JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Vanderbilt University Medical Center

5 / 5

At a glance

Vanderbilt University Medical Center carries a 5-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 18 and worse on 0. For 30-day readmissions, it beats the national rate on 1 measure and trails 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 Limit0.460Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.794Better than national
Central Line Associated Bloodstream Infection: Number of Device Days68284Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases85.206Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases52Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.610Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.435Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.810Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days37154Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases66.594Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases40Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.601Better than national
SSI - Colon Surgery: Lower Confidence Limit0.765Same as national
SSI - Colon Surgery: Upper Confidence Limit1.610Same as national
SSI - Colon Surgery: Number of Procedures823Same as national
SSI - Colon Surgery: Predicted Cases24.798Same as national
SSI - Colon Surgery: Observed Cases28Same as national
SSI - Colon Surgery1.129Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.021Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit2.089Same as national
SSI - Abdominal Hysterectomy: Number of Procedures242Same as national
SSI - Abdominal Hysterectomy: Predicted Cases2.361Same as national
SSI - Abdominal Hysterectomy: Observed Cases1Same as national
SSI - Abdominal Hysterectomy0.424Same as national
MRSA Bacteremia: Lower Confidence Limit0.741Same as national
MRSA Bacteremia: Upper Confidence Limit1.402Same as national
MRSA Bacteremia: Patient Days394404Same as national
MRSA Bacteremia: Predicted Cases36.825Same as national
MRSA Bacteremia: Observed Cases38Same as national
MRSA Bacteremia1.032Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.179Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.327Better than national
Clostridium Difficile (C.Diff): Patient Days342629Better than national
Clostridium Difficile (C.Diff): Predicted Cases175.586Better than national
Clostridium Difficile (C.Diff): Observed Cases43Better than national
Clostridium Difficile (C.Diff)0.245Better 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 patients3.1Same as national227
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.2Better than national3845
Death rate for heart attack patients12.5Same as national227
Death rate for CABG surgery patients1.6Same as national252
Death rate for COPD patients9.7Same as national137
Death rate for heart failure patients9.8Same as national659
Death rate for pneumonia patients13.2Better than national418
Death rate for stroke patients15.4Same as national412
Pressure ulcer rate1.20Worse than national15700
Death rate among surgical inpatients with serious treatable complications145.72Same as national459
Iatrogenic pneumothorax rate0.30Same as national17585
In-hospital fall-associated fracture rate0.21Same as national18947
Postoperative hemorrhage or hematoma rate3.28Worse than national6585
Postoperative acute kidney injury requiring dialysis rate1.33Same as national4100
Postoperative respiratory failure rate9.05Same as national4115
Perioperative pulmonary embolism or deep vein thrombosis rate3.16Same as national7265
Postoperative sepsis rate4.74Same as national4325
Postoperative wound dehiscence rate1.66Same as national1745
Abdominopelvic accidental puncture or laceration rate1.21Same as national4737
CMS Medicare PSI 90: Patient safety and adverse events composite1.13Same 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-0.9Not available291
Hospital return days for heart failure patients-13.2Not available783
Hospital return days for pneumonia patients-4.7Not available455
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.6Same as national6889
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)10.9Same as national4301
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.4Same as national1413
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.2Same as national1413
Ratio of unplanned hospital visits after hospital outpatient surgery0.7Better than national3175
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.9Same as national291
Rate of readmission for CABG9.1Same as national249
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.1Same as national145
Heart failure (HF) 30-Day Readmission Rate18.2Same as national783
Rate of readmission after hip/knee replacement4.4Same as national221
Pneumonia (PN) 30-Day Readmission Rate14.8Same as national455

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 rating41519
Doctor communication - star rating41519
Communication about medicines - star rating31519
Discharge information - star rating41519
Cleanliness - star rating21519
Quietness - star rating31519
Overall hospital rating - star rating41519
Recommend hospital - star rating51519
Summary star rating41519

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 volumevery high
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 Hypoglycemia214254
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination9233167
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 better282386
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 better277357
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better42527
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better
Left before being seen1140484
Head CT results812
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients96120
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing1417281
Appropriate care for severe sepsis and septic shock5592
Septic Shock 3-Hour Bundle6724
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle7392
Severe Sepsis 6-Hour Bundle8834
Discharged on Antithrombotic Therapy97531
Anticoagulation Therapy for Atrial Fibrillation/Flutter66133
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis

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 Vanderbilt University Medical Center rated?
Vanderbilt University Medical Center has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Vanderbilt University Medical Center have emergency services?
Yes. Vanderbilt University Medical Center operates a 24/7 emergency department.
Where is Vanderbilt University Medical Center located?
Vanderbilt University Medical Center is located at 1211 Medical Center Drive, Nashville, TN 37232.
What type of hospital is Vanderbilt University Medical Center?
Vanderbilt University Medical Center 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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