PERFORMANCE AT TOPS SURGICAL SPECIALTY HOSPITAL

Acute Care Hospital in Houston, TX 77090

Performance: Timely and Effective Care - Process of Care Measures

TOPS SURGICAL SPECIALTY HOSPITAL
17080 Red Oak Drive Houston, TX 77090
Phone: (281) 539-2900

The measures of timely and effective care at Tops Surgical Specialty Hospital show how rapidly patients received recommended treatments known to get the best results for certain medical conditions. The timely and effective care measures (also known as “process of care” measures) indicate the percentage of patients who received timely treatments for common conditions, serious medical conditions or surgical procedures. These quality measures only apply to patients for whom the recommended treatment would be appropriate.

The data and graphs below compare applicable quality measures with state and national averages. Notice that small differences between different hospitals wont necessary indicate a material difference in the real world.

Emergency Department Care

The emergency department quality measures comprise sample data of all hospitalized inpatients, regardless of diagnosis or clinical condition. The waiting times at different hospitals varies depending on the number of factors including: number of patients seen, staffing levels, hospital efficiency, admitting procedures and the availability of beds for admitted patients.

MeasureHospital AverageHow this Hospital Compares
ER Waiting Time23 minutes Measure: ER Waiting Time
This emergency department measure is based on a sample size of 275. Sample data was collected between 04/01/2014 and 03/31/2015

Average wait time patients spent in the emergency room before being seen by a doctor.

A lower waiting time is better.

Discharge Time1 hour 19 minutes Measure: Discharge Time
This emergency department measure is based on a sample size of 247. Sample data was collected between 04/01/2014 and 03/31/2015

Average time discharged patients spent in the emergency room before being sent home.

A lower discharge time is better.

Left Without Being Seen1% Measure: Left Without Being Seen
This emergency department measure is based on a sample size of 705. Sample data was collected between 01/01/2013 and 12/31/2013

Percentage of emergency room patients who leave without being seen by a doctor.

A lower percentage is better.

ER VolumeLow (0 - 19,999 patients annually) Measure: ER Volume
Sample data was collected between 01/01/2013 and 12/31/2013

The Emergency Department Volume (EDV) measure is based on the volume of patients seen per year and is provided by the hospital for the Outpatient Quality Reporting Program.

  • Very High: values greater than 60,000 patients per year.
  • High: values ranging from 40,000 to 59,999 patients per year.
  • Medium: values ranging from 20,000 to 39,999 patients per year.
  • Low: Values below 19,999 patients per year.

Preventive Care

Hospitals play a key role in promoting and educating patients about preventive services like immunizations, screenings, treatment, and lifestyle changes the preventive care measures shows how well hospitals are providing preventive services in their communities.

MeasureHospital AverageHow this Hospital Compares
Patients Flu Immunization98% Measure: Patients Flu Immunization
This preventive care measure is based on a sample size of 309. Sample data was collected between 10/01/2014 and 03/31/2015

Percentage of patients assessed and given influenza vaccination. [2]

A higher percentage of vaccinated patients is better.

Healthcare Workers Flu Immunization89% Measure: Healthcare Workers Flu Immunization
This preventive care measure is based on a sample size of 261. Sample data was collected between 10/01/2014 and 03/31/2015

Healthcare workers given influenza vaccination.

A higher percentage of vaccinated workers is better.

Surgical Care

The surgical care measures show how well hospitals follow the best practices of surgical care that help prevent complications after certain surgeries like colon surgery, hip replacement, knee replacement, hysterectomy, cardiac surgery and vascular surgery.

MeasureHospital AverageHow this Hospital Compares
Antibiotic within 1 Hour99% Measure: Antibiotic within 1 Hour
This surgical care improvement project measure is based on a sample size of 345. Sample data was collected between 04/01/2014 and 03/31/2015

Percentage of surgery patients who were given an antibiotic within one hour before surgery to help prevent infection. [3]

A higher percentage is better.

Antibiotic Discontinued After 24 Hours100% Measure: Antibiotic Discontinued After 24 Hours
This surgical care improvement project measure is based on a sample size of 344. Sample data was collected between 04/01/2014 and 03/31/2015

Percentage of surgery patients whose preventive antibiotics were stopped within 24 hours after surgery. [3]

A higher percentage is better.

VTE Prophylaxis100% Measure: VTE Prophylaxis
This surgical care improvement project measure is based on a sample size of 340. Sample data was collected between 04/01/2014 and 03/31/2015

Percentage of patients who got treatment within 24 hours before or after their surgery to help prevent blood clots after certain types of surgery. [3]

A higher percentage is better.

Beta-Blocker Prior to Admission99% Measure: Beta-Blocker Prior to Admission
This surgical care improvement project measure is based on a sample size of 86. Sample data was collected between 04/01/2014 and 03/31/2015

Percentage of surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery. [3]

A higher percentage is better.

Antibiotic Selection99% Measure: Antibiotic Selection
This surgical care improvement project measure is based on a sample size of 345. Sample data was collected between 04/01/2014 and 03/31/2015

Percentage of surgery patients who were given the right kind of antibiotic to help prevent infection. [3]

A higher percentage is better.

Catheter Removal100% Measure: Catheter Removal
This surgical care improvement project measure is based on a sample size of 219. Sample data was collected between 04/01/2014 and 03/31/2015

Percentage of surgery patients whose urinary catheters were removed on the first or second day after surgery. [3]

A higher percentage is better.

Blood Clot Care

The blood clot care quality measures show how well hospitals provide the recommended treatments that might prevent or treat blood clots.

MeasureHospital AverageHow this Hospital Compares
Treatment to Prevent Blood Clots97% Measure: Treatment to Prevent Blood Clots
This blood clot prevention and treatment measure is based on a sample size of 32. Sample data was collected between 04/01/2014 and 03/31/2015

Percentage of patients who got treatment to prevent blood clots on the day of or day after hospital admission or surgery. [2]

A higher percentage is better.

Footnotes:
  • [2] Data submitted were based on a sample of cases/patients.
  • [3] Results are based on a shorter time period than required.