JCIPatientSafety.orgHospital Quality Directory

Acute Care - Veterans Administration · Veterans Health Administration

VA Middle Tennessee Healthcare System

4 / 5

At a glance

VA Middle Tennessee Healthcare System carries a 4-star CMS overall rating — above the national norm.

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 Limit0.110Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.171Same as national
Central Line Associated Bloodstream Infection: Number of Device Days3297Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.044Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.657Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.107Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.110Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3621Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.132Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.639Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of ProceduresNot available
SSI - Colon Surgery: Predicted CasesNot available
SSI - Colon Surgery: Observed CasesNot available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of ProceduresNot available
SSI - Abdominal Hysterectomy: Predicted CasesNot available
SSI - Abdominal Hysterectomy: Observed CasesNot available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient DaysNot available
MRSA Bacteremia: Predicted CasesNot available
MRSA Bacteremia: Observed CasesNot available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence LimitNot available
Clostridium Difficile (C.Diff): Upper Confidence LimitNot available
Clostridium Difficile (C.Diff): Patient DaysNot available
Clostridium Difficile (C.Diff): Predicted CasesNot available
Clostridium Difficile (C.Diff): Observed CasesNot available
Clostridium Difficile (C.Diff)Not available

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 patients3.4Same as national192
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateNot available
Death rate for heart attack patients12.3Same as national137
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.8Same as national278
Death rate for heart failure patients6.8Better than national607
Death rate for pneumonia patients11.6Better than national299
Death rate for stroke patientsNot available
Pressure ulcer rate0.58Same as national6118
Death rate among surgical inpatients with serious treatable complications140.31Same as national105
Iatrogenic pneumothorax rate0.41Same as national9036
In-hospital fall-associated fracture rate0.38Same as national9635
Postoperative hemorrhage or hematoma rate2.85Same as national1872
Postoperative acute kidney injury requiring dialysis rate1.67Same as national1037
Postoperative respiratory failure rate10.79Same as national1020
Perioperative pulmonary embolism or deep vein thrombosis rate3.69Same as national1944
Postoperative sepsis rate4.73Same as national1037
Postoperative wound dehiscence rate1.53Same as national330
Abdominopelvic accidental puncture or laceration rate0.80Same as national1327
CMS Medicare PSI 90: Patient safety and adverse events composite1.06Same 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 patients17.2Not available150
Hospital return days for heart failure patients-3.9Not available762
Hospital return days for pneumonia patients6.3Not available332
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15Same as national3459
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Not available
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 surgeryNot available
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.6Same as national150
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.6Same as national320
Heart failure (HF) 30-Day Readmission Rate19.9Same as national762
Rate of readmission after hip/knee replacement5.2Same as national204
Pneumonia (PN) 30-Day Readmission Rate15.6Same as national332

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 rating4474
Doctor communication - star rating4474
Communication about medicines - star rating4474
Discharge information - star rating4474
Cleanliness - star rating2474
Quietness - star rating3474
Overall hospital rating - star rating4474
Recommend hospital - star rating4474
Summary star rating4474

Frequently asked questions

How is VA Middle Tennessee Healthcare System rated?
VA Middle Tennessee Healthcare System has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does VA Middle Tennessee Healthcare System have emergency services?
Yes. VA Middle Tennessee Healthcare System operates a 24/7 emergency department.
Where is VA Middle Tennessee Healthcare System located?
VA Middle Tennessee Healthcare System is located at 1310 24th Avenue South, Nashville, TN 37212.
What type of hospital is VA Middle Tennessee Healthcare System?
VA Middle Tennessee Healthcare System is classified by CMS as a Acute Care - Veterans Administration facility (Veterans Health Administration).

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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