BAYSHORE MEDICAL CENTER - PASADENA, TX

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BAYSHORE MEDICAL CENTER
4000 SPENCER HWY
PASADENA, TX, 77504

Phone (make sure to verify first before calling): (713) 359-2000

Hospital Type: Acute Care Hospitals
Hospital Owner: Proprietary
Emergency Services: Yes
Type: Rehabilitation Units

Provided Services

Nuclear Medicine Services
Acute Renal Dialysis Services
Alcohol And/Or Drug Services
Anatomical Laboratory Services
Anesthesia Services
Blood Bank Services
Cardio-Thoracic Surgery Services
Clinical Laboratory Services
Diagnostic Radiology Services
Dietary Services
Emergency Services
Home Health Services
Hospice Services
ICU - Cardiac (Non-Surgical)Services
ICU - Medical/Surgical Services
Inpatient Rehabilitiation (Not Carf Accredited) Services
Inpatient Surgical Services
Long Term Care (Swing-Beds) Services
Neonatal Nursery Services
Obstetric Services
Occupational Therapy Services
Operating Room Services
Outpatient Services
Outpatient Surgery Unit Services
Pediatric Services
Pharmacy Services
Physical Therapy Services
Postoperative Recovery Room Services
Psychiatric Services
Respiratory Care Services
Social Services

Employment Full-Time Equivalent

Licensed Practical Or Vocational Nurses : 58.00
Registered Professional Nurses : 222.50
Other Salaried Personnel : 479.50
Certified Registered Nurse Anesthetists (CRNA) : 5.00
Dieticians : 1.50
Occupational Therapists : 2.50
Physical Therapists : 2.00
Registered Pharmacists : 10.50
Respiratory Therapists : 15.00
Medical Social Workers : 3.50

Number Of Beds

Total: 469
Total Certified: 300
Psychiatric Unit Beds: 14
Rehabilitation Unit Beds: 24

Hospital Acquired Conditions

Pressure Ulcer Stages III And IV

Here:	0.395%
Texas:	0.140%

Falls And Trauma

Here:	0.395%
State:	0.585%

Vascular Catheter-Associated Infection

This Hospital:	1.711%
State:	0.480%

Catheter-Associated UTI

Here:	0.132%
Texas:	0.207%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

Here:	100.0%
State:	98.3%

Percent of Patients Given Aspirin at Discharge

This Hospital:	100.0%
Texas:	97.9%

Percent of Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

This Hospital:	100.0%
Texas:	95.7%

Percent of Patients Given Beta Blocker at Discharge

This Hospital:	100.0%
State:	98.0%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	99.6%

Percent of Patients Given PCI Within 90 Minutes Of Arrival

This Hospital:	100.0%
Texas:	88.7%

Average number of minutes before outpatients with chest pain or possible heart attack got an ECG

Here:	7
State:	9

Average number of minutes before outpatients with chest pain or possible heart attack were transferred to another hospital

This Hospital:	61
Texas:	204

Outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival

This Hospital:	95.0%
State:	94.2%

Heart Failure

Percent of patients who were given an evaluation of Left Ventricular Systolic Dysfunction (LVSD)

This Hospital:	100.0%
State:	97.5%

Percent of Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

Here:	100.0%
Texas:	94.7%

Percent of Patients Given Discharge Instructions

Here:	98.0%
State:	89.5%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
Texas:	98.5%

Pneumonia

Percent of Patients Given Initial Antibiotic(s) within 6 Hours After Arrival

This Hospital:	99.0%
State:	95.0%

Percent of Patients Whose Initial ER Blood Culture Was Performed Prior To Administration Of First Dose Of Antibiotics

Here:	99.0%
Texas:	95.6%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
Texas:	97.9%

Percent of Patients Given the Most Appropriate Initial Antibiotic(s)

This Hospital:	99.0%
Texas:	90.9%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	96.0%
State:	92.4%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	99.0%
Texas:	93.7%

Surgery

Percent of Surgery Patients given an antibiotic at the right time (within one hour before surgery) to help prevent infection

This Hospital:	99.0%
Texas:	96.9%

Percent of Surgery Patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)

This Hospital:	95.0%
Texas:	93.7%

Percent of Surgery Patients who were given the right kind of antibiotic to help prevent infection

This Hospital:	97.0%
Texas:	97.4%

Percent of Surgery Patients who got treatment at right time (within 24 hours before or after surgery) to help prevent blood clot

This Hospital:	90.0%
State:	90.8%

Percent of Surgery Patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries

Here:	94.0%
Texas:	92.8%

Percent of all Heart Surgery Patients whose blood sugar is kept under good control in the days right after surgery

This Hospital:	88.0%
Texas:	91.0%

Percent of Surgery Patients needing hair removed from the surgical area before surgery who had hair removed using a safer method

Here:	100.0%
Texas:	99.6%

Percent of Surgery Patients whose urinary catheters were removed on the first or second day after surgery

This Hospital:	88.0%
State:	88.5%

Surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on them

Here:	92.0%
State:	92.3%

Outpatients having surgery who got an antibiotic at the right time - within one hour before surgery (higher numbers are better)

Here:	88.0%
Texas:	92.8%

Outpatients having surgery who got the right kind of antibiotic (higher numbers are better)

This Hospital:	80.0%
Texas:	93.3%

Outcome of Care

30-Day Mortality Rates from Heart Attack

Here:	16.4%
Texas:	16.1%

30-Day Mortality Rates from Heart Failure

This Hospital:	10.2%
State:	10.8%

30-Day Mortality Rates from Pneumonia

This Hospital:	9.3%
State:	11.3%

30-Day Readmission Rates from Heart Attack

This Hospital:	19.1%
Texas:	19.5%

30-Day Readmission Rates from Heart Failure

This Hospital:	24.4%
Texas:	24.3%

30-Day Readmission Rates from Pneumonia

Here:	15.8%
Texas:	17.7%

Average Medicare Payment

Acute myocardial infarction, discharged alive w/o CC/MCC: $5,561

Acute myocardial infarction, discharged alive w MCC: $12,409

Acute myocardial infarction, discharged alive w CC: $7,810

Heart failure and shock w/o CC/MCC: $4,617

Heart failure and shock w MCC: $9,337

Heart failure and shock w CC: $6,439

Chronic obstructive pulmonary disease w/o CC/MCC: $4,639

Chronic obstructive pulmonary disease w MCC: $8,333

Chronic obstructive pulmonary disease w CC: $6,240

Simple pneumonia and pleurisy w MCC: $9,162

Diabetes w MCC: $8,695

Chest Pain: $3,398

Major cardiovasc procedures w MCC or thoracic aortic aneurysm repair: $28,887

Cardiac defibrillator implant w/o cardiac cath w/o MCC: $31,950

Cardiac defibrillator implant w/o cardiac cath w MCC: $1,024

Cardiac defib implant w cardiac cath w/o AMI/HF/shock w MCC: $50,853

Extracranial procedures w/o CC/MCC: $1,068

Extracranial procedures w CC: $9,928

Coronary bypass w/o cardiac cath w/o MCC: $22,987

Coronary bypass w/o cardiac cath w MCC: $30,541

Permanent cardiac pacemaker implant w/o CC/MCC: $12,828

Permanent cardiac pacemaker implant w CC: $16,555

Perc cardiovasc proc w drug-eluting stent w/o MCC: $12,232

Laparoscopic cholecystectomy w/o c.d.e. w/o CC/MCC: $7,203

Laparoscopic cholecystectomy w/o c.d.e. w MCC: $15,837

Laparoscopic cholecystectomy w/o c.d.e. w CC: $10,556

Cholecystectomy except by laparoscope w/o c.d.e. w MCC: $22,829

Hernia procedures except inguinal and femoral w/o CC/MCC: $6,170

Hernia procedures except inguinal and femoral w MCC: $1,068

Hernia procedures except inguinal and femoral w CC: $8,966

Major small and large bowel procedures w/o CC/MCC: $10,375

Major small and large bowel procedures w CC: $16,364

Major small and large bowel procedures w MCC: $33,040

Stomach, esophageal duodenal proc w/o CC/MCC: $9,292

Cervical spinal fusion w/o CC/MCC: $12,240

Cervical spinal fusion w MCC: $28,679

Cervical spinal fusion w CC: $16,681

Spinal fusion except cervical w/o MCC: $22,770

Back and neck proc exc spinal fusion w/o CC/MCC: $6,000

Back and neck proc exc spinal fusion w CC/MCC or disc device/neurostim: $11,001

Major joint replacement or reattachment of lower extremity w/o MCC: $1,068

Major joint replacement or reattachment of lower extremity w MCC: $6,633

Revision of hip or knee replacement w/o CC/MCC: $1,068

Revision of hip or knee replacement w CC: $19,588

Biopsies of musculoskeletal system and connective tissue w/o CC/MCC: $9,427

Biopsies of musculoskeletal system and connective tissue w CC: $13,574

Kidney and ureter procedures for neoplasm w/o CC/MCC: $1,068

Kidney and ureter procedures for neoplasm w MCC: $20,964

Kidney and ureter procedures for neoplasm w CC: $6,544

Transurethral procedures w MCC: $14,318

Other kidney and urinary tract procedures w MCC: $17,716

Other kidney and urinary tract procedures w CC: $12,164

Transurethral prostatectomy w/o CC/MCC: $4,045

Transurethral prostatectomy w CC/MCC: $7,151

Female reproductive system reconstructive procedures: $1,068

Uterine and adnexa proc for non-malignancy w/o CC/MCC: $3,232

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys: 300 or more
Survey Response Rate: 24%

How often did nurses communicate well with patients?

Sometimes or never

Here:	10%
Texas:	6%

Usually

Here:	18%
State:	18%

Always

Here:	72%
State:	76%

How often did doctors communicate well with patients?

Sometimes or never

Here:	6%
State:	4%

Usually

Here:	16%
State:	14%

Always

This Hospital:	78%
Texas:	82%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	16%
State:	11%

Usually

Here:	26%
Texas:	24%

Always

Here:	58%
State:	65%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	9%
State:	7%

Usually

Here:	21%
State:	22%

Always

This Hospital:	70%
State:	71%

How often did staff explain about medicines before giving them to patients?

Sometimes or never

Here:	26%
State:	21%

Usually

This Hospital:	17%
Texas:	17%

Always

Here:	57%
Texas:	62%

How often were the patients' rooms and bathrooms kept clean?

Sometimes or never

This Hospital:	11%
Texas:	9%

Usually

Here:	18%
State:	19%

Always

Here:	71%
State:	72%

How often was the area around patients' rooms kept quiet at night?

Sometimes or never

This Hospital:	12%
Texas:	8%

Usually

Here:	27%
Texas:	26%

Always

Here:	61%
State:	66%

Were patients given information about what to do during their recovery at home?

Yes

This Hospital:	82%
State:	82%

Here:	18%
Texas:	18%

How do patients rate the hospital overall on a scale from 0 (lowest) to 10 (highest)?

6 or lower

This Hospital:	11%
Texas:	9%

7 or 8

Here:	25%
State:	22%

9 or 10

Here:	64%
State:	69%

Would patients recommend the hospital to friends and family?

Here:	9%
Texas:	6%

Yes, probably

This Hospital:	29%
State:	23%

Yes, definitely

Here:	62%
Texas:	71%

Use of Medical Imaging

Outpatients with low back pain who had an MRI without trying recommended treatments first, such as physical therapy.

This Hospital:	44.400%
Texas:	34.035%

Outpatients who had a follow-up mammogram or ultrasound within 45 days after a screening mammogram.

This Hospital:	10.400%
State:	8.248%

Outpatient CT scans of the abdomen that were combination (double) scans.

Here:	0.320%
Texas:	0.316%

Outpatient CT scans of the chest that were combination (double) scans.

This Hospital:	0.159%
Texas:	0.116%

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