Quality of Care
We are committed to continuous improvement and accountability. We report data made publicly available by CMS Hospital Compare, as well as our most current corresponding internal data.
Colonoscopy Follow-Up
Preventive Care
| Oct 2016 - March 2017 | ||||||
|---|---|---|---|---|---|---|
| National Average | BGH Hospital Compare | CGH Latest Compare | Dyersburg Hospital Compare | MGH Hospital Compare | Volunteer Martin Hospital Compare | |
| Assessed and Given Influenza Vaccination | 93 | 91 | 99 | 100 | 98 | 99 |
| Healthcare workers given influenza vaccination | 88 | 90 | N/A | 83 | 80 | 73 |
Assessed and Given Influenza Vaccination
Flu shots reduce the risk of influenza, a serious and sometimes deadly lung infection that can spread quickly in a community or facility
Blood Clot
| Oct 2016 - June 2017 | |||
|---|---|---|---|
| National Average | JMCGH Hospital Compare | JMCGH Latest Internal Data | |
| Patients who developed a blood clot while in the hospital who did not get
treatment that could have prevented it. (Scale 2-12%) | 2% | 5% | 3%* |
| * Represents 4 Patients | |||
Educating patients about how to take the medicine and its possible side effects can help prevent problems that could bring them back to the hospital. Before leaving the hospital, patients with a blood clot, who are taking a blood thinner medicine, and their caregiver should receive information about the following topics: how to follow medication instructions, how to eat a healthy diet and avoid foods that interfere with blood thinners, monitoring their blood thinner medicine, adverse drug reactions, and when to call your health care provider.
Pregnancy and Delivery Rate
| Oct 2016 - June 2017 | |||
|---|---|---|---|
| National Average | JMCGH Hospital Compare Data | JMCGH Latest Internal Data | |
| Percent of newborns whose deliveries were scheduled too early (1-3 weeks early), when a scheduled delivery was not medically necessary. | 2% | 0% | 0% |
Percent of newborns whose deliveries were scheduled too early (1-3 weeks early), when a scheduled delivery was not medically necessary
Guidelines developed by doctors and researchers say it’s best to wait until the 39th completed week of pregnancy to deliver your baby because important fetal development takes place in your baby’s brain and lungs during the last few weeks of pregnancy.
National Surgical Quality Improvement Project
| July 2016 - June 2017 | |
|---|---|
| Death or Serious Morbidity (Complications of Care) | Average |
| Return to Operating Room | Average |
| Colon Surgical Outcomes | Meets American College of Surgeons Expectations (Hospital Compare) |
| Outcomes in Surgeries for Patients 65 Years or Older | Meets American College of Surgeons Expectations |
Emergency Department Care
| Timely Emergency Department Care | ||
|---|---|---|
| Average (median) time patients spent in the emergency department, before they were admitted to the hospital as an inpatient. | ||
| Medicare Definition | ||
| This number only includes patients who were admitted to the hospital as an inpatient. It doesn't include those people who went home. Long stays in an emergency department before a patient is admitted may be a sign that the emergency department is understaffed or overcrowded. This may result in delays in treatment or lower quality care. | ||
| National Average Oct 2016-Sept 2017 | JMCGH Hospital Compare Data Oct 2016-Sept 2017 | JMCGH Latest Internal Data Oct 2016-Sept 2017 |
 334 minutes | 263 minutes | 268 minutes |
| Timely Emergency Department Care | ||
|---|---|---|
| Average (median) time patients spent in the emergency department, after the doctor decided to admit them as an inpatient before leaving the emergency department for their inpatient room. | ||
| Medicare Definition | ||
| Delays in transferring emergency department patients to an inpatient unit may be a sign that there's not enough staff or there's poor coordination among hospital departments. Long delays can also create more stress for patients and families. | ||
| National Average Oct 2016-Sept 2017 | JMCGH Hospital Compare Data Oct 2016-Sept 2017 | JMCGH Latest Internal Data Oct 2016-Sept 2017 |
| 140 minutes | 89 minutes | 90 minutes |
| Timely Emergency Department Care | ||
|---|---|---|
| Average (median) time patients spent in the emergency department before leaving from the visit. | ||
| Medicare Definition | ||
| Long stays in the emergency department before a patient is sent home may be a sign that the emergency department is understaffed or overcrowded. This may result in delays in treatment, increased suffering for those who wait, and unpleasant treatment environments. | ||
| National Average Oct 2016-Sept 2017 | JMCGH Hospital Compare Data Oct 2016-Sept 2017 | JMCGH Latest Internal Data Oct 2016-Sept 2017 |
| 171 minutes | 183 minutes | 184 minutes |
| Timely Emergency Department Care | ||
|---|---|---|
| Average (median) time patients spent in the emergency department before they were seen by a healthcare professional. | ||
| Medicare Definition | ||
| Delays in being seen by a healthcare provider may be a sign that the emergency department is understaffed or overcrowded. This may result in delays in treatment or lower quality care. In addition, long delays can create more stress for patients and families. | ||
| National Average Oct 2016-Sept 2017 | JMCGH Hospital Compare Data Oct 2016-Sept 2017 | JMCGH Latest Internal Data Oct 2016-Sept 2017 |
| 26 minutes | 23 minutes | 24 minutes |
| Timely Emergency Department Care | ||
|---|---|---|
| Average (median) time patients who came to the emergency department with broken bones had to wait before receiving pain medication. | ||
| Medicare Definition | ||
| Long waits before a patient is treated may be a sign that the emergency department is understaffed or overcrowded. For patients with broken bones, long waits without pain medication cause unnecessary increased suffering. | ||
| National Average Oct 2016-Sept 2017 | JMCGH Hospital Compare Data Oct 2016-Sept 2017 | JMCGH Latest Internal Data Oct 2016-Sept 2017 |
| 48 minutes | 51 minutes | 50 minutes |
| Timely Emergency Department Care | ||
|---|---|---|
| Percentage of patients who left the emergency department before being seen. | ||
| Medicare Definition | ||
| Lower percentages are better. | ||
| National Average Oct 2016-Sept 2017 | JMCGH Hospital Compare Data Oct 2016-Sept 2017 | JMCGH Latest Internal Data Oct 2016-Sept 2017 |
| 2% | 3% | N/A |
| Timely Emergency Department Care | ||
|---|---|---|
| Percentage of patients who came to the emergency department with stroke symptoms who received brain scan results within 45 minutes of arrival. | ||
| Medicare Definition | ||
| Higher percentages are better. | ||
| National Average Oct 2016-Sept 2017 | JMCGH Hospital Compare Data Oct 2016-Sept 2017 | JMCGH Latest Internal Data Oct 2016-Sept 2017 |
| 74% | 64% | 78% |
Accreditations
| Accreditations | Organization |
| Blue Distinction Center+ for Cardiac Care | Blue Cross Blue Shield |
| Blue Distinction Center+ for Maternity Care | Blue Cross Blue Shield |
| Blue Distinction Center+ for Hip & Knee Replacement Programs | Blue Cross Blue Shield |
| Hip & Knee Replacement Surgery | The Joint Commission and HealthGrades 5-Star Hospital |
| Chest Pain Center with PCI | Society of Chest Pain Centers |
| Primary Stroke Center | The Joint Commission |
| Comprehensive Community Cancer Center | American College of Surgeon's Commission on Cancer |
| Accredited | Commission on the Accreditation of Rehab Facilities |
| Accredited | American Academy of Sleep Disorders |
| CAP, CAP Forensic Urine Drug Testing, and CAP System Integration | College of American Pathologists |
| Lab Accredited | Drug Enforcement Administration |
| Lab Accredited | American Society of Histocompatibility and Immunogenetics |
All of the above data is from the CMS Hospital Compare Website except for the internal data, which has been submitted but is not yet available on Hospital Compare.
Colonoscopy Follow-Up
| Jan 2016 - Dec 2016 | ||||||
|---|---|---|---|---|---|---|
| National Average | BGH Hospital Compare Data | CGH Hospital Compare Data | Dyersburg Hospital Compare Data | MGH Hospital Compare Data | Volunteer Martin Hospital Compare Data | |
| Percentage of patients receiving appropriate recommendation for follow-up screening colonoscopy | 85 | 100 | N/A | 100 | 81 | 53 |
| Percentage of patients with history of polyps receiving follow-up colonoscopy in the appropriate timeframe | 90 | N/A | N/A | 100 | 93 | 99 |
Preventive Care
| Oct 2016 - March 2017 | ||||||
|---|---|---|---|---|---|---|
| National Average | BGH Hospital Compare | CGH Latest Compare | Dyersburg Hospital Compare | MGH Hospital Compare | Volunteer Martin Hospital Compare | |
| Assessed and Given Influenza Vaccination | 93 | 91 | 99 | 100 | 98 | 99 |
| Healthcare workers given influenza vaccination | 88 | 90 | N/A | 83 | 80 | 73 |
Flu shots reduce the risk of influenza, a serious and sometimes deadly lung infection that can spread quickly in a community or facility
Emergency Department Care
| 2016 - 2017 | ||||||||
|---|---|---|---|---|---|---|---|---|
| Timely Emergency Department Care | Medicare Definition | Additional Information | National Average | BGH Hospital Compare Data | CGH Hospital Compare Data | Dyersburg Hospital Compare Data | MGH Hospital Compare Data | Volunteer Martin Hospital Compare Data |
| Average (median) time patients spent in the emergency department, before they were admitted to the hospital as an inpatient. | This number only includes patients who were admitted to the hospital as an inpatient. It doesn't include those people who went home. Long stays in an emergency department before a patient is admitted may be a sign that the emergency department is understaffed or overcrowded. This may result in delays in treatment or lower quality care. | 208 minutes | 226 minutes | 235 minutes | 226 minutes | 227 minutes | 190 minutes | |
| Average (median) time patients spent in the emergency department, after the doctor decided to admit them as an inpatient before leaving the emergency department for their inpatient room. | Delays in transferring emergency department patients to an inpatient unit may be a sign that there's not enough staff or there's poor coordination among hospital departments. Long delays can also create more stress for patients and families. | 55 minutes | 77 minutes | 63 minutes | 81 minutes | 59 minutes | 46 minutes | |
| Average (median) time patients spent in the emergency department before leaving from the visit. | Long stays in the emergency department before a patient is sent home may be a sign that the emergency department is understaffed or overcrowded. This may result in delays in treatment, increased suffering for those who wait, and unpleasant treatment environments. | 111 minutes | 125 minutes | 124 minutes | 169 minutes | 124 minutes | 110 minutes | |
| Average time patients spent in the emergency department before they were seen by a healthcare professional. | Delays in being seen by a healthcare provider may be a sign that the emergency department is understaffed or overcrowded. This may result in delays in treatment or lower quality care. In addition, long delays can create more stress for patients and families. | 16 minutes | 30 minutes | 23 minutes | 25 minutes | 21 minutes | 22 minutes | |
| Average time patients who came to the emergency department with broken bones had to wait before receiving pain medication. | Long waits before a patient is treated may be a sign that the emergency department is understaffed or overcrowded. For patients with broken bones, long waits without pain medication cause unnecessary increased suffering. | 48 minutes | 49 minutes | 48 minutes | 28 minutes | 50 minutes | 51 minutes | |
| Percentage of patients who left the emergency department before being seen. | Lower percentages are better. | 2% | 3% | N/A | 2% | 3% | 1% | |
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English Proficiency or sex, including discrimination based on gender identity, sexual orientation,
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