Home / Quality Report of ST MARY'S JEFFERSON MEMORIAL HOSPITAL at JEFFERSON CITY, TN

ST MARY'S JEFFERSON MEMORIAL HOSPITAL Quality Report

ST MARY'S JEFFERSON MEMORIAL HOSPITAL
110 HOSPITAL DRIVE
JEFFERSON CITY, TN 37760

JEFFERSON county
Phone: 865-471-2500
Acute Care Hospitals
Ownership: Voluntary non-profit - Church
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)

ST MARY'S JEFFERSON MEMORIAL HOSPITAL
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 Beta Blocker at Discharge

ST MARY'S JEFFERSON MEMORIAL HOSPITAL
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%
Notes:
  1. Sample size: 8 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.

3. Heart Attack Patients Given Beta Blocker at Arrival

ST MARY'S JEFFERSON MEMORIAL HOSPITAL
88%
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: 8 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.

4. Heart Attack Patients Given Aspirin at Discharge

ST MARY'S JEFFERSON MEMORIAL HOSPITAL
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%
Notes:
  1. Sample size: 7 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.

5. Heart Attack Patients Given Aspirin at Arrival

ST MARY'S JEFFERSON MEMORIAL 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: 11 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.

Heart Failure

1. Heart Failure Patients Given Smoking Cessation Advice/Counseling

ST MARY'S JEFFERSON MEMORIAL HOSPITAL
87%
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: 23 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.

2. Heart Failure Patients Given Discharge Instructions

ST MARY'S JEFFERSON MEMORIAL HOSPITAL
82%
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

ST MARY'S JEFFERSON MEMORIAL HOSPITAL
99%
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)

ST MARY'S JEFFERSON MEMORIAL HOSPITAL
100%
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

ST MARY'S JEFFERSON MEMORIAL HOSPITAL
92%
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)

ST MARY'S JEFFERSON MEMORIAL HOSPITAL
88%
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

ST MARY'S JEFFERSON MEMORIAL HOSPITAL
96%
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

ST MARY'S JEFFERSON MEMORIAL 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%

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

ST MARY'S JEFFERSON MEMORIAL HOSPITAL
81%
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

ST MARY'S JEFFERSON MEMORIAL HOSPITAL
82%
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

ST MARY'S JEFFERSON MEMORIAL HOSPITAL
80%
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

ST MARY'S JEFFERSON MEMORIAL HOSPITAL
80%
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%

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

ST MARY'S JEFFERSON MEMORIAL HOSPITAL
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%

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

ST MARY'S JEFFERSON MEMORIAL HOSPITAL
86%
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%


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...