ASC Directory / CCN 45C0001513

MEMORIAL HERMANN MEMORIAL VILLAGE SURGERY CENTER

HOUSTON, TX 77043

CCN 45C0001513NPI 1598096802Measurement year: 2024
QUALITY MEASURES

CMS Quality Reporting (2024)

MeasureDescriptionValue
ASC-1Patient burn0.000
ASC-2Patient fall0.035
ASC-3Wrong site, wrong side, wrong patient, wrong procedure, wrong implant0.000
ASC-4All-cause hospital transfer/admission0.092
ASC-9Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average-risk patients19.17
ASC-11Cataracts: improvement in patient visual function within 90 days following cataract surgeryNot reported
ASC-12 RSHVASC-12 RSHV10.3
ASC-12 Total CasesASC-12 Total Cases309
ASC-12 Interval Lower LimitASC-12 Interval Lower Limit7.3
ASC-12 Interval Upper LimitASC-12 Interval Upper Limit14.3
ASC-12 Performance CategoryASC-12 Performance CategoryNo Different Than the National Rate
ASC-13Normothermia outcome100.00
ASC-14Unplanned anterior vitrectomy0.375
ASC-17 RSHVASC-17 RSHV2.3
ASC-17 Total CasesASC-17 Total Cases202
ASC-17 Interval Lower LimitASC-17 Interval Lower Limit1.5
ASC-17 Interval Upper LimitASC-17 Interval Upper Limit3.4
ASC-17 Performance CategoryASC-17 Performance CategoryNo Different Than the National Rate
ASC-18 RSHVASC-18 RSHV5.9
ASC-18 Total CasesASC-18 Total Cases57
ASC-18 Interval Lower LimitASC-18 Interval Lower Limit3.8
ASC-18 Interval Upper LimitASC-18 Interval Upper Limit9
ASC-18 Performance CategoryASC-18 Performance CategoryNo Different Than the National Rate
ASC-19 RSHVASC-19 RSHV1
ASC-19 Total CasesASC-19 Total Cases160
ASC-19 Interval Lower LimitASC-19 Interval Lower Limit0.6
ASC-19 Interval Upper LimitASC-19 Interval Upper Limit1.7
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.