Memorial Hermann - Texas Medical Center

Hospital in Houston, TX, Medicare certification number 450068. CMS publishes 67 quality measures for it.

Medicare certification

Provider of Services

CCN: 450068The number CMS certifies the facility under, not a provider identifier
Status: Active
Provider type: Hospital – Short-term
Listed by Care Compare as: Acute Care Hospitals
Ownership: Voluntary non-profit - Private
Control type: Private (not for profit)
Participating since: Jul 1, 1966
Last certification: Jan 31, 2025
Beds: 1,220
Overall star rating: 4 of 5Care Compare
Most recent change of ownership: Nov 4, 1997 (1 total)
Address: 6411 Fannin
Houston, TX 77030
(713) 704-3700

NPI records for this facility 2

Memorial Hermann Health System
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Houston, TX
- NPI 1437189115
Medicare enrollment
Memorial Hermann Health System
- General Acute Care Hospital
- Houston, TX
- NPI 1982666111
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Better4 of 5
- State average 3.71 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Worse2 of 5
- State average 2.67 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Worse3 of 5
- State average 3.07 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating Worse2 of 5
- State average 2.96 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse3 of 5
- State average 3.28 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Worse3 of 5
- State average 3.32 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse3 of 5
- State average 3.82 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Worse3 of 5
- State average 3.69 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse3 of 5
- State average 3.27 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Affiliated providers 2,143

Page 1 of 86Medicare Care Compare

Clinicians who list this facility as a hospital or facility affiliation in Care Compare.

Anthonia Ada Abanobi, NP-C
- Family Nurse Practitioner
- Bellaire, TX
- NPI 1720441561
Aamir Abbas, M.D.
- Advanced Heart Failure and Transplant Cardiology Physician
- Houston, TX
- NPI 1487948030
Zargham Abbas, MD
- Child & Adolescent Psychiatry Physician
- Houston, TX
- NPI 1689135303
Nadia Hafeez Abbasi, M.D.
- Internal Medicine Physician
- Katy, TX
- NPI 1184825689
Saherish Mahfooz Abbasi, DO
- Hospitalist Physician
- Houston, TX
- NPI 1326601113
Ahmed Mohamed Kamel Abdel Aal, MD, PHD
- Diagnostic Radiology Physician
- Houston, TX
- NPI 1215076344
Abeer H. Abdelhafez, MD
- Diagnostic Radiology Physician
- Houston, TX
- NPI 1225791338
Mina Abdelmalek, MD
- Hospitalist Physician
- Shenandoah, TX
- NPI 1265051676
Lourice Kamel Abdelmelek, M.D.
- Family Medicine Physician
- Bellaire, TX
- NPI 1316946742
Hamzah Abduljabar, MD
- Hospitalist Physician
- Houston, TX
- NPI 1720608730
Abdulla Hussein Abdulla, MD
- Hospitalist Physician
- Richmond, TX
- NPI 1891059507
Muhammad Abdullah, CAA
- Anesthesiologist Assistant
- Houston, TX
- NPI 1053295154
Ibrahim Asghar Abid, MD
- Hospitalist Physician
- Cypress, TX
- NPI 1922586049
Glory Abraham, NP
- Family Nurse Practitioner
- Sugar Land, TX
- NPI 1194206490
Shibin Thomas Abraham, MD
- Hospitalist Physician
- Houston, TX
- NPI 1548880909
Shifa Abraham, MD
- Internal Medicine Physician
- Houston, TX
- NPI 1922418193
Rodeo Apurado Abrencillo, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Houston, TX
- NPI 1164716635
Juan Ariel Abreu, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Houston, TX
- NPI 1598053092
Farid Abushamat, MD
- Gastroenterology Physician
- Houston, TX
- NPI 1629574975
Ifeoma Achebe, M.D.
- Hospitalist Physician
- Pearland, TX
- NPI 1528357050
Timothy Stuart Achor, M.D.
- Orthopaedic Trauma Physician
- Houston, TX
- NPI 1881859015
Patience N Adagbon, NP
- Acute Care Nurse Practitioner
- Houston, TX
- NPI 1831967322
Sasha D Adams, MD
- Surgery Physician
- Houston, TX
- NPI 1902837768
Brianne Addicks, ANP
- Adult Health Nurse Practitioner
- Brenham, TX
- NPI 1790983062
Yewande A Adesanya, ACNP
- Acute Care Nurse Practitioner
- Houston, TX
- NPI 1922374974

Complications and deaths 20

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected1
- State average 1.03 (computed here)
- National average 1.06
- No different than the national rate
- 2,066 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected1.05
- State average 0.97 (computed here)
- National average 1
- No different than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected158.49
- State average 166 (computed here)
- National average 173.3
- No different than the national rate
- 360 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected2.9
- State average 2.71 (computed here)
- National average 2.4
- No different than the national rate
- 101 patients
- Period from 07/01/2022
Death rate for COPD patients As expected12.3
- State average 8.7 (computed here)
- National average 8.6
- No different than the national rate
- 71 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected12.3
- State average 11.91 (computed here)
- National average 11.9
- No different than the national rate
- 150 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected8.2
- State average 10.52 (computed here)
- National average 11.1
- No different than the national rate
- 418 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected12.3
- State average 14.69 (computed here)
- National average 15.2
- No different than the national rate
- 364 patients
- Period from 07/01/2022
Death rate for stroke patients As expected9.6
- State average 12.01 (computed here)
- National average 11.9
- No different than the national rate
- 976 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate Better2.8
- State average 3.89 (computed here)
- National average 3.9
- Better than the national rate
- 6,309 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.22
- State average 0.21 (computed here)
- National average 0.21
- No different than the national rate
- 9,923 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.18
- State average 0.26 (computed here)
- National average 0.27
- No different than the national rate
- 9,628 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate Worse5.51
- State average 3.34 (computed here)
- National average 3.52
- Worse than the national rate
- 3,925 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.07
- State average 1.62 (computed here)
- National average 1.67
- No different than the national rate
- 996 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.88
- State average 2.31 (computed here)
- National average 2.34
- No different than the national rate
- 3,572 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected5.9
- State average 10.06 (computed here)
- National average 9.42
- No different than the national rate
- 1,048 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected8.07
- State average 5.23 (computed here)
- National average 5.27
- No different than the national rate
- 1,039 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.71
- State average 1.77 (computed here)
- National average 1.77
- No different than the national rate
- 612 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.61
- State average 0.52 (computed here)
- National average 0.63
- No different than the national rate
- 9,104 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected4.5
- State average 4.14 (computed here)
- National average 4.1
- No different than the national rate
- 35 patients
- Period from 04/01/2023

Infections 6

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) Better0.23
- State average 0.35
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) Better0.32
- State average 0.48
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.13
- State average 0.24
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0.88
- State average 0.6
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Abdominal Hysterectomy As expected1.36
- State average 0.92
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected1.26
- State average 0.73
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 12.1
- State average 7.72 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 7.9
- State average 6.86 (computed here)
- National average 8.08 (computed here)
- Period from 07/01/2024

Spending per patient 1

Medicare Care Compare

Medicare hospital spending per patient (Medicare Spending per Beneficiary) 1.03
- State average 1.03
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 16

Medicare Care Compare

Appropriate care for severe sepsis and septic shock 39
- State average 68
- National average 65
- 229 patients
- Period from 10/01/2024
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 better 260
- State average 150
- National average 168
- 482 patients
- Period from 10/01/2024
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 better 252
- State average 145
- National average 162
- 454 patients
- Period from 10/01/2024
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better 608
- State average 233
- National average 257
- 26 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 89
- State average 93.64 (computed here)
- National average 96.1 (computed here)
- 899 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 96
- State average 92
- National average 93
- 176 patients
- Period from 01/01/2024
Head CT results 61
- State average 67
- National average 69
- 23 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 95
- State average 74
- National average 78
- 17,421 patients
- Period from 10/01/2024
Hospital Harm - Severe Hyperglycemia 6
- State average 6.38 (computed here)
- National average 8.08 (computed here)
- 80,736 patients
- Period from 01/01/2024
Left before being seen 5
- State average 1
- National average 2
- 105,827 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 10
- State average 14
- National average 15
- 6,340 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 43
- State average 74
- National average 73
- 49 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 65
- State average 89
- National average 87
- 17 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 63
- State average 83
- National average 81
- 229 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 81
- State average 93
- National average 93
- 103 patients
- Period from 10/01/2024
Venous Thromboembolism Prophylaxis 90
- State average 78.56 (computed here)
- National average 82.23 (computed here)
- 20,347 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (14)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Antithrombotic Therapy by End of Hospital Day 2 — 5
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better — 1
Emergency department volume — very high
Global Malnutrition Composite Score — 5
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented — 5
Global Malnutrition Composite Score: Malnutrition Risk Screening — 5
Global Malnutrition Composite Score: Nutrition Assessment — 5
Global Malnutrition Composite Score: Nutritional Care Plan — 5
Hospital Harm - Opioid Related Adverse Events — 5
Hospital Harm - Severe Hypoglycemia — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
Intensive Care Unit Venous Thromboembolism Prophylaxis — 5
ST-Segment Elevation Myocardial Infarction (STEMI) — 1

Unplanned visits 13

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected14
- State average 14.48 (computed here)
- National average 14.4
- No different than the national rate
- 414 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected21.4
- State average 21.26 (computed here)
- National average 21.3
- No different than the national rate
- 1,092 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 15.5
- State average 11.3 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 200 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 6
- State average -1.32 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 517 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 6
- State average 2.42 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 380 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected17.2
- State average 17.32 (computed here)
- National average 17.3
- No different than the national rate
- 861 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected4.3
- State average 5.29 (computed here)
- National average 5.4
- No different than the national rate
- 128 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected11.4
- State average 10.89 (computed here)
- National average 10.7
- No different than the national rate
- 128 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected5.6
- State average 5.89 (computed here)
- National average 5.8
- No different than the national rate
- 36 patients
- Period from 07/01/2023
Rate of readmission for CABG As expected9.9
- State average 11.35 (computed here)
- National average 11
- No different than the national rate
- 95 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected20.2
- State average 19.85 (computed here)
- National average 20
- No different than the national rate
- 211 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected11.6
- State average 13.1 (computed here)
- National average 13
- No different than the national rate
- 1,039 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1.1
- State average 1.02 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 645 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (1)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4

Units certified under this facility 1

Provider of Services

Parts of this facility that Medicare certifies under a number of their own, such as a psychiatric or rehabilitation unit.

Memorial Hermann Texas Medical Center Rehab Unit Inpatient rehabilitation facility, CCN 45T068, 18 measures, 3 providers

Sources for this page

Provider of Services: the certification, provider type, beds and status.
Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them, and the clinicians who list this facility as an affiliation.
NPPES NPI Registry: the NPI records connected to this certification and the names of the providers listed above.

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.