Dialysis Facility

Northwest Houston Dialysis Ctr

Quality Rating

Chain Owned Facility

Chain Organization: Fresenius Medical Care

Address

8925 Hwy 6 North

Suite 100

Houston, TX 77095

Contact

(281) 550-0287

Certification Date

05/17/1994

Details

CMS Certification Number

452671

Ownership Type

Profit

Number of Dialysis Stations

16

Services Offered

In-center hemodialysis Yes
Peritoneal dialysis No
Home hemodialysis training Yes
Shifts starting after 5 p.m. No

Quality Measures

Survival Category

As Expected

Hospitalization Category

As Expected

Readmission Category

As Expected

Transfusion Category

As Expected

Waitlist Ratio Category

As Expected

ED Encounters within 30 Days Category

As Expected

Additional Measures

Percentage of Adult HD Patients with Kt/V ≥ 1.2

97%

Percentage of Adult PD Patients with Kt/V ≥ 1.7

91%

Percentage of Patients with Hemoglobin < 10 g/dL

12%

Percentage of Patients with Hemoglobin > 12 g/dL

0%

Mortality Measures

Mortality Rate

21.8

Mortality Rate Upper Confidence Limit

33.7

Mortality Rate Lower Confidence Limit

14.6

Hospitalization Measures

Hospitalization Rate

144.7

Hospitalization Rate Upper Confidence Limit

221.9

Hospitalization Rate Lower Confidence Limit

101

Readmission Measures

Readmission Rate

24.6

Readmission Rate Upper Confidence Limit

34.1

Readmission Rate Lower Confidence Limit

16.3

Transfusion Measures

Transfusion Rate

38.7

Transfusion Rate Upper Confidence Limit

125.3

Transfusion Rate Lower Confidence Limit

15.5

Waitlist Measures

Waitlist Ratio

0.88

Waitlist Ratio Upper Confidence Limit

2.26

Waitlist Ratio Lower Confidence Limit

0.24

Percentage of Prevalent Patients Waitlisted (PPPW)

PPPW Percentage

17.7

PPPW Upper Confidence Limit

35.1

PPPW Lower Confidence Limit

7.9

Standardized Emergency Department Encounter Ratio (SEDR)

SEDR Ratio

1.15

SEDR Upper Confidence Limit

2.24

SEDR Lower Confidence Limit

0.62

ED Encounters within 30 Days of Hospital Discharge (ED30)

ED30 Ratio

0.81

ED30 Upper Confidence Limit

1.71

ED30 Lower Confidence Limit

0.3

Standardized Infection Ratio (SIR)

SIR

0.13

SIR Upper Confidence Limit

0.65

SIR Lower Confidence Limit

0.01

Fistula Measures

Fistula Rate

59.8

Fistula Rate Upper Confidence Limit

75.2

Fistula Rate Lower Confidence Limit

43.5

Long-Term Catheter Measures

Long-Term Catheter Percentage

10

Serum Phosphorus Measures

Percentage of Patients with Serum Phosphorus < 3.5 mg/dL

10

Percentage of Patients with Serum Phosphorus 3.5-4.5 mg/dL

21

Percentage of Patients with Serum Phosphorus 4.6-5.5 mg/dL

23

Percentage of Patients with Serum Phosphorus 5.6-7.0 mg/dL

26

Percentage of Patients with Serum Phosphorus > 7.0 mg/dL

20