Texas Health Care Information Collection Primary Cesarean Section Risk Adjusted Utilization Rate Cesarean section C section is the surgical removal of the by jay16344

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									                                    Texas Health Care Information Collection


Primary Cesarean Section: Risk-Adjusted Utilization Rate
Cesarean section (C-section) is the surgical removal of the baby through the mother’s abdomen. Whether
or not this procedure is necessary and appropriate depends largely on each individual’s clinical
characteristics. The decision is usually a joint one between the patient and her doctor. Babies in the
breech (buttocks first) position, prior C-section(s), the number of previous births, placental or umbilical
cord complications, infections and high or low birth weight are factors that may cause a woman to have a
C-section, according to the American College of Obstetrics and Gynecology, but women with abnormal
presentation, preterm delivery, fetal death, more than one baby, or previous C-section are not included in
this calculation. Hospitals that serve as referral centers for high risk pregnancies, those with intensive
care units for very sick babies, and those serving mothers who have not had the benefit of prenatal care
can be expected to have higher C-section rates.


Number of cases in parentheses. Rates not calculated for hospitals with fewer than 30 cases.
Hospital comments indicated by (C) following number of cases. Confidence interval indicated by |——|.

* Risk-adjusted utilization rate is significantly lower than state average rate based on 95 percent confidence interval.
** Risk-adjusted utilization rate is significantly higher than state average rate based on 95 percent confidence interval.


Better quality may be associated with lower rates.

                        STATE OF TEXAS (265867)                                                                    19.0
                                        Abilene MSA
            Abilene Regional Medical Center (1125)                                                       16.3
                     Hendrick Medical Center (986)                                                               18.2
                                       Amarillo MSA
       Baptist St Anthonys Health System-Baptist                                                    15.5
                  Northw est Texas Hospital (1606)                                                       16.4                          2005 Texas
                                                                                                                                        rate: 19.0
                           Austin-San Marcos MSA
                      Brackenridge Hospital (1524)                                        13.1
                Central Texas Medical Center (888)                                                                18.5
                        Georgetow n Hospital (881)                                         13.5
                North Austin Medical Center (2515)                                                                18.5
                 Round Rock Medical Center (1293)                                                   15.5
                       Seton Medical Center (3278)                                                   16.1
                   Seton Northw est Hospital (1492)                                                                      19.9
                    Seton Southw est Hospital (567)                                               14.8
                    Smithville Regional Hospital (98)                                                              18.8
                        South Austin Hospital (892)                                                                                       25.9
                           St Davids Hospital (3372)                                                                    19.8
             UTMB Austin Womens Hospital (1208)                         6.1
                        Beaumont-Port Arthur MSA
                          CHRISTUS Hospital (1464)                                                                                                   35.8
                  CHRISTUS Hospital-St Mary (110)                                                                               22.7
     Memorial Hermann Baptist Beaumont Hospital                                                                                            26.4
   Memorial Hermann Baptist Orange Hospital (241)                                                                                                 28.2
                         Mid Jefferson Hospital (86)                                                                                                 29.9
                    Park Place Medical Center (119)                                                                                                  38.8
       The Medical Center-Southeast Texas (494)                                                                                                   28.4
                                      Brazoria MSA
           Angleton Danbury Medical Center (284)                                                                                         25.6
         Brazosport Regional Health System (573)                                           13.6
            Brow nsville-Harlingen-San Benito MSA
                  Brow nsville Doctors Hospital (19)
                     Harlingen Medical Center (985)                                                                18.9
              Valley Baptist Medical Center (1843)                                                              17.8
        Valley Baptist Medical Center-Brow nsville                                                                                                       31.1
             Valley Regional Medical Center (1887)                                                                                         26.3

                                                        0           5           10           15                        20          25               30



                                  Indicators of Inpatient Care in Texas Hospitals, 2005                                                                    1
                                    Texas Health Care Information Collection


Number of cases in parentheses. Rates not calculated for hospitals with fewer than 30 cases.
Hospital comments indicated by (C) following number of cases. Confidence interval indicated by |——|.

* Risk-adjusted utilization rate is significantly lower than state average rate based on 95 percent confidence interval.
** Risk-adjusted utilization rate is significantly higher than state average rate based on 95 percent confidence interval.

Better quality may be associated with lower rates.

                               Bryan-College Station MSA         0.0
                     College Station Medical Center (847)                                                                         20.4
                St Joseph Regional Health Center (1878)
                                       Corpus Christi MSA        0.0
         CHRISTUS Spohn Hospital Corpus Christi (596)                                                                                                25.8
        CHRISTUS Spohn Hospital Corpus Christi-South                                                                                              24.5
    The Corpus Christi Medical Center-Bay Area (1872)                                                                                      22.5
    The Corpus Christi Medical Center-Doctors Regional
                                               Dallas MSA        0.0                                                                              2005 Texas
                   Baylor Medical Center-Garland (1232)                                                          16.9                              rate: 19.0
                      Baylor Medical Center-Irving (1575)                                                                     19.4
              Baylor Medical Center-Waxahachie (590)                                        12.1
                 Baylor University Medical Center (2805)                                                                      19.4
                          Centennial Medical Center (342)                                                       16.5
                         Denton Community Hospital (239)                                     1
                                                                                            1 .9
                  Denton Regional Medical Center (1128)                                                        16.2
                                    Doctors Hospital (686)                                                                          20.6
               East Texas Medical Center-Athens (669)                                                                  18.0
                     Ennis Regional Medical Center (315)                                                                          21 .1
                         Lake Pointe Medical Center (704)                                                                       20.2
                       Las Colinas Medical Center (1074)                                                                                                             30.4
                         Medical Center-Lew isville (1386)                                                                                     24.0
                           Medical Center-McKinney (609)                                                                               21.5
                             Medical Center-Plano (2551)                                                                                21.9
                              Medical Center-Terrell (182)                                                                           20.8
                       Medical City Dallas Hospital (1956)                                                                                             26.2
                     Mesquite Community Hospital (1717)                                                                             20.5
              Methodist Charlton Medical Center (1727)                                                        15.5
                  Methodist Dallas Medical Center (2653)                                        12.5
                      Parkland Memorial Hospital (11783)                                 10.8
                         Presbyterian Hospital-Allen (826)                                                                                                    28.0
                      Presbyterian Hospital-Dallas (4219)                                                                                              25.9
                      Presbyterian Hospital-Denton (619)                                               14.1
                   Presbyterian Hospital-Greenville (838)                          9.4
                    Presbyterian Hospital-Kaufman (222)                                                                                21.6
                       Presbyterian Hospital-Plano (2409)                                                                                                     28.1
                      RHD Memorial Medical Center (548)                                     1
                                                                                           1 .6
             Richardson Regional Medical Center (588)                                              13.2
                       The Medical Center Mesquite (620)                                                      15.5
                             Trinity Medical Center (1532)                                                                          20.6
    UT Southw estern University Hospital-St Paul (1210)
                                              El Paso MSA        0.0
                            Del Sol Medical Center (1870)                                                                                                 27.1
                       Las Palmas Medical Center (1330)                                                                                                              33.0
                     Providence Memorial Hospital (2887)                                                                                                             29.7
                  R E Thomason General Hospital (3895)                                             13.4
                             Sierra Medical Center (1462)
                                  Ft. Worth-Arlington MSA        0.0
                       Arlington Memorial Hospital (2213)                                                             17.3
     Baylor All Saints Medical Center-Fort Worth (1608)                                                                                21.7
     Baylor Medical Center-Southw est Fort Worth (950)                                                                       19.0
      Baylor Regional Medical Center-Grapevine (2309)                                                                                      22.8
                            Campbell Health System (465)                                                                                                      27.7
                             Harris Methodist HEB (1282)                                                                          20.2
                      Harris Methodist-Fort Worth (4383)                                                                           20.6
                      Harris Methodist-Southw est (1406)                                        12.6
                  Huguley Memorial Medical Center (884)                                                              17.0

                                                             0         5          10                   15                    20                   25             30




2                                 Indicators of Inpatient Care in Texas Hospitals, 2005
                                    Texas Health Care Information Collection


Number of cases in parentheses. Rates not calculated for hospitals with fewer than 30 cases.
Hospital comments indicated by (C) following number of cases. Confidence interval indicated by |——|.                                                2005 Texas
* Risk-adjusted utilization rate is significantly lower than state average rate based on 95 percent confidence interval.                             rate: 19.0
** Risk-adjusted utilization rate is significantly higher than state average rate based on 95 percent confidence interval.

Better quality may be associated with lower rates.

                            John Peter Smith Hospital (4257)                              10.1
                         Lake Granbury Medical Center (326)                              9.6
                              Medical Center-Arlington (2527)                                                                          24.4
                                    North Hills Hospital (725)
                       USMD Hospital-Arlington (Less than 5)            0.0
                                Walls Regional Hospital (438)
                                  Galveston-Texas City MSA              0.0
                               Mainland Medical Center (488)                                                                                         39.4
                          UT Medical Branch Hospital (4415)
                                                Houston MSA             0.0
                             Bayshore Medical Center (1773)                                                     17.2
                           Ben Taub General Hospital (4077)                                    10.9
      CHRISTUS St Catherine Health & Wellness Center (730)                                                   15.6
                           CHRISTUS St John Hospital (467)                                                   16.0
                       CHRISTUS St Joseph Hospital (3321)                                                    15.5
                  Clear Lake Regional Medical Center (2462)                                                                   21.2
                    Cleveland Regional Medical Center (338)                                                                         22.8
                       Conroe Regional Medical Center (668)                                                                 20.3
                    Cypress Fairbanks Medical Center (1190)                                                                         22.6
                             Doctors Hospital-Parkway (1511)                                                        17.6
                East Houston Regional Medical Center (951)                                      11.8
                   Houston Northwest Medical Center (1600)                                                   15.9
                              Kingwood Medical Center (488)                                                     16.9
                  Lyndon B Johnson General Hospital (3838)                     4.9
                          Memorial Hermann Hospital (2961)                                                            18.5
                     Memorial Hermann Katy Hospital (1002)                                                      17.3
             Memorial Hermann Memorial City Hospital (2377)                                                                                  25.9
               Memorial Hermann Northwest Hospital (1922)                                      11.3
               Memorial Hermann Southeast Hospital (1067)                                                15.2
               Memorial Hermann Southwest Hospital (3258)                                                      16.5
                        Memorial Hermann Sugar Land (427)                                             13.4
           Memorial Hermann The Woodlands Hospital (2473)                                                       17.3
                        Methodist Sugar Land Hospital (1144)                                          13.6
                       Methodist Willowbrook Hospital (1552)                                                        17.6
                    Northeast Medical Center Hospital (1613)                                                                          23.6
                               Oakbend Medical Center (835)                                                          18.2
                                    Park Plaza Hospital (895)                                                                  21.3
                       San Jacinto Methodist Hospital (1169)                                                  16.4
   St Lukes Community Medical Center-The Woodlands (1257)                                                                    20.3
                          St Lukes Episcopal Hospital (1465)                                                               20.0
                                The Methodist Hospital (869)                                                                        22.7
                         The Womans Hospital-Texas (5521)                                                                                           28.9
                             Tomball Regional Hospital (593)                                          13.4
                           Twelve Oaks Medical Center (950)                                                           18.5
                        West Houston Medical Center (1506)
                                         Killeen-Temple MSA             0.0
                              Kings Daughters Hospital (545)                                                  16.4
                                     Metroplex Hospital (863)                                                                                25.7
                      Scott & White Memorial Hospital (1824)

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                                  Indicators of Inpatient Care in Texas Hospitals, 2005                                                                    3
                                    Texas Health Care Information Collection


Number of cases in parentheses. Rates not calculated for hospitals with fewer than 30 cases.
Hospital comments indicated by (C) following number of cases. Confidence interval indicated by |——|.

* Risk-adjusted utilization rate is significantly lower than state average rate based on 95 percent confidence interval.
** Risk-adjusted utilization rate is significantly higher than state average rate based on 95 percent confidence interval.
                                                                                                                                                2005 Texas
Better quality may be associated with lower rates.                                                                                               rate: 19.0



                             John Peter Smith Hospital (4257)                             10.1
                          Lake Granbury Medical Center (326)                             9.6
                               Medical Center-Arlington (2527)                                                                         24.4
                                     North Hills Hospital (725)
                        USMD Hospital-Arlington (Less than 5)           0.0
                                 Walls Regional Hospital (438)
                                   Galveston-Texas City MSA             0.0
                                Mainland Medical Center (488)                                                                                        39.4
                           UT Medical Branch Hospital (4415)
                                                 Houston MSA            0.0
                              Bayshore Medical Center (1773)                                                    17.2
                            Ben Taub General Hospital (4077)                                   10.9
       CHRISTUS St Catherine Health & Wellness Center (730)                                                  15.6
                            CHRISTUS St John Hospital (467)                                                  16.0
                        CHRISTUS St Joseph Hospital (3321)                                                   15.5
                   Clear Lake Regional Medical Center (2462)                                                                  21.2
                     Cleveland Regional Medical Center (338)                                                                        22.8
                        Conroe Regional Medical Center (668)                                                                20.3
                     Cypress Fairbanks Medical Center (1190)                                                                        22.6
                              Doctors Hospital-Parkway (1511)                                                       17.6
                 East Houston Regional Medical Center (951)                                     11.8
                    Houston Northwest Medical Center (1600)                                                  15.9
                               Kingwood Medical Center (488)                                                    16.9
                   Lyndon B Johnson General Hospital (3838)                    4.9
                           Memorial Hermann Hospital (2961)                                                           18.5
                      Memorial Hermann Katy Hospital (1002)                                                     17.3
              Memorial Hermann Memorial City Hospital (2377)                                                                                 25.9
                Memorial Hermann Northwest Hospital (1922)                                     11.3
                Memorial Hermann Southeast Hospital (1067)                                               15.2
                Memorial Hermann Southwest Hospital (3258)                                                     16.5
                         Memorial Hermann Sugar Land (427)                                            13.4
            Memorial Hermann The Woodlands Hospital (2473)                                                      17.3
                         Methodist Sugar Land Hospital (1144)                                         13.6
                        Methodist Willowbrook Hospital (1552)                                                       17.6
                     Northeast Medical Center Hospital (1613)                                                                         23.6
                                Oakbend Medical Center (835)                                                         18.2
                                     Park Plaza Hospital (895)                                                                 21.3
                        San Jacinto Methodist Hospital (1169)                                                 16.4
    St Lukes Community Medical Center-The Woodlands (1257)                                                                   20.3
                           St Lukes Episcopal Hospital (1465)                                                              20.0
                                 The Methodist Hospital (869)                                                                       22.7
                          The Womans Hospital-Texas (5521)                                                                                          28.9
                              Tomball Regional Hospital (593)                                         13.4
                            Twelve Oaks Medical Center (950)                                                          18.5
                         West Houston Medical Center (1506)
                                          Killeen-Temple MSA            0.0
                               Kings Daughters Hospital (545)                                                 16.4
                                      Metroplex Hospital (863)                                                                               25.7
                       Scott & White Memorial Hospital (1824)

                                                                    0         5         10             15              20              25           30




4                                 Indicators of Inpatient Care in Texas Hospitals, 2005
                                    Texas Health Care Information Collection

                                                                                                                                         2005 Texas
                                                                                                                                         rate: 19.0
Number of cases in parentheses. Rates not calculated for hospitals with fewer than 30 cases.
Hospital comments indicated by (C) following number of cases. Confidence interval indicated by |——|.

* Risk-adjusted utilization rate is significantly lower than state average rate based on 95 percent confidence interval.
** Risk-adjusted utilization rate is significantly higher than state average rate based on 95 percent confidence interval.

Better quality may be associated with lower rates.

                                    Laredo MSA           0.0
                 Doctors Hospital-Laredo (1753)                                                                       28.2
                  Laredo Medical Center (2281)
                         Longview-Marshall MSA           0.0
          Good Shepherd Medical Center (1190)                                            17.6
                   Laird Memorial Hospital (267)                                              19.0
        Longview Regional Medical Center (691)                                                                  26.2
         Marshall Regional Medical Center (359)
                                   Lubbock MSA           0.0
               Covenant Medical Center (1590)                                                                  25.3
        Covenant Medical Center-Lakeside (288)                                                                      27.5
                  Highland Medical Center (129)                                              18.0
               University Medical Center (1668)
                McAllen-Edinburg-Mission MSA             0.0
                   Knapp Medical Center (1393)                                        15.5
                 McAllen Medical Center (4245)                                                               24.3
                           Mission Hospital (428)                                                    21.4
           Rio Grande Regional Hospital (4249)
                           Odessa-Midland MSA            0.0
                   Medical Center Hospital (877)                                      15.8
              Midland Memorial Hospital (1330)                                 12.8
               Odessa Regional Hospital (1429)
                                San Angelo MSA           0.0
    San Angelo Community Medical Center (795)                                                   20.1
   Shannon West Texas Memorial Hospital (759)
                               San Antonio MSA           0.0
                   Baptist Medical Center (1372)                                         17.5
         CHRISTUS Santa Rosa Hospital (1534)                                                           22.5
      Guadalupe Regional Medical Center (560)                                                 18.7
              McKenna Memorial Hospital (790)                                  13.2
                       Methodist Hospital (4961)                                                     21.6
          Metropolitan Methodist Hospital (2460)                                                      21.9
                  Nix Health Care System (385)                          10.2
           North Central Baptist Hospital (1360)                                               19.3
               Northeast Baptist Hospital (1579)                                               19.4
                Southeast Baptist Hospital (442)                                                                             33.3
             Southwest General Hospital (1710)                                                        21.8
                St Lukes Baptist Hospital (1878)                                                   20.4
                       University Hospital (2218)
                         Sherman-Denison MSA             0.0
                   Texoma Medical Center (409)                                    14.7
           Wilson N Jones Medical Center (828)
                                 Texarkana MSA           0.0
     CHRISTUS St Michael Health System (819)                                                    19.9
          Wadley Regional Medical Center (737)

                                                     0         5     10         15            20          25           30    35     40      45




                                  Indicators of Inpatient Care in Texas Hospitals, 2005                                                          5
                                     Texas Health Care Information Collection

                                                                                                                                                             2005 Texas
                                                                                                                                                             rate: 19.0
Number of cases in parentheses. Rates not calculated for hospitals with fewer than 30 cases.
Hospital comments indicated by (C) following number of cases. Confidence interval indicated by |——|.

* Risk-adjusted utilization rate is significantly lower than state average rate based on 95 percent confidence interval.
** Risk-adjusted utilization rate is significantly higher than state average rate based on 95 percent confidence interval.

Better quality may be associated with lower rates.

                                                        Tyler MSA         0.0
                               East Texas Medical Center (506)                                    13.3
                                 Mother Frances Hospital (2020)
                                                      Victoria MSA        0.0
                                   Citizens Medical Center (787)                                                                   25.6
                                   DeTar Hospital-Navarro (729)
                                                       Waco MSA           0.0
                        Hillcrest Baptist Medical Center (1826)                                          15.7
                               Providence Health Center (1070)
                                                 Wichita Falls MSA        0.0
    United Regional Health Care System-8th St Campus (1706)
                                                  Non-Metropolitan        0.0
                       Big Bend Regional Medical Center (169)
                      Brow nfield Regional Medical Center (25)            0.0
                   Brow nw ood Regional Medical Center (534)                                                              23.1
                    CHRISTUS Jasper Memorial Hospital (262)                                                           20.4
                        CHRISTUS Spohn Hospital-Alice (431)                                                                 23.7
                      CHRISTUS Spohn Hospital-Beeville (344)                                                               23.1
                      CHRISTUS Spohn Hospital-Kleberg (247)
              Comanche County Medical Center (Less than 5)                0.0
                             Covenant Hospital-Levelland (237)                                            16.7
                             Covenant Hospital-Plainview (383)                                                          21.8
                     East Texas Medical Center-Carthage (58)                                                                              29.4
                    East Texas Medical Center-Crockett (133)                                                             22.2
                 East Texas Medical Center-Jacksonville (311)                                                  18.0
                      East Texas Medical Center-Quitman (75)                                     12.7
                   Fort Duncan Regional Medical Center (750)                                                                               30.2
                   Good Shepherd Medical Center-Linden (36)                                                      19.2
                         Graham Regional Medical Center (43)                                    12.1
                                 Gulf Coast Medical Center (486)                                          16.9
                           Harris Methodist-Erath County (405)                      7.6
                            Henderson Memorial Hospital (424)                                                   18.7
                            Hill Country Memorial Hospital (108)                      9.4
                                       Hill Regional Hospital (257)                                             18.5
                              Huntsville Memorial Hospital (496)                                       14.6
                                   Llano Memorial Hospital (146)                                                        21.9
                              Matagorda General Hospital (232)                                   1
                                                                                                1 .8
                                            Memorial Hospital (334)                                     15.4
                    Memorial Medical Center East Texas (545)                                                           21.1
                     Memorial Medical Center-Livingston (239)
                         Mitchell County Hospital (Less than 5)           0.0
                            Nacogdoches Medical Center (531)                                                     19.5
                        Nacogdoches Memorial Hospital (616)                               9.6
                                 Navarro Regional Hospital (403)                                                  19.8
                                North Texas Medical Center (85)                                                   19.7
                       Palestine Regional Medical Center (704)                                         14.7
                               Palo Pinto General Hospital (367)                           10.6
                         Pampa Regional Medical Center (249)                                                              23.3
            Paris Regional Medical Center North Campus (489)                                             16.1
                        Scenic Mountain Medical Center (213)                                                17.8
                         Shelby Regional Medical Center (109)                                                                                    32.8

                                                                      0         5    10            15           20            25          30      35    40      45




6                                  Indicators of Inpatient Care in Texas Hospitals, 2005
                                    Texas Health Care Information Collection


Number of cases in parentheses. Rates not calculated for hospitals with fewer than 30 cases.
Hospital comments indicated by (C) following number of cases. Confidence interval indicated by |——|.

* Risk-adjusted utilization rate is significantly lower than state average rate based on 95 percent confidence interval.
** Risk-adjusted utilization rate is significantly higher than state average rate based on 95 percent confidence interval.

Better quality may be associated with lower rates.

         Sid Peterson Memorial Hospital (403)                           10.5
   South Texas Regional Medical Center (130)                                           16.2
         Starr County Memorial Hospital (528)                                                      23.4
          Titus Regional Medical Center (606)                                           17.0
     Val Verde Regional Medical Center (750)                                           16.6
      Woodland Heights Medical Center (535)                               1
                                                                         1 .3
             Yoakum Community Hospital (52)                                     14.1

                                                  0        5       10           15            20   25     30    35       40   45


Source: Texas Health Care Information Collection. Texas Hospital Inpatient Discharge Public Use Data File, 2005.




                                  Indicators of Inpatient Care in Texas Hospitals, 2005                                            7

								
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