CHI St. Luke’s Health – Lakeside Hospital Recognized for High-Quality Care

By: CHI St. Luke's Health Staff
| Published 05/06/2019


THE WOODLANDS, TX -- CHI St. Luke’s Health – Lakeside Hospital, located in The Woodlands, TX, was awarded the TMF Hospital Quality Improvement Gold Award from TMF® Health Quality Institute. The TMF Hospital Quality Improvement Award program is sponsored by TMF, the Arkansas Hospital Association, Oklahoma Hospital Association, Oklahoma State Office of Rural Health, Texas Hospital Association and Texas Organization of Rural and Community Hospitals. It recognizes hospitals in Arkansas, Missouri, Oklahoma and Texas that have undertaken quality initiatives to improve outcomes in patient care and improve their performance on specific national quality measures. This program was established in 2004 as a non-competitive recognition program designed to identify exemplary outcomes achieved by hospitals.

The 2019 TMF Hospital Quality Improvement Award program is based on achievements in 2017 and 2018. It honors hospitals that are performing quality initiatives aimed at improving outcomes in patient care by recognizing those hospitals that have improved their performance on specific national quality measures.

“Our hospital staff is committed to providing the highest quality care to our patients and their unwavering commitment is what made this incredible achievement possible,” said Jim Parisi, President of CHI St. Luke’s Health – The Woodlands, Lakeside and Springwoods Village Hospitals. “We are honored to receive this award and look forward to continuing to serve the North Houston community with compassionate care.”

Out of 557 Inpatient Prospective Payment System (IPPS or Acute Care) Hospitals and 188 Critical Access Hospitals (CAH), 51 earned the TMF Hospital Quality Improvement Gold Award. The Silver Award went to 50 hospitals, and 51 hospitals earned the Bronze Award.

“TMF is proud to recognize these hospitals for promoting quality improvement activities and their senior management for promoting a quality culture,” said Tom Manley, CEO of TMF Health Quality Institute. “Quality improvement is a complex and demanding process, and we thank CHI St. Luke’s Health – Lakeside Hospital for their commitment to improving the health of patients and the efficiency of health care.”

For the award evaluation, IPPS hospitals were separated into two groups – those eligible for value-based purchasing (VBP) and Critical Access Hospitals or those not eligible for VBP, as defined by the Centers for Medicare & Medicaid Services (CMS).

To earn the Gold Award, a Prospective Payment System VBP-eligible hospital had to meet CY 2016 CMS VBP achievement thresholds for 85 percent of the eligible measures and was required to meet the CY 2016 achievement thresholds for at least 75 percent of submitted chart-abstracted Outpatient Quality Reporting (OQR) measures. In addition, Gold Award winners had to demonstrate 15-percent relative improvement in reduction of readmissions during the award evaluation period, or an absolute readmissions rate of 5 percent or less.

The evaluation for IPPS hospitals not eligible for VBP was based on the Inpatient Quality Reporting (IQR), as well as Outpatient Quality Reporting (OQR) measures and readmission rates.

Gold Award winners had to report at least one measure set for both IQR and OQR programs during the hospital award measurement period (Q2 2016 through Q3 2017) and attain a 20-percent relative improvement from baseline to re-measurement period for readmissions, or an absolute readmissions rate of 5 percent or less.

For more information on the awards program, see the TMF Health Quality Institute awards website at

About Catholic Health Initiatives

CHI St. Luke’s Health is a part of Catholic Health Initiatives (CHI), one of the nation’s largest health systems. Headquartered in Englewood, Colorado, CHI operates in 17 states and comprises 100 hospitals, including three academic health centers and major teaching hospitals; 30 critical-access facilities; community health-services organizations; accredited nursing colleges; home-health agencies; and other facilities and services that span the inpatient and outpatient continuum of care. Learn more at

About the CHI Texas Division

The CHI Texas Division, a member of Catholic Health Initiatives (CHI), is comprised of three markets?CHI St. Luke’s Health (CHI St. Luke’s) is home of the Texas Heart® Institute (THI), eight hospitals, eight emergency centers, Diagnostic & Treatment Center, Radiation & CyberKnife® Center, and numerous Baylor St. Luke’s Medical Group locations throughout Greater Houston; CHI St. Luke’s Health Memorial (three hospitals and a long-term acute care facility in East Texas); and CHI St. Joseph Health (five hospitals and several St. Joseph Medical Group locations across Brazos Valley). In addition, CHI St. Luke’s is a part of a joint venture agreement with Baylor College of Medicine®, which encompasses Baylor St. Luke’s Medical Center, the flagship facility and academic medical center of CHI St. Luke’s, in the Texas Medical Center. Together, CHI St. Luke’s, THI, and Baylor College of Medicine are transforming healthcare delivery with a mission to usher in a new era of healthcare to create healthier communities. For more information, visit

About CHI St. Luke's Health – The Woodlands Hospital

The Woodlands Hospital provides high quality, compassionate care for residents of The Woodlands and surrounding areas. It is a 242-bed hospital that offers the latest in diagnostic, medical and surgical services, including cardiology, neurosciences and stroke care, orthopedics, bariatrics, wound care, rehabilitation, surgery, women's health and emergency care.

About TMF
TMF Health Quality Institute focuses on improving lives by improving the quality of health care through contracts with federal, state and local governments, as well as private organizations. For more than 45 years, TMF has helped health care providers and practitioners in a variety of settings improve care for their patients.

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