Dialysis Facility

Fmc Moody Park Dialysis

Quality Rating

Chain Owned Facility

Chain Organization: Fresenius Medical Care

Address

2920 Fulton Street

Houston, TX 77009

Contact

(713) 222-2513

Certification Date

02/12/2010

Details

CMS Certification Number

672629

Ownership Type

Profit

Number of Dialysis Stations

16

Services Offered

In-center hemodialysis Yes
Peritoneal dialysis Yes
Home hemodialysis training No
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

Not Available

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

%

Percentage of Patients with Hemoglobin < 10 g/dL

14%

Percentage of Patients with Hemoglobin > 12 g/dL

0%

Mortality Measures

Mortality Rate

21.4

Mortality Rate Upper Confidence Limit

34.3

Mortality Rate Lower Confidence Limit

13.2

Hospitalization Measures

Hospitalization Rate

148.6

Hospitalization Rate Upper Confidence Limit

253.1

Hospitalization Rate Lower Confidence Limit

94.1

Readmission Measures

Readmission Rate

24.9

Readmission Rate Upper Confidence Limit

43.5

Readmission Rate Lower Confidence Limit

11.2

Transfusion Measures

Transfusion Rate

21.1

Transfusion Rate Upper Confidence Limit

126.6

Transfusion Rate Lower Confidence Limit

5.2

Waitlist Measures

Waitlist Ratio

Waitlist Ratio Upper Confidence Limit

Waitlist Ratio Lower Confidence Limit

Percentage of Prevalent Patients Waitlisted (PPPW)

PPPW Percentage

9.2

PPPW Upper Confidence Limit

33.7

PPPW Lower Confidence Limit

2

Standardized Emergency Department Encounter Ratio (SEDR)

SEDR Ratio

1.56

SEDR Upper Confidence Limit

2.72

SEDR Lower Confidence Limit

0.92

ED Encounters within 30 Days of Hospital Discharge (ED30)

ED30 Ratio

0.8

ED30 Upper Confidence Limit

1.61

ED30 Lower Confidence Limit

0.31

Standardized Infection Ratio (SIR)

SIR

0.78

SIR Upper Confidence Limit

1.73

SIR Lower Confidence Limit

0.29

Fistula Measures

Fistula Rate

65.7

Fistula Rate Upper Confidence Limit

84.5

Fistula Rate Lower Confidence Limit

45.8

Long-Term Catheter Measures

Long-Term Catheter Percentage

16

Serum Phosphorus Measures

Percentage of Patients with Serum Phosphorus < 3.5 mg/dL

8

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

28

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

27

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

25

Percentage of Patients with Serum Phosphorus > 7.0 mg/dL

12