Home / Quality Report of BRAZOSPORT REGIONAL HEALTH SYSTEM at LAKE JACKSON, TX

BRAZOSPORT REGIONAL HEALTH SYSTEM Quality Report

BRAZOSPORT REGIONAL HEALTH SYSTEM
100 MEDICAL DRIVE
LAKE JACKSON, TX 77566

BRAZORIA county
Phone: 979-297-4411
Acute Care Hospitals
Ownership: Voluntary non-profit - Private
Accreditation: Yes
Emergency Service: Yes

Please use the following conditions to evaluate the quality of this hospital.

Heart Attack

1. Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

BRAZOSPORT REGIONAL HEALTH SYSTEM
50%
Average for the State of Texas
86%
National Average of Hospitals submitting data:
83%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 6 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.

2. Heart Attack Patients Given Smoking Cessation Advice/Counseling

BRAZOSPORT REGIONAL HEALTH SYSTEM
50%
Average for the State of Texas
90%
National Average of Hospitals submitting data:
89%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 4 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.

3. Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival

BRAZOSPORT REGIONAL HEALTH SYSTEM
69%
Average for the State of Texas
34%
National Average of Hospitals submitting data:
34%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 16 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.

4. Heart Attack Patients Given Beta Blocker at Discharge

BRAZOSPORT REGIONAL HEALTH SYSTEM
85%
Average for the State of Texas
86%
National Average of Hospitals submitting data:
90%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%

5. Heart Attack Patients Given Beta Blocker at Arrival

BRAZOSPORT REGIONAL HEALTH SYSTEM
90%
Average for the State of Texas
86%
National Average of Hospitals submitting data:
87%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%

6. Heart Attack Patients Given Aspirin at Discharge

BRAZOSPORT REGIONAL HEALTH SYSTEM
88%
Average for the State of Texas
89%
National Average of Hospitals submitting data:
90%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%

7. Heart Attack Patients Given Aspirin at Arrival

BRAZOSPORT REGIONAL HEALTH SYSTEM
98%
Average for the State of Texas
91%
National Average of Hospitals submitting data:
93%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%

Heart Failure

1. Heart Failure Patients Given Smoking Cessation Advice/Counseling

BRAZOSPORT REGIONAL HEALTH SYSTEM
64%
Average for the State of Texas
84%
National Average of Hospitals submitting data:
83%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 22 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.

2. Heart Failure Patients Given Discharge Instructions

BRAZOSPORT REGIONAL HEALTH SYSTEM
80%
Average for the State of Texas
63%
National Average of Hospitals submitting data:
63%
Top 10%' of Hospitals submitting data scored equal to or higher than:
94%

3. Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function

BRAZOSPORT REGIONAL HEALTH SYSTEM
96%
Average for the State of Texas
82%
National Average of Hospitals submitting data:
84%
Top 10%' of Hospitals submitting data scored equal to or higher than:
99%

4. Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

BRAZOSPORT REGIONAL HEALTH SYSTEM
69%
Average for the State of Texas
83%
National Average of Hospitals submitting data:
82%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%

Pneumonia

1. Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics

BRAZOSPORT REGIONAL HEALTH SYSTEM
87%
Average for the State of Texas
90%
National Average of Hospitals submitting data:
90%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%

2. Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)

BRAZOSPORT REGIONAL HEALTH SYSTEM
77%
Average for the State of Texas
81%
National Average of Hospitals submitting data:
84%
Top 10%' of Hospitals submitting data scored equal to or higher than:
95%

3. Pneumonia Patients Given Smoking Cessation Advice/Counseling

BRAZOSPORT REGIONAL HEALTH SYSTEM
73%
Average for the State of Texas
85%
National Average of Hospitals submitting data:
81%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%

4. Pneumonia Patients Given Oxygenation Assessment

BRAZOSPORT REGIONAL HEALTH SYSTEM
99%
Average for the State of Texas
99%
National Average of Hospitals submitting data:
99%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%

5. Pneumonia Patients Given Initial Antibiotic(s) within 4 Hours After Arrival

BRAZOSPORT REGIONAL HEALTH SYSTEM
85%
Average for the State of Texas
79%
National Average of Hospitals submitting data:
80%
Top 10%' of Hospitals submitting data scored equal to or higher than:
93%

6. Pneumonia Patients Assessed and Given Pneumococcal Vaccination

BRAZOSPORT REGIONAL HEALTH SYSTEM
85%
Average for the State of Texas
72%
National Average of Hospitals submitting data:
71%
Top 10%' of Hospitals submitting data scored equal to or higher than:
94%

7. Pneumonia Patients Assessed and Given Influenza Vaccination

BRAZOSPORT REGIONAL HEALTH SYSTEM
74%
Average for the State of Texas
69%
National Average of Hospitals submitting data:
70%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%

Surgical Infection Prevention

1. Surgery Patients Who Received Preventative Antibiotic(s) One Hour Before Incision

BRAZOSPORT REGIONAL HEALTH SYSTEM
70%
Average for the State of Texas
70%
National Average of Hospitals submitting data:
78%
Top 10%' of Hospitals submitting data scored equal to or higher than:
95%

2. Surgery Patients who Received the Appropriate Preventative Antibiotic(s) for Their Surgery

BRAZOSPORT REGIONAL HEALTH SYSTEM
96%
Average for the State of Texas
86%
National Average of Hospitals submitting data:
90%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%

3. Surgery Patients Whose Preventative Antibiotic(s) are Stopped Within 24 hours After Surgery

BRAZOSPORT REGIONAL HEALTH SYSTEM
46%
Average for the State of Texas
70%
National Average of Hospitals submitting data:
74%
Top 10%' of Hospitals submitting data scored equal to or higher than:
95%


Note: The data on this site only reflect the aspects of "Heart Attack", "Heart Failure", "Pneumonia", and "Surgical Infection Prevention". These are important indicators of the hospital quality. However, they are not the comprehensive evaluation. learn more...