Hospital

ST JOSEPH MEDICAL CENTER

CCN: 500108 · TACOMA, WA 98405 · PIERCE County

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

Overview

Address
1717 SOUTH J STREET, TACOMA, WA 98405
Phone
(253) 627-4101
Hospital Type
Acute Care
Ownership
Non-Profit (Church)
Emergency Services
Yes
Birthing Friendly
Yes
4 /5
★★★★★
CMS Overall Rating
p63
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 7 of 8 measures reported
4
3
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 10 of 11 measures reported
1
8
1
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) 220 discharges
0.9983 p48
Heart Failure 445 discharges
0.8705 p2
Pneumonia 189 discharges
0.9867 p44
COPD 62 discharges
1.0580 p89
Hip/Knee Replacement
— Not reported
CABG Surgery 110 discharges
0.9640 p35
Expected (1.0) National median

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: 1.0580
Value-Based Purchasing
—
HAC Reduction
No Reduction
HAC Score: -0.6681

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 — Number of Cases Too Small —
Hybrid_HWM 3.50 Better Than the National Rate 1,602
MORT_30_AMI 11.50 No Different Than the National Rate 161
MORT_30_CABG 1.90 No Different Than the National Rate 111
MORT_30_COPD 11.80 No Different Than the National Rate 57
MORT_30_HF 11.60 No Different Than the National Rate 388
MORT_30_PN 15.90 No Different Than the National Rate 193
MORT_30_STK 16.80 Worse Than the National Rate 261
PSI_03 0.11 No Different Than the National Rate 5,564
PSI_04 188.25 No Different Than the National Rate 146
PSI_06 0.18 No Different Than the National Rate 6,201
PSI_08 0.24 No Different Than the National Rate 6,784
PSI_09 2.08 No Different Than the National Rate 2,042
PSI_10 1.02 No Different Than the National Rate 930
PSI_11 8.67 No Different Than the National Rate 820
PSI_12 3.28 No Different Than the National Rate 2,128
PSI_13 6.74 No Different Than the National Rate 928
PSI_14 1.82 No Different Than the National Rate 447
PSI_15 0.90 No Different Than the National Rate 1,524
PSI_90 0.83 No Different 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 74% —
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 6% —
H_COMP_1_U_P: Nurses "usually" communicated well 20% —
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score — —
H_COMP_1_STAR_RATING: Nurse communication - star rating — 2
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 81% —
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 3% —
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 16% —
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 71% —
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 7% —
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 22% —
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 70% —
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 7% —
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 23% —
H_COMP_2_A_P: Doctors "always" communicated well 78% —
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 5% —
H_COMP_2_U_P: Doctors "usually" communicated well 17% —
H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score — —
H_COMP_2_STAR_RATING: Doctor communication - star rating — 3
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 85% —
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 12% —
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 77% —
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 6% —
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 17% —
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 72% —
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 7% —
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 21% —
H_COMP_5_A_P: Staff "always" explained 56% —
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 23% —
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 — 2
H_MED_FOR_A_P: Staff "always" explained new medications 71% —
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 13% —
H_MED_FOR_U_P: Staff "usually" explained new medications 16% —
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 42% —
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 34% —
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 24% —
H_COMP_6_N_P: No, staff "did not" give patients this information 13% —
H_COMP_6_Y_P: Yes, staff "did" give patients this information 87% —
H_COMP_6_LINEAR_SCORE: Discharge information - linear mean score — —
H_COMP_6_STAR_RATING: Discharge information - star rating — 3
H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge 14% —
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 86% —
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 12% —
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 88% —
H_CLEAN_HSP_A_P: Room was "always" clean 57% —
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 18% —
H_CLEAN_HSP_U_P: Room was "usually" clean 25% —
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score — —
H_CLEAN_STAR_RATING: Cleanliness - star rating — 1
H_QUIET_HSP_A_P: "Always" quiet at night 43% —
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 19% —
H_QUIET_HSP_U_P: "Usually" quiet at night 38% —
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) 11% —
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 29% —
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 60% —
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score — —
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating — 3
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 7% —
H_RECMND_DY: "YES", patients would definitely recommend the hospital 64% —
H_RECMND_PY: "YES", patients would probably recommend the hospital 29% —
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score — —
H_RECMND_STAR_RATING: Recommend hospital - star rating — 3
H_STAR_RATING: Summary star rating — 2

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 0.097 Better than the National Benchmark
HAI_1_CIUPPER 0.590 Better than the National Benchmark
HAI_1_DOPC 16554.000 Better than the National Benchmark
HAI_1_ELIGCASES 18.792 Better than the National Benchmark
HAI_1_NUMERATOR 5.000 Better than the National Benchmark
HAI_1_SIR 0.266 Better than the National Benchmark
HAI_2_CILOWER 0.075 Better than the National Benchmark
HAI_2_CIUPPER 0.452 Better than the National Benchmark
HAI_2_DOPC 14118.000 Better than the National Benchmark
HAI_2_ELIGCASES 24.544 Better than the National Benchmark
HAI_2_NUMERATOR 5.000 Better than the National Benchmark
HAI_2_SIR 0.204 Better than the National Benchmark
HAI_3_CILOWER 0.066 Better than the National Benchmark
HAI_3_CIUPPER 0.703 Better than the National Benchmark
HAI_3_DOPC 445.000 Better than the National Benchmark
HAI_3_ELIGCASES 11.616 Better than the National Benchmark
HAI_3_NUMERATOR 3.000 Better than the National Benchmark
HAI_3_SIR 0.258 Better than the National Benchmark
HAI_4_CILOWER N/A No Different than National Benchmark
HAI_4_CIUPPER 2.289 No Different than National Benchmark
HAI_4_DOPC 174.000 No Different than National Benchmark
HAI_4_ELIGCASES 1.309 No Different than National Benchmark
HAI_4_NUMERATOR 0.000 No Different than National Benchmark
HAI_4_SIR 0.000 No Different than National Benchmark
HAI_5_CILOWER 0.220 Better than the National Benchmark
HAI_5_CIUPPER 0.993 Better than the National Benchmark
HAI_5_DOPC 128134.000 Better than the National Benchmark
HAI_5_ELIGCASES 13.947 Better than the National Benchmark
HAI_5_NUMERATOR 7.000 Better than the National Benchmark
HAI_5_SIR 0.502 Better than the National Benchmark
HAI_6_CILOWER 0.124 Better than the National Benchmark
HAI_6_CIUPPER 0.389 Better than the National Benchmark
HAI_6_DOPC 114510.000 Better than the National Benchmark
HAI_6_ELIGCASES 52.422 Better than the National Benchmark
HAI_6_NUMERATOR 12.000 Better than the National Benchmark
HAI_6_SIR 0.229 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 — Electronic Clinical Quality Measure
HH_ORAE — Electronic Clinical Quality Measure
IMM_3 80.0 Healthcare Personnel Vaccination
OP_18a 219.0 Emergency Department
OP_18b 213.0 Emergency Department
OP_18c 494.0 Emergency Department
OP_18d — Emergency Department
OP_22 1.0 Emergency Department
OP_23 45.0 Emergency Department
OP_29 98.0 Colonoscopy care
OP_31 — Cataract surgery outcome
OP_40 — Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 11.0 Electronic Clinical Quality Measure
SEP_1 51.0 Sepsis Care
SEP_SH_3HR 47.0 Sepsis Care
SEP_SH_6HR 85.0 Sepsis Care
SEV_SEP_3HR 74.0 Sepsis Care
SEV_SEP_6HR 92.0 Sepsis Care
STK_02 — Electronic Clinical Quality Measure
STK_03 — Electronic Clinical Quality Measure
STK_05 93.0 Electronic Clinical Quality Measure
VTE_1 87.0 Electronic Clinical Quality Measure
VTE_2 98.0 Electronic Clinical Quality Measure

Unplanned Hospital Visits

Readmission and ED return rates within 30 days of discharge.

Measure Score vs. National
EDAC_30_AMI 4.90 Average Days per 100 Discharges
EDAC_30_HF -28.90 Fewer Days Than Average per 100 Discharges
EDAC_30_PN 20.50 More Days Than Average per 100 Discharges
Hybrid_HWR 14.20 No Different Than the National Rate
OP_32 13.80 No Different Than the National Rate
OP_35_ADM 9.70 No Different Than the National Rate
OP_35_ED 4.90 No Different Than the National Rate
OP_36 1.10 No Different than expected
READM_30_AMI 13.50 No Different Than the National Rate
READM_30_CABG 10.50 No Different Than the National Rate
READM_30_COPD 19.20 No Different Than the National Rate
READM_30_HF 17.10 Better Than the National Rate
READM_30_HIP_KNEE — Number of Cases Too Small
READM_30_PN 15.90 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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Source Metric Value National Median Pctl. Raw key
Cost Report Cost-to-Charge Ratio 0.20 — metrics.cost_to_charge_ratio
Cost Report Current Ratio 0.71 — metrics.current_ratio
Cost Report Employees per Bed 6.62 — metrics.employees_per_bed
Cost Report fiscal_year 2,024 — fiscal_year
Cost Report Fund Balance ($) $49,291,699 — metrics.fund_balance
Cost Report Net Income ($) $-3,955,819,771 — metrics.net_income
Cost Report Net Patient Revenue ($) $-3,147,620,615 — metrics.net_patient_revenue
Cost Report Total Assets ($) $444,275,684 — metrics.total_assets
Cost Report Total Costs ($) $803,346,483 — metrics.total_costs
Cost Report Total Liabilities ($) $394,983,985 — metrics.total_liabilities
Cost Report Uncompensated Care (%) 2.8% — metrics.uncompensated_care_pct
General Information Address 1717 SOUTH J STREET — Address
General Information City/Town TACOMA — 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 7 — 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 8 — Count of READM Measures No Different
General Information Count of READM Measures Worse 1 — Count of READM Measures Worse
General Information Count of Safety Measures Better 4 — Count of Safety Measures Better
General Information Count of Safety Measures No Different 3 — Count of Safety Measures No Different
General Information Count of Safety Measures Worse 0 — Count of Safety Measures Worse
General Information County/Parish PIERCE — County/Parish
General Information Emergency Services Yes — Emergency Services
General Information Facility ID 500108 — Facility ID
General Information Facility Name ST JOSEPH MEDICAL CENTER — Facility Name
General Information Hospital overall rating 4 — Hospital overall rating
General Information Hospital overall rating footnote — — Hospital overall rating footnote
General Information Hospital Ownership Voluntary non-profit - Church — 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 WA — State
General Information TE Group Footnote — — TE Group Footnote
General Information TE Group Measure Count 12 — TE Group Measure Count
General Information Telephone Number (253) 627-4101 — Telephone Number
General Information ZIP Code 98405 — ZIP Code
HAC Reduction Program fiscal_year 2,026 — fiscal_year
HAC Reduction Program measures — cauti — sir 0.34 — measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.27 — measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.51 — measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.36 — measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 0.21 — measures.ssi.sir
HAC Reduction Program payment_reduction No — payment_reduction
HAC Reduction Program total_hac_score -0.67 — 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 1.00 0.9995 p48 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 13.7% — READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 220 — READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 30 — READM-30-AMI-HRRP.num_readmissions
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 13.7% — READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) CABG Surgery — Excess readmission ratio 0.96 1.0000 p35 READM-30-CABG-HRRP.excess_readmission_ratio
Readmissions (HRRP) CABG Surgery — Expected readmission rate 11.3% — READM-30-CABG-HRRP.expected_readmission_rate
Readmissions (HRRP) CABG Surgery — Number of discharges 110 — READM-30-CABG-HRRP.num_discharges
Readmissions (HRRP) CABG Surgery — Number of readmissions 11 — READM-30-CABG-HRRP.num_readmissions
Readmissions (HRRP) CABG Surgery — Predicted readmission rate 10.9% — READM-30-CABG-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 1.06 0.9969 p89 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 19.4% — READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 62 — READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 17 — READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 20.5% — READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 0.87 0.9983 p2 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 20.1% — READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 445 — READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 68 — READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 17.5% — READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 0.99 0.9955 p44 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 17.1% — READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 189 — READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 31 — READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 16.9% — READM-30-PN-HRRP.predicted_readmission_rate
Methodology

Full methodology →