ASC Directory / CCN 45C0001369

MEMORIAL HERMANN SURGERY CENTER GREATER HEIGHTS

HOUSTON, TX 77008

CCN 45C0001369NPI 1508837899Measurement year: 2024
QUALITY MEASURES

CMS Quality Reporting (2024)

MeasureDescriptionValue
ASC-1Patient burn0.020
ASC-2Patient fall0.099
ASC-3Wrong site, wrong side, wrong patient, wrong procedure, wrong implant0.000
ASC-4All-cause hospital transfer/admission0.119
ASC-9Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average-risk patients82.20
ASC-11Cataracts: improvement in patient visual function within 90 days following cataract surgeryNot reported
ASC-12 RSHVASC-12 RSHV9.8
ASC-12 Total CasesASC-12 Total Cases776
ASC-12 Interval Lower LimitASC-12 Interval Lower Limit7.2
ASC-12 Interval Upper LimitASC-12 Interval Upper Limit13.4
ASC-12 Performance CategoryASC-12 Performance CategoryNo Different Than the National Rate
ASC-13Normothermia outcome100.00
ASC-14Unplanned anterior vitrectomyNot reported
ASC-17 RSHVASC-17 RSHVNot reported
ASC-17 Total CasesASC-17 Total CasesNot reported
ASC-17 Interval Lower LimitASC-17 Interval Lower LimitNot reported
ASC-17 Interval Upper LimitASC-17 Interval Upper LimitNot reported
ASC-17 Performance CategoryASC-17 Performance CategoryNumber of Cases Too Small
ASC-18 RSHVASC-18 RSHVNot reported
ASC-18 Total CasesASC-18 Total CasesNot reported
ASC-18 Interval Lower LimitASC-18 Interval Lower LimitNot reported
ASC-18 Interval Upper LimitASC-18 Interval Upper LimitNot reported
ASC-18 Performance CategoryASC-18 Performance CategoryNumber of Cases Too Small
ASC-19 RSHVASC-19 RSHV1
ASC-19 Total CasesASC-19 Total Cases29
ASC-19 Interval Lower LimitASC-19 Interval Lower Limit0.6
ASC-19 Interval Upper LimitASC-19 Interval Upper Limit1.9
ASC-19 Performance CategoryASC-19 Performance CategoryNo Different than expected

Source: CMS Ambulatory Surgical Center Quality Reporting (dataset 4jcv-atw7). Measures reflect the most recent reporting period available.