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Tennessee Hospital Compliance - Detail

Surgery Patients Who Were Given an Antibiotic Within One Hour Before Surgery to Help Prevent Infection

Giving patients antibiotics right before surgery helps to boost the patient's ability to fight off contamination during surgery that could lead to infection. Studies show that patients given antibiotics either more than one hour before or after the first surgical incision is made experience higher rates of infection compared to those who are given antibiotics within one hour before surgery begins.

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Tennessee Hospitals with Low Compliance for this Procedure

Low compliance describes hospitals that followed this infection prevention procedure 79 percent of the time or less. The compliance level of hospitals which report a small number of cases (fewer than 25) should not be regarded as reliably predicting performance; these hospitals are displayed in italics and include Note 1. "Patients" is the number of patients for which data was submitted. The change columns describe the change in compliance and the change in the number of patients as compared to the previous quarter. Click the hospital names to access detailed information. The chart below lists hospitals in order based on the number of patients sampled (hospitals serving the largest number of patients first). You can re-sort the table by clicking on the table headers.

HospitalComplianceChangePatientsChangeNotes
14 of 115 total surgical sites.
[1] The number of cases is too small (fewer than 25) to reliably tell how well a hospital is performing.
[2] The hospital indicated that the data submitted for this measure were based on a sample of cases.
[3] Data was collected during a shorter time period (fewer quarters) than the maximum possible time for this measure (One quarter equals three months.)
[4] Inaccurate information submitted and suppressed for one or more quarters.
[5] No data is available from the hospital for this measure.
Cookeville Regional Medical Center79%+6.0%699-15
Cumberland Medical Center79%+6.0%187-52
Athens Regional Medical Center77%+4.0%83+2
Jackson-Madison County General Hospital77%+4.0%1717+102
Claiborne County Hospital74%-1.0%31-12
Lakeway Regional Hospital72%+8.0%130-102
Hardin Medical Center71%+1.0%62+1
Unicoi County Memorial Hospital71%+8.0%870
Dekalb Hospital68%+20.0%53-9
Sweetwater Hospital Association56%+2.0%4102
Gibson General Hospital (< 25)50%+50.0%2+11
Rhea Medical Center (< 25)50%0.0%4+21
Jamestown Regional Medical Center (< 25)40%0.0%501 and 2
Scott County Hospital (< 25)40%+7.0%5+21

Tennessee Hospitals with High Compliance for this Procedure

High compliance describes hospitals that followed this infection prevention procedure 95 percent of the time or more. The compliance level of hospitals which report a small number of cases (fewer than 25) should not be regarded as reliably predicting performance; these hospitals are displayed in italics and include Note 1. "Patients" is the number of patients for which data was submitted. The change columns describe the change in compliance and the change in the number of patients as compared to the previous quarter. Click the hospital names to access detailed information. The chart below lists hospitals in order based on the number of patients sampled (hospitals serving the largest number of patients first). You can re-sort the table by clicking on the table headers.

HospitalComplianceChangePatientsChangeNotes
44 of 115 total surgical sites.
[1] The number of cases is too small (fewer than 25) to reliably tell how well a hospital is performing.
[2] The hospital indicated that the data submitted for this measure were based on a sample of cases.
[3] Data was collected during a shorter time period (fewer quarters) than the maximum possible time for this measure (One quarter equals three months.)
[4] Inaccurate information submitted and suppressed for one or more quarters.
[5] No data is available from the hospital for this measure.
Baptist Memorial Hospital Tipton100%+3.0%30-6
Henderson County Community Hospital100%0.0%25+132
Livingston Regional Hospital100%0.0%46-1
Riverview Regional Medical Center North (< 25)100%0.0%21+31
St Mary's Medical Center of Campbell County (< 25)100%+33.0%1-21
Harton Regional Medical Center99%+4.0%162-112
Southern Hills Medical Ctr99%+1.0%165-192
University Medical Center99%+4.0%282+222
Hillside Hospital98%+1.0%61-52
Saint Francis Bartlett Medical Center98%-1.0%216+232
Skyline Medical Center98%+1.0%276-152
St Mary's Jefferson Memorial Hospital98%+1.0%119-72
St Mary's Medical Center, Inc98%0.0%1682+572
St Thomas Hospital98%+2.0%521+72
Takoma Regional Hospital98%-1.0%81-20
Baptist Memorial Hospital Union City97%+2.0%115+62
Fort Sanders Regional Medical Center97%+2.0%870-32
Fort Sanders Sevier Medical Center97%+2.0%183+142
Gateway Medical Center97%+1.0%546+17
Indian Path Medical Center97%-1.0%233-12
Johnson City Specialty Hospital97%-1.0%6202
Methodist Healthcare Memphis Hospitals97%0.0%786+3872
Methodist Medical Center of Oak Ridge97%0.0%802+272
Regional Hospital of Jackson97%+2.0%199-142
St Francis Hospital97%-1.0%479-102
Summit Medical Center97%+1.0%288-292
Volunteer Community Hospital97%-1.0%74-82
Wellmont Bristol Regional Medical Center97%0.0%319-72
Williamson Medical Center97%+2.0%239-92
Baptist Hospital96%0.0%480-142
Centennial Medical Center96%0.0%625-132
Northcrest Medical Center96%+1.0%159-92
Parkwest Medical Center96%0.0%1459-302
Roane Medical Center (< 25)96%+1.0%23-181
University of Tn Memorial Hospital96%+1.0%1158+372
Vanderbilt University Hospital96%+1.0%469+92
White County Community Hospital (< 25)96%+1.0%23+21 and 2
Crockett Hospital95%+7.0%57+62
Henry County Medical Center95%+3.0%371+52
Johnson City Medical Center95%+2.0%398+102
Lincoln Medical Center (< 25)95%+2.0%19+41
McNairy Regional Hospital (< 25)95%0.0%21-11 and 2
Stonecrest Medical Center95%-1.0%174+372
Sycamore Shoals Hospital95%0.0%116+22

All Tennessee Hospitals

This chart describes the infection prevention compliance rates for this procedure for all reporting hospitals in the state. This list also includes hospitals that did not submit any data to CMS for this procedure or do not have cause to perform this procedure. The compliance level of hospitals which report a small number of cases (fewer than 25) should not be regarded as reliably predicting performance; these hospitals are displayed in italics and include Note 1. "Patients" is the number of patients for which data was submitted. The change columns describe the change in compliance and the change in the number of patients as compared to the previous quarter. Click the hospital names to access detailed information and re-sort the table by clicking on the table headers.

HospitalComplianceChangePatientsChangeNotes
115 of 115 total surgical sites.
[1] The number of cases is too small (fewer than 25) to reliably tell how well a hospital is performing.
[2] The hospital indicated that the data submitted for this measure were based on a sample of cases.
[3] Data was collected during a shorter time period (fewer quarters) than the maximum possible time for this measure (One quarter equals three months.)
[4] Inaccurate information submitted and suppressed for one or more quarters.
[5] No data is available from the hospital for this measure.
Baptist Memorial Hospital Tipton100%+3.0%30-6
Henderson County Community Hospital100%0.0%25+132
Livingston Regional Hospital100%0.0%46-1
Riverview Regional Medical Center North (< 25)100%0.0%21+31
St Mary's Medical Center of Campbell County (< 25)100%+33.0%1-21
Harton Regional Medical Center99%+4.0%162-112
Southern Hills Medical Ctr99%+1.0%165-192
University Medical Center99%+4.0%282+222
Hillside Hospital98%+1.0%61-52
Saint Francis Bartlett Medical Center98%-1.0%216+232
Skyline Medical Center98%+1.0%276-152
St Mary's Jefferson Memorial Hospital98%+1.0%119-72
St Mary's Medical Center, Inc98%0.0%1682+572
St Thomas Hospital98%+2.0%521+72
Takoma Regional Hospital98%-1.0%81-20
Baptist Memorial Hospital Union City97%+2.0%115+62
Fort Sanders Regional Medical Center97%+2.0%870-32
Fort Sanders Sevier Medical Center97%+2.0%183+142
Gateway Medical Center97%+1.0%546+17
Indian Path Medical Center97%-1.0%233-12
Johnson City Specialty Hospital97%-1.0%6202
Methodist Healthcare Memphis Hospitals97%0.0%786+3872
Methodist Medical Center of Oak Ridge97%0.0%802+272
Regional Hospital of Jackson97%+2.0%199-142
St Francis Hospital97%-1.0%479-102
Summit Medical Center97%+1.0%288-292
Volunteer Community Hospital97%-1.0%74-82
Wellmont Bristol Regional Medical Center97%0.0%319-72
Williamson Medical Center97%+2.0%239-92
Baptist Hospital96%0.0%480-142
Centennial Medical Center96%0.0%625-132
Northcrest Medical Center96%+1.0%159-92
Parkwest Medical Center96%0.0%1459-302
Roane Medical Center (< 25)96%+1.0%23-181
University of Tn Memorial Hospital96%+1.0%1158+372
Vanderbilt University Hospital96%+1.0%469+92
White County Community Hospital (< 25)96%+1.0%23+21 and 2
Crockett Hospital95%+7.0%57+62
Henry County Medical Center95%+3.0%371+52
Johnson City Medical Center95%+2.0%398+102
Lincoln Medical Center (< 25)95%+2.0%19+41
McNairy Regional Hospital (< 25)95%0.0%21-11 and 2
Stonecrest Medical Center95%-1.0%174+372
Sycamore Shoals Hospital95%0.0%116+22
Baptist Memorial Hospital94%+1.0%465+422
Delta Medical Center94%+6.0%149+1
Parkridge Medical Center94%+3.0%502-122
Southern Tennessee Medical Center94%-1.0%155-26
Grandview Medical Center93%-2.0%28-15
Horizon Medical Center93%-1.0%120-62
Maury Regional Hospital93%+7.0%384+92
Dyersburg Regional Medical Center92%0.0%59-72
Fort Loudoun Medical Center (< 25)92%+7.0%12-11 and 2
Jellico Community Hospital92%+11.0%25+9
Methodist Healthcare Fayette Hospital (< 25)92%0.0%12-11 and 3
Milan General Hospital (< 25)92%+2.0%13-71
Baptist Hospital of Cocke County (< 25)91%+27.0%1101
Baptist Memorial Hospital Huntingdon (< 25)91%0.0%2301
Blount Memorial Hospital91%+3.0%33502
Erlanger Medical Center91%0.0%337-22
Hendersonville Medical Center91%-2.0%176-62
Middle Tennessee Medical Center Inc91%0.0%628-162
Laughlin Memorial Hospital, Inc90%-2.0%214+16
Memorial Healthcare System, Inc90%+5.0%2089-932
Wellmont Holston Valley Medical Center89%+7.0%422-72
Wellmont Hawkins County Memorial Hospital88%+6.0%67+72
Heritage Medical Center87%+1.0%46-42
Sumner Regional Medical Center86%+1.0%250-8
Metro Nashville General Hospital85%-2.0%123-182
River Park Hospital84%-2.0%96-42
Stones River Hospital84%+6.0%32+92
Morristown Hamblen Hospital Association83%+4.0%236+92
Regional Medical Center at Memphis83%+4.0%206-2
Skyridge Medical Center83%+7.0%179+22
Baptist Hospital West82%+10.0%331+48
Woods Memorial Hospital80%+9.0%49+7
Cookeville Regional Medical Center79%+6.0%699-15
Cumberland Medical Center79%+6.0%187-52
Athens Regional Medical Center77%+4.0%83+2
Jackson-Madison County General Hospital77%+4.0%1717+102
Claiborne County Hospital74%-1.0%31-12
Lakeway Regional Hospital72%+8.0%130-102
Hardin Medical Center71%+1.0%62+1
Unicoi County Memorial Hospital71%+8.0%870
Dekalb Hospital68%+20.0%53-9
Sweetwater Hospital Association56%+2.0%4102
Gibson General Hospital (< 25)50%+50.0%2+11
Rhea Medical Center (< 25)50%0.0%4+21
Jamestown Regional Medical Center (< 25)40%0.0%501 and 2
Scott County Hospital (< 25)40%+7.0%5+21
Baptist Memorial Hospital LauderdaleN/AN/AN/AN/A5
Baptist Rehabilitation GermantownN/AN/AN/AN/A5
Bolivar General HospitalN/AN/AN/AN/A5
Camden General HospitalN/AN/AN/AN/A5
Centennial Medical Center of Ashland CityN/AN/AN/AN/A5
Copper Basin Medical CenterN/AN/AN/AN/A5
Cumberland River HospitalN/AN/AN/AN/A5
Decatur County General Hospital (< 25)N/AN/A003
Haywood Park Community HospitalN/AN/AN/AN/A5
Healthsouth Chattanooga Rehab HospitalN/AN/AN/AN/A5
Hickman Community Health ServicesN/AN/AN/AN/A5
Humboldt General Hospital Inc (< 25)N/AN/A003
Marshall Medical CenterN/AN/AN/AN/A5
McKenzie Regional Hospital (< 25)N/AN/A0-12 and 3
Medical Center of Manchester (< 25)N/AN/A003
Northside HospitalN/AN/AN/AN/A5
Patients' Choice Medical Center of ErinN/AN/AN/AN/A5
Perry Community HospitalN/AN/AN/AN/A5
Riverview Regional Medical Center SouthN/AN/AN/AN/A5
Rolling Hills Nashville Rehab HospitalN/AN/AN/AN/A5
The Center For Spinal Surgery (< 25)N/AN/A002 and 3
Trousdale Medical CenterN/AN/AN/AN/A5
United Regional Medical Center (< 25)N/AN/A003
Wayne Medical CenterN/AN/AN/AN/A5
Wellmont Hancock County HospitalN/AN/AN/AN/A5