Home / Quality Report of LAKEWAY REGIONAL HOSPITAL at MORRISTOWN, TN

LAKEWAY REGIONAL HOSPITAL Quality Report

LAKEWAY REGIONAL HOSPITAL
726 MCFARLAND ST
MORRISTOWN, TN 37814

HAMBLEN county
Phone: 423-522-6000
Acute Care Hospitals
Ownership: Proprietary
Accreditation: Yes
Emergency Service: Yes

Please use the following conditions to evaluate the quality of this hospital.

Heart Attack

1. Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

LAKEWAY REGIONAL HOSPITAL
40%
Average for the State of Tennessee
83%
National Average of Hospitals submitting data:
83%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 5 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.
  3. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

2. Heart Attack Patients Given Smoking Cessation Advice/Counseling

LAKEWAY REGIONAL HOSPITAL
100%
Average for the State of Tennessee
91%
National Average of Hospitals submitting data:
89%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 7 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.
  3. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

3. Heart Attack Patients Given Beta Blocker at Discharge

LAKEWAY REGIONAL HOSPITAL
81%
Average for the State of Tennessee
83%
National Average of Hospitals submitting data:
90%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 26 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

4. Heart Attack Patients Given Beta Blocker at Arrival

LAKEWAY REGIONAL HOSPITAL
90%
Average for the State of Tennessee
78%
National Average of Hospitals submitting data:
87%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 30 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

5. Heart Attack Patients Given Aspirin at Discharge

LAKEWAY REGIONAL HOSPITAL
79%
Average for the State of Tennessee
83%
National Average of Hospitals submitting data:
90%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 24 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.
  3. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

6. Heart Attack Patients Given Aspirin at Arrival

LAKEWAY REGIONAL HOSPITAL
100%
Average for the State of Tennessee
88%
National Average of Hospitals submitting data:
93%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 34 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

Heart Failure

1. Heart Failure Patients Given Smoking Cessation Advice/Counseling

LAKEWAY REGIONAL HOSPITAL
100%
Average for the State of Tennessee
87%
National Average of Hospitals submitting data:
83%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 22 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.
  3. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

2. Heart Failure Patients Given Discharge Instructions

LAKEWAY REGIONAL HOSPITAL
63%
Average for the State of Tennessee
63%
National Average of Hospitals submitting data:
63%
Top 10%' of Hospitals submitting data scored equal to or higher than:
94%
Notes:
  1. Sample size: 91 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

3. Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function

LAKEWAY REGIONAL HOSPITAL
75%
Average for the State of Tennessee
82%
National Average of Hospitals submitting data:
84%
Top 10%' of Hospitals submitting data scored equal to or higher than:
99%
Notes:
  1. Sample size: 105 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

4. Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

LAKEWAY REGIONAL HOSPITAL
81%
Average for the State of Tennessee
79%
National Average of Hospitals submitting data:
82%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 21 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.
  3. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

Pneumonia

1. Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics

LAKEWAY REGIONAL HOSPITAL
89%
Average for the State of Tennessee
89%
National Average of Hospitals submitting data:
90%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 151 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

2. Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)

LAKEWAY REGIONAL HOSPITAL
90%
Average for the State of Tennessee
84%
National Average of Hospitals submitting data:
84%
Top 10%' of Hospitals submitting data scored equal to or higher than:
95%
Notes:
  1. Sample size: 140 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

3. Pneumonia Patients Given Smoking Cessation Advice/Counseling

LAKEWAY REGIONAL HOSPITAL
87%
Average for the State of Tennessee
87%
National Average of Hospitals submitting data:
81%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 83 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

4. Pneumonia Patients Given Oxygenation Assessment

LAKEWAY REGIONAL HOSPITAL
100%
Average for the State of Tennessee
99%
National Average of Hospitals submitting data:
99%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 187 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

5. Pneumonia Patients Given Initial Antibiotic(s) within 4 Hours After Arrival

LAKEWAY REGIONAL HOSPITAL
76%
Average for the State of Tennessee
83%
National Average of Hospitals submitting data:
80%
Top 10%' of Hospitals submitting data scored equal to or higher than:
93%
Notes:
  1. Sample size: 172 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

6. Pneumonia Patients Assessed and Given Pneumococcal Vaccination

LAKEWAY REGIONAL HOSPITAL
70%
Average for the State of Tennessee
74%
National Average of Hospitals submitting data:
71%
Top 10%' of Hospitals submitting data scored equal to or higher than:
94%
Notes:
  1. Sample size: 100 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

7. Pneumonia Patients Assessed and Given Influenza Vaccination

LAKEWAY REGIONAL HOSPITAL
56%
Average for the State of Tennessee
73%
National Average of Hospitals submitting data:
70%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%

Surgical Infection Prevention

1. Surgery Patients Who Received Preventative Antibiotic(s) One Hour Before Incision

LAKEWAY REGIONAL HOSPITAL
22%
Average for the State of Tennessee
74%
National Average of Hospitals submitting data:
78%
Top 10%' of Hospitals submitting data scored equal to or higher than:
95%
Notes:
  1. Sample size: 119 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

2. Surgery Patients who Received the Appropriate Preventative Antibiotic(s) for Their Surgery

LAKEWAY REGIONAL HOSPITAL
98%
Average for the State of Tennessee
86%
National Average of Hospitals submitting data:
90%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 60 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

3. Surgery Patients Whose Preventative Antibiotic(s) are Stopped Within 24 hours After Surgery

LAKEWAY REGIONAL HOSPITAL
53%
Average for the State of Tennessee
71%
National Average of Hospitals submitting data:
74%
Top 10%' of Hospitals submitting data scored equal to or higher than:
95%
Notes:
  1. Sample size: 59 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.


Note: The data on this site only reflect the aspects of "Heart Attack", "Heart Failure", "Pneumonia", and "Surgical Infection Prevention". These are important indicators of the hospital quality. However, they are not the comprehensive evaluation. learn more...