ST THOMAS HOSPITAL - NASHVILLE, TN

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ST THOMAS HOSPITAL
4220 HARDING RD, PO BOX 380
NASHVILLE, TN, 37205

Phone (make sure to verify first before calling): (615) 222-2111

Hospital Type: Acute Care Hospitals
Hospital Owner: Voluntary non-profit - Church
Emergency Services: Yes
Type: Psychiatric Units

Provided Services

Nuclear Medicine Services
Acute Renal Dialysis Services
Anatomical Laboratory Services
Anesthesia Services
Blood Bank Services
Cardio-Thoracic Surgery Services
Clinical Laboratory Services
Diagnostic Radiology Services
Dietary Services
Emergency 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
Pharmacy Services
Physical Therapy Services
Postoperative Recovery Room Services
Psychiatric Services
Respiratory Care Services
Social Services
Speech Pathology Services
Therapeutic Radiology Services

Employment Full-Time Equivalent

Licensed Practical Or Vocational Nurses : 20.55
Registered Professional Nurses : 901.91
Other Salaried Personnel : 278.02
Dieticians : 6.50
Occupational Therapists : 53.00
Physical Therapists : 16.65
Registered Pharmacists : 20.06
Respiratory Therapists : 41.10
Speech Pathologists Or Audiologists : 3.68
Physicians : 142.00
Medical Social Workers : 13.40
Physician Assistants : 2.90

Number Of Beds

Total: 571
Total Certified: 571
Psychiatric Unit Beds: 15

Hospital Acquired Conditions

Foreign Object Retained After Surgery

This Hospital:	0.114%
Tennessee:	0.108%

Falls And Trauma

This Hospital:	0.302%
Tennessee:	0.520%

Vascular Catheter-Associated Infection

Here:	0.201%
State:	0.286%

Catheter-Associated UTI

Here:	0.050%
State:	0.372%

Manifestations Of Poor Glycemic Control

Here:	0.101%
State:	0.046%

Average Medicare Payment

Acute myocardial infarction, discharged alive w/o CC/MCC: $4,701

Acute myocardial infarction, discharged alive w MCC: $10,482

Acute myocardial infarction, discharged alive w CC: $6,602

Heart failure and shock w/o CC/MCC: $3,900

Heart failure and shock w MCC: $7,889

Heart failure and shock w CC: $5,439

Chronic obstructive pulmonary disease w/o CC/MCC: $3,919

Chronic obstructive pulmonary disease w MCC: $7,039

Chronic obstructive pulmonary disease w CC: $5,271

Simple pneumonia and pleurisy w MCC: $7,739

Diabetes w MCC: $7,345

Chest Pain: $2,871

Cardiac valve and oth maj cardiothoracic proc w/o card cath w/o CC/MCC: $23,698

Cardiac valve and oth maj cardiothoracic proc w/o card cath w MCC: $43,426

Cardiac valve and oth maj cardiothoracic proc w/o card cath w CC: $28,543

Major cardiovasc procedures w MCC or thoracic aortic aneurysm repair: $27,431

Cardiac defibrillator implant w/o cardiac cath w/o MCC: $27,009

Cardiac defibrillator implant w/o cardiac cath w MCC: $36,284

Cardiac defib implant w cardiac cath w/o AMI/HF/shock w/o MCC: $31,899

Cardiac defib implant w cardiac cath w/o AMI/HF/shock w MCC: $42,989

Extracranial procedures w/o CC/MCC: $5,404

Extracranial procedures w CC: $8,386

Coronary bypass w/o cardiac cath w/o MCC: $19,417

Coronary bypass w/o cardiac cath w MCC: $30,634

Permanent cardiac pacemaker implant w/o CC/MCC: $10,836

Permanent cardiac pacemaker implant w CC: $13,995

Perc cardiovasc proc w drug-eluting stent w/o MCC: $10,333

Laparoscopic cholecystectomy w/o c.d.e. w/o CC/MCC: $6,085

Laparoscopic cholecystectomy w/o c.d.e. w MCC: $13,377

Laparoscopic cholecystectomy w/o c.d.e. w CC: $8,917

Cholecystectomy except by laparoscope w/o c.d.e. w MCC: $19,299

Hernia procedures except inguinal and femoral w/o CC/MCC: $5,212

Hernia procedures except inguinal and femoral w MCC: $13,434

Hernia procedures except inguinal and femoral w CC: $7,579

Major small and large bowel procedures w/o CC/MCC: $8,764

Major small and large bowel procedures w CC: $13,823

Major small and large bowel procedures w MCC: $27,909

Stomach, esophageal duodenal proc w/o CC/MCC: $7,855

Cervical spinal fusion w/o CC/MCC: $10,347

Cervical spinal fusion w MCC: $23,843

Cervical spinal fusion w CC: $14,101

Spinal fusion except cervical w/o MCC: $19,249

Spinal fusion except cervical w MCC: $32,187

Back and neck proc exc spinal fusion w/o CC/MCC: $5,072

Back and neck proc exc spinal fusion w CC/MCC or disc device/neurostim: $9,293

Major shoulder or elbow joint procedures w/o CC/MCC: $6,019

Bilateral or multiple major joint procs of lower extremity w/o MCC: $16,983

Major joint replacement or reattachment of lower extremity w/o MCC: $10,854

Major joint replacement or reattachment of lower extremity w MCC: $17,772

Revision of hip or knee replacement w/o CC/MCC: $13,240

Revision of hip or knee replacement w CC: $16,547

Biopsies of musculoskeletal system and connective tissue w/o CC/MCC: $7,970

Biopsies of musculoskeletal system and connective tissue w MCC: $12,834

Biopsies of musculoskeletal system and connective tissue w CC: $11,475

Other musculoskelet sys and conn tiss O.R. proc w MCC: $16,567

Kidney and ureter procedures for neoplasm w/o CC/MCC: $7,441

Kidney and ureter procedures for neoplasm w MCC: $17,709

Kidney and ureter procedures for neoplasm w CC: $10,062

Revision of hip or knee replacement w MCC: $19,906

Kidney and ureter procedures for non-neoplasm w MCC: $18,030

Bilateral or multiple major joint procs of lower extremity w MCC: $12,350

Transurethral procedures w MCC: $12,104

Other kidney and urinary tract procedures w/o CC/MCC: $7,077

Other kidney and urinary tract procedures w MCC: $14,966

Other kidney and urinary tract procedures w CC: $11,670

Transurethral prostatectomy w/o CC/MCC: $3,417

Transurethral prostatectomy w CC/MCC: $6,041

Uterine and adnexa proc for non-malignancy w/o CC/MCC: $2,294

Use of Medical Imaging

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

Here:	28.600%
Tennessee:	30.823%

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

Here:	7.800%
State:	8.028%

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

This Hospital:	0.055%
State:	0.219%

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

This Hospital:	0.017%
Tennessee:	0.101%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys: 300 or more
Survey Response Rate: 42%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	4%
Tennessee:	5%

Usually

Here:	17%
Tennessee:	17%

Always

This Hospital:	79%
State:	78%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	2%
Tennessee:	4%

Usually

This Hospital:	15%
State:	13%

Always

This Hospital:	83%
Tennessee:	83%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	11%
Tennessee:	10%

Usually

Here:	28%
Tennessee:	25%

Always

Here:	61%
State:	65%

How often was patients' pain well controlled?

Sometimes or never

Here:	4%
Tennessee:	7%

Usually

This Hospital:	23%
Tennessee:	23%

Always

This Hospital:	73%
Tennessee:	70%

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

Sometimes or never

This Hospital:	21%
State:	22%

Usually

Here:	18%
Tennessee:	17%

Always

Here:	61%
State:	61%

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

Sometimes or never

This Hospital:	11%
Tennessee:	10%

Usually

Here:	24%
Tennessee:	18%

Always

Here:	65%
State:	72%

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

Sometimes or never

This Hospital:	11%
State:	8%

Usually

This Hospital:	38%
Tennessee:	27%

Always

This Hospital:	51%
State:	65%

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

Yes

This Hospital:	84%
Tennessee:	81%

Here:	16%
Tennessee:	19%

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

6 or lower

This Hospital:	5%
Tennessee:	9%

7 or 8

Here:	14%
Tennessee:	24%

9 or 10

This Hospital:	81%
Tennessee:	67%

Would patients recommend the hospital to friends and family?

This Hospital:	1%
Tennessee:	6%

Yes, probably

Here:	12%
State:	26%

Yes, definitely

This Hospital:	87%
State:	68%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

Here:	99.0%
Tennessee:	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:	95.0%
State:	96.4%

Percent of Patients Given Beta Blocker at Discharge

Here:	98.0%
State:	98.3%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	99.8%

Percent of Patients Given PCI Within 90 Minutes Of Arrival

Here:	98.0%
Tennessee:	90.8%

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

This Hospital:	4
Tennessee:	9

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

This Hospital:	100.0%
Tennessee:	95.2%

Heart Failure

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

This Hospital:	99.0%
State:	97.3%

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

Here:	94.0%
Tennessee:	95.0%

Percent of Patients Given Discharge Instructions

Here:	86.0%
Tennessee:	88.5%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	99.0%

Pneumonia

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

Here:	94.0%
Tennessee:	96.2%

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

Here:	96.0%
Tennessee:	96.9%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	99.0%
State:	98.8%

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

Here:	91.0%
Tennessee:	92.3%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	98.0%
Tennessee:	92.8%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	97.0%
Tennessee:	94.6%

Surgery

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

This Hospital:	99.0%
State:	97.0%

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

Here:	94.0%
State:	94.3%

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

This Hospital:	99.0%
Tennessee:	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:	99.0%
State:	92.0%

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

Here:	99.0%
State:	93.9%

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

Here:	93.0%
State:	92.9%

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

This Hospital:	100.0%
Tennessee:	99.7%

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

This Hospital:	89.0%
State:	90.0%

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

Here:	95.0%
State:	92.9%

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

This Hospital:	97.0%
Tennessee:	93.5%

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

This Hospital:	92.0%
State:	94.3%

Outcome of Care

30-Day Mortality Rates from Heart Attack

Here:	15.5%
State:	16.4%

30-Day Mortality Rates from Heart Failure

This Hospital:	10.7%
Tennessee:	11.3%

30-Day Mortality Rates from Pneumonia

Here:	13.4%
Tennessee:	12.2%

30-Day Readmission Rates from Heart Attack

Here:	21.4%
Tennessee:	20.5%

30-Day Readmission Rates from Heart Failure

This Hospital:	25.5%
State:	24.8%

30-Day Readmission Rates from Pneumonia

Here:	17.7%
State:	18.9%

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