Midland Memorial Hospital

Hospital in Midland, TX, Medicare certification number 450133. CMS publishes 63 quality measures for it.

Medicare certification

Provider of Services

CCN: 450133The 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: Government - Hospital District or Authority
Control type: Hospital district or authority
Participating since: Apr 3, 1978
Last certification: Aug 1, 2024
Beds: 540
Overall star rating: 1 of 5Care Compare
Address: 400 Rosalind Redfern Grover Parkway
Midland, TX 79701
(432) 685-1111

NPI records for this facility 1

Midland County Hospital District
- General Acute Care Hospital
- Midland, TX
- NPI 1255325817
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse3 of 5
- State average 3.71 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Better3 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

Complications and deaths 19

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected1.15
- State average 1.03 (computed here)
- National average 1.06
- No different than the national rate
- 658 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected1.12
- 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 expected162.17
- State average 166 (computed here)
- National average 173.3
- No different than the national rate
- 49 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
- 55 patients
- Period from 07/01/2022
Death rate for COPD patients As expected10
- State average 8.7 (computed here)
- National average 8.6
- No different than the national rate
- 91 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected14.5
- State average 11.91 (computed here)
- National average 11.9
- No different than the national rate
- 121 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected15.1
- State average 10.52 (computed here)
- National average 11.1
- No different than the national rate
- 266 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected19.5
- State average 14.69 (computed here)
- National average 15.2
- No different than the national rate
- 373 patients
- Period from 07/01/2022
Death rate for stroke patients Worse18.3
- State average 12.01 (computed here)
- National average 11.9
- Worse than the national rate
- 149 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected4.2
- State average 3.89 (computed here)
- National average 3.9
- No different than the national rate
- 1,996 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.17
- State average 0.21 (computed here)
- National average 0.21
- No different than the national rate
- 4,114 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.27
- State average 0.26 (computed here)
- National average 0.27
- No different than the national rate
- 4,161 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected2.86
- State average 3.34 (computed here)
- National average 3.52
- No different than the national rate
- 915 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.48
- State average 1.62 (computed here)
- National average 1.67
- No different than the national rate
- 279 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected1.88
- State average 2.31 (computed here)
- National average 2.34
- No different than the national rate
- 884 patients
- Period from 07/01/2022
Postoperative respiratory failure rate Worse19.73
- State average 10.06 (computed here)
- National average 9.42
- Worse than the national rate
- 302 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected5.86
- State average 5.23 (computed here)
- National average 5.27
- No different than the national rate
- 274 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.64
- State average 1.77 (computed here)
- National average 1.77
- No different than the national rate
- 196 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.21
- State average 0.52 (computed here)
- National average 0.63
- No different than the national rate
- 3,639 patients
- Period from 07/01/2022

Measures CMS does not publish for this facility (1)

Rate of complications for hip/knee replacement patients — 1

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected0.48
- State average 0.35
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected1.19
- State average 0.48
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.25
- State average 0.24
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0.26
- State average 0.6
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected2.25
- State average 0.73
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Measures CMS does not publish for this facility (1)

SSI - Abdominal Hysterectomy — 13

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 11
- State average 7.72 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 13.9
- 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) 1.15
- State average 1.03
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 17

Medicare Care Compare

Antithrombotic Therapy by End of Hospital Day 2 95
- State average 92.48 (computed here)
- National average 92.79 (computed here)
- 121 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 68
- State average 68
- National average 65
- 789 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 195
- State average 150
- National average 168
- 403 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 193
- State average 145
- National average 162
- 387 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 263
- State average 233
- National average 257
- 15 patients
- Period from 10/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 96
- State average 92
- National average 93
- 48 patients
- Period from 01/01/2024
Head CT results 73
- State average 67
- National average 69
- 11 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 58
- State average 74
- National average 78
- 3,008 patients
- Period from 10/01/2024
Intensive Care Unit Venous Thromboembolism Prophylaxis 65
- State average 93.78 (computed here)
- National average 93.49 (computed here)
- 1,374 patients
- Period from 01/01/2024
Left before being seen 4
- State average 1
- National average 2
- 72,122 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 9
- State average 14
- National average 15
- 2,416 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 67
- State average 74
- National average 73
- 263 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 91
- State average 89
- National average 87
- 149 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 85
- State average 83
- National average 81
- 790 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 93
- State average 93
- National average 93
- 468 patients
- Period from 10/01/2024
ST-Segment Elevation Myocardial Infarction (STEMI) 57
- State average 41.08 (computed here)
- National average 46.51 (computed here)
- 28 patients
- Period from 01/01/2024
Venous Thromboembolism Prophylaxis 58
- State average 78.56 (computed here)
- National average 82.23 (computed here)
- 5,376 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (13)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better — 1
Discharged on Antithrombotic Therapy — 5
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 Hyperglycemia — 5
Hospital Harm - Severe Hypoglycemia — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5

Unplanned visits 10

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected13.7
- State average 14.48 (computed here)
- National average 14.4
- No different than the national rate
- 132 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected20.1
- State average 21.26 (computed here)
- National average 21.3
- No different than the national rate
- 449 patients
- Period from 07/01/2023
Hospital return days for heart attack patients -26.8
- State average 11.3 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 110 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 20.5
- State average -1.32 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 294 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients -0.7
- State average 2.42 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 386 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
- 526 patients
- Period from 07/01/2023
Rate of readmission for CABG As expected12.7
- State average 11.35 (computed here)
- National average 11
- No different than the national rate
- 70 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected19.5
- State average 19.85 (computed here)
- National average 20
- No different than the national rate
- 146 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected13.6
- State average 13.1 (computed here)
- National average 13
- No different than the national rate
- 234 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected0.8
- State average 1.02 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 446 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (4)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy — 1
Rate of inpatient admissions for patients receiving outpatient chemotherapy — 1
Rate of readmission after hip/knee replacement — 1

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.
NPPES NPI Registry: the NPI records connected to this certification.

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.