Overview

Address
834 SHERIDAN STREET, PORT TOWNSEND, WA 98368
Phone
(360) 385-2200
Hospital Type
Critical Access (CAH)
Ownership
Government (District)
Emergency Services
Yes
Birthing Friendly
Yes
3 /5
CMS Overall Rating
p30
Critical Access (CAH) — Small rural hospital (≤25 inpatient beds) at least 35 miles from the nearest hospital. Reimbursed at 101% of cost rather than standard DRG rates. Exempt from most CMS payment adjustment programs.

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 4 of 7 measures reported
4
Better No different Worse
30-day death rates for heart attack, heart failure, pneumonia, COPD, stroke, CABG, and kidney disease.
Safety of Care 2 of 8 measures reported
2
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 7 of 11 measures reported
7
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 8 of 12 measures reported
8 measures reported (comparative data not available for this domain)
Process-of-care measures including flu immunization, blood clot prevention, and appropriate use of imaging.

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 3.60 No Different Than the National Rate 34
Hybrid_HWM 4.40 No Different Than the National Rate 437
MORT_30_AMI Number of Cases Too Small
MORT_30_CABG
MORT_30_COPD 11.50 No Different Than the National Rate 56
MORT_30_HF 13.30 No Different Than the National Rate 76
MORT_30_PN 16.70 No Different Than the National Rate 98
MORT_30_STK 14.00 No Different Than the National Rate 92
PSI_03
PSI_04
PSI_06
PSI_08
PSI_09
PSI_10
PSI_11
PSI_12
PSI_13
PSI_14
PSI_15
PSI_90

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 86%
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 2%
H_COMP_1_U_P: Nurses "usually" communicated well 12%
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score
H_COMP_1_STAR_RATING: Nurse communication - star rating 5
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 94%
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 0%
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 6%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 82%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 2%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 16%
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 82%
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 3%
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 15%
H_COMP_2_A_P: Doctors "always" communicated well 86%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 2%
H_COMP_2_U_P: Doctors "usually" communicated well 12%
H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score
H_COMP_2_STAR_RATING: Doctor communication - star rating 5
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 92%
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 1%
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 7%
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 85%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 2%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 13%
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 81%
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 3%
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 16%
H_COMP_5_A_P: Staff "always" explained 64%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 15%
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 4
H_MED_FOR_A_P: Staff "always" explained new medications 77%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 6%
H_MED_FOR_U_P: Staff "usually" explained new medications 17%
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 51%
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 25%
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 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 9%
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 91%
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 80%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 4%
H_CLEAN_HSP_U_P: Room was "usually" clean 16%
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score
H_CLEAN_STAR_RATING: Cleanliness - star rating 5
H_QUIET_HSP_A_P: "Always" quiet at night 55%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 9%
H_QUIET_HSP_U_P: "Usually" quiet at night 36%
H_QUIET_LINEAR_SCORE: Quietness - linear mean score
H_QUIET_STAR_RATING: Quietness - star rating 3
H_HSP_RATING_0_6: Patients who gave a rating of "6" or lower (low) 2%
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 16%
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 82%
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating 5
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 1%
H_RECMND_DY: "YES", patients would definitely recommend the hospital 84%
H_RECMND_PY: "YES", patients would probably recommend the hospital 15%
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score
H_RECMND_STAR_RATING: Recommend hospital - star rating 5
H_STAR_RATING: Summary star rating 5

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
HAI_1_CIUPPER
HAI_1_DOPC 306.000
HAI_1_ELIGCASES 0.083
HAI_1_NUMERATOR 0.000
HAI_1_SIR
HAI_2_CILOWER
HAI_2_CIUPPER
HAI_2_DOPC 717.000
HAI_2_ELIGCASES 0.469
HAI_2_NUMERATOR 0.000
HAI_2_SIR
HAI_3_CILOWER
HAI_3_CIUPPER
HAI_3_DOPC 13.000
HAI_3_ELIGCASES 0.297
HAI_3_NUMERATOR 0.000
HAI_3_SIR
HAI_4_CILOWER
HAI_4_CIUPPER
HAI_4_DOPC 3.000
HAI_4_ELIGCASES 0.020
HAI_4_NUMERATOR 0.000
HAI_4_SIR
HAI_5_CILOWER
HAI_5_CIUPPER
HAI_5_DOPC 4166.000
HAI_5_ELIGCASES 0.086
HAI_5_NUMERATOR 0.000
HAI_5_SIR
HAI_6_CILOWER N/A No Different than National Benchmark
HAI_6_CIUPPER 2.117 No Different than National Benchmark
HAI_6_DOPC 4164.000 No Different than National Benchmark
HAI_6_ELIGCASES 1.415 No Different than National Benchmark
HAI_6_NUMERATOR 0.000 No Different than National Benchmark
HAI_6_SIR 0.000 No Different than National Benchmark

Timely & Effective Care

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

Measure Score Condition
EDV low 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 75.0 Healthcare Personnel Vaccination
OP_18a 152.0 Emergency Department
OP_18b 145.0 Emergency Department
OP_18c 224.0 Emergency Department
OP_18d 280.0 Emergency Department
OP_22 1.0 Emergency Department
OP_23 77.0 Emergency Department
OP_29 100.0 Colonoscopy care
OP_31 Cataract surgery outcome
OP_40 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 16.0 Electronic Clinical Quality Measure
SEP_1 Sepsis Care
SEP_SH_3HR Sepsis Care
SEP_SH_6HR Sepsis Care
SEV_SEP_3HR Sepsis Care
SEV_SEP_6HR Sepsis Care
STK_02 Electronic Clinical Quality Measure
STK_03 Electronic Clinical Quality Measure
STK_05 100.0 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 Number of Cases Too Small
EDAC_30_HF 18.40 Average Days per 100 Discharges
EDAC_30_PN -12.40 Average Days per 100 Discharges
Hybrid_HWR 14.70 No Different Than the National Rate
OP_32
OP_35_ADM 8.50 No Different Than the National Rate
OP_35_ED 8.20 Worse Than the National Rate
OP_36
READM_30_AMI Number of Cases Too Small
READM_30_CABG
READM_30_COPD 17.70 No Different Than the National Rate
READM_30_HF 19.20 No Different Than the National Rate
READM_30_HIP_KNEE 4.70 No Different Than the National Rate
READM_30_PN 15.10 No Different Than the National Rate

Financial Health (Cost Report — FY 2023)

All Data

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

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Show 51 rows
Source Metric Value National Median Pctl. Raw key
Cost Report Cost-to-Charge Ratio 0.44 metrics.cost_to_charge_ratio
Cost Report Current Ratio 8.02 metrics.current_ratio
Cost Report Employees per Bed 23.74 metrics.employees_per_bed
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Fund Balance ($) $77,578,339 metrics.fund_balance
Cost Report Net Income ($) $695,586 metrics.net_income
Cost Report Net Patient Revenue ($) $162,881,670 metrics.net_patient_revenue
Cost Report Operating Margin (%) -4.7% metrics.operating_margin
Cost Report Total Assets ($) $216,716,095 metrics.total_assets
Cost Report Total Costs ($) $139,757,536 metrics.total_costs
Cost Report Total Liabilities ($) $139,137,756 metrics.total_liabilities
Cost Report Total Margin (%) 0.4% metrics.total_margin
Cost Report Uncompensated Care (%) 1.9% metrics.uncompensated_care_pct
General Information Address 834 SHERIDAN STREET Address
General Information City/Town PORT TOWNSEND City/Town
General Information Count of Facility MORT Measures 4 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 7 Count of Facility READM Measures
General Information Count of Facility Safety Measures 2 Count of Facility Safety Measures
General Information Count of Facility TE Measures 8 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 4 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 0 Count of READM Measures Better
General Information Count of READM Measures No Different 7 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 0 Count of Safety Measures Better
General Information Count of Safety Measures No Different 2 Count of Safety Measures No Different
General Information Count of Safety Measures Worse 0 Count of Safety Measures Worse
General Information County/Parish JEFFERSON County/Parish
General Information Emergency Services Yes Emergency Services
General Information Facility ID 501323 Facility ID
General Information Facility Name JEFFERSON HEALTHCARE 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 Government - Hospital District or Authority Hospital Ownership
General Information Hospital Type Critical Access 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 (360) 385-2200 Telephone Number
General Information ZIP Code 98368 ZIP Code
Methodology

Full methodology →