Standardized Quality Measures

The measures below are tracked nationally on Hospital Compare through the efforts of the Centers for Medicare & Medicaid Services (CMS) along with the Hospital Quality Alliance (HQA). Locally, the Washington State Hospital Association (WSHA) works with Washington hospitals, including Virginia Mason, to collect data on hospital performance in these core measures and report this information to the public.

These standardized common measures are integral to improving the quality of care provided to hospital patients. Below you'll see Virginia Mason's performance compared with state and national hospital averages in the United States.

  Select a quality measure:
      Button: Surgical Care
      Button: Pneumonia Care
      Button: Heart Attack Care
      Button: Heart Failure Care
      Button: Patient Satisfaction

Core Measures Comparison: July 2012 - June 2013

Surgical Care Improvement Project (SCIP)      

Surgical site infections (SSI) are a common complication of surgical procedures. Caused by bacteria present on the patient's skin or in the hospital environment, they may occur at the site of the incision or in the organ or tissue operated on during the surgery. With more than 30 million operations performed each year in the United States, the use of surgical infection prevention (SIP) practices has become a core measure of medical quality.

Image: Surgical Care Improvement Project (SCIP)


* National and state hospital averages obtained from WSHA.
Reporting period from July 2012 to June 2013. 

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Pneumonia Care


Pneumonia is a serious infection or inflammation of the lungs caused by bacteria, viruses, or (in rare cases) fungus or other organisms. The air sacs in the lungs fill with pus and other fluids, making it difficult for oxygen to reach the blood. If there is too little oxygen in the blood, other cells within the body can't work properly. Pneumonia can also lead to other infections, like meningitis, an infection in the brain.

Community-acquired pneumonia (CAP) refers to pneumonia acquired outside the hospital. Anyone can get pneumonia, although the elderly and people with a chronic illness are at higher risk. CAP is a common problem in older adults and is associated with substantial morbidity and mortality. More than four million cases of CAP occur across the country each year. In 2000, pneumonia and influenza together ranked as the seventh leading cause of death in the United States.

Image: Pneumonia Care


* National and state hospital averages obtained from WSHA.
Reporting period from July 2012 to June 2013. 

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Heart Attack Care


Heart attack, also called acute myocardial infarction (AMI), is one of the most common diagnoses in hospitalized patients in industrialized countries. Each year approximately 1.1 million people in the United States have an acute myocardial infarction.

A heart attack occurs when the blood supply to part of the heart muscle is severely reduced or blocked. This happens when one of the coronary arteries that supplies blood to the heart is blocked, usually from build up of plaque (deposits of fat-like substances). A heart attack can damage part of the heart, leading to heart failure. However, appropriate treatment of a patient with symptoms of a heart attack can lessen or prevent damage.

Image: Heart Attack Care


* National and state hospital averages obtained from WSHA
Reporting period from July 2012 to June 2013. 

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Heart Failure Care


Heart failure is a major public health problem in the United States. About 5 million patients in this country have heart failure.

Heart failure is a condition where the heart muscle is not able to pump blood as well as it should. As a result, extra fluid collects in the legs, feet, ankles or abdomen (leading to swelling) and sometimes in the lungs, making it difficult to breathe. Often the heart muscle becomes enlarged as it tries to pump out blood. The overworked heart muscle can't pump as well as healthy heart muscle.

Image: Heart Failure Care


* National and state hospital averages obtained from WSHA.
Reporting period from July 2012 to June 2013. 

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Patient Satisfaction      

The information below reflects information collected in the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. The HCAHPS survey results are from patients who had overnight stays in hospitals between January 2015 to December 2015.

Image: Patient Satisfaction

Reporting period from January 2015 to December 2015. 

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Other Metrics
In addition to the metrics listed above, the Puget Sound Health Alliance released its "Community Checkup" comparing the quality of care provided by local ambulatory care clinics. The report measures processes of care provided to patients with diabetes, heart disease, back pain and depression. The measures also cover aspects of prevention, pediatric care and the use of pharmaceuticals.