St. Luke's Community Health Services
Doing business as St Luke's the Woodlands Hospital
Hospital in The Woodlands, TX, Medicare certification number 450862. CMS publishes 63 quality measures for it.
Medicare certification
Provider of Services- CCN
- 450862
- 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
- Jun 24, 2003
- Last certification
- Jan 11, 2024
- Beds
- 241
- Overall star rating
- Address
- 17200 St Luke's Way
The Woodlands, TX 77384
(936) 266-4050
NPI records for this facility (CCN to NPI Mapping) 1
-
dba St. Luke's The Woodlands Hospital
- General Acute Care Hospital
- The Woodlands, TX
- NPI 1942208616
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 Better4
-
Communication about medicines - star rating Better3
-
Discharge information - star rating Worse3
-
Doctor communication - star rating As expected3
-
Nurse communication - star rating Better4
-
Overall hospital rating - star rating Better4
-
Quietness - star rating Better4
-
Recommend hospital - star rating Better5
-
Summary star rating Better4
Affiliated providers 483
Medicare Care CompareClinicians who list this facility as a hospital or facility affiliation in Care Compare.
-
Ahmad F. Abbas, MD
- Hospitalist Physician
- The Woodlands, TX
- NPI 1104311083
-
Aisha Abbasi, MD
- Nephrology Physician
- Conroe, TX
- NPI 1942837570
-
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
-
Gareth John Adams, MD
- Neurological Surgery Physician
- Denver, CO
- NPI 1750611158
-
Naga Saranya Addepally, M.D
- Gastroenterology Physician
- Houston, TX
- NPI 1275949265
-
Robert Alan Aertker
- Interventional Cardiology Physician
- The Woodlands, TX
- NPI 1477843290
-
Sanjay Agarwala, MD
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1932179041
-
Kelly Renee Aguilar, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Spring, TX
- NPI 1932316395
-
Farhan Ahmad, M.D.
- Vascular & Interventional Radiology Physician
- Galveston, TX
- NPI 1346773777
-
Arshad Ahmed, MD
- Neurology Physician
- The Woodlands, TX
- NPI 1013982149
-
Collette Akhimiona, M.D.
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1811285646
-
Sylvia A. Akonnor, NP-C
- Nurse Practitioner
- Cypress, TX
- NPI 1982093183
-
Yougandhar Akula
- Nephrology Physician
- Bryan, TX
- NPI 1821243171
-
Mahboob Alam, M.D.
- Interventional Cardiology Physician
- Houston, TX
- NPI 1831342641
-
Chacko Alexander, M.D.
- Interventional Cardiology Physician
- The Woodlands, TX
- NPI 1033110200
-
Sunitha Chacko Alexander, MD
- Geriatric Medicine (Internal Medicine) Physician
- The Woodlands, TX
- NPI 1376507210
-
Anand M Allam, M.D.
- Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
- Kingwood, TX
- NPI 1629239108
-
Brent Michael Allmon, MD
- Family Medicine Physician
- The Woodlands, TX
- NPI 1942253026
-
Titilope Oladayo Aluko, MD
- Vascular & Interventional Radiology Physician
- Houston, TX
- NPI 1457846081
-
Brigani Gargollo Amante, M.D., P.T.
- Internal Medicine Physician
- The Woodlands, TX
- NPI 1821112616
-
Wadah Ameen
- Hospitalist Physician
- Houston, TX
- NPI 1275988131
-
Jatin Anand, M.D.
- Anesthesiology Physician
- Houston, TX
- NPI 1295015956
-
Ashley Anderson, PA-C
- Physician Assistant
- The Woodlands, TX
- NPI 1659366623
-
Jessica Brooks Anderson, MD
- Internal Medicine Physician
- Spring, TX
- NPI 1881885069
Complications and deaths 19
Medicare Care Compare-
Abdominopelvic accidental puncture or laceration rate As expected1.11
-
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.96
-
Death rate among surgical inpatients with serious treatable complications As expected154.33
-
Death rate for CABG surgery patients As expected1.9
-
Death rate for COPD patients As expected8.6
-
Death rate for heart attack patients As expected11.6
-
Death rate for heart failure patients As expected11.1
-
Death rate for pneumonia patients As expected14.3
-
Death rate for stroke patients As expected13.8
-
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.6
-
Iatrogenic pneumothorax rate As expected0.16
-
In-hospital fall-associated fracture rate As expected0.31
-
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.29
-
Postoperative acute kidney injury requiring dialysis rate As expected1.52
-
Postoperative hemorrhage or hematoma rate As expected1.81
-
Postoperative respiratory failure rate As expected7.08
-
Postoperative sepsis rate As expected6.1
-
Postoperative wound dehiscence rate As expected1.68
-
Pressure ulcer rate As expected0.68
Measures CMS does not publish for this facility (1)
Infections 6
Medicare Care Compare-
Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected0.68
-
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0.53
-
Clostridium Difficile (C.Diff) Better0.34
-
MRSA Bacteremia As expected1.27
-
SSI - Abdominal Hysterectomy As expected2.22
-
SSI - Colon Surgery As expected1.12
Outpatient imaging 2
Medicare Care Compare-
Abdomen CT Use of Contrast Material 7.2
-
Breast Cancer Screening Recall Rates 7
Spending per patient 1
Medicare Care Compare-
Medicare hospital spending per patient (Medicare Spending per Beneficiary) 1.06
Timely and effective care 14
Medicare Care Compare-
Antithrombotic Therapy by End of Hospital Day 2 91
-
Appropriate care for severe sepsis and septic shock 64
-
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 167
-
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 166
-
Discharged on Antithrombotic Therapy 97
-
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 99
-
Healthcare workers given influenza vaccination 83
-
Intensive Care Unit Venous Thromboembolism Prophylaxis 97
-
Left before being seen 1
-
Safe Use of Opioids - Concurrent Prescribing 15
-
Septic Shock 3-Hour Bundle 70
-
Septic Shock 6-Hour Bundle 86
-
Severe Sepsis 3-Hour Bundle 85
-
Severe Sepsis 6-Hour Bundle 89
Measures CMS does not publish for this facility (16)
Unplanned visits 12
Medicare Care Compare-
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected14.6
-
Heart failure (HF) 30-Day Readmission Rate As expected20.7
-
Hospital return days for heart attack patients 64.7
-
Hospital return days for heart failure patients 3
-
Hospital return days for pneumonia patients -7.4
-
Pneumonia (PN) 30-Day Readmission Rate As expected16.8
-
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5.4
-
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected11.8
-
Rate of readmission for CABG As expected12.9
-
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected19.7
-
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected14.1
-
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1.1
Measures CMS does not publish for this facility (2)
Other hospitals in The Woodlands, 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.