Dialysis Facility

Fmc North East Houston

Quality Rating

Chain Owned Facility

Chain Organization: Fresenius Medical Care

Address

4810 E Sam Houston Pkwy N

Houston, TX 77015

Contact

(281) 862-9106

Certification Date

05/01/2018

Details

CMS Certification Number

672845

Ownership Type

Profit

Number of Dialysis Stations

13

Services Offered

In-center hemodialysis Yes
Peritoneal dialysis Yes
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

97%

Percentage of Patients with Hemoglobin < 10 g/dL

28%

Percentage of Patients with Hemoglobin > 12 g/dL

0%

Mortality Measures

Mortality Rate

28.9

Mortality Rate Upper Confidence Limit

45

Mortality Rate Lower Confidence Limit

18.6

Hospitalization Measures

Hospitalization Rate

160.8

Hospitalization Rate Upper Confidence Limit

246.3

Hospitalization Rate Lower Confidence Limit

108.7

Readmission Measures

Readmission Rate

29.8

Readmission Rate Upper Confidence Limit

45

Readmission Rate Lower Confidence Limit

17.9

Transfusion Measures

Transfusion Rate

66.2

Transfusion Rate Upper Confidence Limit

168.8

Transfusion Rate Lower Confidence Limit

31.8

Waitlist Measures

Waitlist Ratio

0.84

Waitlist Ratio Upper Confidence Limit

2.14

Waitlist Ratio Lower Confidence Limit

0.23

Percentage of Prevalent Patients Waitlisted (PPPW)

PPPW Percentage

19.8

PPPW Upper Confidence Limit

37.2

PPPW Lower Confidence Limit

9.3

Standardized Emergency Department Encounter Ratio (SEDR)

SEDR Ratio

0.92

SEDR Upper Confidence Limit

1.94

SEDR Lower Confidence Limit

0.46

ED Encounters within 30 Days of Hospital Discharge (ED30)

ED30 Ratio

0.73

ED30 Upper Confidence Limit

2.03

ED30 Lower Confidence Limit

0.15

Standardized Infection Ratio (SIR)

SIR

0.37

SIR Upper Confidence Limit

1.21

SIR Lower Confidence Limit

0.06

Fistula Measures

Fistula Rate

66.4

Fistula Rate Upper Confidence Limit

85.8

Fistula Rate Lower Confidence Limit

45.7

Long-Term Catheter Measures

Long-Term Catheter Percentage

20

Serum Phosphorus Measures

Percentage of Patients with Serum Phosphorus < 3.5 mg/dL

7

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

29

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

24

Percentage of Patients with Serum Phosphorus > 7.0 mg/dL

19