Hospital

SAINT FRANCIS BARTLETT MEDICAL CENTER

CCN: 440228 · BARTLETT, TN 38133 · SHELBY County

Bottom quartile Middle Top quartile Percentile badges compare this hospital to all 5,426 hospitals nationally.

Overview

Address
2986 KATE BOND RD, BARTLETT, TN 38133
Phone
(901) 820-7050
Hospital Type
Acute Care
Ownership
For-Profit
Emergency Services
Yes
2 /5
★★★★★
CMS Overall Rating
p7
Acute Care — General medical and surgical hospital participating in Medicare IPPS. Subject to CMS quality reporting and payment adjustment programs (VBP, HRRP, HAC).

CMS Star Rating — Quality Domain Breakdown

CMS computes the overall star rating from five quality domains. Each domain compares this hospital's measures against national benchmarks.

Mortality 6 of 7 measures reported
5
1
Better No different Worse
30-day death rates for heart attack, heart failure, pneumonia, COPD, stroke, CABG, and kidney disease.
Safety of Care 5 of 8 measures reported
1
4
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 7 of 11 measures reported
2
5
Better No different Worse
30-day unplanned readmission rates for heart attack, heart failure, pneumonia, COPD, hip/knee replacement, and CABG.
Patient Experience 8 of 8 measures reported
8 measures reported (comparative data not available for this domain)
HCAHPS survey scores — patient-reported experience with communication, responsiveness, cleanliness, and discharge planning.
Timely & Effective Care 7 of 12 measures reported
7 measures reported (comparative data not available for this domain)
Process-of-care measures including flu immunization, blood clot prevention, and appropriate use of imaging.

Readmissions — Hospital Readmissions Reduction Program

The Excess Readmission Ratio (ERR) compares this hospital's 30-day readmission rate to expected, adjusting for patient mix. An ERR of 1.0 means readmissions are as expected; > 1.0 triggers a Medicare payment penalty (up to 3%).

⚠ This hospital has excess readmissions in at least one condition and is subject to HRRP payment reduction.
Acute Myocardial Infarction (Heart Attack)
0.9143 p8
Heart Failure 325 discharges
1.1074 p94
Pneumonia 362 discharges
0.9279 p10
COPD 96 discharges
1.0114 p62
Hip/Knee Replacement
— Not reported
CABG Surgery
— Not reported
Expected (1.0) National median

CMS Payment Programs

Three Medicare programs adjust hospital payments based on quality performance. Hospitals can be penalized under multiple programs simultaneously.

Readmissions (HRRP)
Penalized
Worst ERR: 1.1074
Value-Based Purchasing
—
HAC Reduction
Payment Reduced
HAC Score: 0.6053

Complications & Deaths

30-day mortality rates, patient safety indicators, and complication rates. "Better" means statistically significantly better than the national rate.

Measure Score vs. National Denominator
COMP_HIP_KNEE — Number of Cases Too Small —
Hybrid_HWM 4.70 No Different Than the National Rate 1,002
MORT_30_AMI 16.10 Worse Than the National Rate 148
MORT_30_CABG — — —
MORT_30_COPD 12.20 No Different Than the National Rate 91
MORT_30_HF 12.70 No Different Than the National Rate 291
MORT_30_PN 20.80 Worse Than the National Rate 363
MORT_30_STK 12.40 No Different Than the National Rate 140
PSI_03 0.20 No Different Than the National Rate 3,291
PSI_04 161.13 No Different Than the National Rate 41
PSI_06 0.17 No Different Than the National Rate 3,837
PSI_08 0.24 No Different Than the National Rate 3,808
PSI_09 2.09 No Different Than the National Rate 608
PSI_10 — Number of Cases Too Small —
PSI_11 — Number of Cases Too Small —
PSI_12 3.15 No Different Than the National Rate 616
PSI_13 — — —
PSI_14 2.01 No Different Than the National Rate 113
PSI_15 0.96 No Different Than the National Rate 465
PSI_90 0.81 No Different Than the National Value —

Patient Experience (HCAHPS)

Hospital Consumer Assessment of Healthcare Providers and Systems — standardized patient survey measuring satisfaction with care.

Measure Score Star Rating
H_COMP_1_A_P: Nurses "always" communicated well 65% —
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 12% —
H_COMP_1_U_P: Nurses "usually" communicated well 23% —
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score — —
H_COMP_1_STAR_RATING: Nurse communication - star rating — 1
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 71% —
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 9% —
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 20% —
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 62% —
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 13% —
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 25% —
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 63% —
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 14% —
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 23% —
H_COMP_2_A_P: Doctors "always" communicated well 68% —
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 12% —
H_COMP_2_U_P: Doctors "usually" communicated well 20% —
H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score — —
H_COMP_2_STAR_RATING: Doctor communication - star rating — 1
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 76% —
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 9% —
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 15% —
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 65% —
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 13% —
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 22% —
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 62% —
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 13% —
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 25% —
H_COMP_5_A_P: Staff "always" explained 49% —
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 35% —
H_COMP_5_U_P: Staff "usually" explained 16% —
H_COMP_5_LINEAR_SCORE: Communication about medicines - linear mean score — —
H_COMP_5_STAR_RATING: Communication about medicines - star rating — 1
H_MED_FOR_A_P: Staff "always" explained new medications 63% —
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 21% —
H_MED_FOR_U_P: Staff "usually" explained new medications 16% —
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 36% —
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 48% —
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 16% —
H_COMP_6_N_P: No, staff "did not" give patients this information 24% —
H_COMP_6_Y_P: Yes, staff "did" give patients this information 76% —
H_COMP_6_LINEAR_SCORE: Discharge information - linear mean score — —
H_COMP_6_STAR_RATING: Discharge information - star rating — 1
H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge 27% —
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 73% —
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 22% —
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 78% —
H_CLEAN_HSP_A_P: Room was "always" clean 49% —
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 28% —
H_CLEAN_HSP_U_P: Room was "usually" clean 23% —
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score — —
H_CLEAN_STAR_RATING: Cleanliness - star rating — 1
H_QUIET_HSP_A_P: "Always" quiet at night 56% —
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 12% —
H_QUIET_HSP_U_P: "Usually" quiet at night 32% —
H_QUIET_LINEAR_SCORE: Quietness - linear mean score — —
H_QUIET_STAR_RATING: Quietness - star rating — 3
H_HSP_RATING_0_6: Patients who gave a rating of "6" or lower (low) 24% —
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 25% —
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 51% —
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score — —
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating — 1
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 18% —
H_RECMND_DY: "YES", patients would definitely recommend the hospital 52% —
H_RECMND_PY: "YES", patients would probably recommend the hospital 30% —
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score — —
H_RECMND_STAR_RATING: Recommend hospital - star rating — 1
H_STAR_RATING: Summary star rating — 1

Healthcare Associated Infections

Standardized Infection Ratios (SIR). A SIR < 1.0 means fewer infections than predicted based on national baseline data.

Measure Score (SIR) vs. National
HAI_1_CILOWER 0.025 No Different than National Benchmark
HAI_1_CIUPPER 2.448 No Different than National Benchmark
HAI_1_DOPC 2808.000 No Different than National Benchmark
HAI_1_ELIGCASES 2.015 No Different than National Benchmark
HAI_1_NUMERATOR 1.000 No Different than National Benchmark
HAI_1_SIR 0.496 No Different than National Benchmark
HAI_2_CILOWER N/A No Different than National Benchmark
HAI_2_CIUPPER 1.219 No Different than National Benchmark
HAI_2_DOPC 3551.000 No Different than National Benchmark
HAI_2_ELIGCASES 2.457 No Different than National Benchmark
HAI_2_NUMERATOR 0.000 No Different than National Benchmark
HAI_2_SIR 0.000 No Different than National Benchmark
HAI_3_CILOWER 0.042 No Different than National Benchmark
HAI_3_CIUPPER 4.176 No Different than National Benchmark
HAI_3_DOPC 41.000 No Different than National Benchmark
HAI_3_ELIGCASES 1.181 No Different than National Benchmark
HAI_3_NUMERATOR 1.000 No Different than National Benchmark
HAI_3_SIR 0.847 No Different than National Benchmark
HAI_4_CILOWER — —
HAI_4_CIUPPER — —
HAI_4_DOPC 9.000 —
HAI_4_ELIGCASES 0.087 —
HAI_4_NUMERATOR 0.000 —
HAI_4_SIR — —
HAI_5_CILOWER 0.943 No Different than National Benchmark
HAI_5_CIUPPER 5.707 No Different than National Benchmark
HAI_5_DOPC 36513.000 No Different than National Benchmark
HAI_5_ELIGCASES 1.942 No Different than National Benchmark
HAI_5_NUMERATOR 5.000 No Different than National Benchmark
HAI_5_SIR 2.575 No Different than National Benchmark
HAI_6_CILOWER N/A Better than the National Benchmark
HAI_6_CIUPPER 0.160 Better than the National Benchmark
HAI_6_DOPC 36513.000 Better than the National Benchmark
HAI_6_ELIGCASES 18.742 Better than the National Benchmark
HAI_6_NUMERATOR 0.000 Better than the National Benchmark
HAI_6_SIR 0.000 Better than the National Benchmark

Timely & Effective Care

Process-of-care measures including ED wait times, treatment timeliness, and preventive care.

Measure Score Condition
EDV medium Emergency Department
GMCS — Electronic Clinical Quality Measure
GMCS_Malnutrition_Diagnosis_Documented — Electronic Clinical Quality Measure
GMCS_Malnutrition_Screening — Electronic Clinical Quality Measure
GMCS_Nutrition_Assessment — Electronic Clinical Quality Measure
GMCS_Nutritional_Care_Plan — Electronic Clinical Quality Measure
HH_HYPER 10.0 Electronic Clinical Quality Measure
HH_HYPO 2.0 Electronic Clinical Quality Measure
HH_ORAE — Electronic Clinical Quality Measure
IMM_3 73.0 Healthcare Personnel Vaccination
OP_18a 164.0 Emergency Department
OP_18b 163.0 Emergency Department
OP_18c 231.0 Emergency Department
OP_18d — Emergency Department
OP_22 0.0 Emergency Department
OP_23 77.0 Emergency Department
OP_29 — Colonoscopy care
OP_31 — Cataract surgery outcome
OP_40 — Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 14.0 Electronic Clinical Quality Measure
SEP_1 42.0 Sepsis Care
SEP_SH_3HR 50.0 Sepsis Care
SEP_SH_6HR 58.0 Sepsis Care
SEV_SEP_3HR 66.0 Sepsis Care
SEV_SEP_6HR 87.0 Sepsis Care
STK_02 — Electronic Clinical Quality Measure
STK_03 — Electronic Clinical Quality Measure
STK_05 — Electronic Clinical Quality Measure
VTE_1 86.0 Electronic Clinical Quality Measure
VTE_2 — Electronic Clinical Quality Measure

Unplanned Hospital Visits

Readmission and ED return rates within 30 days of discharge.

Measure Score vs. National
EDAC_30_AMI -17.00 Fewer Days Than Average per 100 Discharges
EDAC_30_HF 46.60 More Days Than Average per 100 Discharges
EDAC_30_PN 0.30 Average Days per 100 Discharges
Hybrid_HWR 15.40 No Different Than the National Rate
OP_32 — Number of Cases Too Small
OP_35_ADM — Number of Cases Too Small
OP_35_ED — Number of Cases Too Small
OP_36 1.00 No Different than expected
READM_30_AMI 12.50 No Different Than the National Rate
READM_30_CABG — —
READM_30_COPD 18.40 No Different Than the National Rate
READM_30_HF 21.80 No Different Than the National Rate
READM_30_HIP_KNEE — Number of Cases Too Small
READM_30_PN 14.90 No Different Than the National Rate

Medicare Spending Per Beneficiary

MSPB ratio: values > 1.0 mean this hospital's episode spending is higher than the national median hospital.

Value
0.96

Financial Health (Cost Report — FY 2024)

All Data

Every labeled metric surfaced for this hospital, with national medians and percentiles where a benchmark is available.

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Source Metric Value National Median Pctl. Raw key
Cost Report Cost-to-Charge Ratio 0.08 — metrics.cost_to_charge_ratio
Cost Report Current Ratio 3.37 — metrics.current_ratio
Cost Report Employees per Bed 2.14 — metrics.employees_per_bed
Cost Report fiscal_year 2,024 — fiscal_year
Cost Report Fund Balance ($) $61,754,536 — metrics.fund_balance
Cost Report Net Income ($) $9,414,664 — metrics.net_income
Cost Report Net Patient Revenue ($) $132,500,386 — metrics.net_patient_revenue
Cost Report Operating Margin (%) 6.9% — metrics.operating_margin
Cost Report Total Assets ($) $75,525,164 — metrics.total_assets
Cost Report Total Costs ($) $114,401,666 — metrics.total_costs
Cost Report Total Liabilities ($) $13,770,628 — metrics.total_liabilities
Cost Report Total Margin (%) 7.1% — metrics.total_margin
Cost Report Uncompensated Care (%) 7.8% — metrics.uncompensated_care_pct
General Information Address 2986 KATE BOND RD — Address
General Information City/Town BARTLETT — City/Town
General Information Count of Facility MORT Measures 6 — Count of Facility MORT Measures
General Information Count of Facility Pt Exp Measures 8 — Count of Facility Pt Exp Measures
General Information Count of Facility READM Measures 7 — Count of Facility READM Measures
General Information Count of Facility Safety Measures 5 — Count of Facility Safety Measures
General Information Count of Facility TE Measures 7 — Count of Facility TE Measures
General Information Count of MORT Measures Better 0 — Count of MORT Measures Better
General Information Count of MORT Measures No Different 5 — Count of MORT Measures No Different
General Information Count of MORT Measures Worse 1 — Count of MORT Measures Worse
General Information Count of READM Measures Better 2 — Count of READM Measures Better
General Information Count of READM Measures No Different 5 — Count of READM Measures No Different
General Information Count of READM Measures Worse 0 — Count of READM Measures Worse
General Information Count of Safety Measures Better 1 — Count of Safety Measures Better
General Information Count of Safety Measures No Different 4 — Count of Safety Measures No Different
General Information Count of Safety Measures Worse 0 — Count of Safety Measures Worse
General Information County/Parish SHELBY — County/Parish
General Information Emergency Services Yes — Emergency Services
General Information Facility ID 440228 — Facility ID
General Information Facility Name SAINT FRANCIS BARTLETT MEDICAL CENTER — Facility Name
General Information Hospital overall rating 2 — Hospital overall rating
General Information Hospital overall rating footnote — — Hospital overall rating footnote
General Information Hospital Ownership Proprietary — Hospital Ownership
General Information Hospital Type Acute Care Hospitals — Hospital Type
General Information Meets criteria for birthing friendly designation — — Meets criteria for birthing friendly designation
General Information MORT Group Footnote — — MORT Group Footnote
General Information MORT Group Measure Count 7 — MORT Group Measure Count
General Information Pt Exp Group Footnote — — Pt Exp Group Footnote
General Information Pt Exp Group Measure Count 8 — Pt Exp Group Measure Count
General Information READM Group Footnote — — READM Group Footnote
General Information READM Group Measure Count 11 — READM Group Measure Count
General Information Safety Group Footnote — — Safety Group Footnote
General Information Safety Group Measure Count 8 — Safety Group Measure Count
General Information State TN — State
General Information TE Group Footnote — — TE Group Footnote
General Information TE Group Measure Count 12 — TE Group Measure Count
General Information Telephone Number (901) 820-7050 — Telephone Number
General Information ZIP Code 38133 — ZIP Code
HAC Reduction Program fiscal_year 2,026 — fiscal_year
HAC Reduction Program measures — cauti — sir 0.17 — measures.cauti.sir
HAC Reduction Program measures — clabsi — sir 0.23 — measures.clabsi.sir
HAC Reduction Program payment_reduction Yes — payment_reduction
HAC Reduction Program total_hac_score 0.61 — total_hac_score
Medicare Spending per Beneficiary End Date 12/31/2024 — End Date
Medicare Spending per Beneficiary Measure ID MSPB-1 — Measure ID
Medicare Spending per Beneficiary Start Date 01/01/2024 — Start Date
Medicare Spending per Beneficiary Value 0.96 — Value
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 0.91 0.9995 p8 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 12.6% — READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 11.5% — READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 1.01 0.9969 p62 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 14.6% — READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 96 — READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 15 — READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 14.8% — READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 1.11 0.9983 p94 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 18.5% — READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 325 — READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 74 — READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 20.5% — READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 0.93 0.9955 p10 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 15.2% — READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 362 — READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 46 — READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 14.1% — READM-30-PN-HRRP.predicted_readmission_rate
Methodology

Full methodology →