0.358 0.03 0 CMS Hospital Compare 07/01/2010 - 06/30/2012
Air Embolism What's This? 0.000 0.098 0.00 0 CMS Hospital Compare 07/01/2010 - 06/30/2012
Pressure Ulcer - Stages 3 and 4 What's This? 0.031 0.894 0.10 0 CMS Hospital Compare 07/01/2010 - 06/30/2012
Falls and Trauma What's This? 0.249 1.734 0.48 0 CMS Hospital Compare 07/01/2010 - 06/30/2012

CLABSI What's This? 0.364 2.32 0.55 0 CMS Hospital Compare 04/01/2012 - 03/31/2013

CAUTI What's This? 1.156 3.204 0.71 0 CMS Hospital Compare 04/01/2012 - 03/31/2013

SSI Colon What's This? 0.441 3.583 0.80 0 CMS Hospital Compare 04/01/2012 - 03/31/2013

Death Among Surgical Inpatients with Serious Treatable Complications What's This? 90.18 155.63 110.37 53.51 CMS Hospital Compare 07/01/2010 - 06/30/2012
Collapsed Lung Due to Medical Treatment What's This? 0.41 0.66 0.32 0.1 CMS Hospital Compare 07/01/2010 - 06/30/2012
Breathing Failure After Surgery What's This? 16.98 21.42 11.66 4.99 CMS Hospital Compare 07/01/2010 - 06/30/2012
Postoperative PE/DVT What's This? 3.79 10.27 4.04 0.74 CMS Hospital Compare 07/01/2010 - 06/30/2012
Wounds Split Open After Surgery What's This? 1.35 2.87 0.93 0.17 CMS Hospital Compare 07/01/2010 - 06/30/2012
Accidental Cuts or Tears From Medical Treatment What's This? 0.76 3.83 1.82 0.26 CMS Hospital Compare 07/01/2010 - 06/30/2012

Process measures include the management structures and procedures a hospital has in place to protect patients from errors, accidents, and injuries.

Measure The Hospital's Score Worst Performing Hospital Avg. Performing Hospital Best Performing Hospital Data Source Time Period Covered

Computerized Prescriber Order Entry (CPOE) What's This? 65 5 48.44 100 AHA HIT Supplement 2012
ICU Physician Staffing What's This? 5 5 31.08 100 AHA Annual Survey 2012

Leadership Structures and Systems What's This? Did Not Report 0 110.67 120 2013 Leapfrog Hospital Survey 01/01/2012 - 06/30/2013
Culture Measurement, Feedback and Intervention What's This? Did Not Report 0 17.97 20 2013 Leapfrog Hospital Survey 01/01/2012 - 06/30/2013
Teamwork Training and Skill Building What's This? Did Not Report 0 34.49 40 2013 Leapfrog Hospital Survey 01/01/2012 - 06/30/2013
Identification and Mitigation of Risks and Hazards What's This? Did Not Report 0 109.31 120 2013 Leapfrog Hospital Survey 01/01/2012 - 06/30/2013
Nursing Workforce What's This? Did Not Report 0 91.36 100 2013 Leapfrog Hospital Survey 01/01/2012 - 06/30/2013
Medication Reconciliation What's This? Did Not Report 0 31.77 35 2013 Leapfrog Hospital Survey 01/01/2012 - 06/30/2013
Hand Hygiene What's This? Did Not Report 0 27.44 30 2013 Leapfrog Hospital Survey 01/01/2012 - 06/30/2013
Care of the Ventilated Patient What's This? Did Not Report 0 18.30 20 2013 Leapfrog Hospital Survey 01/01/2012 - 06/30/2013

Patients Received Antibiotic within 1 Hour Prior to Surgical Incision What's This? 99 84 98.64 100 CMS Hospital Compare 04/01/2012 - 03/31/2013
Patients Received the Right Antibiotic What's This? 99 62 98.72 100 CMS Hospital Compare 04/01/2012 - 03/31/2013
Antibiotic Discontinued After 24 Hours What's This? 97 70 97.57 100 CMS Hospital Compare 04/01/2012 - 03/31/2013
Urinary Catheter was Removed on Postoperative Day 1 or 2 What's This? 98 49 95.95 100 CMS Hospital Compare 04/01/2012 - 03/31/2013
Surgery Patients Received Appropriate Treatment to Prevent Blood Clots at the Right Time What's This? 99 65 97.64 100 CMS Hospital Compare 04/01/2012 - 03/31/2013