VA Middle Tennessee Healthcare System

Hospital in Nashville, TN, Medicare certification number 44018F. CMS publishes 37 quality measures for it.

Medicare certification

Provider of Services

CCN: 44018FThe number CMS certifies the facility under, not a provider identifier
Status: Active
Provider type: Hospital
Listed by Care Compare as: Acute Care - Veterans Administration
Ownership: Veterans Health Administration
Participating since: Jul 19, 2005
Last certification: Jul 19, 2005
Beds: 508
Overall star rating: 4 of 5Care Compare
Address: 1310 24TH Avenue S
Nashville, TN 37212
(615) 327-4751

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse2 of 5
- State average 3.21 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Better3 of 5
- State average 2.65 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Better4 of 5
- State average 3.17 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating Better4 of 5
- State average 3.27 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Better4 of 5
- State average 3.47 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Better4 of 5
- State average 3.17 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse3 of 5
- State average 3.7 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better4 of 5
- State average 3.52 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Better4 of 5
- State average 3.25 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Complications and deaths 18

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected0.8
- State average 1 (computed here)
- National average 1.06
- No different than the national rate
- 1,327 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected1.06
- State average 0.99 (computed here)
- National average 1
- No different than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected140.31
- State average 181.38 (computed here)
- National average 173.3
- No different than the national rate
- 105 patients
- Period from 07/01/2022
Death rate for COPD patients As expected8.4
- State average 9.07 (computed here)
- National average 8.6
- No different than the national rate
- 324 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected11.9
- State average 12.26 (computed here)
- National average 11.9
- No different than the national rate
- 130 patients
- Period from 07/01/2022
Death rate for heart failure patients Better6.1
- State average 11.61 (computed here)
- National average 11.1
- Better than the national rate
- 660 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected12.2
- State average 16.17 (computed here)
- National average 15.2
- No different than the national rate
- 316 patients
- Period from 07/01/2022
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.8
- State average 4.36 (computed here)
- National average 3.9
- No different than the national rate
- 2,168 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.41
- State average 0.21 (computed here)
- National average 0.21
- No different than the national rate
- 9,036 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.38
- State average 0.28 (computed here)
- National average 0.27
- No different than the national rate
- 9,635 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.69
- State average 3.4 (computed here)
- National average 3.52
- No different than the national rate
- 1,944 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.67
- State average 1.62 (computed here)
- National average 1.67
- No different than the national rate
- 1,037 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.85
- State average 2.29 (computed here)
- National average 2.34
- No different than the national rate
- 1,872 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected10.79
- State average 9.55 (computed here)
- National average 9.42
- No different than the national rate
- 1,020 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected4.73
- State average 5.25 (computed here)
- National average 5.27
- No different than the national rate
- 1,037 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.53
- State average 1.73 (computed here)
- National average 1.77
- No different than the national rate
- 330 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.58
- State average 0.61 (computed here)
- National average 0.63
- No different than the national rate
- 6,118 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected4.2
- State average 4.37 (computed here)
- National average 4.1
- No different than the national rate
- 167 patients
- Period from 04/01/2023

Measures CMS does not publish for this facility (2)

Death rate for CABG surgery patients — 5
Death rate for stroke patients — 5

Infections 2

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected1.25
- State average 0.41
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0.67
- State average 0.63
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Measures CMS does not publish for this facility (4)

Clostridium Difficile (C.Diff) — 5
MRSA Bacteremia — 5
SSI - Abdominal Hysterectomy — 5
SSI - Colon Surgery — 5

Unplanned visits 8

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected16.7
- State average 14.37 (computed here)
- National average 14.4
- No different than the national rate
- 101 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected22.2
- State average 21.35 (computed here)
- National average 21.3
- No different than the national rate
- 551 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 65.1
- State average 1.29 (computed here)
- National average 6.71 (computed here)
- More days than average per 100 discharges
- 144 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 10.1
- State average 5.29 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 815 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 25
- State average 5.61 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 369 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected19
- State average 17.45 (computed here)
- National average 17.3
- No different than the national rate
- 244 patients
- Period from 07/01/2023
Rate of readmission after hip/knee replacement As expected8.2
- State average 5.92 (computed here)
- National average 5.8
- No different than the national rate
- 177 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected20.5
- State average 19.86 (computed here)
- National average 20
- No different than the national rate
- 269 patients
- Period from 07/01/2023

Measures CMS does not publish for this facility (6)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy — 5
Rate of inpatient admissions for patients receiving outpatient chemotherapy — 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

Other hospitals in Nashville, TN

St Thomas Hospital Transplant
Tristar Centennial Medical Center 2300 Patterson Street
Tristar Centennial Medical Center 2401 Parman PL
Tristar Skyline Medical Center
Tristar Southern Hills Medical Center
Vanderbilt University Medical Center 1211 Medical Center Drive
Vanderbilt University Medical Center 1601 23Rd Ave S
Vanderbilt University Transplant Center

Sources for this page

Provider of Services: the certification, provider type, beds and status.
Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.

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.