Home / Quality Report of SOUTHERN HILLS MEDICAL CTR at NASHVILLE, TN

SOUTHERN HILLS MEDICAL CTR Quality Report

SOUTHERN HILLS MEDICAL CTR
391 WALLACE RD
NASHVILLE, TN 37211

DAVIDSON county
Phone: 615-781-4000
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)

SOUTHERN HILLS MEDICAL CTR
100%
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.

2. Heart Attack Patients Given Smoking Cessation Advice/Counseling

SOUTHERN HILLS MEDICAL CTR
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%

3. Heart Attack Patients Given PCI Within 90 Minutes Of Arrival

SOUTHERN HILLS MEDICAL CTR
50%
Average for the State of Tennessee
52%
National Average of Hospitals submitting data:
55%
Top 10%' of Hospitals submitting data scored equal to or higher than:
88%
Notes:
  1. Sample size: 4 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.

4. Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival

SOUTHERN HILLS MEDICAL CTR
76%
Average for the State of Tennessee
29%
National Average of Hospitals submitting data:
34%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 17 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.

5. Heart Attack Patients Given Beta Blocker at Discharge

SOUTHERN HILLS MEDICAL CTR
96%
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%

6. Heart Attack Patients Given Beta Blocker at Arrival

SOUTHERN HILLS MEDICAL CTR
98%
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%

7. Heart Attack Patients Given Aspirin at Discharge

SOUTHERN HILLS MEDICAL CTR
100%
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%

8. Heart Attack Patients Given Aspirin at Arrival

SOUTHERN HILLS MEDICAL CTR
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%

Heart Failure

1. Heart Failure Patients Given Smoking Cessation Advice/Counseling

SOUTHERN HILLS MEDICAL CTR
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%

2. Heart Failure Patients Given Discharge Instructions

SOUTHERN HILLS MEDICAL CTR
90%
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%

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

SOUTHERN HILLS MEDICAL CTR
98%
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%

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

SOUTHERN HILLS MEDICAL CTR
92%
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%

Pneumonia

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

SOUTHERN HILLS MEDICAL CTR
95%
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%

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

SOUTHERN HILLS MEDICAL CTR
89%
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%

3. Pneumonia Patients Given Smoking Cessation Advice/Counseling

SOUTHERN HILLS MEDICAL CTR
100%
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%

4. Pneumonia Patients Given Oxygenation Assessment

SOUTHERN HILLS MEDICAL CTR
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%

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

SOUTHERN HILLS MEDICAL CTR
97%
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%

6. Pneumonia Patients Assessed and Given Pneumococcal Vaccination

SOUTHERN HILLS MEDICAL CTR
94%
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%

7. Pneumonia Patients Assessed and Given Influenza Vaccination

SOUTHERN HILLS MEDICAL CTR
92%
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%
Notes:
  1. Sample size: 24 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.

Surgical Infection Prevention

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

SOUTHERN HILLS MEDICAL CTR
89%
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: 178 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

SOUTHERN HILLS MEDICAL CTR
97%
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: 103 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

SOUTHERN HILLS MEDICAL CTR
75%
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: 173 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...