Dialysis Facility

Medical Center Kidney Clinic

Quality Rating

Chain Owned Facility

Chain Organization: Fresenius Medical Care

Address

2254 Holcombe Blvd

Houston, TX 77030

Contact

(713) 797-9909

Certification Date

02/12/1997

Details

CMS Certification Number

452750

Ownership Type

Profit

Number of Dialysis Stations

32

Services Offered

In-center hemodialysis Yes
Peritoneal dialysis Yes
Home hemodialysis training Yes
Shifts starting after 5 p.m. Yes

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

99%

Percentage of Adult PD Patients with Kt/V ≥ 1.7

86%

Percentage of Patients with Hemoglobin < 10 g/dL

19%

Percentage of Patients with Hemoglobin > 12 g/dL

0%

Mortality Measures

Mortality Rate

14.3

Mortality Rate Upper Confidence Limit

23.7

Mortality Rate Lower Confidence Limit

8.9

Hospitalization Measures

Hospitalization Rate

151.7

Hospitalization Rate Upper Confidence Limit

214.2

Hospitalization Rate Lower Confidence Limit

113.5

Readmission Measures

Readmission Rate

27.8

Readmission Rate Upper Confidence Limit

37

Readmission Rate Lower Confidence Limit

19.5

Transfusion Measures

Transfusion Rate

30.9

Transfusion Rate Upper Confidence Limit

82.6

Transfusion Rate Lower Confidence Limit

14.3

Waitlist Measures

Waitlist Ratio

0

Waitlist Ratio Upper Confidence Limit

1.23

Waitlist Ratio Lower Confidence Limit

0

Percentage of Prevalent Patients Waitlisted (PPPW)

PPPW Percentage

20.1

PPPW Upper Confidence Limit

35.8

PPPW Lower Confidence Limit

10.2

Standardized Emergency Department Encounter Ratio (SEDR)

SEDR Ratio

0.84

SEDR Upper Confidence Limit

1.66

SEDR Lower Confidence Limit

0.5

ED Encounters within 30 Days of Hospital Discharge (ED30)

ED30 Ratio

0.84

ED30 Upper Confidence Limit

1.39

ED30 Lower Confidence Limit

0.42

Standardized Infection Ratio (SIR)

SIR

0

SIR Upper Confidence Limit

0.27

SIR Lower Confidence Limit

Fistula Measures

Fistula Rate

48.6

Fistula Rate Upper Confidence Limit

64.7

Fistula Rate Lower Confidence Limit

31.4

Long-Term Catheter Measures

Long-Term Catheter Percentage

26

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

24

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

24

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

25

Percentage of Patients with Serum Phosphorus > 7.0 mg/dL

17