Home / Quality Report of LEGACY EMANUEL HOSPITAL at PORTLAND, OR

LEGACY EMANUEL HOSPITAL Quality Report

LEGACY EMANUEL HOSPITAL
2801 N GANTENBEIN AVENUE
PORTLAND, OR 97227

MULTNOMAH county
Phone: 503-413-2200
Acute Care Hospitals
Ownership: Government - Hospital District or Authority
Accreditation: Yes
Emergency Service: Yes

Please use the following conditions to evaluate the quality of this hospital.

Heart Attack

1. Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

LEGACY EMANUEL HOSPITAL
87%
Average for the State of Oregon
89%
National Average of Hospitals submitting data:
83%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 39 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

2. Heart Attack Patients Given Smoking Cessation Advice/Counseling

LEGACY EMANUEL HOSPITAL
90%
Average for the State of Oregon
77%
National Average of Hospitals submitting data:
89%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 52 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

3. Heart Attack Patients Given PCI Within 90 Minutes Of Arrival

LEGACY EMANUEL HOSPITAL
60%
Average for the State of Oregon
59%
National Average of Hospitals submitting data:
55%
Top 10%' of Hospitals submitting data scored equal to or higher than:
88%
Notes:
  1. Sample size: 10 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.
  3. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

4. Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival

LEGACY EMANUEL HOSPITAL
100%
Average for the State of Oregon
30%
National Average of Hospitals submitting data:
34%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 1 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.
  3. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

5. Heart Attack Patients Given Beta Blocker at Discharge

LEGACY EMANUEL HOSPITAL
99%
Average for the State of Oregon
95%
National Average of Hospitals submitting data:
90%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 135 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

6. Heart Attack Patients Given Beta Blocker at Arrival

LEGACY EMANUEL HOSPITAL
92%
Average for the State of Oregon
94%
National Average of Hospitals submitting data:
87%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 49 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

7. Heart Attack Patients Given Aspirin at Discharge

LEGACY EMANUEL HOSPITAL
98%
Average for the State of Oregon
93%
National Average of Hospitals submitting data:
90%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 126 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

8. Heart Attack Patients Given Aspirin at Arrival

LEGACY EMANUEL HOSPITAL
96%
Average for the State of Oregon
94%
National Average of Hospitals submitting data:
93%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 80 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

Heart Failure

1. Heart Failure Patients Given Smoking Cessation Advice/Counseling

LEGACY EMANUEL HOSPITAL
90%
Average for the State of Oregon
72%
National Average of Hospitals submitting data:
83%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 51 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

2. Heart Failure Patients Given Discharge Instructions

LEGACY EMANUEL HOSPITAL
39%
Average for the State of Oregon
46%
National Average of Hospitals submitting data:
63%
Top 10%' of Hospitals submitting data scored equal to or higher than:
94%
Notes:
  1. Sample size: 121 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

3. Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function

LEGACY EMANUEL HOSPITAL
99%
Average for the State of Oregon
81%
National Average of Hospitals submitting data:
84%
Top 10%' of Hospitals submitting data scored equal to or higher than:
99%
Notes:
  1. Sample size: 137 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

4. Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

LEGACY EMANUEL HOSPITAL
79%
Average for the State of Oregon
84%
National Average of Hospitals submitting data:
82%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 71 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

Pneumonia

1. Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)

LEGACY EMANUEL HOSPITAL
86%
Average for the State of Oregon
83%
National Average of Hospitals submitting data:
84%
Top 10%' of Hospitals submitting data scored equal to or higher than:
95%
Notes:
  1. Sample size: 72 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

2. Pneumonia Patients Given Smoking Cessation Advice/Counseling

LEGACY EMANUEL HOSPITAL
81%
Average for the State of Oregon
73%
National Average of Hospitals submitting data:
81%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 53 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

3. Pneumonia Patients Given Oxygenation Assessment

LEGACY EMANUEL HOSPITAL
100%
Average for the State of Oregon
100%
National Average of Hospitals submitting data:
99%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 120 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

4. Pneumonia Patients Given Initial Antibiotic(s) within 4 Hours After Arrival

LEGACY EMANUEL HOSPITAL
71%
Average for the State of Oregon
83%
National Average of Hospitals submitting data:
80%
Top 10%' of Hospitals submitting data scored equal to or higher than:
93%
Notes:
  1. Sample size: 112 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

5. Pneumonia Patients Assessed and Given Pneumococcal Vaccination

LEGACY EMANUEL HOSPITAL
58%
Average for the State of Oregon
66%
National Average of Hospitals submitting data:
71%
Top 10%' of Hospitals submitting data scored equal to or higher than:
94%
Notes:
  1. Sample size: 57 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

6. Pneumonia Patients Assessed and Given Influenza Vaccination

LEGACY EMANUEL HOSPITAL
45%
Average for the State of Oregon
63%
National Average of Hospitals submitting data:
70%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 20 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.

7. Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics

LEGACY EMANUEL HOSPITAL
86%
Average for the State of Oregon
90%
National Average of Hospitals submitting data:
90%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 78 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

Surgical Infection Prevention

1. Surgery Patients Who Received Preventative Antibiotic(s) One Hour Before Incision

LEGACY EMANUEL HOSPITAL
73%
Average for the State of Oregon
75%
National Average of Hospitals submitting data:
78%
Top 10%' of Hospitals submitting data scored equal to or higher than:
95%
Notes:
  1. Sample size: 213 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.
  3. Rate reflects fewer than the maximum possible quarters of data for the measure.

2. Surgery Patients who Received the Appropriate Preventative Antibiotic(s) for Their Surgery

LEGACY EMANUEL HOSPITAL
95%
Average for the State of Oregon
89%
National Average of Hospitals submitting data:
90%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 58 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.
  3. Rate reflects fewer than the maximum possible quarters of data for the measure.

3. Surgery Patients Whose Preventative Antibiotic(s) are Stopped Within 24 hours After Surgery

LEGACY EMANUEL HOSPITAL
78%
Average for the State of Oregon
70%
National Average of Hospitals submitting data:
74%
Top 10%' of Hospitals submitting data scored equal to or higher than:
95%
Notes:
  1. Sample size: 200 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.
  3. Rate reflects fewer than the maximum possible quarters of data for the measure.


Note: The data on this site only reflect the aspects of "Heart Attack", "Heart Failure", "Pneumonia", and "Surgical Infection Prevention". These are important indicators of the hospital quality. However, they are not the comprehensive evaluation. learn more...