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VA hospital in Murfreesboro, Tennessee

VA Middle Tennessee Healthcare System, Murfreesboro

Not rated by CMS

Overall Hospital Quality Star Rating,

Not rated in either

CMS stars by year

  1. : not rated
  2. : not rated
  3. : not rated
  4. : not rated

CMS's stated reason, in its own words: "There are too few measures or measure groups reported to calculate a star rating or measure group score."

CMS overall star rating by year

A chart of the figures in the table that follows.

CMS overall star rating for VA Middle Tennessee Healthcare System, Murfreesboro, by year
YearCMS stars
Not rated
Not rated
Not rated
Not rated

Source: CMS Hospital General Information (dataset xubh-q36u), released ; CMS archived hospital files released , and .

VA hospitals with 5 stars, each year: : 36: 39: 55: 50

Key measures

Four measures CMS reports for most hospitals, beside the state and national figures CMS publishes for them.

CMS reports no value for this hospital on the four measures shown here for most hospitals: would definitely recommend, emergency department time and the two infection ratios. What CMS does and does not report for it is below.

See this hospital on Medicare Care Compare

What CMS does not report here

CMS's current files have no values for this hospital in: patient survey, infections, timely and effective care, behavioral health. CMS gives its reason for a missing value in the footnotes below.

CMS notes for this facility

CMS attaches footnotes to a hospital's star rating or to its measures, whether or not it reports a value. Each is CMS's own sentence, quoted once; the markers beside figures on this page link here.

  • CMS footnote 1: The number of cases/patients is too few to report. CMS attached it to measures in: deaths, complications, readmissions.
  • CMS footnote 5: Results are not available for this reporting period. CMS attached it to measures in: patient survey, complications, readmissions, emergency department, timely and effective care, behavioral health.
  • CMS footnote 7: No cases met the criteria for this measure. CMS attached it to measures in: complications.
  • CMS footnote 13: Results cannot be calculated for this reporting period. CMS attached it to measures in: infections.
  • CMS footnote 16: the reason CMS gives for not rating this hospital, quoted in full in the answer at the top of this page. CMS attached it to the overall star rating.
  • CMS footnote 24: Results for this Veterans Health Administration (VHA) hospital are combined with those from the VHA administrative parent hospital that manages all points of service. CMS attached it to measures in: patient survey, emergency department, timely and effective care, behavioral health.
  • CMS footnote 25: State and national averages include Veterans Health Administration (VHA) hospital data. CMS attached it to the state and national figures for measures in: emergency department.
  • CMS footnote 26: State and national averages include Department of Defense (DoD) hospital data. CMS attached it to the state and national figures for measures in: emergency department.

Measures outside "No different"

These are the measures where CMS's own comparison category for this hospital is better, worse or "Number of Cases Too Small"; for every other measure with a category it is "No different".

VA Middle Tennessee Healthcare System, Murfreesboro: measures where CMS's comparison category is not "No different"
MeasureThis hospitalCMS comparisonPeriod
Bleeding or hematoma after surgeryNot available (footnote 1)Number of Cases Too Small to
Breathing failure after surgeryNot available (footnote 1)Number of Cases Too Small to
Blood clots in the lungs or legs after surgeryNot available (footnote 1)Number of Cases Too Small to
Accidental cut or tear during an abdominal or pelvic procedureNot available (footnote 1)Number of Cases Too Small to

Deaths

Risk-standardized death rates within 30 days of admission, by condition; lower is better, and CMS's current release does not say whether a difference from the national rate is meaningful. How to read death and readmission rates.

Period for all rows unless a row says otherwise: to . CMS publishes no Tennessee figure for these measures.

VA Middle Tennessee Healthcare System, Murfreesboro: Deaths measures
MeasureThis hospitalNational
Deaths within 30 days, heart attack patientsNot available (footnote 1)11.9%
Deaths within 30 days, heart failure patients7.5%11.1%
Deaths within 30 days, pneumonia patients11.3%15.2%
Deaths within 30 days, COPD patients6%8.6%
Deaths within 30 days, all conditions (hospital-wide)Period: to 3.3%3.9%

Complications

Serious complications measured by the Patient Safety Indicators CMS reports, and the complication rate after hip or knee replacement; lower is better. How the star rating works.

Period for all rows unless a row says otherwise: to . CMS publishes no Tennessee figure for these measures.

VA Middle Tennessee Healthcare System, Murfreesboro: Complications measures
MeasureThis hospitalNationalCMS comparison
Serious complications composite (PSI 90)0.941.00No Different Than the National Value
Pressure ulcers0.490.63No Different Than the National Rate
Deaths after a serious treatable surgical complicationNot available (footnote 7)173.3No CMS comparison in this release
Collapsed lung caused by a procedure0.210.21No Different Than the National Rate
Falls in the hospital that caused a fracture0.260.27No Different Than the National Rate
Bleeding or hematoma after surgeryNot available (footnote 1)2.34Number of Cases Too Small
Kidney injury needing dialysis after surgeryNot available (footnote 1)1.67No CMS comparison in this release
Breathing failure after surgeryNot available (footnote 1)9.42Number of Cases Too Small
Blood clots in the lungs or legs after surgeryNot available (footnote 1)3.52Number of Cases Too Small
Sepsis after surgeryNot available (footnote 1)5.27No CMS comparison in this release
Surgical wound reopeningNot available (footnote 1)1.77No CMS comparison in this release
Accidental cut or tear during an abdominal or pelvic procedureNot available (footnote 1)1.06Number of Cases Too Small
Complications after hip or knee replacementPeriod: to Not available (footnote 5)4.1%No CMS comparison in this release

Readmissions

Unplanned returns within 30 days of discharge, and hospital return days; lower is better, and CMS's current release does not publish a comparison for these rates. How to read death and readmission rates.

Period for all rows unless a row says otherwise: to . CMS publishes no Tennessee figure for these measures.

VA Middle Tennessee Healthcare System, Murfreesboro: Readmissions measures
MeasureThis hospitalNational
Readmitted within 30 days, heart attack patientsNot available (footnote 1)14.4%
Readmitted within 30 days, heart failure patients21.9%21.3%
Readmitted within 30 days, pneumonia patients18.2%17.3%
Readmitted within 30 days, COPD patients19.2%20%
Readmitted within 30 days after hip or knee replacementNot available (footnote 5)5.8%
Days back in the hospital within 30 days, heart attack patientsPeriod: to Not available (footnote 1)Not compared
Days back in the hospital within 30 days, heart failure patientsPeriod: to -38.2 days per 100 dischargesNot compared
Days back in the hospital within 30 days, pneumonia patientsPeriod: to -8 days per 100 dischargesNot compared

Emergency department

Median minutes in the emergency department and the share of patients who left before being seen; lower is better, and the national median shown is for emergency departments in the same CMS volume group. How to read emergency department times.

Period for all rows unless a row says otherwise: to . Tennessee and national figures: CMS footnote 25.

VA Middle Tennessee Healthcare System, Murfreesboro: Emergency department measures
MeasureThis hospitalTennesseeNational
Median time in the emergency department before leaving, excluding transferred and mental health patientsNot available (footnotes 5, 24)162 minutes (footnote 26)123 minutes (footnote 26) low-volume EDs
Median emergency department time for mental health patientsNot available (footnotes 5, 24)308 minutes195 minutes low-volume EDs
Left the emergency department before being seenPeriod: to 1% (footnote 24)3% (footnote 26)2% (footnote 26)

Other VA hospitals in Tennessee

CMS's star rating for each of the other VA hospitals in Tennessee, and the three years before, by name. All VA hospitals in Tennessee.

Sources

Every figure on this page comes from the CMS Provider Data Catalog. Released by CMS on : Hospital General Information; Veterans Health Administration Timely and Effective Care Data; Timely and Effective Care - National; Timely and Effective Care - State; Footnote Crosswalk. Released by CMS on : Complications and Deaths - Hospital; Complications and Deaths - National; Unplanned Hospital Visits - Hospital; Unplanned Hospital Visits - National. Earlier star ratings come from CMS's archived hospital files, released , and . The dataset ids and how this site reads each file are on the methodology page. CMS's own page for this hospital is on Care Compare.

These ratings describe measured past performance. They are not medical advice. For questions about your own care, talk with your VA care team or the hospital's patient advocate.

Name in CMS files
VA MIDDLE TENNESSEE HEALTHCARE SYSTEM - MURFREESBORO
Emergency department volume group (CMS)
Low
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