JOHNSON CITY MEDICAL CENTER - JOHNSON CITY, TN

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JOHNSON CITY MEDICAL CENTER
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN, 37604

Phone (make sure to verify first before calling): (423) 431-6111

Hospital Type: Acute Care Hospitals
Hospital Owner: Voluntary non-profit - Private
Emergency Services: Yes
Type: Rehabilitation Units

Provided Services

Nuclear Medicine Services
Acute Renal Dialysis Services
Alcohol And/Or Drug Services
Anatomical Laboratory Services
Anesthesia Services
Blood Bank Services
Cardio-Thoracic Surgery Services
Certified Trauma Center Services
Clinical Laboratory Services
Diagnostic Radiology Services
Dietary Services
Emergency Services
Home Health Services
Hospice Services
ICU - Cardiac (Non-Surgical)Services
ICU - Medical/Surgical Services
Inpatient Rehabilitiation (Not Carf Accredited) Services
Inpatient Surgical Services
Neonatal Nursery Services
Obstetric Services
Occupational Therapy Services
Operating Room Services
Organ Transplant Services
Outpatient Services
Outpatient Surgery Unit Services
Pediatric Services
Pharmacy Services
Physical Therapy 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 : 183.80
Registered Professional Nurses : 811.30
Other Salaried Personnel : 1806.40
Dieticians : 10.40
Occupational Therapists : 14.80
Physical Therapists : 28.30
Registered Pharmacists : 20.00
Respiratory Therapists : 22.00
Speech Pathologists Or Audiologists : 7.00
Medical Social Workers : 15.60
Physician Assistants : 0.22

Number Of Beds

Total: 555
Total Certified: 480
Psychiatric Unit Beds: 16
Rehabilitation Unit Beds: 63

Use of Medical Imaging

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

This Hospital:	27.300%
Tennessee:	30.823%

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

Here:	7.600%
Tennessee:	8.028%

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

This Hospital:	0.349%
State:	0.219%

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

Here:	0.418%
State:	0.101%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

This Hospital:	98.0%
State:	98.3%

Percent of Patients Given Aspirin at Discharge

Here:	99.0%
State:	98.6%

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

Here:	92.0%
State:	96.4%

Percent of Patients Given Beta Blocker at Discharge

This Hospital:	97.0%
Tennessee:	98.3%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
Tennessee:	99.8%

Percent of Patients Given PCI Within 90 Minutes Of Arrival

This Hospital:	89.0%
State:	90.8%

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

Here:	3
State:	9

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

This Hospital:	80.0%
State:	95.2%

Heart Failure

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

This Hospital:	99.0%
Tennessee:	97.3%

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

This Hospital:	87.0%
Tennessee:	95.0%

Percent of Patients Given Discharge Instructions

Here:	79.0%
Tennessee:	88.5%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
Tennessee:	99.0%

Pneumonia

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

This Hospital:	90.0%
Tennessee:	96.2%

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

This Hospital:	87.0%
Tennessee:	96.9%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	98.8%

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

Here:	92.0%
State:	92.3%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	89.0%
State:	92.8%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	95.0%
State:	94.6%

Children's Asthma

Percent of Children Who Received Reliever Medication While Hospitalized for Asthma

This Hospital:	100.0%
State:	100.0%

Percent of Children Who Received Systemic Corticosteroid Medication While Hospitalized for Asthma

This Hospital:	97.0%
State:	97.2%

Percent of Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma

Here:	9.0%
State:	49.9%

Surgery

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

This Hospital:	98.0%
Tennessee:	97.0%

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

Here:	81.0%
Tennessee:	94.3%

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

This Hospital:	99.0%
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

This Hospital:	78.0%
State:	92.0%

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

Here:	83.0%
Tennessee:	93.9%

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

Here:	88.0%
State:	92.9%

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

Here:	100.0%
Tennessee:	99.7%

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

Here:	89.0%
State:	90.0%

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

This Hospital:	96.0%
Tennessee:	92.9%

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

This Hospital:	83.0%
Tennessee:	93.5%

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

This Hospital:	86.0%
State:	94.3%

Outcome of Care

30-Day Mortality Rates from Heart Attack

Here:	17.9%
State:	16.4%

30-Day Mortality Rates from Heart Failure

This Hospital:	10.0%
State:	11.3%

30-Day Mortality Rates from Pneumonia

This Hospital:	11.1%
State:	12.2%

30-Day Readmission Rates from Heart Attack

This Hospital:	23.8%
Tennessee:	20.5%

30-Day Readmission Rates from Heart Failure

This Hospital:	27.2%
Tennessee:	24.8%

30-Day Readmission Rates from Pneumonia

This Hospital:	20.3%
State:	18.9%

Hospital Acquired Conditions

Foreign Object Retained After Surgery

Here:	0.483%
State:	0.108%

Falls And Trauma

Here:	0.105%
Tennessee:	0.520%

Vascular Catheter-Associated Infection

This Hospital:	0.262%
State:	0.286%

Catheter-Associated UTI

Here:	0.210%
State:	0.372%

Average Medicare Payment

Acute myocardial infarction, discharged alive w/o CC/MCC: $5,188

Acute myocardial infarction, discharged alive w MCC: $11,577

Acute myocardial infarction, discharged alive w CC: $7,287

Heart failure and shock w/o CC/MCC: $4,308

Heart failure and shock w MCC: $8,712

Heart failure and shock w CC: $6,008

Chronic obstructive pulmonary disease w/o CC/MCC: $4,328

Chronic obstructive pulmonary disease w MCC: $7,774

Chronic obstructive pulmonary disease w CC: $5,821

Simple pneumonia and pleurisy w MCC: $8,548

Diabetes w MCC: $8,112

Chest Pain: $3,171

Cardiac valve and oth maj cardiothoracic proc w/o card cath w/o CC/MCC: $26,174

Cardiac valve and oth maj cardiothoracic proc w/o card cath w MCC: $47,928

Cardiac valve and oth maj cardiothoracic proc w/o card cath w CC: $31,502

Major cardiovasc procedures w MCC or thoracic aortic aneurysm repair: $30,274

Cardiac defibrillator implant w/o cardiac cath w/o MCC: $29,809

Cardiac defibrillator implant w/o cardiac cath w MCC: $21,163

Cardiac defib implant w cardiac cath w/o AMI/HF/shock w/o MCC: $35,206

Cardiac defib implant w cardiac cath w/o AMI/HF/shock w MCC: $47,446

Extracranial procedures w/o CC/MCC: $5,969

Extracranial procedures w CC: $9,263

Coronary bypass w/o cardiac cath w/o MCC: $21,368

Coronary bypass w/o cardiac cath w MCC: $33,837

Permanent cardiac pacemaker implant w/o CC/MCC: $11,968

Permanent cardiac pacemaker implant w CC: $15,445

Perc cardiovasc proc w drug-eluting stent w/o MCC: $11,412

Laparoscopic cholecystectomy w/o c.d.e. w/o CC/MCC: $6,721

Laparoscopic cholecystectomy w/o c.d.e. w MCC: $14,776

Laparoscopic cholecystectomy w/o c.d.e. w CC: $9,849

Cholecystectomy except by laparoscope w/o c.d.e. w MCC: $21,300

Hernia procedures except inguinal and femoral w/o CC/MCC: $5,756

Hernia procedures except inguinal and femoral w MCC: $14,832

Hernia procedures except inguinal and femoral w CC: $8,365

Major small and large bowel procedures w/o CC/MCC: $9,680

Major small and large bowel procedures w CC: $15,268

Major small and large bowel procedures w MCC: $25,519

Stomach, esophageal duodenal proc w/o CC/MCC: $8,669

Cervical spinal fusion w/o CC/MCC: $11,420

Cervical spinal fusion w MCC: $33,460

Cervical spinal fusion w CC: $15,765

Spinal fusion except cervical w/o MCC: $21,245

Spinal fusion except cervical w MCC: $18,788

Back and neck proc exc spinal fusion w/o CC/MCC: $5,598

Back and neck proc exc spinal fusion w CC/MCC or disc device/neurostim: $10,263

Major shoulder or elbow joint procedures w/o CC/MCC: $6,648

Bilateral or multiple major joint procs of lower extremity w/o MCC: $1,068

Major joint replacement or reattachment of lower extremity w/o MCC: $11,979

Major joint replacement or reattachment of lower extremity w MCC: $18,399

Revision of hip or knee replacement w/o CC/MCC: $15,277

Revision of hip or knee replacement w CC: $18,328

Biopsies of musculoskeletal system and connective tissue w/o CC/MCC: $8,796

Biopsies of musculoskeletal system and connective tissue w MCC: $20,149

Biopsies of musculoskeletal system and connective tissue w CC: $12,664

Other musculoskelet sys and conn tiss O.R. proc w MCC: $18,298

Kidney and ureter procedures for neoplasm w/o CC/MCC: $8,260

Kidney and ureter procedures for neoplasm w MCC: $19,615

Kidney and ureter procedures for neoplasm w CC: $11,113

Revision of hip or knee replacement w MCC: $11,132

Kidney and ureter procedures for non-neoplasm w MCC: $14,924

Bilateral or multiple major joint procs of lower extremity w MCC: $1,461

Transurethral procedures w MCC: $13,358

Other kidney and urinary tract procedures w MCC: $16,529

Other kidney and urinary tract procedures w CC: $12,880

Transurethral prostatectomy w/o CC/MCC: $3,795

Transurethral prostatectomy w CC/MCC: $6,672

Female reproductive system reconstructive procedures: $4,870

Uterine and adnexa proc for non-malignancy w/o CC/MCC: $5,034

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:	5%
Tennessee:	5%

Usually

Here:	18%
Tennessee:	17%

Always

This Hospital:	77%
Tennessee:	78%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	7%
Tennessee:	4%

Usually

This Hospital:	17%
State:	13%

Always

Here:	76%
State:	83%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	11%
Tennessee:	10%

Usually

This Hospital:	25%
State:	25%

Always

Here:	64%
Tennessee:	65%

How often was patients' pain well controlled?

Sometimes or never

Here:	8%
Tennessee:	7%

Usually

This Hospital:	26%
Tennessee:	23%

Always

This Hospital:	66%
Tennessee:	70%

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

Sometimes or never

Here:	21%
State:	22%

Usually

This Hospital:	17%
State:	17%

Always

This Hospital:	62%
State:	61%

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

Sometimes or never

This Hospital:	14%
State:	10%

Usually

Here:	22%
State:	18%

Always

This Hospital:	64%
Tennessee:	72%

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

Sometimes or never

Here:	12%
State:	8%

Usually

This Hospital:	34%
State:	27%

Always

Here:	54%
State:	65%

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

Yes

This Hospital:	81%
Tennessee:	81%

This Hospital:	19%
Tennessee:	19%

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

6 or lower

Here:	10%
Tennessee:	9%

7 or 8

This Hospital:	22%
Tennessee:	24%

9 or 10

Here:	68%
Tennessee:	67%

Would patients recommend the hospital to friends and family?

Here:	5%
Tennessee:	6%

Yes, probably

Here:	25%
Tennessee:	26%

Yes, definitely

Here:	70%
Tennessee:	68%

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