CHI St. Luke's Health Baylor College of Medicine Medical Center
Doing business as Baylor St Lukes Medical Center
Hospital in Houston, TX, Medicare certification number 450193. CMS publishes 63 quality measures for it.
Medicare certification
Provider of Services- CCN
- 450193
- Status
- Active
- Provider type
- Hospital – Short-term
- Listed by Care Compare as
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Church
- Control type
- Church
- Participating since
- Jul 1, 1966
- Last certification
- May 7, 2021
- Beds
- 881
- Overall star rating
- Address
- 6720 Bertner Ave, Ste MC1-266
Houston, TX 77030
(832) 355-1000
NPI records for this facility (CCN to NPI Mapping) 1
-
- General Acute Care Hospital
- Houston, TX
- NPI 1184622847
Medicare enrollment
Units certified under this facility 1
Provider of ServicesParts of this facility that Medicare certifies under a number of their own, such as a psychiatric or rehabilitation unit.
Patient survey (HCAHPS) 9
Medicare Care Compare-
Cleanliness - star rating Worse2
-
Communication about medicines - star rating Worse2
-
Discharge information - star rating Worse2
-
Doctor communication - star rating As expected3
-
Nurse communication - star rating Worse2
-
Overall hospital rating - star rating Worse3
-
Quietness - star rating Worse3
-
Recommend hospital - star rating Worse3
-
Summary star rating Worse2
Affiliated providers 1,171
Medicare Care CompareClinicians who list this facility as a hospital or facility affiliation in Care Compare.
-
Bernardino Flores Abaya, M.D.
- Nephrology Physician
- Houston, TX
- NPI 1740262013
-
Robert Lee Abbitt, AGACNP-BC
- Acute Care Nurse Practitioner
- Houston, TX
- NPI 1588165765
-
Basem Abdeen, MD
- Hospitalist Physician
- Houston, TX
- NPI 1366545675
-
Waleed Azmy Abdulkader Abdellatif, MBBCH, MSC, MSHPE
- Diagnostic Radiology Physician
- Houston, TX
- NPI 1629737770
-
Wasif M Abidi, M.D., PH.D.
- Gastroenterology Physician
- Houston, TX
- NPI 1821230780
-
Emran Abdul Abu Atherah, M.D
- Pulmonary Disease Physician
- Webster, TX
- NPI 1356570220
-
Tareq Abuasab, MD
- Hematology (Internal Medicine) Physician
- Houston, TX
- NPI 1598430043
-
Arup Achari, MD
- Cardiovascular Disease Physician
- Houston, TX
- NPI 1538146022
-
Ayoade Sijuade Ademuyewo, DNP
- Certified Registered Nurse Anesthetist
- Houston, TX
- NPI 1861987539
-
Oludayo Adedotun Adeyefa, M.D.
- Anesthesiology Physician
- Houston, TX
- NPI 1700014628
-
Fatima Adhi, MD
- Critical Care Medicine (Internal Medicine) Physician
- Houston, TX
- NPI 1437590387
-
Titilola Rosemarie Adio, M.D.
- Internal Medicine Physician
- Houston, TX
- NPI 1700021193
-
Muhammed Ashar Zaheer Afaq, MD
- Hospitalist Physician
- Sugar Land, TX
- NPI 1841751948
-
Sandeep K Agarwal
- Rheumatology Physician
- Houston, TX
- NPI 1467489757
-
Suneal Kumar Agarwal, MD
- Gastroenterology Physician
- Houston, TX
- NPI 1720242324
-
Alisha Aggarwal
- Internal Medicine Physician
- Houston, TX
- NPI 1063157519
-
Shreya Aggarwal, MD
- Anesthesiology Physician
- Houston, TX
- NPI 1902156037
-
Charu Agrawal
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Houston, TX
- NPI 1306280342
-
Neeraj Agrawal, M.D.
- Internal Medicine Physician
- Houston, TX
- NPI 1235495292
-
Yunuen Aguilera Garcia, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Houston, TX
- NPI 1578842522
-
Adil Shahzad Ahmed, M.D.
- Orthopaedic Hand Surgery Physician
- Houston, TX
- NPI 1124480652
-
Maaheen Ahmed
- Physical Medicine & Rehabilitation Physician
- Houston, TX
- NPI 1407352891
-
Masih Ahmed, MD
- Ophthalmology Physician
- Houston, TX
- NPI 1114345725
-
Tabish Aijaz, M.D.
- Pain Medicine (Anesthesiology) Physician
- Houston, TX
- NPI 1417319732
-
Muhammad Suleman Ajmal, M.B.B.S
- Nephrology Physician
- Houston, TX
- NPI 1184873234
Complications and deaths 19
Medicare Care Compare-
Abdominopelvic accidental puncture or laceration rate As expected0.88
-
CMS Medicare PSI 90: Patient safety and adverse events composite As expected1.03
-
Death rate among surgical inpatients with serious treatable complications As expected157.74
-
Death rate for CABG surgery patients As expected2.8
-
Death rate for heart attack patients As expected10.4
-
Death rate for heart failure patients Better7.2
-
Death rate for pneumonia patients As expected11.7
-
Death rate for stroke patients As expected10.6
-
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate Better2.9
-
Iatrogenic pneumothorax rate As expected0.17
-
In-hospital fall-associated fracture rate As expected0.23
-
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.57
-
Postoperative acute kidney injury requiring dialysis rate As expected1.23
-
Postoperative hemorrhage or hematoma rate As expected1.79
-
Postoperative respiratory failure rate As expected9.24
-
Postoperative sepsis rate As expected6.87
-
Postoperative wound dehiscence rate As expected1.88
-
Pressure ulcer rate As expected0.71
-
Rate of complications for hip/knee replacement patients As expected3.7
Measures CMS does not publish for this facility (1)
Infections 5
Medicare Care Compare-
Catheter Associated Urinary Tract Infections (ICU + select Wards) Better0.42
-
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0.77
-
Clostridium Difficile (C.Diff) Better0.16
-
MRSA Bacteremia Better0.16
-
SSI - Colon Surgery Better0.32
Measures CMS does not publish for this facility (1)
Outpatient imaging 2
Medicare Care Compare-
Abdomen CT Use of Contrast Material 18.9
-
Breast Cancer Screening Recall Rates 13.6
Spending per patient 1
Medicare Care Compare-
Medicare hospital spending per patient (Medicare Spending per Beneficiary) 1.04
Timely and effective care 14
Medicare Care Compare-
Appropriate care for severe sepsis and septic shock 70
-
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 166
-
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 165
-
Discharged on Antithrombotic Therapy 96
-
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 95
-
Healthcare workers given influenza vaccination 83
-
Intensive Care Unit Venous Thromboembolism Prophylaxis 99
-
Left before being seen 2
-
Safe Use of Opioids - Concurrent Prescribing 18
-
Septic Shock 3-Hour Bundle 83
-
Septic Shock 6-Hour Bundle 88
-
Severe Sepsis 3-Hour Bundle 84
-
Severe Sepsis 6-Hour Bundle 93
-
Venous Thromboembolism Prophylaxis 93
Measures CMS does not publish for this facility (16)
Unplanned visits 13
Medicare Care Compare-
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected14.1
-
Heart failure (HF) 30-Day Readmission Rate As expected20
-
Hospital return days for heart attack patients 35
-
Hospital return days for heart failure patients -15.1
-
Hospital return days for pneumonia patients 9.6
-
Pneumonia (PN) 30-Day Readmission Rate As expected17.1
-
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5.3
-
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected12.3
-
Rate of readmission after hip/knee replacement As expected7.2
-
Rate of readmission for CABG As expected11.2
-
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected20.7
-
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected11.6
-
Ratio of unplanned hospital visits after hospital outpatient surgery As expected0.9
Measures CMS does not publish for this facility (1)
Other hospitals in Houston, TX
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.