Covenant Health Hospitals

Choose a hospital below to view facility specific quality data:

Fort Sanders Regional Medical Center
Fort Sanders Regional Medical Center


Parkwest Medical Center
Parkwest Medical Center


Methodist Medical Center of Oak Ridge
Methodist Medical Center of Oak Ridge


Fort Loudoun Medical Center
Fort Loudoun Medical Center


Fort Sanders Sevier Medical Center
Fort Sanders Sevier Medical Center


Covenant Health Quality Methodist Medical Center of Oak Ridge
  • CMS Report
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    Joint Commission on Accreditation
    of Healthcare Organizations (JCAHO)

    (Visit www.qualitycheck.org for complete explanation of quality criteria)

    National Patient Safety Goals and National Quality Improvement Goals

    The National Quality Improvement Goals are standardized performance measures that can be applied across accredited health care organizations. These goals are only currently available for accredited hospitals. These goals will be reported for other accreditation programs as they become available. (Source: qualitycheck.org)

    Condition: Pneumonia Care
    This category of evidence based measures assesses the overall quality of care provided to Pneumonia patients.

    Information current through May 6, 2008

    Pneumonia Care US Average TN Average MMC
    Adult Smoking Cessation Advice 93% 94% 93%
    Pneumonia patients who are given advice about stopping smoking while they are in the hospital. This measure reports what percent of adult pneumonia patients are provided advice and/or counseling to quit smoking. Smoking harms the heart, lungs and blood vessels and makes existing disease worse.

    Blood Cultures/ED 91% 91% 97%


    Blood Cultures/ICU 93% 93% 97%
    Pneumonia patients cared for in an intensive care unit that had a blood test for the presence of bacteria in their blood within 24 hours of hospital arrival. This measure reports the percent of pneumonia patients in intensive care units who had a blood culture within 24 hours prior to or after hospital arrival.

    Initial Antibiotic w/in 4 hours 82% 83% 93%
    Pneumonia patients who are given an antibiotic within 4 hours of arriving at the hospital. This measure reports the percent of adult pneumonia patients who are given an antibiotic within 4 hours of arriving at the hospital.

    Initial Antibiotic w/in 6 hours 93% 94% 98%
    Pneumonia patients who are given an antibiotic within 6 hours of arriving at the hospital. This measure reports the percent of adult pneumonia patients who are given an antibiotic within 6 hours of arriving at the hospital.

    Initial Antibiotic w/in 8 hours 96% 96% 99%
    Pneumonia patients who are given an antibiotic within 8 hours of arriving at the hospital. This measure reports the percent of adult pneumonia patients who are given an antibiotic within 8 hours of arriving at the hospital.

    Antibiotic Selection/ICU 66% 61% 86%
    Patients in intensive care units who have community-acquired pneumonia who received the appropriate medicine (antibiotic) that has been shown to be effective for community-acquired pneumonia. This measure reports how often patients in intensive care units with community-acquired pneumonia were given the correct antibiotic within 24 hours of hospital arrival, based on recommendations from written guidelines, for the treatment of pneumonia.

    Antibiotic Selection/Non-ICU 92% 91% 97%
    Patients not in intensive care units who have community-acquired pneumonia who received the appropriate medicine (antibiotic) that has been shown to be effective for community-acquired pneumonia. This measure reports how often patients with community-acquired pneumonia not cared for in intensive care units, were given the correct antibiotic within 24 hours of hospital arrival, based on recommendations from written guidelines, for the treatment of pneumonia.

    Oxygenation Assessment 100% 100% 100%
    Patients with pneumonia in which the amount of oxygen in the bloodstream was measured. This measure reports how many patients with pneumonia had their blood/oxygen level measured. Pneumonia reduces the amount of oxygen carried in a patient's blood.

    Pneumococcal Vaccination 82% 83% 89%
    Pneumonia vaccination. This measure reports how many patients 65 years and older were screened and vaccinated to prevent pneumonia.

    Influenza Vaccination 79% 80% 94%
    Pneumonia patients in the hospital during flu season (October through February) who were given the influenza vaccination prior to leaving the hospital. This measure reports how often pneumonia patients in the hospital during the flu season were given flu vaccine if needed, prior to leaving the hospital.


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