Houston Region Hospital Report Card
Memorial Hermann Southwest Hospital
7600 Beechnut
Houston, TX 77074
713-456-5000
http://www.memorialhermann.org
Centers for Medicare & Medicaid Services
CMS Star Rating 2023
Leapfrog Hospital Safety Grade
Fall 2023
B
Achieved the Standard
Considerable Achievement
Some or Limited Achievement
Declined to Respond
Unable to Complete
Not Applicable
Leapfrog Measure
Hospital Grade On Achieving The Standard
Full Completion of Annual Survey
Full
Computerized Physician Order Entry
Total Knee Replacement
Total Hip Replacement
NTSV Cesarean Section
ICU Physician Staffing
Leapfrog Measure
Hospital Grade On Achieving The Standard
Hand Hygiene
Never Events
Central Line-Associted Bloodstream Infections
Catheter-Associated Urinary Tract Infections
Facility-wide Inpatient MRSE Blood Laboratory-identified Events
Facility-wide Inpatient C.difficile Laboratory-identified Events