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MEMORIAL HERMANN HOSPITAL SYSTEM — Quality & Patient Safety

HOUSTON, TX · Acute Care Hospitals · Emergency services available

Source: CMS Hospital Compare, HCAHPS Survey

By BillRazor Research · Last updated June 1, 2026 · View pricing data

CMS Overall Hospital Quality

3

Out of 5 stars · CMS Hospital Compare rating

N/A

Patients recommend

1,545

Survey responses

Patient Satisfaction

3.0/5

Overall HCAHPS score

Avg Readmission Ratio

1.06

Above national average

Quality Measures

54

CMS-tracked metrics

Quality Score

60

Composite index

Patient Satisfaction — HCAHPS Survey Scores

Score out of 5.0 based on patient survey responses. Source: CMS HCAHPS.

Excess Readmission Ratios by Condition

Ratio vs national average (1.0 = average). Below 1.0 is better, above 1.0 indicates higher-than-expected readmissions.

Below average (better) Above average

Healthcare-Associated Infections (HAI)

Performance vs national benchmarks on hospital-acquired infection measures.

24

Better than average

Lower infection rates

6

Same as average

Near national rate

6

Worse than average

Higher infection rates

MeasureScorevs National
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit0.35Better than the National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.80Better than the National Benchmark
Central Line Associated Bloodstream Infection: Number of Device Days40254.00Better than the National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases42.23Better than the National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases23.00Better than the National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards)0.55Better than the National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.17Better than the National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.47Better than the National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days37403.00Better than the National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases51.19Better than the National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases15.00Better than the National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.29Better than the National Benchmark
SSI - Colon Surgery: Lower Confidence Limit0.38No Different than National Benchmark
SSI - Colon Surgery: Upper Confidence Limit1.08No Different than National Benchmark
SSI - Colon Surgery: Number of Procedures784.00No Different than National Benchmark
SSI - Colon Surgery: Predicted Cases21.20No Different than National Benchmark
SSI - Colon Surgery: Observed Cases14.00No Different than National Benchmark
SSI - Colon Surgery0.66No Different than National Benchmark
SSI - Abdominal Hysterectomy: Lower Confidence Limit1.08Worse than the National Benchmark
SSI - Abdominal Hysterectomy: Upper Confidence Limit4.06Worse than the National Benchmark
SSI - Abdominal Hysterectomy: Number of Procedures488.00Worse than the National Benchmark
SSI - Abdominal Hysterectomy: Predicted Cases4.07Worse than the National Benchmark
SSI - Abdominal Hysterectomy: Observed Cases9.00Worse than the National Benchmark
SSI - Abdominal Hysterectomy2.21Worse than the National Benchmark
MRSA Bacteremia: Lower Confidence Limit0.26Better than the National Benchmark
MRSA Bacteremia: Upper Confidence Limit0.78Better than the National Benchmark
MRSA Bacteremia: Patient Days392071.00Better than the National Benchmark
MRSA Bacteremia: Predicted Cases27.65Better than the National Benchmark
MRSA Bacteremia: Observed Cases13.00Better than the National Benchmark
MRSA Bacteremia0.47Better than the National Benchmark
Clostridium Difficile (C.Diff): Lower Confidence Limit0.11Better than the National Benchmark
Clostridium Difficile (C.Diff): Upper Confidence Limit0.24Better than the National Benchmark
Clostridium Difficile (C.Diff): Patient Days354339.00Better than the National Benchmark
Clostridium Difficile (C.Diff): Predicted Cases160.72Better than the National Benchmark
Clostridium Difficile (C.Diff): Observed Cases27.00Better than the National Benchmark
Clostridium Difficile (C.Diff)0.17Better than the National Benchmark

What quality scores mean for patients at MEMORIAL HERMANN HOSPITAL SYSTEM

MEMORIAL HERMANN HOSPITAL SYSTEM holds a CMS overall rating of 3 out of 5 stars, based on publicly reported quality measures. This places it at #111 out of 197 hospitals in TX. Quality ratings aggregate dozens of individual measures — from nurse communication and cleanliness to surgical complication rates and timely care — into a single composite. While no single number captures the full patient experience, the star rating provides a useful starting point for understanding whether a hospital consistently meets or falls short of national performance standards.

Readmission data offers a particularly important signal. MEMORIAL HERMANN HOSPITAL SYSTEM's average excess readmission ratio is 1.06x the national average, meaning patients here return to the hospital at a higher-than-expected rate after discharge. This hospital reports readmission data across 6 conditions, and performance varies by diagnosis. High readmission rates can indicate issues with discharge planning, follow-up care coordination, or the initial quality of treatment — all factors that may also correlate with the complexity and accuracy of the resulting hospital bill.

Research consistently shows a correlation between hospital operational quality and billing accuracy. Hospitals that perform well on patient safety, infection control, and care coordination tend to have more robust administrative processes, including medical coding and billing. Conversely, facilities with lower quality scores — particularly those with higher-than-average infection rates (6 measures worse than average at MEMORIAL HERMANN HOSPITAL SYSTEM) or elevated readmission ratios — often exhibit higher rates of billing discrepancies. If you have received a bill from a hospital with mixed quality indicators, a line-by-line review against regional benchmarks can identify charges that may not align with the care actually delivered.

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Data from CMS Hospital Compare, HCAHPS Patient Survey, Hospital-Acquired Infection (HAI) reports, and Hospital Readmissions Reduction Program (HRRP). All data is publicly available.

Star ratings and quality measures are published by the Centers for Medicare & Medicaid Services (CMS). This page is for informational purposes only and does not constitute medical advice.

Frequently Asked Questions About MEMORIAL HERMANN HOSPITAL SYSTEM Quality

What is MEMORIAL HERMANN HOSPITAL SYSTEM's CMS star rating?

MEMORIAL HERMANN HOSPITAL SYSTEM has an overall CMS star rating of 3 out of 5, based on the Hospital Compare quality rating system. This rating incorporates patient experience, safety, readmission rates, mortality outcomes, and timely & effective care. Star ratings are updated annually by the Centers for Medicare & Medicaid Services.

How do patients rate MEMORIAL HERMANN HOSPITAL SYSTEM?

Patient satisfaction data for MEMORIAL HERMANN HOSPITAL SYSTEM is based on the HCAHPS patient survey, which measures experience across dimensions including nurse and doctor communication, staff responsiveness, and cleanliness. Detailed scores are available on this page.

Does MEMORIAL HERMANN HOSPITAL SYSTEM have higher-than-average readmission rates?

MEMORIAL HERMANN HOSPITAL SYSTEM's average excess readmission ratio is 1.06. A ratio above 1.0 means readmission rates are higher than the national average for the measured conditions. This hospital's readmission rate is above the national average. Source: CMS Hospital Readmissions Reduction Program.

How does MEMORIAL HERMANN HOSPITAL SYSTEM compare to other TX hospitals?

MEMORIAL HERMANN HOSPITAL SYSTEM's quality metrics, including star rating, patient satisfaction, readmission rates, and infection data, can be compared against other TX hospitals on this page. The state peers section shows the top-rated hospitals in TX for context.

Data sourced from CMS Hospital Compare and HCAHPS Patient Survey. All information is for educational purposes only.