Home / Quality Report of LEGACY SALMON CREEK HOSPITAL at VANCOUVER, WA

LEGACY SALMON CREEK HOSPITAL Quality Report

LEGACY SALMON CREEK HOSPITAL
2211 NE 139TH STREET
VANCOUVER, WA 98686

CLARK county
Phone: 360-487-1000
Acute Care Hospitals
Ownership: Voluntary non-profit - Private
Accreditation: Yes
Emergency Service: Yes

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

Heart Attack

1. Heart Attack Patients Given Beta Blocker at Arrival

LEGACY SALMON CREEK HOSPITAL
100%
Average for the State of Washington
92%
National Average of Hospitals submitting data:
87%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 29 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 Beta Blocker at Discharge

LEGACY SALMON CREEK HOSPITAL
93%
Average for the State of Washington
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: 29 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 Aspirin at Discharge

LEGACY SALMON CREEK HOSPITAL
88%
Average for the State of Washington
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: 32 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

4. Heart Attack Patients Given Aspirin at Arrival

LEGACY SALMON CREEK HOSPITAL
100%
Average for the State of Washington
95%
National Average of Hospitals submitting data:
93%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 44 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

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

LEGACY SALMON CREEK HOSPITAL
88%
Average for the State of Washington
87%
National Average of Hospitals submitting data:
83%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 8 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.

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

LEGACY SALMON CREEK HOSPITAL
0%
Average for the State of Washington
24%
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.

7. Heart Attack Patients Given Smoking Cessation Advice/Counseling

LEGACY SALMON CREEK HOSPITAL
100%
Average for the State of Washington
89%
National Average of Hospitals submitting data:
89%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 2 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.

Heart Failure

1. Heart Failure Patients Given Discharge Instructions

LEGACY SALMON CREEK HOSPITAL
46%
Average for the State of Washington
54%
National Average of Hospitals submitting data:
63%
Top 10%' of Hospitals submitting data scored equal to or higher than:
94%
Notes:
  1. Sample size: 136 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 an Evaluation of Left Ventricular Systolic (LVS) Function

LEGACY SALMON CREEK HOSPITAL
93%
Average for the State of Washington
85%
National Average of Hospitals submitting data:
84%
Top 10%' of Hospitals submitting data scored equal to or higher than:
99%
Notes:
  1. Sample size: 172 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 ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

LEGACY SALMON CREEK HOSPITAL
73%
Average for the State of Washington
87%
National Average of Hospitals submitting data:
82%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 59 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 Smoking Cessation Advice/Counseling

LEGACY SALMON CREEK HOSPITAL
80%
Average for the State of Washington
77%
National Average of Hospitals submitting data:
83%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 41 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 Smoking Cessation Advice/Counseling

LEGACY SALMON CREEK HOSPITAL
87%
Average for the State of Washington
81%
National Average of Hospitals submitting data:
81%
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. Pneumonia Patients Given Initial Antibiotic(s) within 4 Hours After Arrival

LEGACY SALMON CREEK HOSPITAL
82%
Average for the State of Washington
78%
National Average of Hospitals submitting data:
80%
Top 10%' of Hospitals submitting data scored equal to or higher than:
93%
Notes:
  1. Sample size: 130 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

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

LEGACY SALMON CREEK HOSPITAL
91%
Average for the State of Washington
91%
National Average of Hospitals submitting data:
90%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 79 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

4. Pneumonia Patients Assessed and Given Influenza Vaccination

LEGACY SALMON CREEK HOSPITAL
50%
Average for the State of Washington
60%
National Average of Hospitals submitting data:
70%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 24 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.

5. Pneumonia Patients Assessed and Given Pneumococcal Vaccination

LEGACY SALMON CREEK HOSPITAL
72%
Average for the State of Washington
70%
National Average of Hospitals submitting data:
71%
Top 10%' of Hospitals submitting data scored equal to or higher than:
94%
Notes:
  1. Sample size: 114 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

6. Pneumonia Patients Given Oxygenation Assessment

LEGACY SALMON CREEK HOSPITAL
100%
Average for the State of Washington
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: 152 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

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

LEGACY SALMON CREEK HOSPITAL
87%
Average for the State of Washington
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: 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 Whose Preventative Antibiotic(s) are Stopped Within 24 hours After Surgery

LEGACY SALMON CREEK HOSPITAL
50%
Average for the State of Washington
77%
National Average of Hospitals submitting data:
74%
Top 10%' of Hospitals submitting data scored equal to or higher than:
95%
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.
  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 SALMON CREEK HOSPITAL
91%
Average for the State of Washington
92%
National Average of Hospitals submitting data:
90%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 46 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 Who Received Preventative Antibiotic(s) One Hour Before Incision

LEGACY SALMON CREEK HOSPITAL
72%
Average for the State of Washington
82%
National Average of Hospitals submitting data:
78%
Top 10%' of Hospitals submitting data scored equal to or higher than:
95%
Notes:
  1. Sample size: 146 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...