Home / Quality Report of VANDERBILT UNIVERSITY HOSPITAL at NASHVILLE, TN

VANDERBILT UNIVERSITY HOSPITAL Quality Report

VANDERBILT UNIVERSITY HOSPITAL
1211 22ND AVENUE SOUTH
NASHVILLE, TN 37232

DAVIDSON county
Phone: 615-322-5000
Acute Care Hospitals
Ownership: Voluntary non-profit - Other
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)

VANDERBILT UNIVERSITY HOSPITAL
93%
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: 74 patients
  2. 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

VANDERBILT UNIVERSITY HOSPITAL
93%
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: 123 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

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

VANDERBILT UNIVERSITY HOSPITAL
100%
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: 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.

4. Heart Attack Patients Given Beta Blocker at Discharge

VANDERBILT UNIVERSITY HOSPITAL
99%
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: 289 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 Beta Blocker at Arrival

VANDERBILT UNIVERSITY HOSPITAL
96%
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: 93 patients
  2. 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 Discharge

VANDERBILT UNIVERSITY HOSPITAL
99%
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: 307 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

7. Heart Attack Patients Given Aspirin at Arrival

VANDERBILT UNIVERSITY HOSPITAL
99%
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: 100 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

VANDERBILT UNIVERSITY HOSPITAL
90%
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: 63 patients
  2. 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

VANDERBILT UNIVERSITY HOSPITAL
78%
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: 276 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

VANDERBILT UNIVERSITY 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%
Notes:
  1. Sample size: 316 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)

VANDERBILT UNIVERSITY HOSPITAL
95%
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: 204 patients
  2. 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

VANDERBILT UNIVERSITY HOSPITAL
90%
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: 110 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)

VANDERBILT UNIVERSITY HOSPITAL
79%
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: 72 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

VANDERBILT UNIVERSITY HOSPITAL
64%
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: 44 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

VANDERBILT UNIVERSITY 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: 156 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

VANDERBILT UNIVERSITY HOSPITAL
71%
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: 93 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

VANDERBILT UNIVERSITY HOSPITAL
64%
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: 66 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

VANDERBILT UNIVERSITY HOSPITAL
35%
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: 23 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.

Surgical Infection Prevention

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

VANDERBILT UNIVERSITY HOSPITAL
85%
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: 497 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

VANDERBILT UNIVERSITY HOSPITAL
96%
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: 184 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

VANDERBILT UNIVERSITY 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%
Notes:
  1. Sample size: 473 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...