Hill Country Memorial Hospital Inc is a hospital registered with U.S Centers for Medicare & Medicaid Services. The facility number is #450604. The hospital type is acute care hospitals. The address is 1020 South State Highway 16, Fredericksburg, TX 78624. The overall rating is 5.
Facility ID | 450604 |
Facility Name | HILL COUNTRY MEMORIAL HOSPITAL INC |
Address | 1020 South State Highway 16 Fredericksburg TX 78624 |
County | Gillespie |
Telephone | (830) 997-4353 |
Hospital Type | Acute Care Hospitals |
Hospital Ownership | Voluntary non-profit - Private |
Emergency Services | Yes |
Overall Rating | 5 |
Mortality Measure | Total measures in the group: 7. Facility reported measures count: 4. Better than the national value: 0, No different: 4, Worse: 0 |
Safety of Care Measure | Total measures in the group: 8. Facility reported measures count: 5. Better than the national value: 0, No different: 5, Worse: 0 |
Readmission Measure | Total measures in the group: 11. Facility reported measures count: 7. Better than the national value: 2, No different: 5, Worse: 0 |
Patient Experience Measure | Total measures in the group: 8. Facility reported measures count: 8. Better than the national value: , No different: , Worse: |
Timly Effectiveness Measure | Total measures in the group: 14. Facility reported measures count: 10. Better than the national value: , No different: , Worse: |
Notes | The Overall Hospital Quality Star rating summarizes a variety of measures across 5 areas of quality into a single star rating for each hospital. Once reporting thresholds are met, a hospital’s overall star rating is calculated using only those measures for which data are available. The average is about 37 measures. Hospitals report data to the Centers for Medicare & Medicaid Services through the Hospital Inpatient Quality Reporting (IQR) Program, Hospital Outpatient Quality Reporting (OQR) Program, Hospital Readmission Reduction Program (HRRP), Hospital-Acquired Condition (HAC) Reduction Program, and Hospital Value-Based Purchasing (VBP) Program. Overall star ratings aren’t calculated for Veterans Health Administration (VHA) or Department of Defense (DoD) hospitals. The methodology uses a simple average of measure scores to calculate measure group scores and Z-score standardization to standardize measure group scores for these 5 measure groups: 1. Mortality 2. Safety of Care 3. Readmission 4. Patient Experience 5. Timely & Effective Care After estimating the group score for each hospital and each group, CMS calculates a weighted average to combine the 5 group scores into a single hospital summary score. If a hospital is missing a measure category or group, the weights are redistributed proportionally amongst the qualifying measure categories or groups. |
Question | Responses |
---|---|
Patients who reported that they "Always" received bathroom help as soon as they wanted | Percent: 75% |
Patients who reported that they "Sometimes" or "Never" received bathroom help as soon as they wanted | Percent: 6% |
Patients who reported that they "Usually" received bathroom help as soon as they wanted | Percent: 19% |
Patients who reported that they "Always" received help after using the call button as soon as they wanted | Percent: 74% |
Patients who reported that they "Sometimes" or "Never" received help after using the call button as soon as they wanted | Percent: 5% |
Patients who reported that they "Usually" received help after using the call button as soon as they wanted | Percent: 21% |
Patients who reported that their room and bathroom were "Always" clean | Percent: 80% |
Patients who reported that their room and bathroom were "Sometimes" or "Never" clean | Percent: 6% |
Patients who reported that their room and bathroom were "Usually" clean | Percent: 14% |
Cleanliness - linear mean score | Score: 91 (scale 1-100) |
Cleanliness - star rating | Rating: 4 (scale 1-5) |
Patients who reported that their nurses "Always" communicated well | Percent: 86% |
Nurse communication - linear mean score | Score: 95 (scale 1-100) |
Patients who reported that their nurses "Sometimes" or "Never" communicated well | Percent: 2% |
Nurse communication - star rating | Rating: 5 (scale 1-5) |
Patients who reported that their nurses "Usually" communicated well | Percent: 12% |
Patients who reported that their doctors "Always" communicated well | Percent: 86% |
Doctor communication - linear mean score | Score: 94 (scale 1-100) |
Patients who reported that their doctors "Sometimes" or "Never" communicated well | Percent: 3% |
Doctor communication - star rating | Rating: 4 (scale 1-5) |
Patients who reported that their doctors "Usually" communicated well | Percent: 11% |
Patients who reported that they "Always" received help as soon as they wanted | Percent: 74% |
Staff responsiveness - linear mean score | Score: 89 (scale 1-100) |
Patients who reported that they "Sometimes" or "Never" received help as soon as they wanted | Percent: 6% |
Staff responsiveness - star rating | Rating: 4 (scale 1-5) |
Patients who reported that they "Usually" received help as soon as they wanted | Percent: 20% |
Patients who reported that staff "Always" explained about medicines before giving it to them | Percent: 73% |
Communication about medicines - linear mean score | Score: 86 (scale 1-100) |
Patients who reported that staff "Sometimes" or "Never" explained about medicines before giving it to them | Percent: 10% |
Communication about medicines - star rating | Rating: 5 (scale 1-5) |
Patients who reported that staff "Usually" explained about medicines before giving it to them | Percent: 17% |
Discharge information - linear mean score | Score: 92 (scale 1-100) |
Patients who reported that NO, they were not given information about what to do during their recovery at home | Percent: 8% |
Discharge information - star rating | Rating: 5 (scale 1-5) |
Patients who reported that YES, they were given information about what to do during their recovery at home | Percent: 92% |
Patients who "Agree" they understood their care when they left the hospital | Percent: 32% |
Patients who "Disagree" or "Strongly Disagree" they understood their care when they left the hospital | Percent: 3% |
Care transition - linear mean score | Score: 87 (scale 1-100) |
Patients who "Strongly Agree" they understood their care when they left the hospital | Percent: 65% |
Care transition - star rating | Rating: 5 (scale 1-5) |
Patients who "Agree" that they understood the purposes of their medications when leaving the hospital | Percent: 28% |
Patients who "Disagree" or "Strongly Disagree" that they understood the purposes of their medications when leaving the hospital | Percent: 3% |
Patients who "Strongly Agree" that they understood the purposes of their medications when leaving the hospital | Percent: 69% |
Patients who "Agree" that the staff took my preferences into account when determining my health care needs | Percent: 36% |
Patients who "Disagree" or "Strongly Disagree" that the staff took my preferences into account when determining my health care needs | Percent: 3% |
Patients who "Strongly Agree" that the staff took my preferences into account when determining my health care needs | Percent: 61% |
Patients who "Agree" that they understood their responsiblities in managing their health | Percent: 32% |
Patients who "Disagree" or "Strongly Disagree" that they understood their responsiblities in managing their health | Percent: 3% |
Patients who "Strongly Agree" that they understood their responsiblities in managing their health | Percent: 65% |
Patients who reported that NO, they did not discuss whether they would need help after discharge | Percent: 8% |
Patients who reported that YES, they did discuss whether they would need help after discharge | Percent: 92% |
Patients who reported that their doctors "Always" explained things in a way they could understand | Percent: 83% |
Patients who reported that their doctors "Sometimes" or "Never" explained things in a way they could understand | Percent: 4% |
Patients who reported that their doctors "Usually" explained things in a way they could understand | Percent: 13% |
Patients who reported that their doctors "Always" listened carefully to them | Percent: 85% |
Patients who reported that their doctors "Sometimes" or "Never" listened carefully to them | Percent: 3% |
Patients who reported that their doctors "Usually" listened carefully to them | Percent: 12% |
Patients who reported that their doctors "Always" treated them with courtesy and respect | Percent: 92% |
Patients who reported that their doctors "Sometimes" or "Never" treated them with courtesy and respect | Percent: 3% |
Patients who reported that their doctors "Usually" treated them with courtesy and respect | Percent: 5% |
Patients who gave their hospital a rating of 6 or lower on a scale from 0 (lowest) to 10 (highest) | Percent: 4% |
Patients who gave their hospital a rating of 7 or 8 on a scale from 0 (lowest) to 10 (highest) | Percent: 8% |
Patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest) | Percent: 88% |
Overall hospital rating - linear mean score | Score: 94 (scale 1-100) |
Overall hospital rating - star rating | Rating: 5 (scale 1-5) |
Patients who reported that when receiving new medication the staff "Always" communicated what the medication was for | Percent: 85% |
Patients who reported that when receiving new medication the staff "Sometimes" or "Never" communicated what the medication was for | Percent: 2% |
Patients who reported that when receiving new medication the staff "Usually" communicated what the medication was for. | Percent: 13% |
Patients who reported that their nurses "Always" explained things in a way they could understand | Percent: 84% |
Patients who reported that their nurses "Sometimes" or "Never" explained things in a way they could understand | Percent: 3% |
Patients who reported that their nurses "Usually" explained things in a way they could understand | Percent: 13% |
Patients who reported that their nurses "Always" listened carefully to them | Percent: 82% |
Patients who reported that their nurses "Sometimes" or "Never" listened carefully to them | Percent: 3% |
Patients who reported that their nurses "Usually" listened carefully to them | Percent: 15% |
Patients who reported that their nurses "Always" treated them with courtesy and respect | Percent: 93% |
Patients who reported that their nurses "Sometimes" or "Never" treated them with courtesy and respect | Percent: 2% |
Patients who reported that their nurses "Usually" treated them with courtesy and respect | Percent: 5% |
Patients who reported that the area around their room was "Always" quiet at night | Percent: 73% |
Patients who reported that the area around their room was "Sometimes" or "Never" quiet at night | Percent: 4% |
Patients who reported that the area around their room was "Usually" quiet at night | Percent: 23% |
Quietness - linear mean score | Score: 90 (scale 1-100) |
Quietness - star rating | Rating: 5 (scale 1-5) |
Patients who reported NO, they would probably not or definitely not recommend the hospital | Percent: 1% |
Patients who reported YES, they would definitely recommend the hospital | Percent: 88% |
Recommend hospital - linear mean score | Score: 95 (scale 1-100) |
Patients who reported YES, they would probably recommend the hospital | Percent: 11% |
Recommend hospital - star rating | Rating: 5 (scale 1-5) |
Patients who reported that when receiving new medication the staff "Always" discussed possible side effects | Percent: 61% |
Patients who reported that when receiving new medication the staff "Sometimes" or "Never" discussed possible side effects | Percent: 18% |
Patients who reported that when receiving new medication the staff "Usually" discussed possible side effects | Percent: 21% |
Summary star rating | Rating: 5 (scale 1-5) |
Patients who reported that NO, they did not receive written information about possible symptoms to look out for after discharge | Percent: 8% |
Patients who reported that YES, they did receive written information about possible symptoms to look out for after discharge | Percent: 92% |
Measure Name | Compared to National | Denominator | Score | |
---|---|---|---|---|
Rate of complications for hip/knee replacement patients | No Different Than the National Rate | 628 | 2 | |
Death rate for heart attack patients | Number of Cases Too Small | |||
Death rate for CABG surgery patients | ||||
Death rate for COPD patients | No Different Than the National Rate | 68 | 7.6 | |
Death rate for heart failure patients | No Different Than the National Rate | 107 | 13 | |
Death rate for pneumonia patients | No Different Than the National Rate | 229 | 15.1 | |
Death rate for stroke patients | No Different Than the National Rate | 33 | 13.9 | |
Postoperative Acute Kidney Injury Requiring Dialysis Rate | No Different Than the National Rate | 850 | 1.17 | |
Postoperative Respiratory Failure Rate | No Different Than the National Rate | 763 | 5.04 | |
Serious blood clots after surgery | No Different Than the National Rate | 1136 | 2.77 | |
Blood stream infection after surgery | No Different Than the National Rate | 811 | 3.85 | |
A wound that splits open after surgery on the abdomen or pelvis | No Different Than the National Rate | 180 | 0.88 | |
Accidental cuts and tears from medical treatment | No Different Than the National Rate | 378 | 1.03 | |
Pressure sores | No Different Than the National Rate | 1217 | 0.32 | |
Deaths among Patients with Serious Treatable Complications after Surgery | Number of Cases Too Small | |||
Collapsed lung due to medical treatment | No Different Than the National Rate | 2205 | 0.33 | |
Broken hip from a fall after surgery | No Different Than the National Rate | 1949 | 0.10 | |
Serious complications | No Different Than the National Value | 0.79 | ||
Perioperative Hemorrhage or Hematoma Rate | No Different Than the National Rate | 1106 | 2.37 |
Street Address |
1020 SOUTH STATE HIGHWAY 16 |
City | FREDERICKSBURG |
State | TX |
Zip Code | 78624 |
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Methodist Hospital for Surgery | 17101 Dallas Parkway, Addison, TX 75001 | (469) 248-3900 | 5 |
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