Houston recognized among the best hospital cities in the nation

just what the doctor ordered

Houston, home to the largest medical center in the world, was ranked among the best cities for health care in the country. Photo by Dwight C. Andrews/Greater Houston Convention and Visitors Bureau

As home to Texas Medical Center — the world's largest medical complex — it stands to reason that Houston ranks among the country's best cities for health care. A new study bolsters that notion, but it also points out that several health care measures in Houston need some TLC.

The study, conducted by digital health care provider Medbelle, ranks Houston as the ninth best "hospital city" in the United States. Medbelle sifted through data in three categories (health care infrastructure, quality of health care and access to health care) to develop the ranking. Within those categories, Medbelle examined factors like quality of medical education, number of hospital beds, shortage of nurses, efficiency of cancer treatment, and prevalence of mental health specialists.

"Houston is known internationally as the home of one of the best medical communities in the world," the City of Houston declares.

In the Medbelle study, Boston landed at No. 1 in the U.S.; Tokyo took the global crown. At No. 13, Dallas was the only other Texas city to earn a place on the U.S. list.

Medbelle says it compiled the ranking to highlight regional hospital "ecosystems" rather than specific hospitals. The Houston area has more than 85 hospitals.

Houston's hospital ecosystem scored 94.92 out of 100, yet sits in next-to-last place for access to health care (48.83 out of 100), Medbelle notes. Daniel Kolb, co-founder and managing director of Medbelle, says this means that while Houston enjoys one of the best medical infrastructures in the world, a relatively small percentage of people in the region can take advantage of it.

In 2018, nearly 1 in 5 residents of the Houston area (18.6 percent) lacked health insurance, the U.S. Census Bureau says. That's the highest rate of uninsured residents among the country's 25 most populous metro areas. Affordability and availability continue to exacerbate the health insurance predicament in Houston and around the country.

"The single biggest issue in health care for most Americans is that their health costs are growing much faster than their wages are," Drew Altman, president of the Kaiser Family Foundation, says in a release. "Costs are prohibitive when workers making $25,000 a year have to shell out $7,000 a year just for their share of family premiums."

For those who can afford medical care, the Houston area boasts some of the best hospitals in the U.S. MD Anderson Cancer Center reigns as the country's top cancer hospital, for instance.

In May, The Leapfrog Group, a nonprofit representing large employers in the U.S., assigned its highest grade — "A" — to these nine hospitals in the Houston area:

  • HCA Houston Healthcare (Kingwood)
  • Houston Methodist Hospital
  • Houston Methodist Sugar Land Hospital
  • Houston Methodist West Hospital
  • Houston Methodist Willowbrook Hospital
  • Memorial Hermann Memorial City Medical Center
  • Memorial Hermann The Woodlands Hospital
  • Tomball Regional Medical Center
  • West Houston Medical Center

From another perspective, U.S. News & World Report ranks Houston Methodist Hospital as the best hospital in the Houston area, followed by Baylor St. Luke's Medical Center, Memorial Hermann Greater Heights Hospital, Memorial Hermann-Texas Medical Center, and Houston Methodist Sugar Land Hospital.

Meanwhile, Houston-area physicians hold Texas Children's Hospital West Campus in the highest regard among the region's hospitals, trailed by Houston Methodist West Hospital, MD Anderson Cancer Center, Texas Children's Hospital, and Children's Memorial Hermann Hospital.
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Houston doctor wins NIH grant to test virtual reality for ICU delirium

Virtual healing

Think of it like a reverse version of The Matrix. A person wakes up in a hospital bed and gets plugged into a virtual reality game world in order to heal.

While it may sound far-fetched, Dr. Hina Faisal, a Houston Methodist critical care specialist in the Department of Surgery, was recently awarded a $242,000 grant from the National Institute of Health to test the effects of VR games on patients coming out of major surgery in the intensive care unit (ICU).

The five-year study will focus on older patients using mental stimulation techniques to reduce incidences of delirium. The award comes courtesy of the National Institute on Aging K76 Paul B. Beeson Emerging Leaders Career Development Award in Aging.

“As the population of older adults continues to grow, the need for effective, scalable interventions to prevent postoperative complications like delirium is more important than ever,” Faisal said in a news release.

ICU delirium is a serious condition that can lead to major complications and even death. Roughly 87 percent of patients who undergo major surgery involving intubation will experience some form of delirium coming out of anesthesia. Causes can range from infection to drug reactions. While many cases are mild, prolonged ICU delirium may prevent a patient from following medical advice or even cause them to hurt themselves.

Using VR games to treat delirium is a rapidly emerging and exciting branch of medicine. Studies show that VR games can help promote mental activity, memory and cognitive function. However, the full benefits are currently unknown as studies have been hampered by small patient populations.

Faisal believes that half of all ICU delirium cases are preventable through VR treatment. Currently, a general lack of knowledge and resources has been holding back the advancement of the treatment.

Hopefully, the work of Faisal in one of the busiest medical cities in the world can alleviate that problem as she spends the next half-decade plugging patients into games to aid in their healing.

Houston scientists develop breakthrough AI-driven process to design, decode genetic circuits

biotech breakthrough

Researchers at Rice University have developed an innovative process that uses artificial intelligence to better understand complex genetic circuits.

A study, published in the journal Nature, shows how the new technique, known as “Combining Long- and Short-range Sequencing to Investigate Genetic Complexity,” or CLASSIC, can generate and test millions of DNA designs at the same time, which, according to Rice.

The work was led by Rice’s Caleb Bashor, deputy director for the Rice Synthetic Biology Institute and member of the Ken Kennedy Institute. Bashor has been working with Kshitij Rai and Ronan O’Connell, co-first authors on the study, on the CLASSIC for over four years, according to a news release.

“Our work is the first demonstration that you can use AI for designing these circuits,” Bashor said in the release.

Genetic circuits program cells to perform specific functions. Finding the circuit that matches a desired function or performance "can be like looking for a needle in a haystack," Bashor explained. This work looked to find a solution to this long-standing challenge in synthetic biology.

First, the team developed a library of proof-of-concept genetic circuits. It then pooled the circuits and inserted them into human cells. Next, they used long-read and short-read DNA sequencing to create "a master map" that linked each circuit to how it performed.

The data was then used to train AI and machine learning models to analyze circuits and make accurate predictions for how untested circuits might perform.

“We end up with measurements for a lot of the possible designs but not all of them, and that is where building the (machine learning) model comes in,” O’Connell explained in the release. “We use the data to train a model that can understand this landscape and predict things we were not able to generate data on.”

Ultimately, the researchers believe the circuit characterization and AI-driven understanding can speed up synthetic biology, lead to faster development of biotechnology and potentially support more cell-based therapy breakthroughs by shedding new light on how gene circuits behave, according to Rice.

“We think AI/ML-driven design is the future of synthetic biology,” Bashor added in the release. “As we collect more data using CLASSIC, we can train more complex models to make predictions for how to design even more sophisticated and useful cellular biotechnology.”

The team at Rice also worked with Pankaj Mehta’s group in the department of physics at Boston University and Todd Treangen’s group in Rice’s computer science department. Research was supported by the National Institutes of Health, Office of Naval Research, the Robert J. Kleberg Jr. and Helen C. Kleberg Foundation, the American Heart Association, National Library of Medicine, the National Science Foundation, Rice’s Ken Kennedy Institute and the Rice Institute of Synthetic Biology.

James Collins, a biomedical engineer at MIT who helped establish synthetic biology as a field, added that CLASSIC is a new, defining milestone.

“Twenty-five years ago, those early circuits showed that we could program living cells, but they were built one at a time, each requiring months of tuning,” said Collins, who was one of the inventors of the toggle switch. “Bashor and colleagues have now delivered a transformative leap: CLASSIC brings high-throughput engineering to gene circuit design, allowing exploration of combinatorial spaces that were previously out of reach. Their platform doesn’t just accelerate the design-build-test-learn cycle; it redefines its scale, marking a new era of data-driven synthetic biology.”