EAST TEXAS MEDICAL CENTER - TYLER, TX

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EAST TEXAS MEDICAL CENTER
1000 SOUTH BECKHAM STREET
TYLER, TX, 75701

Phone (make sure to verify first before calling): (903) 597-0351

Hospital Type: Acute Care Hospitals
Hospital Owner: Voluntary non-profit - Private
Emergency Services: Yes
Type: Rehabilitation Units

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

Here:	93.0%
Texas:	98.3%

Percent of Patients Given Aspirin at Discharge

This Hospital:	94.0%
Texas:	97.9%

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

Here:	88.0%
State:	95.7%

Percent of Patients Given Beta Blocker at Discharge

This Hospital:	97.0%
State:	98.0%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	98.0%
State:	99.6%

Percent of Patients Given PCI Within 90 Minutes Of Arrival

Here:	93.0%
State:	88.7%

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

Here:	5
State:	9

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

This Hospital:	35
State:	204

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

Here:	88.0%
State:	94.2%

Heart Failure

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

Here:	98.0%
Texas:	97.5%

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

Here:	85.0%
Texas:	94.7%

Percent of Patients Given Discharge Instructions

Here:	52.0%
State:	89.5%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	98.5%

Pneumonia

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

This Hospital:	81.0%
State:	95.0%

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

Here:	91.0%
Texas:	95.6%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	97.0%
State:	97.9%

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

Here:	80.0%
State:	90.9%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	65.0%
State:	92.4%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	74.0%
State:	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:	90.0%
State:	96.9%

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

Here:	86.0%
Texas:	93.7%

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

This Hospital:	96.0%
State:	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:	86.0%
Texas:	90.8%

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

This Hospital:	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

Here:	87.0%
Texas:	91.0%

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

This Hospital:	99.0%
Texas:	99.6%

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

Here:	79.0%
State:	88.5%

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

This Hospital:	94.0%
State:	92.3%

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

This Hospital:	85.0%
State:	92.8%

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

This Hospital:	89.0%
Texas:	93.3%

Outcome of Care

30-Day Mortality Rates from Heart Attack

Here:	16.3%
State:	16.1%

30-Day Mortality Rates from Heart Failure

This Hospital:	12.3%
Texas:	10.8%

30-Day Mortality Rates from Pneumonia

Here:	11.4%
Texas:	11.3%

30-Day Readmission Rates from Heart Attack

This Hospital:	19.6%
State:	19.5%

30-Day Readmission Rates from Heart Failure

Here:	23.5%
Texas:	24.3%

30-Day Readmission Rates from Pneumonia

This Hospital:	19.3%
Texas:	17.7%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys: 300 or more
Survey Response Rate: 27%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	7%
Texas:	6%

Usually

This Hospital:	22%
State:	18%

Always

This Hospital:	71%
State:	76%

How often did doctors communicate well with patients?

Sometimes or never

Here:	6%
Texas:	4%

Usually

This Hospital:	16%
Texas:	14%

Always

This Hospital:	78%
Texas:	82%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	14%
Texas:	11%

Usually

Here:	29%
Texas:	24%

Always

This Hospital:	57%
Texas:	65%

How often was patients' pain well controlled?

Sometimes or never

Here:	8%
Texas:	7%

Usually

Here:	25%
Texas:	22%

Always

Here:	67%
Texas:	71%

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

Sometimes or never

Here:	24%
Texas:	21%

Usually

Here:	17%
Texas:	17%

Always

Here:	59%
Texas:	62%

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

Sometimes or never

Here:	13%
State:	9%

Usually

This Hospital:	25%
Texas:	19%

Always

This Hospital:	62%
State:	72%

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

Sometimes or never

Here:	15%
State:	8%

Usually

This Hospital:	33%
Texas:	26%

Always

Here:	52%
State:	66%

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

Yes

This Hospital:	76%
Texas:	82%

This Hospital:	24%
Texas:	18%

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

6 or lower

Here:	13%
State:	9%

7 or 8

This Hospital:	24%
Texas:	22%

9 or 10

Here:	63%
State:	69%

Would patients recommend the hospital to friends and family?

Here:	7%
State:	6%

Yes, probably

This Hospital:	24%
State:	23%

Yes, definitely

Here:	69%
Texas:	71%

Hospital Acquired Conditions

Pressure Ulcer Stages III And IV

This Hospital:	0.059%
State:	0.140%

Falls And Trauma

Here:	0.237%
Texas:	0.585%

Vascular Catheter-Associated Infection

Here:	0.118%
State:	0.480%

Catheter-Associated UTI

This Hospital:	0.177%
State:	0.207%

Manifestations Of Poor Glycemic Control

This Hospital:	0.177%
Texas:	0.063%

Average Medicare Payment

Acute myocardial infarction, discharged alive w/o CC/MCC: $4,816

Acute myocardial infarction, discharged alive w MCC: $10,746

Acute myocardial infarction, discharged alive w CC: $6,763

Heart failure and shock w/o CC/MCC: $3,998

Heart failure and shock w MCC: $8,086

Heart failure and shock w CC: $5,576

Chronic obstructive pulmonary disease w/o CC/MCC: $4,017

Chronic obstructive pulmonary disease w MCC: $7,216

Chronic obstructive pulmonary disease w CC: $5,403

Simple pneumonia and pleurisy w MCC: $7,934

Diabetes w MCC: $7,529

Chest Pain: $2,943

Cardiac valve and oth maj cardiothoracic proc w/o card cath w/o CC/MCC: $24,399

Cardiac valve and oth maj cardiothoracic proc w/o card cath w MCC: $44,485

Cardiac valve and oth maj cardiothoracic proc w/o card cath w CC: $29,240

Major cardiovasc procedures w MCC or thoracic aortic aneurysm repair: $28,100

Cardiac defibrillator implant w/o cardiac cath w/o MCC: $27,668

Cardiac defibrillator implant w/o cardiac cath w MCC: $37,169

Cardiac defib implant w cardiac cath w/o AMI/HF/shock w/o MCC: $32,677

Cardiac defib implant w cardiac cath w/o AMI/HF/shock w MCC: $44,038

Extracranial procedures w/o CC/MCC: $5,541

Extracranial procedures w CC: $8,598

Coronary bypass w/o cardiac cath w/o MCC: $19,906

Coronary bypass w/o cardiac cath w MCC: $31,542

Permanent cardiac pacemaker implant w/o CC/MCC: $11,109

Permanent cardiac pacemaker implant w CC: $14,336

Perc cardiovasc proc w drug-eluting stent w/o MCC: $10,592

Laparoscopic cholecystectomy w/o c.d.e. w/o CC/MCC: $6,238

Laparoscopic cholecystectomy w/o c.d.e. w MCC: $13,715

Laparoscopic cholecystectomy w/o c.d.e. w CC: $9,141

Cholecystectomy except by laparoscope w/o c.d.e. w MCC: $19,770

Hernia procedures except inguinal and femoral w/o CC/MCC: $5,343

Hernia procedures except inguinal and femoral w MCC: $13,767

Hernia procedures except inguinal and femoral w CC: $7,764

Major small and large bowel procedures w/o CC/MCC: $8,985

Major small and large bowel procedures w CC: $14,171

Major small and large bowel procedures w MCC: $28,612

Stomach, esophageal duodenal proc w/o CC/MCC: $8,047

Cervical spinal fusion w/o CC/MCC: $10,600

Cervical spinal fusion w MCC: $24,434

Cervical spinal fusion w CC: $14,445

Spinal fusion except cervical w/o MCC: $19,719

Spinal fusion except cervical w MCC: $32,999

Back and neck proc exc spinal fusion w/o CC/MCC: $5,196

Back and neck proc exc spinal fusion w CC/MCC or disc device/neurostim: $9,526

Major shoulder or elbow joint procedures w CC/MCC: $9,506

Bilateral or multiple major joint procs of lower extremity w/o MCC: $17,410

Major joint replacement or reattachment of lower extremity w/o MCC: $11,118

Major joint replacement or reattachment of lower extremity w MCC: $18,220

Revision of hip or knee replacement w/o CC/MCC: $13,568

Revision of hip or knee replacement w CC: $16,963

Biopsies of musculoskeletal system and connective tissue w/o CC/MCC: $8,164

Biopsies of musculoskeletal system and connective tissue w MCC: $18,154

Biopsies of musculoskeletal system and connective tissue w CC: $11,755

Other musculoskelet sys and conn tiss O.R. proc w MCC: $17,131

Kidney and ureter procedures for neoplasm w/o CC/MCC: $7,623

Kidney and ureter procedures for neoplasm w MCC: $18,154

Kidney and ureter procedures for neoplasm w CC: $10,315

Revision of hip or knee replacement w MCC: $23,799

Kidney and ureter procedures for non-neoplasm w MCC: $18,469

Bilateral or multiple major joint procs of lower extremity w MCC: $25,153

Transurethral procedures w MCC: $12,506

Other kidney and urinary tract procedures w/o CC/MCC: $7,250

Other kidney and urinary tract procedures w MCC: $15,342

Other kidney and urinary tract procedures w CC: $11,955

Transurethral prostatectomy w/o CC/MCC: $3,503

Transurethral prostatectomy w CC/MCC: $6,193

Female reproductive system reconstructive procedures: $4,520

Uterine and adnexa proc for non-malignancy w/o CC/MCC: $4,672

Use of Medical Imaging

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

Here:	29.800%
Texas:	34.035%

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

Here:	5.200%
Texas:	8.248%

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

This Hospital:	0.608%
Texas:	0.316%

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

Here:	0.003%
State:	0.116%

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