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University of Texas Health Science Center at Tyler
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Hospital Overall Rating:4 / 5
CMS Quality Score:79.84 / 100
partial

University of Texas Health Science Center at Tyler

Last updated on July 2026
Acute Care Hospitals
TexasTyler
Birthing Friendly:
Emergency Service:

University of Texas Health Science Center at Tyler, located at 11937 Us Highway 271, Tyler, TX 75708. As a acute care hospitals with 24/7 emergency services. CMS Hospital Overall Rating: 4 out of 5.

NPI Number:1003104605
Ownership:Government - State
Hospital Type:Acute Care Hospitals
Address:11937 Us Highway 271, Tyler, TX 75708, USA
Phone:+1 903-877-7777
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University of Texas Health Science Center at Tyler Doctors
NURSE PRACTITIONER Doctors (22)
STEPHANIE BENNETT
STEPHANIE BENNETT
NPI: 1437786035
Graduation Year: 2019
SHANE CORREA
SHANE CORREA (NP)
NPI: 1255801189
Graduation Year: 2018
APRIL COURSEY
APRIL COURSEY (NP)
NPI: 1154788941
Graduation Year: 2015
JARED CROOK
JARED CROOK (NP)
NPI: 1417420498
Graduation Year: 2018
FAMILY PRACTICE Doctors (19)
JESSICA BRACKS
JESSICA BRACKS (MD)
NPI: 1275982589
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year: 2016
KENYA ETIM
KENYA ETIM (MD)
NPI: 1124061817
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduation Year: 2000
ADAM HERTEL
ADAM HERTEL (MD)
NPI: 1629480017
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduation Year: 2014
LEO HOLM
LEO HOLM (MD)
NPI: 1104815125
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduation Year: 1997
INTERNAL MEDICINE Doctors (16)
LAZEL AUGUSTUS
LAZEL AUGUSTUS (MD)
NPI: 1215008537
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year: 1997
CLARENCE BROWN
CLARENCE BROWN (MD)
NPI: 1538273180
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduation Year: 1981
ARNULFO DUARTE
ARNULFO DUARTE (DO)
NPI: 1053933416
Graduation Year: 2020
FARZAD FAKOURI
FARZAD FAKOURI (MD)
NPI: 1043408495
Graduation Year: 1993
DIAGNOSTIC RADIOLOGY Doctors (7)
BRANDON ASHTON
BRANDON ASHTON (MD)
NPI: 1164780524
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year: 2012
CLETUS FUHRMANN
CLETUS FUHRMANN (MD)
NPI: 1497118665
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduation Year: 2016
JOHN LARRINAGA
JOHN LARRINAGA (MD)
NPI: 1275507204
UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduation Year: 1988
DOUGLAS MACHA
DOUGLAS MACHA (MD)
NPI: 1316903982
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year: 1999
PSYCHIATRY Doctors (6)
DAVID AUGUST
DAVID AUGUST
NPI: 1477700185
Graduation Year: 1987
SAAD NAZIR
SAAD NAZIR (MD)
NPI: 1548830052
Graduation Year: 2015
JOHN POGUE
JOHN POGUE (MD)
NPI: 1225068695
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduation Year: 1991
BRANDON RILEY
BRANDON RILEY (MD)
NPI: 1033478961
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year: 2012
University of Texas Health Science Center at Tyler Departments
ALLERGY/IMMUNOLOGY
CARDIAC ELECTROPHYSIOLOGY
CARDIAC SURGERY
CARDIOVASCULAR DISEASE (CARDIOLOGY)
CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
CLINICAL PSYCHOLOGIST
CRITICAL CARE (INTENSIVISTS)
DIAGNOSTIC RADIOLOGY
EMERGENCY MEDICINE
ENDOCRINOLOGY
FAMILY PRACTICE
GASTROENTEROLOGY
GENERAL SURGERY
HEMATOLOGY/ONCOLOGY
INFECTIOUS DISEASE
INTERNAL MEDICINE
INTERVENTIONAL CARDIOLOGY
NEUROLOGY
Healthcare-Associated Infections (HAI)
Reporting Period: 10/01/2024 – 09/30/2025
Want to understand this data? What is HAI & the SIR Score? →
SIR Overview — values below 1.0 indicate fewer infections than expected (green = better, red = worse). (ⓘ = See glossary)
CLABSI
Central Line Associated Bloodstream Infection (CLABSI)
No Different than National Benchmark
SIR 1.936 (0.325 – 6.397)
Observed 2
Eligible Cases 1
Days / Procedures 1,220
C.diff
Clostridium Difficile (C.diff) Infections (CDI)
No Different than National Benchmark
SIR 0.000 (0.000 – 2.951)
Observed 0
Eligible Cases 1
Days / Procedures 4,873
Patient Experience Survey (HCAHPS)
Reporting Period: 10/01/2024 – 09/30/2025
142 completed surveys 17% response rate
Overall Rating
5/5
Want to understand this data? What is the HCAHPS Survey? →
Category Ratings Overview
Nurse Communication
5/5
Nurses "always" communicated well
Hospital
85%
TX Avg
80%
US Avg
80%
Nurses "sometimes" or "never" communicated well
Hospital
1%
TX Avg
4%
US Avg
4%
Nurses "usually" communicated well
Hospital
14%
TX Avg
16%
US Avg
16%
Doctor Communication
5/5
Doctors "always" communicated well
Hospital
87%
TX Avg
80%
US Avg
80%
Doctors "sometimes" or "never" communicated well
Hospital
3%
TX Avg
5%
US Avg
5%
Doctors "usually" communicated well
Hospital
10%
TX Avg
15%
US Avg
15%
Communication About Medicines
4/5
Staff "always" explained
Hospital
68%
TX Avg
63%
US Avg
62%
Staff "sometimes" or "never" explained
Hospital
18%
TX Avg
19%
US Avg
19%
Staff "usually" explained
Hospital
14%
TX Avg
18%
US Avg
19%
Discharge Information
5/5
Yes, staff "did" give patients this information
Hospital
95%
TX Avg
86%
US Avg
87%
No, staff "did not" give patients this information
Hospital
5%
TX Avg
14%
US Avg
13%
Cleanliness of Hospital
4/5
Room was "always" clean
Hospital
76%
TX Avg
77%
US Avg
74%
Room was "sometimes" or "never" clean
Hospital
5%
TX Avg
7%
US Avg
9%
Room was "usually" clean
Hospital
19%
TX Avg
16%
US Avg
17%
Quietness of Hospital
4/5
"Always" quiet at night
Hospital
66%
TX Avg
67%
US Avg
60%
"Sometimes" or "never" quiet at night
Hospital
4%
TX Avg
7%
US Avg
10%
"Usually" quiet at night
Hospital
30%
TX Avg
26%
US Avg
30%
Overall Hospital Rating
5/5
Patients who gave a rating of "9" or "10" (high)
Hospital
78%
TX Avg
74%
US Avg
72%
Patients who gave a rating of "7" or "8" (medium)
Hospital
17%
TX Avg
18%
US Avg
20%
Patients who gave a rating of "6" or lower (low)
Hospital
5%
TX Avg
8%
US Avg
8%
Recommend the Hospital
5/5
"YES", patients would definitely recommend the hospital
Hospital
81%
TX Avg
73%
US Avg
71%
"YES", patients would probably recommend the hospital
Hospital
16%
TX Avg
21%
US Avg
23%
"NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)
Hospital
3%
TX Avg
6%
US Avg
6%
Complications & Deaths
Reporting Period: 04/01/2023 – 03/31/2025
Want to understand this data? Complications & Deaths Guide →
30-Day Mortality Rates
Hover over a bar or Y-axis label to see the full definition.
MeasureScore 95% CI Cases vs. National
Death rate for heart failure patients MORT_30_HF11.77.9 – 16.945 Average
Death rate for pneumonia patients MORT_30_PN1510.4 – 21.272 Average
Complications
Hover over a bar or Y-axis label to see the full definition.
MeasureScore 95% CI Cases vs. National
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateHybrid_HWM4.23.1 – 5.5231 Average
Patient Safety Indicators (PSI)
Hover over a bar or Y-axis label to see the full definition.
MeasureScore 95% CI Cases vs. National
Pressure ulcer ratePSI_030.570 – 1.86342 Average
Iatrogenic pneumothorax ratePSI_060.210 – 0.44453 Average
In-hospital fall-associated fracture ratePSI_080.270.05 – 0.49467 Average
Timely & Effective Care
Reporting Period: 01/01/2024 – 12/31/2024
Want to understand this data? Timely & Effective Care Guide →
Colonoscopy care
MeasureScore
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients OP_2998
Electronic Clinical Quality Measure
MeasureScore
Hospital Harm - Severe Hypoglycemia HH_HYPO1
Hospital Harm - Opioid Related Adverse Events HH_ORAE0
Safe Use of Opioids - Concurrent Prescribing SAFE_USE_OF_OPIOIDS13
Venous Thromboembolism ProphylaxisVTE_196
Emergency Department
MeasureScore
Emergency department volumeEDVlow
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better OP_18a168
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better OP_18b153
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better OP_18c309
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better OP_18d416
Left before being seen OP_221
Healthcare Personnel Vaccination
MeasureScore
Healthcare workers given influenza vaccination IMM_393
Sepsis Care
MeasureScore
Appropriate care for severe sepsis and septic shock SEP_177
Severe Sepsis 3-Hour BundleSEV_SEP_3HR93
Severe Sepsis 6-Hour BundleSEV_SEP_6HR95
Unplanned Hospital Visits
Reporting Period: 07/01/2022 – 06/30/2025
Want to understand this data? Hospital Readmissions (HRRP) Guide →
Excess Days in Acute Care (EDAC)
Hover over a bar or Y-axis label to see the full definition.
MeasureScore US Avg 95% CI Cases vs. National
Hospital return days for heart failure patients EDAC_30_HF51 fewer119 avg51 more-11.2—-40 – 24.643 Average
Hospital return days for pneumonia patients EDAC_30_PN56 fewer124 avg84 more-56.6—-69.9 – -41.959 Better
Unplanned Readmissions
Hover over a bar or Y-axis label to see the full definition.
MeasureScore US Avg 95% CI Cases vs. National
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients READM_30_COPD0 better175 avg0 worse19.118.216.3 – 22.7— Average
Heart failure (HF) 30-Day Readmission Rate READM_30_HF3 better218 avg0 worse20.919.717.9 – 24.4— Average
Pneumonia (PN) 30-Day Readmission Rate READM_30_PN0 better263 avg1 worse16.31613.9 – 18.9— Average
Outpatient Unplanned Returns
Hover over a bar or Y-axis label to see the full definition.
MeasureScore US Avg 95% CI Cases vs. National
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)OP_321 better237 avg0 worse13.1139.9 – 17.4— Average
Rate of inpatient admissions for patients receiving outpatient chemotherapyOP_35_ADM0 better54 avg1 worse11.510.79.1 – 14.3— Average
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyOP_35_ED0 better55 avg0 worse4.95.43.6 – 6.7— Average
Outpatient Imaging Efficiency
07/01/2024 — 06/30/2025
Lower percentages indicate fewer unnecessary or redundant imaging tests — this generally means better, more efficient care.
Want to understand this data? Medical Imaging Efficiency Guide →
Score Overview (% of patients)
OP-10
7.1%
Abdomen CT Use of Contrast Material
Outpatient CT scans of the abdomen that were "combination" (double) scans.
Above national benchmark
OP-39
12.3%
Breast Cancer Screening Recall Rates
Percentage of screening mammograms that result in a recommendation for additional imaging.
Above national benchmark
Hospital Readmissions Reduction Program (HRRP)
07/01/2021 — 06/30/2024
The Excess Readmission Ratio (ERR) compares a hospital's actual 30-day readmission rate to its expected rate for similar patients. ERR < 1.0 = fewer readmissions than expected (better). ERR > 1.0 = more than expected (CMS penalty may apply).
Want to understand this data? Hospital Readmissions (HRRP) Guide →
Excess Readmission Ratio by Condition — reference line at 1.0 (national expectation)
2
Better than expected
1
About average
0
Above expected
Condition
ERR
Predicted %
Expected %
Discharges
Status
COPD
READM-30-COPD-HRRP
0.9925
18.53%
18.67%
—
Average
Heart Failure
READM-30-HF-HRRP
0.9704
17.56%
18.09%
—
Better
Pneumonia
READM-30-PN-HRRP
0.9634
15.04%
15.61%
—
Better
Footnote codes: 1, 5. Refer to CMS HRRP methodology for details.
Hospital-Acquired Condition Reduction Program (HAC)
Fiscal Year 2026
Want to understand this data? Hospital-Acquired Conditions (HAC) Guide →
No Medicare Payment Reduction
This hospital did not receive a CMS payment penalty for hospital-acquired conditions in this fiscal year.
Total HAC Score
-0.8903
Negative = fewer HACs than expected (better)
−20+2
PSI-90 Composite
N/A
Patient Safety Indicator — < 1.0 = fewer complications than expected
Infection Type
SIR
W Z-Score
Status
The HAC Reduction Program penalizes hospitals in the worst-performing quartile with a 1% reduction in all Medicare payments for the fiscal year. The Total HAC Score combines PSI-90 (patient safety) and HAI (infection) data. Lower scores = better performance.
Hospital Value-Based Purchasing Program (VBP)
Fiscal Year 2026
Want to understand this data? Value-Based Purchasing (VBP) Guide →
Total Performance Score
33.44 / 100
Average Performer
0255075100
Higher score = better value-based performance
Weighted Domain Scores — each domain contributes up to 25 points
Domain
Unweighted Score
Weighted Score
Contribution
The Hospital Value-Based Purchasing (VBP) Program adjusts Medicare payments based on a hospital's performance across four domains: Clinical Outcomes, Patient & Community Engagement, Safety, and Efficiency & Cost Reduction. Hospitals with higher scores receive payment increases; lower scores result in reductions.
Data Provenance & Trust

This hospital profile and associated quality metrics are compiled directly from the official U.S. Centers for Medicare & Medicaid Services (CMS) Provider Data infrastructure. The information is automatically synchronized to reflect the most current public datasets available.

Primary DataSource: CMS.gov Provider Data Catalog
Medical Disclaimer: Hospital Data Center is a health data aggregator, not a healthcare provider. All scores, including the composite Quality Score, are algorithmic transformations of CMS datasets intended for research and comparison. They do not constitute medical advice.