ASC Directory / CCN 45C0001446

MEMORIAL HERMANN SURGERY CENTER TEXAS MEDICAL CENTER

HOUSTON, TX 77030

CCN 45C0001446NPI 1659301794Measurement year: 2024
QUALITY MEASURES

CMS Quality Reporting (2024)

MeasureDescriptionValue
ASC-1Patient burn0.019
ASC-2Patient fall0.000
ASC-3Wrong site, wrong side, wrong patient, wrong procedure, wrong implant0.000
ASC-4All-cause hospital transfer/admission0.076
ASC-9Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average-risk patients53.33
ASC-11Cataracts: improvement in patient visual function within 90 days following cataract surgeryNot reported
ASC-12 RSHVASC-12 RSHV10.1
ASC-12 Total CasesASC-12 Total Cases36
ASC-12 Interval Lower LimitASC-12 Interval Lower Limit7.2
ASC-12 Interval Upper LimitASC-12 Interval Upper Limit14.1
ASC-12 Performance CategoryASC-12 Performance CategoryNo Different Than the National Rate
ASC-13Normothermia outcome100.00
ASC-14Unplanned anterior vitrectomy0.473
ASC-17 RSHVASC-17 RSHV2.2
ASC-17 Total CasesASC-17 Total Cases134
ASC-17 Interval Lower LimitASC-17 Interval Lower Limit1.4
ASC-17 Interval Upper LimitASC-17 Interval Upper Limit3.6
ASC-17 Performance CategoryASC-17 Performance CategoryNo Different Than the National Rate
ASC-18 RSHVASC-18 RSHV5.3
ASC-18 Total CasesASC-18 Total Cases35
ASC-18 Interval Lower LimitASC-18 Interval Lower Limit3.3
ASC-18 Interval Upper LimitASC-18 Interval Upper Limit8.5
ASC-18 Performance CategoryASC-18 Performance CategoryNo Different Than the National Rate
ASC-19 RSHVASC-19 RSHVNot reported
ASC-19 Total CasesASC-19 Total CasesNot reported
ASC-19 Interval Lower LimitASC-19 Interval Lower LimitNot reported
ASC-19 Interval Upper LimitASC-19 Interval Upper LimitNot reported
ASC-19 Performance CategoryASC-19 Performance CategoryNumber of Cases Too Small

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