JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Methodist Medical Center of Oak Ridge

4 / 5

At a glance

Methodist Medical Center of Oak Ridge carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 and worse on 0.

Healthcare-Associated Infections

lower is better · 36 measures reported

Rates of infections patients can acquire while receiving care, such as central-line and catheter-associated infections, MRSA, and C. difficile.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit0.072Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.421Same as national
Central Line Associated Bloodstream Infection: Number of Device Days5894Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases4.649Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.430Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.055Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.077Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days7868Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases6.134Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.326Same as national
SSI - Colon Surgery: Lower Confidence Limit0.017Same as national
SSI - Colon Surgery: Upper Confidence Limit1.690Same as national
SSI - Colon Surgery: Number of Procedures113Same as national
SSI - Colon Surgery: Predicted Cases2.919Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.343Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures34Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.303Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit1.119Same as national
MRSA Bacteremia: Patient Days45078Same as national
MRSA Bacteremia: Predicted Cases2.678Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.001Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.108Better than national
Clostridium Difficile (C.Diff): Patient Days44197Better than national
Clostridium Difficile (C.Diff): Predicted Cases45.552Better than national
Clostridium Difficile (C.Diff): Observed Cases1Better than national
Clostridium Difficile (C.Diff)0.022Better than national

Complications & Deaths

lower is better · 20 measures reported

Rates of serious complications (like hip/knee replacement problems or accidental cuts during surgery) and 30-day mortality rates for common conditions.

MeasureScoreCompared to nationalSample
Rate of complications for hip/knee replacement patients4.3Same as national44
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.9Same as national925
Death rate for heart attack patients12.1Same as national128
Death rate for CABG surgery patients2.6Same as national43
Death rate for COPD patients8Same as national100
Death rate for heart failure patients11.7Same as national318
Death rate for pneumonia patients17.2Same as national290
Death rate for stroke patients12.9Same as national81
Pressure ulcer rate1.01Same as national3156
Death rate among surgical inpatients with serious treatable complications195.56Same as national33
Iatrogenic pneumothorax rate0.29Same as national3728
In-hospital fall-associated fracture rate0.28Same as national3683
Postoperative hemorrhage or hematoma rate2.20Same as national731
Postoperative acute kidney injury requiring dialysis rate1.44Same as national238
Postoperative respiratory failure rate8.74Same as national229
Perioperative pulmonary embolism or deep vein thrombosis rate2.88Same as national807
Postoperative sepsis rate4.98Same as national227
Postoperative wound dehiscence rate1.69Same as national118
Abdominopelvic accidental puncture or laceration rate0.92Same as national611
CMS Medicare PSI 90: Patient safety and adverse events composite1.05Same as national

Unplanned Hospital Visits & Readmissions

lower is better · 14 measures reported

How often patients return to the hospital unexpectedly within 30 days of discharge — a marker of care quality and discharge planning.

MeasureScoreCompared to nationalSample
Hospital return days for heart attack patients-14.3Not available123
Hospital return days for heart failure patients6.5Not available366
Hospital return days for pneumonia patients-4.3Not available291
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15Same as national1478
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.4Same as national1881
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national261
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.8Same as national123
Rate of readmission for CABG9.9Same as national41
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.4Same as national109
Heart failure (HF) 30-Day Readmission Rate20.6Same as national366
Rate of readmission after hip/knee replacement5.5Same as national43
Pneumonia (PN) 30-Day Readmission Rate16.1Same as national291

Patient Experience (HCAHPS)

higher is better · 9 measures reported

What patients say about their hospital stay — communication with nurses and doctors, responsiveness, cleanliness, pain management, and whether they would recommend the hospital.

MeasureScoreSample
Nurse communication - star rating4899
Doctor communication - star rating4899
Communication about medicines - star rating2899
Discharge information - star rating4899
Cleanliness - star rating3899
Quietness - star rating4899
Overall hospital rating - star rating3899
Recommend hospital - star rating4899
Summary star rating4899

Timely & Effective Care

higher is better (unless a wait time) · 30 measures reported

How consistently hospitals follow recommended care processes — for example, giving heart-attack patients aspirin on arrival, or the average time spent in the emergency department.

MeasureScoreSample
Emergency department volumemedium
Global Malnutrition Composite Score
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented
Global Malnutrition Composite Score: Malnutrition Risk Screening
Global Malnutrition Composite Score: Nutrition Assessment
Global Malnutrition Composite Score: Nutritional Care Plan
Hospital Harm - Severe Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination931753
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better192497
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better184450
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better39034
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better85620
Left before being seen435383
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients99360
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing152499
Appropriate care for severe sepsis and septic shock61291
Septic Shock 3-Hour Bundle6290
Septic Shock 6-Hour Bundle9544
Severe Sepsis 3-Hour Bundle78291
Severe Sepsis 6-Hour Bundle93164
Discharged on Antithrombotic Therapy99112
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 297100
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis941391

Maternal Health

lower is better · 4 measures reported

Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.

MeasureScoreSample
Cesarean Birth
Risk Adjusted Severe Obstetric Complications (All)
Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases)
Maternal Morbidity Structural MeasureYes

Frequently asked questions

How is Methodist Medical Center of Oak Ridge rated?
Methodist Medical Center of Oak Ridge has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Methodist Medical Center of Oak Ridge have emergency services?
Yes. Methodist Medical Center of Oak Ridge operates a 24/7 emergency department.
Where is Methodist Medical Center of Oak Ridge located?
Methodist Medical Center of Oak Ridge is located at 990 Oak Ridge Turnpike Box 529, Oak Ridge, TN 37830.
What type of hospital is Methodist Medical Center of Oak Ridge?
Methodist Medical Center of Oak Ridge is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).

Data as of 2026-06-14. Source: CMS Provider Data Catalog. This is public data provided for informational purposes only and is not medical advice. See our methodology and editorial policy.

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