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Patient Safety

Welcome to West Tennessee Healthcare Patient Safety and Quality Reporting. This report is prepared for our community to help you better understand the quality of care we provide and our efforts to continually improve the care we provide to our community.

Measuring the quality of healthcare is controversial and far from an exact science. Current public data must be analyzed and interpreted being aware that reports may not always reflect the quality of hospital care. Public data is a lagging indicator by six months to two years and may not reflect the current status of the healthcare system quality. This report attempts to address this constraint by reporting both data that is publicly available and the most current internal data of the same measures where applicable. A clear distinction is noted where internal data not yet available on CMS and other public websites is presented.

The report has four major categories:

  1. Patient Safety Measures
  2. Quality of Care
  3. Patient Perception Survey (HCAHPS)
  4. Efficiency/Cost of Care

The sources from which the measures were obtained are listed below:

  1. CMS Hospital Compare Website -
  2. CDC -
  3. THA Patient Safety Partnership -
  4. IHI -
  5. NSQIP -
  6. AHA -

The following is a list of healthcare organizations that West Tennessee Healthcare partners with to provide excellence in care and to continually improve the care we provide.

  • IHI – Institute for Healthcare Improvement
  • THA Patient Safety Partner – Partnership with Tennessee Hospital Association to provide safe and cost efficient care
  • The Joint Commission Accreditation – The Joint Commission is a nationally recognized, independent evaluator of quality for hospitals across the nation. We are Joint Commission accredited and meet all the rigorous qualifications for patient safety and quality required.
  • STS – Society of Thoracic Surgery provides data so we can benchmark and provide high quality chest and heart surgery care
  • ACC – We report data to the American College of Cardiology to help us continually improve and provide excellence in care of heart diseases including heart attacks, valve repair and heart failure care
  • NSQIP – We are one of 16 hospitals in the State of Tennessee that are members of the American College of Surgeons National Surgical Quality Improvement Program that reports and tracks data for surgery patients to provide the best surgical outcomes and lowest complication rates possible by collaborating with other high quality surgery programs throughout the nation

West Tennessee Healthcare  |  620 Skyline Drive, Jackson, TN 38301  |  731-541-5000
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