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Skagit Valley Hospital

Skagit County | 98274 | View Hospital »

Hospital Infection Summary

Measure Date Range Value State Average National Average
Clostridium Difficile Infection (W_HI15) ? 01/01/19 to 12/31/19 6.48 3.41 6.69 ! + details + more info
MRSA Infection (W_HI16) ? 01/01/19 to 12/31/19 0.02 0.04 0.05 ! + details + more info
Severe Sepsis and Septic Shock Mortality (W_SM) ? 01/01/19 to 12/31/19 0.11 0.08 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) ? 01/01/19 to 12/31/19 0.51 0.60 n/a ! + details + more info
Falls with Injury (W_FWI) ? 01/01/19 to 12/31/19 0.70 0.67 n/a ! + details + more info

Safe Deliveries

Measure Date Range Value State Average National Average
Elective Delivery (W_OB01) ? 01/01/19 to 12/31/19 1.2% 2.2% 1.6% ! + details + more info
Episiotomy (W_OB03) ? 01/01/19 to 12/31/19 5.9% 3.5% 7.8% ! + details + more info

Infections: Cardiac Surgery

Measure Date Range Value State Average National Average
Cardiac Surgery Infection (W_SSIc01a) ? 01/01/19 to 12/31/19 n/a ! 0.31 n/a ! + details + more info

Infections: Ortho Surgery

Measure Date Range Value State Average National Average
Hip Replacement Infection (W_SSIo01a) ? 01/01/19 to 12/31/19 0.00 ! 0.50 n/a ! + details + more info
Knee Replacement Infection (W_SSIo02a) ? 01/01/19 to 12/31/19 0.63 ! 0.34 n/a ! + details + more info

Infections: Hysterectomy

Measure Date Range Value State Average National Average
Abdominal Hysterectomy Infection (W_SSIh01a) ? 01/01/19 to 12/31/19 0.00 ! 0.42 n/a ! + details + more info

Infections: CLABSI

Measure Date Range Value State Average National Average
Central Line Bloodstream Infection in the ICU (W_CLABSI01) ? 01/01/19 to 12/31/19 7.38 0.74 0.83 ! + details + more info
Central Line Bloodstream Infection outside the ICU (W_CLABSI02) ? 01/01/19 to 12/31/19 0.38 0.38 0.67 ! + details + more info

Infections: CAUTI

Measure Date Range Value State Average National Average
Catheter-Associated Urinary Tract Infections in the ICU (W_CAUTI01) ? 01/01/19 to 12/31/19 0.00 1.14 1.03 ! + details + more info
Catheter-Associated Urinary Tract Infections outside of the ICU (W_CAUTI02) ? 01/01/19 to 12/31/19 1.03 0.90 0.82 ! + details + more info

Infections: Colon

Measure Date Range Value State Average National Average
Surgical Infection Colon (W_HI09) ? 01/01/19 to 12/31/19 2.99 ! 1.49 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) ? 07/01/18 to 06/30/19 n/a ! 53% ! 58% ! + details + more info
Outpatient Minutes to Transfer (CMS_AMI22Min) ? 07/01/18 to 06/30/19 n/a ! 53 ! 58 ! + details + more info
Outpatient Minutes to ECG (CMS_AMI23Min) ? 07/01/17 to 06/30/18 n/a ! 9 ! 8 ! + details + more info

Patient Satisfaction

Measure Date Range Value State Average National Average
Overall Satisfaction Rating (CMS_HCP01a) ? 07/01/18 to 06/30/19 67% 71% 73% + details + more info
Patients Recommend (CMS_HCP02a) ? 07/01/18 to 06/30/19 66% 72% 72% + details + more info
Nurse Communication (CMS_HCP03a) ? 07/01/18 to 06/30/19 79% 79% 81% + details + more info
Doctor Communication (CMS_HCP04a) ? 07/01/18 to 06/30/19 79% 81% 82% + details + more info
Staff Responsiveness (CMS_HCP05a) ? 07/01/18 to 06/30/19 64% 68% 70% + details + more info
Staff Explained Medicine (CMS_HCP07a) ? 07/01/18 to 06/30/19 62% 66% 66% + details + more info
Room Cleanliness (CMS_HCP08a) ? 07/01/18 to 06/30/19 78% 76% 76% + details + more info
Quiet at Night (CMS_HCP09a) ? 07/01/18 to 06/30/19 51% 55% 62% + details + more info
Provided Discharge Instructions (CMS_HCP10a) ? 07/01/18 to 06/30/19 88% 88% 87% + details + more info

Medical Imaging

Measure Date Range Value State Average National Average
Outpatient Combination Chest Scans (CMS_MI04) ? 07/01/17 to 06/30/18 0.0% 0.4% 1.4% + details + more info

Emergency Department Care

Measure Date Range Value State Average National Average
Minutes in ED Before Admitted (CMS_ED01Min) ? 07/01/17 to 06/30/18 289 274 ! 256 ! + details + more info
Minutes After Being Admitted Before Going To Room (CMS_ED02Min) ? 07/01/18 to 06/30/19 122 112 ! 103 ! + details + more info
Minutes in ED Before Going Home (CMS_ED03Min) ? 07/01/18 to 06/30/19 184 178 ! 141 ! + details + more info
Minutes in ED Before Seeing Caregiver (CMS_ED04Min) ? 04/01/17 to 03/31/18 36 24 ! 19 ! + details + more info
Brain Scan Results in 45 Mins (CMS_ED07) ? 07/01/18 to 06/30/19 74% 60% ! 72% ! + details + more info

Preventive Care

Measure Date Range Value State Average National Average
Patients Given Flu Vaccine (CMS_IMM02) ? 10/01/17 to 03/31/18 92% 91% ! 93% ! + details + more info
Health Care Worker Flu Immunization (W_HI03) ? 10/01/19 to 03/31/20 n/a ! 97% 81% ! + details + more info

Surgical Complications

Measure Date Range Value State Average National Average
Serious Complications (CMS_SC01) ? 07/01/16 to 06/30/18 0.9 1.0 1.0 + details + more info
Complications for Hip/Knee Replacement (CMS_SC02) ? 04/01/15 to 03/31/18 2.5 2.4 ! 2.5 + details + more info

Blood Clot Prevention

Measure Date Range Value State Average National Average
Blood clot dev. and no preventive treatment provided (CMS_VTE06) ? 07/01/17 to 06/30/18 n/a ! 4% ! 3% ! + details + more info

30-Day Outcomes

Measure Date Range Value State Average National Average
Heart Attack Readmit (CMS_30D01) ? 07/01/15 to 06/30/18 16.1 15.2 ! 15.7 + details + more info
Heart Attack Mortality (CMS_30D02) ? 07/01/15 to 06/30/18 13.3 13.1 ! 12.9 + details + more info
Heart Failure Readmit (CMS_30D03) ? 07/01/15 to 06/30/18 21.4 20.6 ! 21.6 + details + more info
Heart Failure Mortality (CMS_30D04) ? 07/01/15 to 06/30/18 14.9 12.3 ! 11.5 + details + more info
Pneumonia Readmit (CMS_30D05) ? 07/01/15 to 06/30/18 17.5 15.8 ! 16.6 + details + more info
Pneumonia Mortality (CMS_30D06) ? 07/01/15 to 06/30/18 17.2 16.6 ! 15.6 + details + more info
Hip/Knee Readmit (CMS_30D07) ? 07/01/15 to 06/30/18 3.9 3.8 ! 4.0 + details + more info
Hospital-wide Readmit (CMS_30D08) ? 07/01/17 to 06/30/18 15.2 14.5 ! 15.3 + details + more info