NPIMap

Tops Surgical Specialty Hospital

Hospital in Houston, TX, Medicare certification number 450774. CMS publishes 32 quality measures for it.

Medicare certification

Provider of Services
CCN
450774The 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
Physician
Control type
Physician ownership
Participating since
Apr 23, 1991
Last certification
Jan 11, 2023
Beds
15
Address
17080 Red Oak Drive
Houston, TX 77090
(281) 539-2900

NPI records for this facility 1

Patient survey (HCAHPS) 9

Medicare Care Compare

Complications and deaths 12

Medicare Care Compare
Measures CMS does not publish for this facility (8)
  • Death rate among surgical inpatients with serious treatable complications — 1
  • Death rate for CABG surgery patients — 5
  • Death rate for COPD patients — 5
  • Death rate for heart attack patients — 5
  • Death rate for heart failure patients — 5
  • Death rate for pneumonia patients — 5
  • Death rate for stroke patients — 5
  • Pressure ulcer rate — 1

Infections 0

Medicare Care Compare
Measures CMS does not publish for this facility (6)
  • Catheter Associated Urinary Tract Infections (ICU + select Wards) — 13
  • Central Line Associated Bloodstream Infection (ICU + select Wards) — 13
  • Clostridium Difficile (C.Diff) — 13
  • MRSA Bacteremia — 13
  • SSI - Abdominal Hysterectomy — 13
  • SSI - Colon Surgery — 12

Outpatient imaging 1

Medicare Care Compare
Measures CMS does not publish for this facility (1)
  • Abdomen CT Use of Contrast Material — 7

Spending per patient 1

Medicare Care Compare

Timely and effective care 6

Medicare Care Compare
Measures CMS does not publish for this facility (24)
  • Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
  • Antithrombotic Therapy by End of Hospital Day 2 — 5
  • Appropriate care for severe sepsis and septic shock — 5
  • 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 — 1, 3
  • Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better — 1, 3
  • 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 — 3, 7
  • Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better — 3, 7
  • Discharged on Antithrombotic Therapy — 5
  • Emergency department volume — 5
  • 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 — 5
  • Hospital Harm - Opioid Related Adverse Events — 5
  • Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
  • Intensive Care Unit Venous Thromboembolism Prophylaxis — 5
  • Left before being seen — 5
  • Septic Shock 3-Hour Bundle — 5
  • Septic Shock 6-Hour Bundle — 5
  • Severe Sepsis 3-Hour Bundle — 5
  • Severe Sepsis 6-Hour Bundle — 5
  • ST-Segment Elevation Myocardial Infarction (STEMI) — 5

Unplanned visits 3

Medicare Care Compare
Measures CMS does not publish for this facility (11)
  • Acute Myocardial Infarction (AMI) 30-Day Readmission Rate — 5
  • Heart failure (HF) 30-Day Readmission Rate — 5
  • Hospital return days for heart attack patients — 5
  • Hospital return days for heart failure patients — 5
  • Hospital return days for pneumonia patients — 5
  • Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
  • Pneumonia (PN) 30-Day Readmission Rate — 5
  • Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy — 5
  • Rate of inpatient admissions for patients receiving outpatient chemotherapy — 5
  • Rate of readmission for CABG — 5
  • Rate of readmission for chronic obstructive pulmonary disease (COPD) patients — 5

Sources for this page

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.