Providence Portland Medical Center

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2 Quality Report Providence Portland Medical Center HCO ID: Northeast Glisan Street ( w w w.providence.org Summary of Quality Information Programs View History Behavioral Health Care Accredited 2/3/2016 2/2/2016 Survey 2/2/2016 Hospital Accredited 2/6/2016 2/5/2016 Survey 2/5/2016 Laboratory Program Accredited 7/18/2015 7/17/2015 Survey 7/17/2015

3 Advanced Programs View History Primary Stroke Center 10/29/ /28/2015 Survey 10/28/2015 Core Programs Joint Replacement - Hip 12/16/ /15/2015 Survey 12/15/2015 Joint Replacement - Knee 12/16/ /15/2015 Survey 12/15/2015 Sites Portland Medical Imaging Oregon SE Washington St Portland, OR, Providence Adult Behavioral Health Services 5228 NE Hoyt Building B Behavioral Health (Day Programs - Adult Behavioral Health (Non 24 Hour Care - Adult Behavioral Health (Partial - Adult Chemical Dependency (24-hour Acute Care/Crisis Stabilization - Adult Providence Adult Outpatient Services (AOS Providence Chemical Dependency Stabilization Unit (CDSU Providence Outpatient Chemical Dependency (OCD

4 Providence at The Oregon Clinic - Gateway 1111 NE 99th Ave Portland, OR, Providence at TOC Echo Providence at TOC Nuc Med Providence at TOC Rehabilitation Providence Diabetic Education Center 5211 NE Glisan Building C Providence Downtown Physical Therapy 1305 SW 1st St Portland, OR, Providence Gateway Medical Plaza 1321 NE 99th Ave, Suite 100 Portland, OR, Providence Gateway Lab Patient Service Center Providence Gateway Medical Plaza Radiology Providence Gresham Medical Plaza 440 NW Division St. Gresham, OR, Providence Gresham Lab Patient Service Center Providence Gresham Medial Plaza Rehab Providence Gresham Medical Plaza Diagnostic Imaging Providence lab at The Oregon Clinic

5 1111 NE 99th Ave Portland, OR, General Laboratory Tests Providence North Portland Radiology 4920 N Interstate Ave Portland, OR, Providence Northeast Rehabilitation 507 NE 47th St. Providence Portland Medical Center 4805 Northeast Glisan Street Cardiac Catheterization Lab (Surgical Cardiac Surgery (Surgical Services Cardiothoracic Surgery (Surgical Cardiovascular Unit (Inpatient Coronary Care Unit (Inpatient CT Scanner (Imaging/Diagnostic Dialysis Unit (Inpatient Ear/Nose/Throat Surgery (Surgical EEG/EKG/EMG Lab (Imaging/Diagnostic Gastroenterology (Surgical Services General Laboratory Tests GI or Endoscopy Lab (Imaging/Diagnostic Gynecological Surgery (Surgical Gynecology (Inpatient Hematology/Oncology Unit (Inpatient Providence Eastside Outpatient Oncology Infusion Clinic

6 Inpatient Unit (Inpatient Interventional Radiology (Imaging/Diagnostic Labor & Delivery (Inpatient Magnetic Resonance Imaging (Imaging/Diagnostic Medical /Surgical Unit (Inpatient Medical ICU (Intensive Care Unit Neuro/Spine Unit (Inpatient Neurosurgery (Surgical Normal Newborn Nursery (Inpatient Nuclear Medicine (Imaging/Diagnostic Ophthalmology (Surgical Orthopedic Surgery (Surgical Orthopedic/Spine Unit (Inpatient Plastic Surgery (Surgical Positron Emission Tomography (PET (Imaging/Diagnostic Post Anesthesia Care Unit (PACU (Inpatient Radiation Oncology (Imaging/Diagnostic Rehabilitation Unit (Inpatient Rehabilitation Unit (24-hour Acute Care/Crisis Stabilization Sleep Laboratory (Sleep Laboratory Surgical ICU (Intensive Care Unit Surgical Unit (Inpatient Thoracic Surgery (Surgical Services Toxicology Ultrasound (Imaging/Diagnostic Urology (Surgical Vascular Surgery (Surgical Programs Joint Replacement - Hip Joint Replacement - Knee Primary Stroke Center

7 Providence Professional Plaza 5050 NE Hoyt St, Providence Anticoagulation Clinic Providence Professional Plaza Diagnositc Imaging Providence Professional Plaza Lab Patient Service Center Providence Westside Outpatient Oncology Infusion Clinic 9205 SW Barnes Road Suite 261 Portland, OR, Administration of High Risk Medications (Outpatient Providence Worker Rehabilitation 545 NE 47th St Ste 215 Special Quality Awards Due to our commitment to accurate data reporting, The Joint Commission is suspending the practice of updating Special Quality Awards until further notice 2015 Magnet Award 2012 ACS National Surgical Quality Improvement Program Complementary Agreements Hospital - Accredited by UHMS Clinical Hyperbaric Facility - Level 1

8 National Patient Safety Goals and National Quality Improvement Goals Show Keys + Symbol Key This organization achieved the best possible results This organization's performance is above the target range/value This organization's performance is similar to the target range/value This organization's performance is below the target range/value This measure is not applicable for this organization Not displayed Measures Footnote Key The measure or measure set was not reported. The measure set does not have an overall result. The number is not enough for comparison purposes. The measure meets the Privacy Disclosure Threshold rule. The organization scored above 90% but was below most other organizations. The measure results are not statistically valid. The measure results are based on a sample of patients. The number of months with measure data is below the reporting requirement. The measure results are temporarily suppressed pending resubmission of updated data. Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement. There were no eligible patients that met the denominator criteria. The Joint Commission only reports measures endorsed by the National Quality Forum. * This information can also be viewed at Hospital Compare. ** Indicates per 1000 hours of patient care. *** The measure was not in effect for this quarter Null value or data not displayed.

9 Laboratory Program 2015 National Patient Safety Goals Nationwide Hospital 2016 National Patient Safety Goals Nationwide Behavioral Health Care 2016 National Patient Safety Goals Nationwide Reporting Period: January December 2015 National Quality Improvement Goals: Emergency Department National 2 2 Immunization National 2 2 Perinatal Care National Stroke Care National Venous Thromboembolism (VTE National New Changes to Quarterly Measure Download Quarterly Measure Results The Joint Commission only reports measures endorsed by the National Quality Forum. * State results are not calculated for the National Patient Safety Goals.