Washington Hospital Quality
A service of the Washington State Hospital Association

EvergreenHealth

King County | 98034 | View Hospital »

Hospital Infection Summary

Measure Date Range Value State Average National Average
Clostridium Difficile Infection (W_HI15) ? 07/01/17 to 06/30/18 7.84 5.69 6.15 ! + details + more info
MRSA Infection (W_HI16) ? 07/01/17 to 06/30/18 0.01 0.04 0.05 ! + details + more info
Severe Sepsis and Septic Shock Mortality (W_SM) ? 07/01/17 to 06/30/18 0.12 0.09 n/a ! + details + more info

Nursing Sensitive Measures

Measure Date Range Value State Average National Average
Pressure Ulcer Rate: Stage 3, 4 and Unstageable (W_PU) ? 07/01/17 to 06/30/18 0.36 0.30 n/a ! + details + more info
Falls with Injury (W_FWI) ? 07/01/17 to 06/30/18 1.03 0.71 n/a ! + details + more info

Safe Deliveries

Measure Date Range Value State Average National Average
Elective Delivery (W_OB01) ? 07/01/17 to 06/30/18 0.3% 1.4% 1.6% ! + details + more info
Episiotomy (W_OB03) ? 07/01/17 to 06/30/18 1.9% 2.1% 7.8% ! + details + more info

Infections: Cardiac Surgery

Measure Date Range Value State Average National Average
Cardiac Surgery Infection (W_SSIc01a) ? 07/01/17 to 06/30/18 n/a ! 0.07 n/a ! + details + more info

Infections: Ortho Surgery

Measure Date Range Value State Average National Average
Hip Replacement Infection (W_SSIo01a) ? 07/01/17 to 06/30/18 1.80 0.43 n/a ! + details + more info
Knee Replacement Infection (W_SSIo02a) ? 07/01/17 to 06/30/18 0.00 0.33 n/a ! + details + more info

Infections: Hysterectomy

Measure Date Range Value State Average National Average
Abdominal Hysterectomy Infection (W_SSIh01a) ? 07/01/17 to 06/30/18 0.00 0.39 n/a ! + details + more info

Infections: CLABSI

Measure Date Range Value State Average National Average
Central Line Bloodstream Infection in the ICU (W_CLABSI01) ? 07/01/17 to 06/30/18 0.00 0.81 1.00 ! + details + more info
Central Line Bloodstream Infection outside the ICU (W_CLABSI02) ? 07/01/17 to 06/30/18 0.43 0.52 n/a ! + details + more info

Infections: CAUTI

Measure Date Range Value State Average National Average
Catheter-Associated Urinary Tract Infections in the ICU (W_CAUTI01) ? 07/01/17 to 06/30/18 0.68 1.40 0.81 ! + details + more info
Catheter-Associated Urinary Tract Infections outside of the ICU (W_CAUTI02) ? 07/01/17 to 06/30/18 1.11 0.95 n/a ! + details + more info

Infections: Colon

Measure Date Range Value State Average National Average
Surgical Infection Colon (W_HI09) ? 07/01/17 to 06/30/18 0.63 1.92 n/a ! + details + more info

Heart Attack

Measure Date Range Value State Average National Average
Outpatient Blood Clot Drugs w/in 30 Mins (CMS_AMI20) ? 01/01/17 to 12/31/17 n/a ! 49% ! 59% ! + details + more info
Outpatient Aspirin at Arrival (CMS_AMI21) ? 01/01/17 to 12/31/17 n/a ! 95% ! 95% ! + details + more info
Outpatient Minutes to Transfer (CMS_AMI22Min) ? 01/01/17 to 12/31/17 n/a ! 54 ! 57 ! + details + more info
Outpatient Minutes to ECG (CMS_AMI23Min) ? 01/01/17 to 12/31/17 n/a ! 9 ! 7 ! + details + more info

Patient Satisfaction

Measure Date Range Value State Average National Average
Overall Satisfaction Rating (CMS_HCP01a) ? 01/01/17 to 12/31/17 78% 72% 73% + details + more info
Patients Recommend (CMS_HCP02a) ? 01/01/17 to 12/31/17 81% 73% 72% + details + more info
Nurse Communication (CMS_HCP03a) ? 01/01/17 to 12/31/17 78% 79% 80% + details + more info
Doctor Communication (CMS_HCP04a) ? 01/01/17 to 12/31/17 81% 81% 82% + details + more info
Staff Responsiveness (CMS_HCP05a) ? 01/01/17 to 12/31/17 65% 67% 70% + details + more info
Staff Explained Medicine (CMS_HCP07a) ? 01/01/17 to 12/31/17 63% 65% 66% + details + more info
Room Cleanliness (CMS_HCP08a) ? 01/01/17 to 12/31/17 71% 75% 75% + details + more info
Quiet at Night (CMS_HCP09a) ? 01/01/17 to 12/31/17 63% 55% 62% + details + more info
Provided Discharge Instructions (CMS_HCP10a) ? 01/01/17 to 12/31/17 88% 89% 87% + details + more info

Medical Imaging

Measure Date Range Value State Average National Average
Outpatient Combination Chest Scans (CMS_MI04) ? 07/01/16 to 06/30/17 0.2% 0.5% ! 1.5% ! + details + more info

Emergency Department Care

Measure Date Range Value State Average National Average
Minutes in ED Before Admitted (CMS_ED01Min) ? 01/01/17 to 12/31/17 271 300 ! 280 ! + details + more info
Minutes After Being Admitted Before Going To Room (CMS_ED02Min) ? 01/01/17 to 12/31/17 114 117 ! 102 ! + details + more info
Minutes in ED Before Going Home (CMS_ED03Min) ? 01/01/17 to 12/31/17 150 192 ! 141 ! + details + more info
Minutes in ED Before Seeing Caregiver (CMS_ED04Min) ? 01/01/17 to 12/31/17 19 25 ! 20 ! + details + more info
Minutes in ED Before Pain Medication (CMS_ED05Min) ? 01/01/17 to 12/31/17 44 53 ! 48 ! + details + more info
Left ED Without Being Seen (CMS_ED06) ? 01/01/16 to 12/31/16 2% 3% ! 2% ! + details + more info
Brain Scan Results in 45 Mins (CMS_ED07) ? 01/01/17 to 12/31/17 91% 65% ! 73% ! + details + more info

Preventive Care

Measure Date Range Value State Average National Average
Patients Given Flu Vaccine (CMS_IMM02) ? 10/01/16 to 03/31/17 99% 91% ! 93% ! + details + more info
Health Care Worker Flu Immunization (W_HI03) ? 10/01/17 to 03/31/18 95% 92% 87% ! + details + more info

Surgical Complications

Measure Date Range Value State Average National Average
Serious Complications (CMS_SC01) ? 10/01/15 to 06/30/17 0.9 1.0 1.0 ! + details + more info
Complications for Hip/Knee Replacement (CMS_SC02) ? 04/01/14 to 03/31/17 2.2 2.5 ! 2.6 ! + details + more info

Blood Clot Prevention

Measure Date Range Value State Average National Average
Blood clot dev. and no preventive treatment provided (CMS_VTE06) ? 01/01/17 to 12/31/17 5% 4% ! 2% ! + details + more info

30-Day Outcomes

Measure Date Range Value State Average National Average
Heart Attack Readmit (CMS_30D01) ? 07/01/14 to 06/30/17 15.0 15.3 ! 16.0 ! + details + more info
Heart Attack Mortality (CMS_30D02) ? 07/01/14 to 06/30/17 14.0 13.7 ! 13.2 ! + details + more info
Heart Failure Readmit (CMS_30D03) ? 07/01/14 to 06/30/17 18.8 20.8 ! 21.7 ! + details + more info
Heart Failure Mortality (CMS_30D04) ? 07/01/14 to 06/30/17 10.8 12.6 ! 11.7 ! + details + more info
Pneumonia Readmit (CMS_30D05) ? 07/01/14 to 06/30/17 16.1 15.9 ! 16.7 ! + details + more info
Pneumonia Mortality (CMS_30D06) ? 07/01/14 to 06/30/17 11.9 16.6 ! 15.7 ! + details + more info
Hip/Knee Readmit (CMS_30D07) ? 07/01/14 to 06/30/17 3.8 3.8 ! 4.2 ! + details + more info
Hospital-wide Readmit (CMS_30D08) ? 07/01/16 to 06/30/17 13.3 14.4 ! 15.3 ! + details + more info