Memorial Hermann Memorial City Hospital

Hospital in Houston, TX, Medicare certification number 450610. CMS publishes 64 quality measures for it.

Medicare certification

Provider of Services

CCN: 450610The 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: Aug 17, 1971
Last certification: Dec 6, 2024
Beds: 821
Overall star rating: 4 of 5Care Compare
Address: 921 Gessner
Houston, TX 77024
(713) 242-3000

NPI records for this facility 8

Memorial Hermann Health System
- Physiological Laboratory
- Houston, TX
- NPI 1154595155
Medicare enrollment
Memorial Hermann Health System
- Physiological Laboratory
- Houston, TX
- NPI 1275568032
Medicare enrollment
Memorial Hermann Health System
- Physiological Laboratory
- Pasadena, TX
- NPI 1437323482
Medicare enrollment
Memorial Hermann Health System
- Physiological Laboratory
- Houston, TX
- NPI 1588838593
Medicare enrollment
Memorial Hermann Health System
- Physiological Laboratory
- Houston, TX
- NPI 1639343635
Medicare enrollment
Memorial Hermann Health System
- General Acute Care Hospital
- Houston, TX
- NPI 1740233782
Medicare enrollment
Memorial Hermann Health System
- Physiological Laboratory
- Sugar Land, TX
- NPI 1841465697
Medicare enrollment
Memorial Hermann Health System
- Physiological Laboratory
- Houston, TX
- NPI 1952575904
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 As expected3 of 5
- State average 2.96 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse2 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 Better4 of 5
- State average 3.82 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better4 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 20

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
- 1,173 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.95
- 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 expected180.52
- State average 166 (computed here)
- National average 173.3
- No different than the national rate
- 130 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected1.9
- State average 2.71 (computed here)
- National average 2.4
- No different than the national rate
- 167 patients
- Period from 07/01/2022
Death rate for COPD patients As expected8.7
- State average 8.7 (computed here)
- National average 8.6
- No different than the national rate
- 90 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected14.4
- State average 11.91 (computed here)
- National average 11.9
- No different than the national rate
- 106 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected8.1
- State average 10.52 (computed here)
- National average 11.1
- No different than the national rate
- 411 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected13.2
- State average 14.69 (computed here)
- National average 15.2
- No different than the national rate
- 388 patients
- Period from 07/01/2022
Death rate for stroke patients As expected9.2
- State average 12.01 (computed here)
- National average 11.9
- No different than the national rate
- 614 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.1
- State average 3.89 (computed here)
- National average 3.9
- No different than the national rate
- 3,967 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.14
- State average 0.21 (computed here)
- National average 0.21
- No different than the national rate
- 5,725 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.22
- State average 0.26 (computed here)
- National average 0.27
- No different than the national rate
- 6,348 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected2.73
- State average 3.34 (computed here)
- National average 3.52
- No different than the national rate
- 1,765 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.12
- State average 1.62 (computed here)
- National average 1.67
- No different than the national rate
- 701 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.08
- State average 2.31 (computed here)
- National average 2.34
- No different than the national rate
- 1,637 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected8.1
- State average 10.06 (computed here)
- National average 9.42
- No different than the national rate
- 739 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected6.31
- State average 5.23 (computed here)
- National average 5.27
- No different than the national rate
- 691 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.59
- State average 1.77 (computed here)
- National average 1.77
- No different than the national rate
- 354 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.71
- State average 0.52 (computed here)
- National average 0.63
- No different than the national rate
- 5,053 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected3.9
- State average 4.14 (computed here)
- National average 4.1
- No different than the national rate
- 60 patients
- Period from 04/01/2023

Infections 6

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) Better0.21
- 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) As expected0.64
- State average 0.48
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.11
- State average 0.24
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0.54
- State average 0.6
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Abdominal Hysterectomy As expected1.54
- State average 0.92
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0.87
- 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 20.1
- State average 7.72 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 8.5
- 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
- State average 1.03
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 15

Medicare Care Compare

Appropriate care for severe sepsis and septic shock 41
- State average 68
- National average 65
- 143 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 265
- State average 150
- National average 168
- 373 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 259
- State average 145
- National average 162
- 357 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 407
- State average 233
- National average 257
- 13 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 93
- State average 93.64 (computed here)
- National average 96.1 (computed here)
- 580 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 100
- State average 92
- National average 93
- 93 patients
- Period from 01/01/2024
Healthcare workers given influenza vaccination 94
- State average 74
- National average 78
- 5,511 patients
- Period from 10/01/2024
Hospital Harm - Severe Hyperglycemia 7
- State average 6.38 (computed here)
- National average 8.08 (computed here)
- 31,640 patients
- Period from 01/01/2024
Left before being seen 1
- State average 1
- National average 2
- 47,871 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 8
- State average 14
- National average 15
- 2,612 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 56
- State average 74
- National average 73
- 34 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 82
- State average 89
- National average 87
- 11 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 64
- State average 83
- National average 81
- 143 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 76
- State average 93
- National average 93
- 68 patients
- Period from 10/01/2024
Venous Thromboembolism Prophylaxis 88
- State average 78.56 (computed here)
- National average 82.23 (computed here)
- 8,580 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (15)

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 — 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
Head CT results — 1
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 11

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected14.4
- State average 14.48 (computed here)
- National average 14.4
- No different than the national rate
- 231 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected21.3
- State average 21.26 (computed here)
- National average 21.3
- No different than the national rate
- 870 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 1.9
- State average 11.3 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 113 patients
- Period from 07/01/2022
Hospital return days for heart failure patients -7
- State average -1.32 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 466 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients -18.5
- State average 2.42 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 387 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected16.3
- State average 17.32 (computed here)
- National average 17.3
- No different than the national rate
- 674 patients
- Period from 07/01/2023
Rate of readmission after hip/knee replacement As expected6.3
- State average 5.89 (computed here)
- National average 5.8
- No different than the national rate
- 60 patients
- Period from 07/01/2023
Rate of readmission for CABG As expected10
- State average 11.35 (computed here)
- National average 11
- No different than the national rate
- 271 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected18.3
- State average 19.85 (computed here)
- National average 20
- No different than the national rate
- 177 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected13.1
- State average 13.1 (computed here)
- National average 13
- No different than the national rate
- 1,252 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected0.9
- State average 1.02 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 792 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (3)

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

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.