GATEWAY MEDICAL CENTER - CLARKSVILLE, TN

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GATEWAY MEDICAL CENTER
651 DUNLOP LANE
CLARKSVILLE, TN, 37040

Phone (make sure to verify first before calling): (931) 502-1000

Hospital Type: Acute Care Hospitals
Hospital Owner: Government - Hospital District or Authority
Emergency Services: Yes
Type: Rehabilitation Units

Provided Services

Nuclear Medicine Services
Acute Renal Dialysis Services
Anatomical Laboratory Services
Anesthesia Services
Audiology Services
Blood Bank Services
CT Scanner Services
Cardiac Catheterization Laboratory Services
Cardio-Thoracic Surgery Services
Chemotherapy Services
Chiropractice Services
Clinical Laboratory Services
Dedicated Emergency Department Services
Diagnostic Radiology Services
Dietary Services
Emergency Psychiatric Services
Emergency Services
Extracorporeal Shock Wave Lithotripter Services
Home Health Services
Hospice Services
ICU - Cardiac (Non-Surgical)Services
ICU - Medical/Surgical Services
ICU - Neonatal Services
ICU - Surgical Services
Inpatient Rehabilitiation (Not Carf Accredited) Services
Inpatient Surgical Services
Magnetic Resonance Imaging (Mri) Services
Neonatal Nursery Services
Obstetric Services
Occupational Therapy Services
Operating Room Services
Opthalmic Surgery Services
Orthopedic Surgery Services
Outpatient Rehabilitation Services
Outpatient Services
Outpatient Surgery Unit Services
Outppatient Psychiatric Services
Pediatric Services
Pharmacy Services
Physical Therapy Services
Positron Emission Tomography (Pet) Scan Services
Postoperative Recovery Room Services
Respiratory Care Services
Social Services
Speech Pathology Services
Therapeutic Radiology Services

Employment Full-Time Equivalent

Licensed Practical Or Vocational Nurses : 46.90
Registered Professional Nurses : 225.60
Other Salaried Personnel : 496.80
Certified Registered Nurse Anesthetists (CRNA) : 9.10
Dieticians : 3.10
Occupational Therapists : 7.20
Physical Therapists : 9.80
Registered Pharmacists : 8.70
Respiratory Therapists : 24.50
Speech Pathologists Or Audiologists : 7.90
Physicians : 1.60
Medical Social Workers : 3.00
Medical Laboratory Technologists : 26.00
Nuclear Medicine Technicians : 4.80
Physician Assistants : 1.00
Diagnostic Radiology Technicians : 20.10
Nurse Practitioners: 4.50

Number Of Beds

Total: 206
Total Certified: 206
Psychiatric Unit Beds: 16
Rehabilitation Unit Beds: 13

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

This Hospital:	99.0%
Tennessee:	98.3%

Percent of Patients Given Aspirin at Discharge

This Hospital:	94.0%
Tennessee:	98.6%

Percent of Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

Here:	95.0%
Tennessee:	96.4%

Percent of Patients Given Beta Blocker at Discharge

Here:	94.0%
State:	98.3%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
Tennessee:	99.8%

Percent of Patients Given PCI Within 90 Minutes Of Arrival

Here:	76.0%
Tennessee:	90.8%

Average number of minutes before outpatients with chest pain or possible heart attack got an ECG

Here:	4
Tennessee:	9

Average number of minutes before outpatients with chest pain or possible heart attack were transferred to another hospital

Here:	53
State:	1,153

Median Time to Fibrinolysis

Here:	116
Tennessee:	35

Outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival

Here:	98.0%
Tennessee:	95.2%

Heart Failure

Percent of patients who were given an evaluation of Left Ventricular Systolic Dysfunction (LVSD)

This Hospital:	88.0%
Tennessee:	97.3%

Percent of Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

This Hospital:	96.0%
Tennessee:	95.0%

Percent of Patients Given Discharge Instructions

This Hospital:	96.0%
State:	88.5%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	99.0%
State:	99.0%

Pneumonia

Percent of Patients Given Initial Antibiotic(s) within 6 Hours After Arrival

Here:	96.0%
Tennessee:	96.2%

Percent of Patients Whose Initial ER Blood Culture Was Performed Prior To Administration Of First Dose Of Antibiotics

Here:	95.0%
Tennessee:	96.9%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
Tennessee:	98.8%

Percent of Patients Given the Most Appropriate Initial Antibiotic(s)

This Hospital:	94.0%
Tennessee:	92.3%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	94.0%
State:	92.8%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	96.0%
State:	94.6%

Surgery

Percent of Surgery Patients given an antibiotic at the right time (within one hour before surgery) to help prevent infection

Here:	98.0%
Tennessee:	97.0%

Percent of Surgery Patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)

Here:	90.0%
State:	94.3%

Percent of Surgery Patients who were given the right kind of antibiotic to help prevent infection

Here:	98.0%
State:	97.5%

Percent of Surgery Patients who got treatment at right time (within 24 hours before or after surgery) to help prevent blood clot

Here:	92.0%
Tennessee:	92.0%

Percent of Surgery Patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries

Here:	96.0%
Tennessee:	93.9%

Percent of all Heart Surgery Patients whose blood sugar is kept under good control in the days right after surgery

This Hospital:	96.0%
Tennessee:	92.9%

Percent of Surgery Patients needing hair removed from the surgical area before surgery who had hair removed using a safer method

This Hospital:	95.0%
Tennessee:	99.7%

Percent of Surgery Patients whose urinary catheters were removed on the first or second day after surgery

This Hospital:	89.0%
Tennessee:	90.0%

Surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on them

Here:	97.0%
State:	92.9%

Outpatients having surgery who got an antibiotic at the right time - within one hour before surgery (higher numbers are better)

Here:	94.0%
Tennessee:	93.5%

Outpatients having surgery who got the right kind of antibiotic (higher numbers are better)

This Hospital:	97.0%
Tennessee:	94.3%

Outcome of Care

30-Day Mortality Rates from Heart Attack

This Hospital:	19.3%
Tennessee:	16.4%

30-Day Mortality Rates from Heart Failure

Here:	11.7%
Tennessee:	11.3%

30-Day Mortality Rates from Pneumonia

This Hospital:	17.8%
State:	12.2%

30-Day Readmission Rates from Heart Attack

This Hospital:	20.5%
State:	20.5%

30-Day Readmission Rates from Heart Failure

Here:	27.7%
Tennessee:	24.8%

30-Day Readmission Rates from Pneumonia

This Hospital:	19.5%
State:	18.9%

Average Medicare Payment

Acute myocardial infarction, discharged alive w/o CC/MCC: $5,371

Acute myocardial infarction, discharged alive w MCC: $11,984

Acute myocardial infarction, discharged alive w CC: $7,543

Heart failure and shock w/o CC/MCC: $4,459

Heart failure and shock w MCC: $9,018

Heart failure and shock w CC: $6,219

Chronic obstructive pulmonary disease w/o CC/MCC: $4,480

Chronic obstructive pulmonary disease w MCC: $8,047

Chronic obstructive pulmonary disease w CC: $6,026

Simple pneumonia and pleurisy w MCC: $8,848

Diabetes w MCC: $8,397

Chest Pain: $3,282

Cardiac valve and oth maj cardiothoracic proc w/o card cath w MCC: $45,477

Cardiac valve and oth maj cardiothoracic proc w/o card cath w CC: $32,609

Major cardiovasc procedures w MCC or thoracic aortic aneurysm repair: $31,338

Cardiac defibrillator implant w/o cardiac cath w/o MCC: $30,856

Cardiac defibrillator implant w/o cardiac cath w MCC: $41,451

Cardiac defib implant w cardiac cath w/o AMI/HF/shock w/o MCC: $36,442

Extracranial procedures w/o CC/MCC: $6,179

Extracranial procedures w CC: $9,588

Coronary bypass w/o cardiac cath w/o MCC: $22,200

Coronary bypass w/o cardiac cath w MCC: $43,397

Permanent cardiac pacemaker implant w/o CC/MCC: $12,388

Permanent cardiac pacemaker implant w CC: $15,988

Perc cardiovasc proc w drug-eluting stent w/o MCC: $11,813

Laparoscopic cholecystectomy w/o c.d.e. w/o CC/MCC: $6,957

Laparoscopic cholecystectomy w/o c.d.e. w MCC: $15,295

Laparoscopic cholecystectomy w/o c.d.e. w CC: $10,195

Cholecystectomy except by laparoscope w/o c.d.e. w MCC: $22,048

Hernia procedures except inguinal and femoral w/o CC/MCC: $5,959

Hernia procedures except inguinal and femoral w MCC: $15,353

Hernia procedures except inguinal and femoral w CC: $8,659

Major small and large bowel procedures w/o CC/MCC: $10,020

Major small and large bowel procedures w CC: $15,804

Major small and large bowel procedures w MCC: $31,909

Stomach, esophageal duodenal proc w/o CC/MCC: $8,974

Major shoulder or elbow joint procedures w/o CC/MCC: $6,882

Major shoulder or elbow joint procedures w CC/MCC: $10,602

Bilateral or multiple major joint procs of lower extremity w/o MCC: $19,416

Major joint replacement or reattachment of lower extremity w/o MCC: $12,400

Major joint replacement or reattachment of lower extremity w MCC: $20,257

Revision of hip or knee replacement w/o CC/MCC: $15,131

Revision of hip or knee replacement w CC: $18,917

Biopsies of musculoskeletal system and connective tissue w/o CC/MCC: $9,105

Biopsies of musculoskeletal system and connective tissue w CC: $13,109

Kidney and ureter procedures for neoplasm w/o CC/MCC: $8,501

Revision of hip or knee replacement w MCC: $1,068

Bilateral or multiple major joint procs of lower extremity w MCC: $28,051

Transurethral procedures w MCC: $13,827

Other kidney and urinary tract procedures w/o CC/MCC: $8,085

Other kidney and urinary tract procedures w MCC: $17,110

Other kidney and urinary tract procedures w CC: $13,332

Transurethral prostatectomy w/o CC/MCC: $3,906

Transurethral prostatectomy w CC/MCC: $6,907

Uterine and adnexa proc for non-malignancy w/o CC/MCC: $5,211

Hospital Acquired Conditions

Falls And Trauma

This Hospital:	0.241%
Tennessee:	0.520%

Manifestations Of Poor Glycemic Control

Here:	0.121%
Tennessee:	0.046%

Use of Medical Imaging

Outpatients with low back pain who had an MRI without trying recommended treatments first, such as physical therapy.

Here:	28.400%
State:	30.823%

Outpatients who had a follow-up mammogram or ultrasound within 45 days after a screening mammogram.

This Hospital:	6.500%
State:	8.028%

Outpatient CT scans of the abdomen that were combination (double) scans.

This Hospital:	0.042%
Tennessee:	0.219%

Outpatient CT scans of the chest that were combination (double) scans.

Here:	0.005%
State:	0.101%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys: 300 or more
Survey Response Rate: 28%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	8%
State:	5%

Usually

Here:	19%
Tennessee:	17%

Always

Here:	73%
State:	78%

How often did doctors communicate well with patients?

Sometimes or never

Here:	5%
Tennessee:	4%

Usually

This Hospital:	16%
Tennessee:	13%

Always

This Hospital:	79%
State:	83%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	14%
State:	10%

Usually

Here:	25%
State:	25%

Always

This Hospital:	61%
Tennessee:	65%

How often was patients' pain well controlled?

Sometimes or never

Here:	9%
State:	7%

Usually

This Hospital:	21%
Tennessee:	23%

Always

Here:	70%
Tennessee:	70%

How often did staff explain about medicines before giving them to patients?

Sometimes or never

This Hospital:	26%
Tennessee:	22%

Usually

Here:	18%
Tennessee:	17%

Always

This Hospital:	56%
Tennessee:	61%

How often were the patients' rooms and bathrooms kept clean?

Sometimes or never

Here:	16%
State:	10%

Usually

Here:	19%
State:	18%

Always

Here:	65%
Tennessee:	72%

How often was the area around patients' rooms kept quiet at night?

Sometimes or never

Here:	12%
Tennessee:	8%

Usually

This Hospital:	30%
State:	27%

Always

This Hospital:	58%
Tennessee:	65%

Were patients given information about what to do during their recovery at home?

Yes

This Hospital:	77%
State:	81%

This Hospital:	23%
State:	19%

How do patients rate the hospital overall on a scale from 0 (lowest) to 10 (highest)?

6 or lower

This Hospital:	11%
Tennessee:	9%

7 or 8

This Hospital:	29%
State:	24%

9 or 10

Here:	60%
Tennessee:	67%

Would patients recommend the hospital to friends and family?

This Hospital:	8%
Tennessee:	6%

Yes, probably

This Hospital:	32%
State:	26%

Yes, definitely

Here:	60%
State:	68%

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