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Tennessee Hospital Compliance - Detail

Surgery Patients Who Were Given the Right Kind of Antibiotic to Help Prevent Infection

Choosing the appropriate antibiotic is critical because it must be effective in preventing infections caused by bacteria likely to be present around the surgical site. Antibiotic selection therefore varies depending on the type of surgery. Guidelines for appropriate antibiotic selection have been developed by the CDC.

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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
9 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.
Heritage Medical Center79%+2.0%47-52
Regional Medical Center at Memphis73%+9.0%198-2
River Park Hospital61%-6.0%93-52
Jamestown Regional Medical Center (< 25)60%0.0%501 and 2
Stones River Hospital59%+16.0%32+92
Methodist Healthcare Fayette Hospital (< 25)58%-4.0%12-11 and 3
Rhea Medical Center (< 25)50%0.0%4+21
Gibson General Hospital (< 25)0%0.0%2+11
Humboldt General Hospital Inc (< 25)0%0.0%101 and 3

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
58 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.
Fort Loudoun Medical Center (< 25)100%0.0%11-11 and 2
Grandview Medical Center100%+2.0%28-15
Henderson County Community Hospital100%0.0%25+132
McNairy Regional Hospital (< 25)100%+5.0%21-11 and 2
Roane Medical Center (< 25)100%+5.0%24-181
St Mary's Medical Center of Campbell County (< 25)100%+25.0%3-11
Takoma Regional Hospital100%+3.0%81-21
Wellmont Hawkins County Memorial Hospital100%0.0%67+72
Gateway Medical Center99%0.0%555+21
Henry County Medical Center99%+1.0%373+32
Laughlin Memorial Hospital, Inc99%0.0%214+13
Southern Hills Medical Ctr99%+1.0%165-182
St Mary's Jefferson Memorial Hospital99%+1.0%120-72
St Mary's Medical Center, Inc99%0.0%1692+592
Vanderbilt University Hospital99%0.0%479+132
Baptist Hospital98%+1.0%490-142
Crockett Hospital98%+8.0%56+52
Fort Sanders Regional Medical Center98%0.0%880-32
Harton Regional Medical Center98%+1.0%166-122
Hendersonville Medical Center98%+1.0%177-62
Johnson City Specialty Hospital98%+1.0%60-12
Memorial Healthcare System, Inc98%0.0%2119-942
Morristown Hamblen Hospital Association98%+1.0%237+92
Parkwest Medical Center98%0.0%1463-312
Skyline Medical Center98%0.0%279-172
St Thomas Hospital98%-1.0%527+72
Summit Medical Center98%+2.0%295-272
Sumner Regional Medical Center98%+1.0%244-6
University Medical Center98%0.0%284+222
University of Tn Memorial Hospital98%+1.0%1173+312
Woods Memorial Hospital98%+3.0%48+7
Baptist Memorial Hospital97%+4.0%467+412
Blount Memorial Hospital97%-1.0%33402
Delta Medical Center97%+1.0%151+1
Erlanger Medical Center97%0.0%346-32
Fort Sanders Sevier Medical Center97%-1.0%185+162
Indian Path Medical Center97%-1.0%233-22
Johnson City Medical Center97%+2.0%412+142
Methodist Medical Center of Oak Ridge97%0.0%808+202
Middle Tennessee Medical Center Inc97%-1.0%619-202
Parkridge Medical Center97%+1.0%513-142
Stonecrest Medical Center97%0.0%174+382
Baptist Hospital West96%+1.0%329+48
Baptist Memorial Hospital Huntingdon (< 25)96%+5.0%2301
Centennial Medical Center96%0.0%634-142
Dyersburg Regional Medical Center96%+8.0%57-92
Lakeway Regional Hospital96%+1.0%129-92
Northcrest Medical Center96%0.0%160-102
Saint Francis Bartlett Medical Center96%0.0%216+232
Wellmont Bristol Regional Medical Center96%-1.0%320-102
Wellmont Holston Valley Medical Center96%-1.0%418+82
Baptist Memorial Hospital Union City95%0.0%115+62
Horizon Medical Center95%+2.0%120-62
Lincoln Medical Center (< 25)95%+2.0%19+41
Maury Regional Hospital95%+2.0%392+292
Methodist Healthcare Memphis Hospitals95%+1.0%796+3892
Regional Hospital of Jackson95%+1.0%199-142
Riverview Regional Medical Center North (< 25)95%+1.0%21+31

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.
Fort Loudoun Medical Center (< 25)100%0.0%11-11 and 2
Grandview Medical Center100%+2.0%28-15
Henderson County Community Hospital100%0.0%25+132
McNairy Regional Hospital (< 25)100%+5.0%21-11 and 2
Roane Medical Center (< 25)100%+5.0%24-181
St Mary's Medical Center of Campbell County (< 25)100%+25.0%3-11
Takoma Regional Hospital100%+3.0%81-21
Wellmont Hawkins County Memorial Hospital100%0.0%67+72
Gateway Medical Center99%0.0%555+21
Henry County Medical Center99%+1.0%373+32
Laughlin Memorial Hospital, Inc99%0.0%214+13
Southern Hills Medical Ctr99%+1.0%165-182
St Mary's Jefferson Memorial Hospital99%+1.0%120-72
St Mary's Medical Center, Inc99%0.0%1692+592
Vanderbilt University Hospital99%0.0%479+132
Baptist Hospital98%+1.0%490-142
Crockett Hospital98%+8.0%56+52
Fort Sanders Regional Medical Center98%0.0%880-32
Harton Regional Medical Center98%+1.0%166-122
Hendersonville Medical Center98%+1.0%177-62
Johnson City Specialty Hospital98%+1.0%60-12
Memorial Healthcare System, Inc98%0.0%2119-942
Morristown Hamblen Hospital Association98%+1.0%237+92
Parkwest Medical Center98%0.0%1463-312
Skyline Medical Center98%0.0%279-172
St Thomas Hospital98%-1.0%527+72
Summit Medical Center98%+2.0%295-272
Sumner Regional Medical Center98%+1.0%244-6
University Medical Center98%0.0%284+222
University of Tn Memorial Hospital98%+1.0%1173+312
Woods Memorial Hospital98%+3.0%48+7
Baptist Memorial Hospital97%+4.0%467+412
Blount Memorial Hospital97%-1.0%33402
Delta Medical Center97%+1.0%151+1
Erlanger Medical Center97%0.0%346-32
Fort Sanders Sevier Medical Center97%-1.0%185+162
Indian Path Medical Center97%-1.0%233-22
Johnson City Medical Center97%+2.0%412+142
Methodist Medical Center of Oak Ridge97%0.0%808+202
Middle Tennessee Medical Center Inc97%-1.0%619-202
Parkridge Medical Center97%+1.0%513-142
Stonecrest Medical Center97%0.0%174+382
Baptist Hospital West96%+1.0%329+48
Baptist Memorial Hospital Huntingdon (< 25)96%+5.0%2301
Centennial Medical Center96%0.0%634-142
Dyersburg Regional Medical Center96%+8.0%57-92
Lakeway Regional Hospital96%+1.0%129-92
Northcrest Medical Center96%0.0%160-102
Saint Francis Bartlett Medical Center96%0.0%216+232
Wellmont Bristol Regional Medical Center96%-1.0%320-102
Wellmont Holston Valley Medical Center96%-1.0%418+82
Baptist Memorial Hospital Union City95%0.0%115+62
Horizon Medical Center95%+2.0%120-62
Lincoln Medical Center (< 25)95%+2.0%19+41
Maury Regional Hospital95%+2.0%392+292
Methodist Healthcare Memphis Hospitals95%+1.0%796+3892
Regional Hospital of Jackson95%+1.0%199-142
Riverview Regional Medical Center North (< 25)95%+1.0%21+31
Hardin Medical Center94%+1.0%62+1
St Francis Hospital94%+1.0%485-112
Jackson-Madison County General Hospital93%-1.0%1705+342
Livingston Regional Hospital93%-1.0%46-1
Southern Tennessee Medical Center93%+1.0%157-26
Sycamore Shoals Hospital93%0.0%116+22
Williamson Medical Center93%+2.0%242-102
Hillside Hospital92%+1.0%61-52
Unicoi County Memorial Hospital92%-1.0%89+2
Athens Regional Medical Center91%+2.0%82+1
White County Community Hospital (< 25)91%-4.0%23+21 and 2
Baptist Memorial Hospital Tipton88%0.0%34-6
Skyridge Medical Center88%+2.0%181+62
Sweetwater Hospital Association88%+8.0%4002
Claiborne County Hospital87%0.0%3002
Metro Nashville General Hospital87%-7.0%123-192
Cookeville Regional Medical Center85%+1.0%697-14
Milan General Hospital (< 25)85%0.0%13-71
Volunteer Community Hospital84%+1.0%74-82
Baptist Hospital of Cocke County (< 25)82%+37.0%1101
Dekalb Hospital81%0.0%53-6
Cumberland Medical Center80%+1.0%200-82
Jellico Community Hospital80%+18.0%25+9
Scott County Hospital (< 25)80%-20.0%5+11
Heritage Medical Center79%+2.0%47-52
Regional Medical Center at Memphis73%+9.0%198-2
River Park Hospital61%-6.0%93-52
Jamestown Regional Medical Center (< 25)60%0.0%501 and 2
Stones River Hospital59%+16.0%32+92
Methodist Healthcare Fayette Hospital (< 25)58%-4.0%12-11 and 3
Rhea Medical Center (< 25)50%0.0%4+21
Gibson General Hospital (< 25)0%0.0%2+11
Humboldt General Hospital Inc (< 25)0%0.0%101 and 3
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
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