NPIMap

TJ Health Columbia

Hospital in Columbia, KY, Medicare certification number 180149. CMS publishes 20 quality measures for it.

Medicare certification

Provider of Services
CCN
180149The number CMS certifies the facility under, not a provider identifier
Status
Active
Provider type
Hospital – Short-term
Listed by Care Compare as
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Control type
Hospital district or authority
Participating since
Aug 4, 2005
Last certification
Jul 14, 2006
Beds
77
Most recent change of ownership
Feb 11, 2016 (1 total)
Address
901-902 Wellness Way
Columbia, KY 42728
(270) 384-4753

NPI records for this facility 1

Patient survey (HCAHPS) 0

Medicare Care Compare
Measures CMS does not publish for this facility (9)
  • Cleanliness - star rating — 15
  • Communication about medicines - star rating — 15
  • Discharge information - star rating — 15
  • Doctor communication - star rating — 15
  • Nurse communication - star rating — 15
  • Overall hospital rating - star rating — 15
  • Quietness - star rating — 15
  • Recommend hospital - star rating — 15
  • Summary star rating — 15

Complications and deaths 5

Medicare Care Compare
Measures CMS does not publish for this facility (15)
  • Abdominopelvic accidental puncture or laceration rate — 7
  • CMS Medicare PSI 90: Patient safety and adverse events composite — 1
  • Death rate among surgical inpatients with serious treatable complications — 7
  • Death rate for CABG surgery patients — 5
  • Death rate for COPD patients — 1
  • Death rate for heart attack patients — 5
  • Death rate for heart failure patients — 1
  • Death rate for stroke patients — 5
  • Perioperative pulmonary embolism or deep vein thrombosis rate — 7
  • Postoperative acute kidney injury requiring dialysis rate — 7
  • Postoperative hemorrhage or hematoma rate — 7
  • Postoperative respiratory failure rate — 7
  • Postoperative sepsis rate — 7
  • Postoperative wound dehiscence rate — 7
  • Rate of complications for hip/knee replacement patients — 5

Infections 0

Medicare Care Compare
Measures CMS does not publish for this facility (6)
  • Catheter Associated Urinary Tract Infections (ICU + select Wards) — 13
  • Central Line Associated Bloodstream Infection (ICU + select Wards) — 13
  • Clostridium Difficile (C.Diff) — 13
  • MRSA Bacteremia — 13
  • SSI - Abdominal Hysterectomy — 5
  • SSI - Colon Surgery — 5

Outpatient imaging 1

Medicare Care Compare
Measures CMS does not publish for this facility (1)
  • Breast Cancer Screening Recall Rates — 7

Spending per patient 1

Medicare Care Compare

Timely and effective care 9

Medicare Care Compare
Measures CMS does not publish for this facility (21)
  • Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
  • Antithrombotic Therapy by End of Hospital Day 2 — 5
  • Appropriate care for severe sepsis and septic shock — 1, 3
  • Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better — 1
  • Discharged on Antithrombotic Therapy — 5
  • Emergency department volume — low
  • Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients — 5
  • Global Malnutrition Composite Score — 5
  • Global Malnutrition Composite Score: Malnutrition Diagnosis Documented — 5
  • Global Malnutrition Composite Score: Malnutrition Risk Screening — 5
  • Global Malnutrition Composite Score: Nutrition Assessment — 5
  • Global Malnutrition Composite Score: Nutritional Care Plan — 5
  • Head CT results — 1
  • Hospital Harm - Opioid Related Adverse Events — 5
  • Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
  • Intensive Care Unit Venous Thromboembolism Prophylaxis — 5
  • Septic Shock 3-Hour Bundle — 1, 3
  • Septic Shock 6-Hour Bundle — 5
  • Severe Sepsis 3-Hour Bundle — 1, 3
  • Severe Sepsis 6-Hour Bundle — 1, 3
  • ST-Segment Elevation Myocardial Infarction (STEMI) — 1

Unplanned visits 4

Medicare Care Compare
Measures CMS does not publish for this facility (10)
  • Acute Myocardial Infarction (AMI) 30-Day Readmission Rate — 5
  • Hospital return days for heart attack patients — 5
  • Hospital return days for heart failure patients — 1
  • Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
  • Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy — 1
  • Rate of inpatient admissions for patients receiving outpatient chemotherapy — 1
  • Rate of readmission after hip/knee replacement — 5
  • Rate of readmission for CABG — 5
  • Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) — 5
  • Ratio of unplanned hospital visits after hospital outpatient surgery — 5

Sources for this page

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.