Tristar Southern Hills Medical Center

(615) 781-4000 · 391 Wallace Rd, Nashville, TN 37211

Overview

Tristar Southern Hills Medical Center is a hospital registered with U.S Centers for Medicare & Medicaid Services. The facility number is #440197. The hospital type is acute care hospitals. The address is 391 Wallace Rd, Nashville, TN 37211. The overall rating is 3.

Facility ID 440197
Facility Name TRISTAR SOUTHERN HILLS MEDICAL CENTER
Address 391 Wallace Rd
Nashville
TN 37211
County Davidson
Telephone (615) 781-4000
Hospital Type Acute Care Hospitals
Hospital Ownership Proprietary
Emergency Services Yes
Overall Rating 3

Overall Quality Star Rating Measures

Mortality Measure Total measures in the group: 7. Facility reported measures count: 6.
Better than the national value: 0, No different: 6, Worse: 0
Safety of Care Measure Total measures in the group: 8. Facility reported measures count: 7.
Better than the national value: 1, No different: 6, Worse: 0
Readmission Measure Total measures in the group: 11. Facility reported measures count: 8.
Better than the national value: 0, No different: 7, Worse: 1
Patient Experience Measure Total measures in the group: 8. Facility reported measures count: 8.
Better than the national value: , No different: , Worse:
Timly Effectiveness Measure Total measures in the group: 14. Facility reported measures count: 10.
Better than the national value: , No different: , Worse:
Notes The Overall Hospital Quality Star rating summarizes a variety of measures across 5 areas of quality into a single star rating for each hospital. Once reporting thresholds are met, a hospital’s overall star rating is calculated using only those measures for which data are available. The average is about 37 measures. Hospitals report data to the Centers for Medicare & Medicaid Services through the Hospital Inpatient Quality Reporting (IQR) Program, Hospital Outpatient Quality Reporting (OQR) Program, Hospital Readmission Reduction Program (HRRP), Hospital-Acquired Condition (HAC) Reduction Program, and Hospital Value-Based Purchasing (VBP) Program. Overall star ratings aren’t calculated for Veterans Health Administration (VHA) or Department of Defense (DoD) hospitals.
The methodology uses a simple average of measure scores to calculate measure group scores and Z-score standardization to standardize measure group scores for these 5 measure groups: 1. Mortality 2. Safety of Care 3. Readmission 4. Patient Experience 5. Timely & Effective Care
After estimating the group score for each hospital and each group, CMS calculates a weighted average to combine the 5 group scores into a single hospital summary score. If a hospital is missing a measure category or group, the weights are redistributed proportionally amongst the qualifying measure categories or groups.

HCAHPS Patient Survey Ratings Hospital Consumer Assessment of Healthcare Providers and Systems
Completed Surveys: 557, Response Rate: 18% (2019-01-01~2019-12-31)

QuestionResponses
Patients who reported that they "Always" received bathroom help as soon as they wantedPercent: 71%
Patients who reported that they "Sometimes" or "Never" received bathroom help as soon as they wantedPercent: 6%
Patients who reported that they "Usually" received bathroom help as soon as they wantedPercent: 23%
Patients who reported that they "Always" received help after using the call button as soon as they wantedPercent: 68%
Patients who reported that they "Sometimes" or "Never" received help after using the call button as soon as they wantedPercent: 8%
Patients who reported that they "Usually" received help after using the call button as soon as they wantedPercent: 24%
Patients who reported that their room and bathroom were "Always" cleanPercent: 76%
Patients who reported that their room and bathroom were "Sometimes" or "Never" cleanPercent: 6%
Patients who reported that their room and bathroom were "Usually" cleanPercent: 18%
Cleanliness - linear mean scoreScore: 89 (scale 1-100)
Cleanliness - star ratingRating: 3 (scale 1-5)
Patients who reported that their nurses "Always" communicated wellPercent: 80%
Nurse communication - linear mean scoreScore: 91 (scale 1-100)
Patients who reported that their nurses "Sometimes" or "Never" communicated wellPercent: 5%
Nurse communication - star ratingRating: 3 (scale 1-5)
Patients who reported that their nurses "Usually" communicated wellPercent: 15%
Patients who reported that their doctors "Always" communicated wellPercent: 81%
Doctor communication - linear mean scoreScore: 92 (scale 1-100)
Patients who reported that their doctors "Sometimes" or "Never" communicated wellPercent: 4%
Doctor communication - star ratingRating: 3 (scale 1-5)
Patients who reported that their doctors "Usually" communicated wellPercent: 15%
Patients who reported that they "Always" received help as soon as they wantedPercent: 70%
Staff responsiveness - linear mean scoreScore: 87 (scale 1-100)
Patients who reported that they "Sometimes" or "Never" received help as soon as they wantedPercent: 7%
Staff responsiveness - star ratingRating: 4 (scale 1-5)
Patients who reported that they "Usually" received help as soon as they wantedPercent: 23%
Patients who reported that staff "Always" explained about medicines before giving it to themPercent: 67%
Communication about medicines - linear mean scoreScore: 80 (scale 1-100)
Patients who reported that staff "Sometimes" or "Never" explained about medicines before giving it to themPercent: 17%
Communication about medicines - star ratingRating: 3 (scale 1-5)
Patients who reported that staff "Usually" explained about medicines before giving it to themPercent: 16%
Discharge information - linear mean scoreScore: 88 (scale 1-100)
Patients who reported that NO, they were not given information about what to do during their recovery at homePercent: 12%
Discharge information - star ratingRating: 3 (scale 1-5)
Patients who reported that YES, they were given information about what to do during their recovery at homePercent: 88%
Patients who "Agree" they understood their care when they left the hospitalPercent: 42%
Patients who "Disagree" or "Strongly Disagree" they understood their care when they left the hospitalPercent: 5%
Care transition - linear mean scoreScore: 82 (scale 1-100)
Patients who "Strongly Agree" they understood their care when they left the hospitalPercent: 53%
Care transition - star ratingRating: 3 (scale 1-5)
Patients who "Agree" that they understood the purposes of their medications when leaving the hospitalPercent: 36%
Patients who "Disagree" or "Strongly Disagree" that they understood the purposes of their medications when leaving the hospitalPercent: 4%
Patients who "Strongly Agree" that they understood the purposes of their medications when leaving the hospitalPercent: 60%
Patients who "Agree" that the staff took my preferences into account when determining my health care needsPercent: 47%
Patients who "Disagree" or "Strongly Disagree" that the staff took my preferences into account when determining my health care needsPercent: 7%
Patients who "Strongly Agree" that the staff took my preferences into account when determining my health care needsPercent: 46%
Patients who "Agree" that they understood their responsiblities in managing their healthPercent: 44%
Patients who "Disagree" or "Strongly Disagree" that they understood their responsiblities in managing their healthPercent: 5%
Patients who "Strongly Agree" that they understood their responsiblities in managing their healthPercent: 51%
Patients who reported that NO, they did not discuss whether they would need help after dischargePercent: 15%
Patients who reported that YES, they did discuss whether they would need help after dischargePercent: 85%
Patients who reported that their doctors "Always" explained things in a way they could understandPercent: 79%
Patients who reported that their doctors "Sometimes" or "Never" explained things in a way they could understandPercent: 4%
Patients who reported that their doctors "Usually" explained things in a way they could understandPercent: 17%
Patients who reported that their doctors "Always" listened carefully to themPercent: 79%
Patients who reported that their doctors "Sometimes" or "Never" listened carefully to themPercent: 5%
Patients who reported that their doctors "Usually" listened carefully to themPercent: 16%
Patients who reported that their doctors "Always" treated them with courtesy and respectPercent: 87%
Patients who reported that their doctors "Sometimes" or "Never" treated them with courtesy and respectPercent: 4%
Patients who reported that their doctors "Usually" treated them with courtesy and respectPercent: 9%
Patients who gave their hospital a rating of 6 or lower on a scale from 0 (lowest) to 10 (highest)Percent: 7%
Patients who gave their hospital a rating of 7 or 8 on a scale from 0 (lowest) to 10 (highest)Percent: 17%
Patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest)Percent: 76%
Overall hospital rating - linear mean scoreScore: 89 (scale 1-100)
Overall hospital rating - star ratingRating: 3 (scale 1-5)
Patients who reported that when receiving new medication the staff "Always" communicated what the medication was forPercent: 79%
Patients who reported that when receiving new medication the staff "Sometimes" or "Never" communicated what the medication was forPercent: 6%
Patients who reported that when receiving new medication the staff "Usually" communicated what the medication was for.Percent: 15%
Patients who reported that their nurses "Always" explained things in a way they could understandPercent: 77%
Patients who reported that their nurses "Sometimes" or "Never" explained things in a way they could understandPercent: 5%
Patients who reported that their nurses "Usually" explained things in a way they could understandPercent: 18%
Patients who reported that their nurses "Always" listened carefully to themPercent: 76%
Patients who reported that their nurses "Sometimes" or "Never" listened carefully to themPercent: 6%
Patients who reported that their nurses "Usually" listened carefully to themPercent: 18%
Patients who reported that their nurses "Always" treated them with courtesy and respectPercent: 86%
Patients who reported that their nurses "Sometimes" or "Never" treated them with courtesy and respectPercent: 4%
Patients who reported that their nurses "Usually" treated them with courtesy and respectPercent: 10%
Patients who reported that the area around their room was "Always" quiet at nightPercent: 69%
Patients who reported that the area around their room was "Sometimes" or "Never" quiet at nightPercent: 6%
Patients who reported that the area around their room was "Usually" quiet at nightPercent: 25%
Quietness - linear mean scoreScore: 88 (scale 1-100)
Quietness - star ratingRating: 5 (scale 1-5)
Patients who reported NO, they would probably not or definitely not recommend the hospitalPercent: 5%
Patients who reported YES, they would definitely recommend the hospitalPercent: 71%
Recommend hospital - linear mean scoreScore: 88 (scale 1-100)
Patients who reported YES, they would probably recommend the hospitalPercent: 24%
Recommend hospital - star ratingRating: 3 (scale 1-5)
Patients who reported that when receiving new medication the staff "Always" discussed possible side effectsPercent: 55%
Patients who reported that when receiving new medication the staff "Sometimes" or "Never" discussed possible side effectsPercent: 28%
Patients who reported that when receiving new medication the staff "Usually" discussed possible side effectsPercent: 17%
Summary star ratingRating: 3 (scale 1-5)
Patients who reported that NO, they did not receive written information about possible symptoms to look out for after dischargePercent: 10%
Patients who reported that YES, they did receive written information about possible symptoms to look out for after dischargePercent: 90%

Surgical Complications and Mortality Measures
(2016-04-01~2019-03-31)

Measure NameCompared to NationalDenominatorScore
Rate of complications for hip/knee replacement patientsNo Different Than the National Rate1062.3
Death rate for heart attack patientsNo Different Than the National Rate5412.7
Death rate for CABG surgery patients
Death rate for COPD patientsNo Different Than the National Rate868.1
Death rate for heart failure patientsNo Different Than the National Rate14111.7
Death rate for pneumonia patientsNo Different Than the National Rate11418.2
Death rate for stroke patientsNo Different Than the National Rate8113.9
Postoperative Acute Kidney Injury Requiring Dialysis RateNo Different Than the National Rate5781.54
Postoperative Respiratory Failure RateNo Different Than the National Rate5509.81
Serious blood clots after surgeryNo Different Than the National Rate8582.93
Blood stream infection after surgeryNo Different Than the National Rate5675.01
A wound that splits open after surgery on the abdomen or pelvisNo Different Than the National Rate1941.04
Accidental cuts and tears from medical treatmentNo Different Than the National Rate3961.13
Pressure soresNo Different Than the National Rate19480.25
Deaths among Patients with Serious Treatable Complications after SurgeryNo Different Than the National Rate33179.53
Collapsed lung due to medical treatmentNo Different Than the National Rate26170.33
Broken hip from a fall after surgeryNo Different Than the National Rate22990.11
Serious complicationsNo Different Than the National Value1.00
Perioperative Hemorrhage or Hematoma RateNo Different Than the National Rate8322.37

Location Information

Street Address 391 WALLACE RD
City NASHVILLE
State TN
Zip Code 37211

Hospitals in the same city

Hospital NameAddressTelephoneOverall Rating
Metro Nashville General Hospital 1818 Albion Street, Nashville, TN 37208(615) 341-40001
Saint Thomas Midtown Hospital 2000 Church St, Nashville, TN 3723661528455554
Tristar Centennial Medical Center 2300 Patterson Street, Nashville, TN 37203(615) 342-10003
Saint Thomas West Hospital 4220 Harding Rd, Po Box 380, Nashville, TN 37205(615) 222-21114
Washington County Hospital 705 S Grand Ave, Nashville, IL 62263(618) 327-8236
Tristar Skyline Medical Center 3441 Dickerson Pike, Nashville, TN 37207(615) 769-20002
Saint Thomas Hospital for Spinal Surgery 2011 Murphy Avenue, Nashville, TN 37203(615) 284-2970
Middle Tn Mental Health Institute 221 Stewarts Ferry Pike, Nashville, TN 37214(615) 902-7565
Howard Memorial Hospital 130 Medical Circle, Nashville, AR 71852(870) 845-44003
Vanderbilt University Medical Center 1211 Medical Center Drive, Nashville, TN 37232(615) 322-50004
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Dataset Information

This dataset includes 5 thousand hospitals registered with the U.S Centers for Medicare & Medicaid Services. Each hospital is registered with addresses, phone numbers, hospital type, and overall hospital rating, etc.