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30 Worst Texas Hospitals by Quality Score Performance

July 2, 2019 BY Alanna Moriarty

30 Worst Texas Hospitals by Quality Score Performance

Hospital quality scores allow regulatory agencies like the Centers for Medicare and Medicaid Services (CMS) to understand how effectively providers are treating patients and reimburse the hospitals appropriately. Some of the most informative quality performance metrics include HCAHPS patient survey scores, 30-day readmissions, rates of hospital-acquired conditions (like MRSA and SSIs), and more. In this article series, we are highlighting the hospitals with the poorest quality score performance by state based on Definitive Healthcare's data.

Texas has the greatest number and highest percentage of uninsured residents in the U.S. according to an Urban Institute analysis. More than 4.7 million Texans, or 19 percent of the state population, do not have health insurance coverage. This is particularly alarming when coupled with high rates of obesity (33 percent) and maternal mortality (34.2 per 100,000 live births). Analyzing the quality scores of Texas can help CMS and care providers identify where improvement is most needed. We’ve compiled the 30 Texas hospitals with the worst performance across three quality measures.

10 Texas Hospitals with the Highest All-Cause Readmission Rates

Rank Definitive ID Hospital Name Readmission Rate Net Patient Revenue Discharges
1.  3994   Memorial Hermann Northeast Hospital 17.4% $246,447,308 13,914
2.  3900   Medical City McKinney  17.1% $191,707,195 9,924
3.  552496   Baylor Scott & White Orthopedic and Spine Hospital - Arlington 17.0% $102,306,477 1,679
4.  3911   Baylor Scott & White Medical Center - Lake Pointe 16.7% $175,700,213 7,966
5.  3943   Medical City Lewisville  16.7% $134,857,558 6,456
6.  4029   CHRISTUS Good Shepherd Medical Center - Marshall 16.7% $88,188,917 3,616
7.  4052   CHRISTUS Southeast Texas Jasper Memorial 16.6% $25,492,176 1,086
8.  3917   Medical City Las Colinas 16.6% $94,864,124 5,329
9.  3979   Texoma Medical Center 16.6% $334,235,976 16,634
10.  3975   John Sealy Hospital 16.5% $588,048,288 32,396

Fig 1 Data from Definitive Healthcare’s comprehensive platform, including intelligence on over 8,800 hospitals and IDNs in the U.S. Quality metrics from reporting period ending June 30, 2017, the most recent available.

All-cause readmission rate refers to patient readmissions to care facilities within 30 days of acute care treatment and initial discharge. Reducing preventable readmissions, particularly for hospital-acquired conditions, indicates that providers are proactive and comprehensive in addressing patient health needs and are appropriately staffed in relation to patient volume. High rates of 30-day readmissions spotlight areas where hospitals can improve quality performance through patient education, improved device sanitation, medication management, and other methods.

In the table above, we’ve compiled the 10 Texas hospitals reporting the highest 30-day readmission rates. There doesn’t appear to be a strong correlation between either net patient revenue or discharges and high readmission rates. CHRISTUS Southeast Texas Jasper Memorial reported the lowest net patient revenue and fewest discharges of the hospitals listed, ranking 7th of all Texas hospitals. John Sealy Hospital, which reported the highest net patient revenue and most discharges of those listed, ranked 10th. This appears counterintuitive, as a hospital with higher revenues would likely have greater funds to devote to improved care delivery methods.

10 Texas Hospitals with the Worst Heart Attack Mortality Rates

Rank Definitive ID Hospital Name Mortality Rate Net Patient Revenue Discharges
1.  4196  Wise Health System - East Campus 17.1% $274,265,531 5,003
2.  4181  Laredo Medical Center 16.5% $214,066,005 13,484
3.  4080  University Medical Center 16.4% $498,309,770 21,018
4.  3860  Baptist Medical Center 16.2% $1,034,929,360 61,141
5.  3899  Texas Health Presbyterian Hospital Plano 16.2% $401,219,214 19,905
6.  3942  Baylor Scott & White Medical Center - Carrollton 16.1% $105,867,952 5,028
7.  3866  Wadley Regional Medical Center 16.0% $109,012,495 6,444
8.  3871  CHI St Joseph Regional Health Care Center 16.0% $308,326,703 13,146
9.  4128  UT Health Tyler 16.0% $358,386,829 20,693
10.  4097  Nacogdoches Memorial Hospital 15.6% $54,793,295 3,604

Fig 2 Data from Definitive Healthcare’s comprehensive platform, including intelligence on over 8,800 hospitals and IDNs in the U.S. Quality metrics from reporting period ending June 30, 2017, the most recent available.

CMS tracks hospital mortality rates specifically for COPD, heart attack, heart failure, pneumonia, and stroke for quality-based reimbursements. According to a study from JAMA, hospital performance on mortality from pneumonia, heart attack, and heart failure are linked to the facility’s overall mortality rates. The study found that the top 25 percent of hospitals with the lowest mortality rates in these areas reported an overall mortality rate 3.6 percent lower than hospitals in the bottom quartile.

Baptist Medical Center, ranked 4th by heart attack mortality rate, reported the highest net patient revenue and the most discharges by far. In stark contrast, Nacogdoches Memorial Hospital ranked last on the list with the lowest net patient revenue and fewest discharges. None of the hospitals reporting the highest heart attack mortality rates appear on the list of highest all-cause readmission rates.

10 Texas Hospitals with the Worst MRSA Infection Scores

Rank Definitive ID Hospital Name Score Total Revenues Discharges
1.  3866  Wadley Regional Medical Center 3.36 $111,005,852 6,444
2.  4177  Citizens Medical Center 2.86 $153,570,421 6,270
3.  4108  Medical City Weatherford 2.81 $90,842,383 5,286
4.  4178  Huntsville Memorial Hospital 2.62 $87,616,807 4,567
5.  3857  Southwest General Hospital 2.55 $108,277,824 9,637
6.  4082  Ascension Providence 2.36 $295,574,311 15,316
7.  4176  DeTar Hospital Navarro 2.23 $205,423,142 8,483
8.  3979  T exoma Medical Center 2.16 $338,282,273 16,634
9.  4068  Paris Regional Medical Center 2.02 $133,301,107 6,549
10.  4094  Conroe Regional Medical Center 1.91 $227,953,744 15,359

Fig 3 Data from Definitive Healthcare’s comprehensive platform, including intelligence on over 8,800 hospitals and IDNs in the U.S. Quality metrics from reporting period ending December 31, 2017, the most recent available. CMS scores hospitals based on MRSA prevalence on a scale of 0 to 3, with 0 being the best possible score.

The Methicillin-resistant Staphylococcus aureus (MRSA) bacteria is resistant to many commonly used antibiotics and causes serious conditions like infections of the bloodstream and surgical sites, pneumonia, and even death if left untreated. MRSA is spread through direct contact, which further incentivizes care providers to maintain high sanitation standards when treating multiple patients in succession.

Wadley Regional Medical Center, with the worst MRSA infection score on the list, reported the 4th lowest total revenues and discharges of the hospitals listed. None of the hospitals with the highest MRSA infection scores reported more than $350 million in total revenues, which could suggest that lower-revenue hospitals may not be performing as well as higher-revenue hospitals due to lack of resources. This was also true of the California hospitals with the lowest quality scores.

Why are quality scores important to suppliers? Learn more about how to leverage quality data when targeting care facilities in our webinar: Selling to Hospitals in the 2019 Landscape.

This webinar covers how to:

  • Use quality, financial, and clinical metrics to identify hospitals and IDNs in need of your services, products, and/or solutions.
  • Track referral patterns and prescription data to expand selling opportunities
  • Develop ideal customer profiles based on net patient revenue, departmental budgets, procedure and diagnosis data, and other information.
  • Create account plans targeting specific hospital and health system leaders from C-suite executives to VPs.

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