Bottom quartile Middle Top quartile Percentile badges compare this hospital to all 5,426 hospitals nationally.

Overview

Address
3181 SW SAM JACKSON PARK ROAD, PORTLAND, OR 97239
Phone
(503) 494-9000
Hospital Type
Acute Care
Ownership
Non-Profit (Other)
Emergency Services
Yes
Birthing Friendly
Yes
3 /5
CMS Overall Rating
p30
Acute Care — General medical and surgical hospital participating in Medicare IPPS. Subject to CMS quality reporting and payment adjustment programs (VBP, HRRP, HAC).

CMS Star Rating — Quality Domain Breakdown

CMS computes the overall star rating from five quality domains. Each domain compares this hospital's measures against national benchmarks.

Mortality 7 of 7 measures reported
7
Better No different Worse
30-day death rates for heart attack, heart failure, pneumonia, COPD, stroke, CABG, and kidney disease.
Safety of Care 8 of 8 measures reported
2
6
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 10 of 11 measures reported
1
9
Better No different Worse
30-day unplanned readmission rates for heart attack, heart failure, pneumonia, COPD, hip/knee replacement, and CABG.
Patient Experience 8 of 8 measures reported
8 measures reported (comparative data not available for this domain)
HCAHPS survey scores — patient-reported experience with communication, responsiveness, cleanliness, and discharge planning.
Timely & Effective Care 10 of 12 measures reported
10 measures reported (comparative data not available for this domain)
Process-of-care measures including flu immunization, blood clot prevention, and appropriate use of imaging.

Readmissions — Hospital Readmissions Reduction Program

The Excess Readmission Ratio (ERR) compares this hospital's 30-day readmission rate to expected, adjusting for patient mix. An ERR of 1.0 means readmissions are as expected; > 1.0 triggers a Medicare payment penalty (up to 3%).

This hospital has excess readmissions in at least one condition and is subject to HRRP payment reduction.
Acute Myocardial Infarction (Heart Attack) 138 discharges
1.0553 p80
Heart Failure 250 discharges
0.9533 p21
Pneumonia 129 discharges
0.9810 p39
COPD
— Not reported
Hip/Knee Replacement
0.9098 p27
CABG Surgery
1.0439 p68
Expected (1.0) National median

Value-Based Purchasing

The Hospital VBP Program adjusts Medicare payments based on clinical quality. The Total Performance Score (TPS) is a weighted composite of four domains, each worth 25%. This hospital's TPS is below the national median, suggesting a negative payment adjustment.

22.8 p26
Total Performance Score
National median: 29.5
Clinical Outcomes 25% weight
3.0 p30
Nat'l median: 5.0
Measures mortality rates for conditions like heart attack, heart failure, pneumonia, and COPD. Based on 30-day risk-standardized mortality.
Safety 25% weight
2.5 p3
Nat'l median: 10.0
Patient safety measures including healthcare-associated infections (CLABSI, CAUTI, SSI, MRSA, C. diff) and perioperative complications.
Person & Community Engagement 25% weight
12.3 p73
Nat'l median: 8.8
Based on HCAHPS patient experience survey results — communication with nurses and doctors, hospital cleanliness, pain management, discharge information.
Efficiency & Cost Reduction 25% weight
5.0 p56
Nat'l median: 2.5
Based on Medicare Spending Per Beneficiary (MSPB). Measures episode-of-care costs from 3 days before admission through 30 days after discharge.

CMS Payment Programs

Three Medicare programs adjust hospital payments based on quality performance. Hospitals can be penalized under multiple programs simultaneously.

Readmissions (HRRP)
Penalized
Worst ERR: 1.0553
Value-Based Purchasing
22.8 TPS
Below national median
HAC Reduction
Payment Reduced
HAC Score: 1.0194

Complications & Deaths

30-day mortality rates, patient safety indicators, and complication rates. "Better" means statistically significantly better than the national rate.

Measure Score vs. National Denominator
COMP_HIP_KNEE 2.70 No Different Than the National Rate 73
Hybrid_HWM 3.70 No Different Than the National Rate 1,569
MORT_30_AMI 12.00 No Different Than the National Rate 102
MORT_30_CABG 3.10 No Different Than the National Rate 46
MORT_30_COPD Number of Cases Too Small
MORT_30_HF 10.00 No Different Than the National Rate 193
MORT_30_PN 17.70 No Different Than the National Rate 133
MORT_30_STK 13.30 No Different Than the National Rate 187
PSI_03 0.66 No Different Than the National Rate 6,661
PSI_04 150.45 No Different Than the National Rate 340
PSI_06 0.25 No Different Than the National Rate 7,501
PSI_08 0.24 No Different Than the National Rate 7,980
PSI_09 2.27 No Different Than the National Rate 3,615
PSI_10 2.42 No Different Than the National Rate 2,337
PSI_11 10.99 No Different Than the National Rate 2,153
PSI_12 6.83 Worse Than the National Rate 3,784
PSI_13 7.35 No Different Than the National Rate 2,355
PSI_14 1.98 No Different Than the National Rate 1,001
PSI_15 1.38 No Different Than the National Rate 2,275
PSI_90 1.31 Worse Than the National Value

Patient Experience (HCAHPS)

Hospital Consumer Assessment of Healthcare Providers and Systems — standardized patient survey measuring satisfaction with care.

Measure Score Star Rating
H_COMP_1_A_P: Nurses "always" communicated well 81%
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 3%
H_COMP_1_U_P: Nurses "usually" communicated well 16%
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score
H_COMP_1_STAR_RATING: Nurse communication - star rating 4
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 89%
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 2%
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 9%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 79%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 3%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 18%
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 76%
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 4%
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 20%
H_COMP_2_A_P: Doctors "always" communicated well 81%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 5%
H_COMP_2_U_P: Doctors "usually" communicated well 14%
H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score
H_COMP_2_STAR_RATING: Doctor communication - star rating 4
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 87%
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 3%
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 10%
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 81%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 5%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 14%
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 75%
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 6%
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 19%
H_COMP_5_A_P: Staff "always" explained 61%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 18%
H_COMP_5_U_P: Staff "usually" explained 21%
H_COMP_5_LINEAR_SCORE: Communication about medicines - linear mean score
H_COMP_5_STAR_RATING: Communication about medicines - star rating 3
H_MED_FOR_A_P: Staff "always" explained new medications 74%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 9%
H_MED_FOR_U_P: Staff "usually" explained new medications 17%
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 48%
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 27%
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 25%
H_COMP_6_N_P: No, staff "did not" give patients this information 11%
H_COMP_6_Y_P: Yes, staff "did" give patients this information 89%
H_COMP_6_LINEAR_SCORE: Discharge information - linear mean score
H_COMP_6_STAR_RATING: Discharge information - star rating 4
H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge 13%
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 87%
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 10%
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 90%
H_CLEAN_HSP_A_P: Room was "always" clean 64%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 13%
H_CLEAN_HSP_U_P: Room was "usually" clean 23%
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score
H_CLEAN_STAR_RATING: Cleanliness - star rating 2
H_QUIET_HSP_A_P: "Always" quiet at night 53%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 13%
H_QUIET_HSP_U_P: "Usually" quiet at night 34%
H_QUIET_LINEAR_SCORE: Quietness - linear mean score
H_QUIET_STAR_RATING: Quietness - star rating 2
H_HSP_RATING_0_6: Patients who gave a rating of "6" or lower (low) 7%
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 19%
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 74%
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating 4
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 4%
H_RECMND_DY: "YES", patients would definitely recommend the hospital 77%
H_RECMND_PY: "YES", patients would probably recommend the hospital 19%
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score
H_RECMND_STAR_RATING: Recommend hospital - star rating 4
H_STAR_RATING: Summary star rating 4

Healthcare Associated Infections

Standardized Infection Ratios (SIR). A SIR < 1.0 means fewer infections than predicted based on national baseline data.

Measure Score (SIR) vs. National
HAI_1_CILOWER 0.408 Better than the National Benchmark
HAI_1_CIUPPER 0.871 Better than the National Benchmark
HAI_1_DOPC 40464.000 Better than the National Benchmark
HAI_1_ELIGCASES 44.481 Better than the National Benchmark
HAI_1_NUMERATOR 27.000 Better than the National Benchmark
HAI_1_SIR 0.607 Better than the National Benchmark
HAI_2_CILOWER 0.499 No Different than National Benchmark
HAI_2_CIUPPER 1.037 No Different than National Benchmark
HAI_2_DOPC 23959.000 No Different than National Benchmark
HAI_2_ELIGCASES 39.651 No Different than National Benchmark
HAI_2_NUMERATOR 29.000 No Different than National Benchmark
HAI_2_SIR 0.731 No Different than National Benchmark
HAI_3_CILOWER 0.557 No Different than National Benchmark
HAI_3_CIUPPER 1.955 No Different than National Benchmark
HAI_3_DOPC 329.000 No Different than National Benchmark
HAI_3_ELIGCASES 9.118 No Different than National Benchmark
HAI_3_NUMERATOR 10.000 No Different than National Benchmark
HAI_3_SIR 1.097 No Different than National Benchmark
HAI_4_CILOWER 0.622 No Different than National Benchmark
HAI_4_CIUPPER 3.762 No Different than National Benchmark
HAI_4_DOPC 337.000 No Different than National Benchmark
HAI_4_ELIGCASES 2.946 No Different than National Benchmark
HAI_4_NUMERATOR 5.000 No Different than National Benchmark
HAI_4_SIR 1.697 No Different than National Benchmark
HAI_5_CILOWER 0.685 No Different than National Benchmark
HAI_5_CIUPPER 1.620 No Different than National Benchmark
HAI_5_DOPC 178911.000 No Different than National Benchmark
HAI_5_ELIGCASES 19.473 No Different than National Benchmark
HAI_5_NUMERATOR 21.000 No Different than National Benchmark
HAI_5_SIR 1.078 No Different than National Benchmark
HAI_6_CILOWER 0.605 Better than the National Benchmark
HAI_6_CIUPPER 0.933 Better than the National Benchmark
HAI_6_DOPC 162187.000 Better than the National Benchmark
HAI_6_ELIGCASES 108.582 Better than the National Benchmark
HAI_6_NUMERATOR 82.000 Better than the National Benchmark
HAI_6_SIR 0.755 Better than the National Benchmark

Timely & Effective Care

Process-of-care measures including ED wait times, treatment timeliness, and preventive care.

Measure Score Condition
EDV high Emergency Department
GMCS Electronic Clinical Quality Measure
GMCS_Malnutrition_Diagnosis_Documented Electronic Clinical Quality Measure
GMCS_Malnutrition_Screening Electronic Clinical Quality Measure
GMCS_Nutrition_Assessment Electronic Clinical Quality Measure
GMCS_Nutritional_Care_Plan Electronic Clinical Quality Measure
HH_HYPER Electronic Clinical Quality Measure
HH_HYPO 1.0 Electronic Clinical Quality Measure
HH_ORAE 0.0 Electronic Clinical Quality Measure
IMM_3 69.0 Healthcare Personnel Vaccination
OP_18a 254.0 Emergency Department
OP_18b 254.0 Emergency Department
OP_18c 254.0 Emergency Department
OP_18d Emergency Department
OP_22 4.0 Emergency Department
OP_23 Emergency Department
OP_29 96.0 Colonoscopy care
OP_31 Cataract surgery outcome
OP_40 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 15.0 Electronic Clinical Quality Measure
SEP_1 38.0 Sepsis Care
SEP_SH_3HR 45.0 Sepsis Care
SEP_SH_6HR 72.0 Sepsis Care
SEV_SEP_3HR 70.0 Sepsis Care
SEV_SEP_6HR 85.0 Sepsis Care
STK_02 99.0 Electronic Clinical Quality Measure
STK_03 Electronic Clinical Quality Measure
STK_05 Electronic Clinical Quality Measure
VTE_1 Electronic Clinical Quality Measure
VTE_2 Electronic Clinical Quality Measure

Unplanned Hospital Visits

Readmission and ED return rates within 30 days of discharge.

Measure Score vs. National
EDAC_30_AMI -1.90 Average Days per 100 Discharges
EDAC_30_HF -1.30 Average Days per 100 Discharges
EDAC_30_PN 1.30 Average Days per 100 Discharges
Hybrid_HWR 14.00 No Different Than the National Rate
OP_32 11.80 No Different Than the National Rate
OP_35_ADM 9.50 No Different Than the National Rate
OP_35_ED 5.00 No Different Than the National Rate
OP_36 0.90 No Different than expected
READM_30_AMI 14.20 No Different Than the National Rate
READM_30_CABG 11.40 No Different Than the National Rate
READM_30_COPD Number of Cases Too Small
READM_30_HF 18.70 No Different Than the National Rate
READM_30_HIP_KNEE 4.70 No Different Than the National Rate
READM_30_PN 15.80 No Different Than the National Rate

Medicare Spending Per Beneficiary

MSPB ratio: values > 1.0 mean this hospital's episode spending is higher than the national median hospital.

Value
0.97

Financial Health (Cost Report — FY 2024)

All Data

Every labeled metric surfaced for this hospital, with national medians and percentiles where a benchmark is available.

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Show 89 rows
Source Metric Value National Median Pctl. Raw key
Cost Report Cost-to-Charge Ratio 0.35 metrics.cost_to_charge_ratio
Cost Report Current Ratio 4.13 metrics.current_ratio
Cost Report Employees per Bed 17.24 metrics.employees_per_bed
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Fund Balance ($) $2,648,885,632 metrics.fund_balance
Cost Report Net Income ($) $365,087,333 metrics.net_income
Cost Report Net Patient Revenue ($) $2,870,449,195 metrics.net_patient_revenue
Cost Report Operating Margin (%) -8.0% metrics.operating_margin
Cost Report Total Assets ($) $3,969,732,968 metrics.total_assets
Cost Report Total Costs ($) $2,579,084,567 metrics.total_costs
Cost Report Total Liabilities ($) $1,320,847,336 metrics.total_liabilities
Cost Report Total Margin (%) 10.5% metrics.total_margin
Cost Report Uncompensated Care (%) 1.0% metrics.uncompensated_care_pct
General Information Address 3181 SW SAM JACKSON PARK ROAD Address
General Information City/Town PORTLAND City/Town
General Information Count of Facility MORT Measures 7 Count of Facility MORT Measures
General Information Count of Facility Pt Exp Measures 8 Count of Facility Pt Exp Measures
General Information Count of Facility READM Measures 10 Count of Facility READM Measures
General Information Count of Facility Safety Measures 8 Count of Facility Safety Measures
General Information Count of Facility TE Measures 10 Count of Facility TE Measures
General Information Count of MORT Measures Better 0 Count of MORT Measures Better
General Information Count of MORT Measures No Different 7 Count of MORT Measures No Different
General Information Count of MORT Measures Worse 0 Count of MORT Measures Worse
General Information Count of READM Measures Better 1 Count of READM Measures Better
General Information Count of READM Measures No Different 9 Count of READM Measures No Different
General Information Count of READM Measures Worse 0 Count of READM Measures Worse
General Information Count of Safety Measures Better 2 Count of Safety Measures Better
General Information Count of Safety Measures No Different 6 Count of Safety Measures No Different
General Information Count of Safety Measures Worse 0 Count of Safety Measures Worse
General Information County/Parish MULTNOMAH County/Parish
General Information Emergency Services Yes Emergency Services
General Information Facility ID 380009 Facility ID
General Information Facility Name OHSU HOSPITAL AND CLINICS Facility Name
General Information Hospital overall rating 3 Hospital overall rating
General Information Hospital overall rating footnote Hospital overall rating footnote
General Information Hospital Ownership Voluntary non-profit - Other Hospital Ownership
General Information Hospital Type Acute Care Hospitals Hospital Type
General Information Meets criteria for birthing friendly designation Y Meets criteria for birthing friendly designation
General Information MORT Group Footnote MORT Group Footnote
General Information MORT Group Measure Count 7 MORT Group Measure Count
General Information Pt Exp Group Footnote Pt Exp Group Footnote
General Information Pt Exp Group Measure Count 8 Pt Exp Group Measure Count
General Information READM Group Footnote READM Group Footnote
General Information READM Group Measure Count 11 READM Group Measure Count
General Information Safety Group Footnote Safety Group Footnote
General Information Safety Group Measure Count 8 Safety Group Measure Count
General Information State OR State
General Information TE Group Footnote TE Group Footnote
General Information TE Group Measure Count 12 TE Group Measure Count
General Information Telephone Number (503) 494-9000 Telephone Number
General Information ZIP Code 97239 ZIP Code
HAC Reduction Program fiscal_year 2,026 fiscal_year
HAC Reduction Program measures — cauti — sir 1 measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.70 measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.65 measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 1.03 measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 1.28 measures.ssi.sir
HAC Reduction Program payment_reduction Yes payment_reduction
HAC Reduction Program total_hac_score 1.02 total_hac_score
Medicare Spending per Beneficiary End Date 12/31/2024 End Date
Medicare Spending per Beneficiary Measure ID MSPB-1 Measure ID
Medicare Spending per Beneficiary Start Date 01/01/2024 Start Date
Medicare Spending per Beneficiary Value 0.97 Value
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 1.06 0.9995 p80 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 13.2% READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 138 READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 22 READM-30-AMI-HRRP.num_readmissions
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 13.9% READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) CABG Surgery — Excess readmission ratio 1.04 1.0000 p68 READM-30-CABG-HRRP.excess_readmission_ratio
Readmissions (HRRP) CABG Surgery — Expected readmission rate 10.4% READM-30-CABG-HRRP.expected_readmission_rate
Readmissions (HRRP) CABG Surgery — Predicted readmission rate 10.9% READM-30-CABG-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 0.95 0.9983 p21 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 20.3% READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 250 READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 45 READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 19.4% READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Excess readmission ratio 0.91 0.9916 p27 READM-30-HIP-KNEE-HRRP.excess_readmission_ratio
Readmissions (HRRP) Hip/Knee Replacement — Expected readmission rate 6.6% READM-30-HIP-KNEE-HRRP.expected_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Predicted readmission rate 6.0% READM-30-HIP-KNEE-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 0.98 0.9955 p39 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 16.8% READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 129 READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 20 READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 16.5% READM-30-PN-HRRP.predicted_readmission_rate
Value-Based Purchasing Clinical Outcomes 3.00 5.00 p30 clinical_outcomes_score
Value-Based Purchasing Efficiency & Cost Reduction 5.00 2.50 p56 efficiency_score
Value-Based Purchasing Person & Community Engagement 12.25 8.75 p73 person_community_score
Value-Based Purchasing Safety 2.50 10.00 p3 safety_score
Value-Based Purchasing Total Performance Score 22.75 29.50 p26 total_performance_score
Methodology

Full methodology →