Dialysis Facility

Davita Champions Dialysis

Quality Rating

Chain Owned Facility

Chain Organization: DaVita

Address

4427 Fm 1960 Rd W

Houston, TX 77068

Contact

(281) 444-8439

Certification Date

09/15/2011

Details

CMS Certification Number

672676

Ownership Type

Profit

Number of Dialysis Stations

20

Services Offered

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

Quality Measures

Survival Category

As Expected

Hospitalization Category

Worse than 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

96%

Percentage of Adult PD Patients with Kt/V ≥ 1.7

%

Percentage of Patients with Hemoglobin < 10 g/dL

12%

Percentage of Patients with Hemoglobin > 12 g/dL

0%

Mortality Measures

Mortality Rate

20.7

Mortality Rate Upper Confidence Limit

33.4

Mortality Rate Lower Confidence Limit

13.3

Hospitalization Measures

Hospitalization Rate

194.5

Hospitalization Rate Upper Confidence Limit

272.1

Hospitalization Rate Lower Confidence Limit

146.7

Readmission Measures

Readmission Rate

33.7

Readmission Rate Upper Confidence Limit

44.5

Readmission Rate Lower Confidence Limit

24.4

Transfusion Measures

Transfusion Rate

54.9

Transfusion Rate Upper Confidence Limit

125.9

Transfusion Rate Lower Confidence Limit

28.7

Waitlist Measures

Waitlist Ratio

0.47

Waitlist Ratio Upper Confidence Limit

1.19

Waitlist Ratio Lower Confidence Limit

0.13

Percentage of Prevalent Patients Waitlisted (PPPW)

PPPW Percentage

14.4

PPPW Upper Confidence Limit

33.1

PPPW Lower Confidence Limit

5.4

Standardized Emergency Department Encounter Ratio (SEDR)

SEDR Ratio

0.9

SEDR Upper Confidence Limit

1.68

SEDR Lower Confidence Limit

0.51

ED Encounters within 30 Days of Hospital Discharge (ED30)

ED30 Ratio

0.78

ED30 Upper Confidence Limit

1.65

ED30 Lower Confidence Limit

0.29

Standardized Infection Ratio (SIR)

SIR

0

SIR Upper Confidence Limit

0.46

SIR Lower Confidence Limit

Fistula Measures

Fistula Rate

62.8

Fistula Rate Upper Confidence Limit

79.4

Fistula Rate Lower Confidence Limit

45.1

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

19

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

22