Quality Care

Quality patient care is our focus!

QUALITY CARE

Tri-State Memorial Hospital participates in a nationwide Quality Improvement initiative through CMS (Centers for Medicare/Medicaid Services) and is compared to other hospitals. In many areas Tri-State Memorial Hospital scores are higher than both Washington state and National average.

Timely and effective care in hospital emergency departments is essential for good patient outcomes. Delays before getting care in the emergency department can reduce the quality of care and increase risks and discomfort for patients with serious illnesses or injuries. Waiting times at different hospitals can vary widely, depending on the number of patients seen, staffing levels, efficiency, admitting procedures, or the availability of inpatient beds.

Tristate Memorial, Washington State, and National Averages

Tri-State Hospital DataTri-StateComparative Results – WA State AverageComparative Results – National Average
Average (median) time patients spent in the emergency department, before they were admitted to the hospital as an inpatient (A lower number of minutes is better)270 Minutes246 Minutes208 Minutes
Average (median) time patients spent in the emergency department, after the doctor decided to admit them as an inpatient before leaving the emergency department for their inpatient room (A lower number of minutes is better)87 Minutes68 Minutes55 Minutes
Average (median) time patients spent in the emergency department before leaving from the visit (A lower number of minutes is better)93 Minutes121 Minutes111 Minutes
Updated 08/22/2019   

*Data available on the Hospital Compare website is 9-12 months old. In an effort to keep you informed and reflect Tri-State’s current performance – we are posting the most recent quarter’s results.

Advance directives include:

  • Living Will – A living will is a written, legal document that describes the types of medical treatments or life-sustaining treatments you would or would not want if you were to become seriously or terminally ill, such as tube feeding, mechanical breathing or kidney dialysis. A living will does not let you select someone to make decisions for you. It is called a “living will” because it takes effect while you are still living. In Washington and Idaho states, you do not need a lawyer to complete your living will.
  • Durable Power of Attorney for Health Care (DPAHC) – A DPAHC states whom you have chosen to make health care decisions for you if you are unconscious or unable to make medical decisions. While you can select almost any adult to be your agent, you should select a person(s) knowledgeable about your wishes, values, religious beliefs and in whom you have trust and confidence and who knows how you feel about health care. You should discuss the matter with the person(s) you have chosen and make sure they understand and agree to accept the responsibility.
  • Do Not Resuscitate Order (DNR) – A DNR is a request not to have cardiopulmonary resuscitation (CPR) if your heart stops or if you stop breathing. Unless given other instructions, hospital staff will try to help any patient whose heart has stopped or who has stopped breathing. You can use an advance directive form or tell your doctor that you don’t want to be resuscitated. Your doctor will put the DNR order in your medical chart.

Should I have an advance directive?

By creating an advance directive, you are making your preferences about medical care known before you’re faced with a serious injury or illness. This will spare your loved ones the stress of making decisions about your care while you are sick. Any person 18 years of age or older can prepare an advance directive.

Heart Attack or Chest Pain Quality Care Measures – An acute myocardial infarction (AMI), also called a heart attack, happens when one of the heart’s arteries becomes blocked and the supply of blood and oxygen to part of the heart muscle is slowed or stopped. When the heart muscle doesn’t get the oxygen and nutrients it needs, the affected heart tissue may die. These measures show some of the standards of care provided, if appropriate, for most adults who have a heart attack.

Tri-State Memorial Hospital scores higher in all areas than the Washington State and National average.

Tristate Memorial, Washington State, and National Averages

Tri-State Hospital DataTri-StateComparative Results- WA State AverageComparative Results- National Average
Outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival100%95%95%
Average number of minutes before outpatients with chest pain or possible heart attack got an ECG0 minutes9 minutes8 minutes
Updated 8/22/2019   

*Data available on the Hospital Compare website is 9-12 months old. In an effort to keep you informed and reflect Tri-State’s current performance – we are posting the most recent quarter’s results.

These outpatient imaging efficiency measures give you information about hospitals’ use of medical imaging tests (like mammograms, MRIs, and CT scans) for outpatients based on the following goals:

1. Protecting patients’ safety (like keeping patients’ exposure to radiation and other risks as low as possible);

2. Following up properly when screening tests like mammograms show a possible problem; and,

3. Avoiding the risk, stress, and cost of doing imaging tests that patients may not need.

Tristate Memorial, Washington State, and National Averages

Tri-State Hospital DataTri-StateComparative Results- WA State AverageComparative Results- National Average
Outpatients with low-back pain who had an MRI without trying recommended treatments (such as physical therapy) first (Lower percentages are better)59.60%38.60%38.70%
Outpatients who had a follow-up mammogram, breast ultrasound, or breast MRI within the 45 days after a screening mammogram (A follow-up rate near 0% may indicate missed cancer; a rate higer than 12% may mean there isunnecessary follow-up)6.60%8.10%8.90%
Outpatient CT scans of the abdomen that were “combination” (double) scans (Lower percentages are better)8.80%5.50%6.90%
Outpatient CT scans of the chest that were “combination” (double) scans (Lower percentages are better)0.00%0.40%1.40%
Updated 08/22/2019   

*Data available on the Hospital Compare website is 9-12 months old. In an effort to keep you informed and reflect Tri-State’s current performance – we are posting the most recent quarter’s results.

HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) is a national survey that asks patients about their experiences during a recent hospital stay. HCAHPS provides a standardized survey instrument for measuring patients’ perspective on hospital care. These questions encompass critical aspects of the hospital inpatient experience. Tri-State Memorial Hospital scores higher on many of these questions than the Washington State and the National averages.

Tristate Memorial, Washington State, and National Averages

Tri-State Hospital DataTri-StateComparative Results – WA State AverageComparative Results – National Average
Patients who reported YES, they would definitely recommend the hospital81%72%72%
Patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest)74%72%73%
Patients who reported that their nurses “Always” communicated well83%79%81%
Patients who reported that their doctors “Always” communicated well84%81%81%
Patients who reported that they “Always” received help as soon as they wanted72%68%70%
Patients who reported that staff “Always” explained about medicines before giving it to them66%66%66%
Patients who reported that their room and bathroom were “Always” clean81%75%75%
Patients who reported that the area around their room was “Always” quiet at night50%54%62%
Patients who reported that YES, they were given information about what to do during their recovery at home91%88%87%
Patients who “Strongly Agree” they understood their care when they left the hospital52%52%53%
Last updated: 08/22/2019   

*Data available on the Hospital Compare website is 9-12 months old. In an effort to keep you informed and reflect Tri-State’s current performance – we are posting the most recent quarter’s results.

Hospitals and healthcare providers play a crucial role in promoting, providing and educating patients about preventive services and screenings and maintaining the health of their communities. Many diseases are preventable through immunizations, screenings, treatment, and lifestyle changes.

Tristate Memorial, Washington State, and National Averages

Tri-State Hospital DataTri-StateComparative Results- WA State AverageComparative Results- National Average
Patients assessed and given influenza vaccination (Higher percentages are better)90%91%93%
Healthcare workers given influenza vaccination (Higher percentages are better)94%91%89%
Updated 08/22/2019   

*Data available on the Hospital Compare website is 9-12 months old. In an effort to keep you informed and reflect Tri-State’s current performance – we are posting the most recent quarter’s results.