VANDERBILT UNIVERSITY HOSPITAL - NASHVILLE, TN

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

SHORT TERM HOSPITALS

Services provided by VANDERBILT UNIVERSITY HOSPITAL:

Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 633

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 633

Residents (physicians) (The number of full-time equivalent residents (physicians) employed by a hospital): 341.78

Accreditation effective date (The effective date of the current period of accreditation by the joint commission on accreditation of health care organizations (jcaho) or the american osteopathic association (aoa)): Jul 1997

Accreditation expiration date (The expiration date of the current period of accreditation by the joint committee on accreditation of health care organizations (jcaho) or the american osteopathic association (aoa)): Jul 2000

Accreditation indicator (Indicates the organization that is responsible for the accreditation of the provider): JCAHO

Alcohol/drug unit beds (The number of beds in a pps exempt alcohol/drug unit of a hospital): 14

Alcohol/drug unit effective date (The date an alcohol/drug unit became exempt from the prospective payment system (pps)): Jul 1984

Alcohol/drug unit indicator (Indicates if a hospital has a pps exempt alcohol/drug unit): Yes

Alcohol/drug unit termination code (Indicates the reason that an alcohol/drug unit is no longer exempt from the prospective payment system): 7

Alcohol/drug unit termination date (The date an alcohol/drug unit's exemption from the prospective payment system is terminated): Jun 1988

Certified rn anesthetists (Number of full-time equivalent certified registered nurse anesthetists (crna) employed by a hospital): 2.43

Current survey ever accredited (Indicates if this provider was an accredited hospital anytime during the current survey): Yes

Current survey ever non-Accred (Indicates if this provider was a non-Accredited hospital anytine during the current survey): No

Current survey ever swingbed (Indicates if this provider was a swingbed hospital anytime during the current survey): No

Date of validation survey (Date a validation survey is performed by the state agency in a jcah or aoa accredited hospital): Jun 1991

Dieticians (Number of full-time equivalent dieticians employed by a facility): 22.67

Inhalation therapists (Number of fulltime equivalent inhalation therapists employed by a hospital): 98.40

Licensed pract/vocat nurses (Number of full-time equivalent licensed practical or vocational nurses employed by a facility): 109.07

Medical school affiliation (The type of affiliation that a hospital may have with a medical school): MAJOR

Occupational therapists (The number of full time equivalent occupational therapists employed by a provider): 11.92

Other personnel (The number of full-time equivalent other salaried personnel employed by a facility): 2784.35

Participating code (y,n) (This code indicates whether a provider is participating in the Medicaid or Medicare program): Yes

Physical therapists (The number of full-time equivalent physical therapists employed by a provider): 23.25

Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE AND MEDICAID

Psychiatric unit beds (The number of beds in a pps exempt psychiatric unit of a hospital): 88

Psychiatric unit effective date (The date a psychiatric unit became exempt from the prospective payment system (pps)): Jul 2001

Psychiatric unit indicator (Indicates if a hospital has a pps exempt psychiatric unit): Yes

Regional override #3 (nurse - Bed) (This field is set to "y" when the regional office has to ok a pending record in the special fields screen. this field only applies to categories in the odie data entry system): Yes

Registered nurses (The number of full-time equivalent registered professional nurses employed by a provider): 1355.98

Registered pharmacists (The number of full-time equivalent registered pharmacists employed by a provider): 59.72

Rehabilitation unit beds (The number of beds in a pps exempt rehabilitation unit of a hospital): 28

Rehabilitation unit effect date (The date a rehabilitation unit became exempt from the prospective payment system): Jul 1993

Rehabilitation unit indicator (Indicates if a hospital has a pps exempt rehabilitation unit): Yes

Rehabilitation unit terminat code (This element indicates the reason for a hospital rehabilitation unit's termination of its exclusion status under prospective payment system): VOLUNTARY-OTHER

Rehabilitation unit terminat date (This element is the date the hospital's psychiatric unit is no longer excluded from prospective payment system): Jul 1993

Resident program approved by ada (Indicates if the resident program at a hospital is approved by the american dental association): No

Resident program approved by ama (Indicates if the resident program at a hospital is approved by the american medical association): Yes

Resident program approved by aoa (Indicates if the resident program at a hospital is approved by the american osteopathic association): No

Resident program approved by other (Indicates if the resident program at a hospital is approved by other professional organizations): No

Srv: acute renal dialysis (Indicates how acute renal dialysis services are provided in a hospital): PROVIDED BY STAFF

Srv: anesthesia (Indicates how anesthesia services are provided by a hospital): PROVIDED BY STAFF

Srv: blood bank (Indiciates how blood bank services are provided by a hospital): 1

Srv: burn care unit (Indicates how burn care unit services are provided by a hospital): PROVIDED BY STAFF

Srv: coronary care unit (Indicates how coronary care unit services are provided by a hospital): PROVIDED BY STAFF

Srv: dental (Indicates how dental services are provided): PROVIDED BY STAFF

Srv: dietary (Indicates how dietary services are provided): PROVIDED BY STAFF

Srv: emergency services(organized) (Indicates how organized emergency services are provided by a hospital): PROVIDED BY STAFF

Srv: inpatient surgical (Indicates how inpatient surgical services are provided by a hospital): PROVIDED BY STAFF

Srv: intensive care unit (Indicates how intensive care unit services are provided by a hospital): PROVIDED BY STAFF

Srv: laboratory (anatomical) (Indicates how anatomical laboratory services are provided in a hospital): PROVIDED BY STAFF

Srv: laboratory (clinical) (Indicates how clinical laboratory services are provided in a hospital): PROVIDED BY STAFF

Srv: long term care unit (Indicates how long term care unit services are provided in a hospital): PROVIDED BY STAFF

Srv: neonatal nursery (Indicates how neonatal nursery services are provided by a hospital): PROVIDED BY STAFF

Srv: nuclear medicine (Indicates how nuclear medicine services are provided by a hospital): PROVIDED BY STAFF

Srv: obstetrics (Indicates how obstetrics services are provided by a hospital): PROVIDED BY STAFF

Srv: occupational therapy (Indicates how occupational therapy services are provided): PROVIDED BY STAFF

Srv: open heart surgery facility (Indicates how open heart surgery facility services are provided by a hospital): PROVIDED BY STAFF

Srv: operating rooms (Indicates how operating room services are provided by a hospital): PROVIDED BY STAFF

Srv: organ transplant (Indicates how organ transplant services are provided by a hospital): PROVIDED BY STAFF

Srv: outpatient (Indicates how outpatient services are provided by a hospital): PROVIDED BY STAFF

Srv: outpatient surgery unit (Indicates how outpatient surgery unit services are provided by a hospital): PROVIDED BY STAFF

Srv: pediatric (Indicates how pediatric services are provided by a hospital): PROVIDED BY STAFF

Srv: pharmacy (Indicates how pharmacy services are provided): PROVIDED BY STAFF

Srv: physical therapy (Indicates how physical therapy services are provided): PROVIDED BY STAFF

Srv: postoperative recovery room (Indicates how postoperative recovery room services are provided by a hospital): PROVIDED BY STAFF

Srv: psychiatric (Indicates how psychiatric services are provided by a hospital): PROVIDED BY STAFF

Srv: radiology (diagnostic) (Indicates how diagnostic radiology services are provided by a hospital): PROVIDED BY STAFF

Srv: radiology (therapeutic) (Indicates how therapeutic radiology services are provided by a hospital): 1

Srv: rehabilitation (Indicates how rehabilitation services are provided by a hospital): PROVIDED BY STAFF

Srv: shock trauma (Indicates how shock trauma services are provided by a hospital): PROVIDED BY STAFF

Srv: social (Indicates how social services are provided): PROVIDED BY STAFF

Srv: speech pathology (Indicates how speech pathology services are provided): PROVIDED BY STAFF

Swing bed indicator (Indicates if a hospital provides swing bed services - Beds can be used for either hospital or long term care services): No

Type of facility (Indicates the category which represents the type of facility): SHORT - TERM

Speech pathologists, audiologists (The number of full-time equivalent speech pathologists or audiologists employed by a provider): 9.30

Srv: respiratory care (Indicates how respiratory care services are provided): PROVIDED BY STAFF

Medical social workers (Number of full-time equivalent medical social workers employed by a hospital or hospice): 27.58

Compliance: status (Indicates if a provider or supplier is in compliance with program requirements): IN COMPLIANCE

Current survey date (The date of the health or life safety code survey, whichever is later. the "official" survey date for the provider): Mar 2000

Eligibility code (Indicates if a facility is eligible to participate in the Medicare and/or Medicaid programs): ELIGIBLE TO PARTICIPATE

Participation date (The date a facility is first approved to provide Medicare and/or Medicaid services): Jul 1966

Quality Measure Score

	Here	State Average	Nation Average
Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)	93%	82%	85%
Heart Attack Patients Given Aspirin at Arrival	100%	89%	93%
Heart Attack Patients Given Aspirin at Discharge	99%	85%	90%
Heart Attack Patients Given Beta Blocker at Arrival	93%	79%	88%
Heart Attack Patients Given Beta Blocker at Discharge	100%	86%	91%
Heart Attack Patients Given PCI Within 90 Minutes Of Arrival	71%	54%	60%
Heart Attack Patients Given Smoking Cessation Advice/Counseling	96%	91%	91%

	Here	State Average	Nation Average
Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)	94%	81%	84%
Heart Failure Patients Given Discharge Instructions	85%	66%	66%
Heart Failure Patients Given Smoking Cessation Advice/Counseling	87%	89%	86%
Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function	100%	82%	85%

	Here	State Average	Nation Average
Pneumonia Patients Assessed and Given Influenza Vaccination	52%	78%	75%
Pneumonia Patients Assessed and Given Pneumococcal Vaccination	65%	78%	75%
Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival	100%	94%	93%
Pneumonia Patients Given Oxygenation Assessment	100%	99%	99%
Pneumonia Patients Given Smoking Cessation Advice/Counseling	84%	90%	84%
Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)	92%	86%	86%
Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics	88%	90%	90%

	Here	State Average	Nation Average
Surgery Patients Who Received Preventative Antibiotic(s) One Hour Before Incision	93%	80%	82%
Surgery Patients Who Received Treatment To Prevent Blood Clots Within 24 Hours Before or After Selected Surgeries to Prevent Blood Clots	99%	71%	75%
Surgery Patients Who Received the Appropriate Preventative Antibiotic(s) for Their Surgery	96%	86%	90%
Surgery Patients Whose Doctors Ordered Treatments to Prevent Blood Clots (Venous Thromboembolism) For Certain Types of Surgeries	99%	76%	79%
Surgery Patients Whose Preventative Antibiotic(s) are Stopped Within 24 hours After Surgery	89%	74%	78%

Hospital Consumer Assessment of Healthcare Providers & Systems Survey

How do patients rate the hospital overall?

	Here	State Average	Nation Average
Patients who gave a rating of 9 or 10 (high)	74%	64%	63
Patients who gave a rating of 7 or 8 (medium)	21%	25%	26
Patients who gave a rating of 6 or lower (low)	5%	11%	11

How often did doctors communicate well with patients?

	Here	State Average	Nation Average
Doctors always communicated well	83%	81%	79
Doctors usually communicated well	14%	14%	16
Doctors sometimes or never communicated well	3%	5%	5

How often did nurses communicate well with patients?

	Here	State Average	Nation Average
Nurses always communicated well	80%	74%	73
Nurses usually communicated well	17%	20%	21
Nurses sometimes or never communicated well	3%	6%	6

How often did patients receive help quickly from hospital staff?

	Here	State Average	Nation Average
Patients always received help as soon as they wanted	67%	60%	60
Patients usually received help as soon as they wanted	22%	27%	28
Patients sometimes or never received help as soon as they wanted	11%	13%	12

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

	Here	State Average	Nation Average
Staff always explained	62%	58%	58
Staff usually explained	18%	18%	18
Staff sometimes or never explained	20%	24%	24

How often was patients' pain well controlled?

	Here	State Average	Nation Average
Pain was always well controlled	74%	68%	67
Pain was usually well controlled	21%	23%	25
Pain was sometimes or never well controlled	5%	9%	8

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

	Here	State Average	Nation Average
Always quiet at night	60%	60%	54
Usually quiet at night	30%	30%	32
Sometimes or never quiet at night	10%	10%	14

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

	Here	State Average	Nation Average
Room was always clean	64%	68%	68
Room was usually clean	21%	21%	21
Room was sometimes or never clean	15%	11%	11

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

	Here	State Average	Nation Average
Yes, staff did give patients this information	87%	78%	79
No, staff did not give patients this information	13%	22%	21

Would patients recommend the hospital to friends and family?

	Here	State Average	Nation Average
YES, patients would definitely recommend the hospital	84%	69%	67
YES, patients would probably recommend the hospital	14%	24%	27
NO, patients would not recommend the hospital (they probably would not or definitely would not recommend it)	2%	7%	6

Average Medicare Payment

Angioplasty Procedures and Insertion of Drug Coated Stent into Heart Artery: $18536
Back & Neck Operations Except Back or Neck Fusion: $7955
Back & Neck Operations Except Back or Neck Fusion with Complications or Preexisting Conditions: $11329
Back Fusion to Join Spine Bones, not Neck: $31029
Back Fusion to Join Spine Bones, not Neck, with Complications or Preexisting Conditions: $34343
Chest Pain: $4850
Chronic Lung Disease: $7667
Diabetes in Adults: $6997
Female Reproductive System Reconstructive Operations: $6118
Gallbladder Removal By Laparoscope: $8452
Gallbladder Removal Except By (non) Laparoscope with Complications or Preexisting Conditions: $20500
Gallbladder Removal by Laparoscope with Complications or Preexisting Conditions: $14950
Head and Neck Blood Vessel Operations: $8937
Heart Attack with Major Complications: $14494
Heart Attack without Complications: $8051
Heart Bypass Surgery: $30520
Heart Bypass Surgery with Complications or Preexisting Conditions: $42779
Heart Failure: $9098
Heart Valve Operations: $53797
Hernia Operations in Adults: $8038
Hernia Operations in Adults with Complications or Preexisting Conditions: $12481
Insertion of Heart Defibrillator: $46880
Insertion of Heart Defibrillator with Examination of Heart through a Catheter: $59269
Kidney and Bladder Operations for Cancer: $19424
Kidney and Bladder Operations with Complications or Preexisting Conditions: $19000
Major Arm & Shoulder Operations with Complications or Preexisting Conditions: $10291
Major Heart and Blood Vessel Procedures with Complications or Preexisting Conditions: $36308
Major Small & Large Intestine Operations: $12105
Minor Small and Large Bowel Procedures With Complications: $30800
Neck Fusion to Join Bones with Complications or Preexisting Conditions: $20458
Neck Fusion to Join Neck Bones: $18050
Other Bladder Operations Via the Urethra with Complications or Preexisting Conditions: $9753
Other Bone, Joint & Organ Operations with Complications or Preexisting Conditions: $19597
Other Kidney & Urinary Tract Operations: $23396
Pacemaker Implant: $17354
Pneumonia and Pleurisy in Adults With Complications or Preexisting Conditions: $8469
Removal of Prostate Via Urethra: $4738
Removal of Prostate Via Urethra with Complications or Preexisting Conditions: $10028
Repair of Previous Hip or Knee Replacement: $22059
Replacement of Hip, Knee or Ankle or Reattachment of Thigh, Foot or Ankle: $17605
Sample of Bone Removed for Evaluation of Cancer, Infections or Other Bone Disorders: $16060
Stomach & Esophagus Operations in Adults with Complications or Preexisting Conditions: $32733
Two or More Hip, Knee or Ankle Operations: $26591
Uterus & Ovary Operations: $6636

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