Skagit Valley Hospital

Hospital in Mount Vernon, WA, Medicare certification number 500003. CMS publishes 64 quality measures for it.

Medicare certification

Provider of Services

CCN: 500003The number CMS certifies the facility under, not a provider identifier
Status: Active
Provider type: Hospital – Short-term
Listed by Care Compare as: Acute Care Hospitals
Ownership: Government - Hospital District or Authority
Control type: Hospital district or authority
Participating since: Jul 1, 1966
Last certification: May 13, 2010
Beds: 234
Overall star rating: 3 of 5Care Compare
Most recent change of ownership: Jan 1, 2004 (3 total)
Address: 1415 E Kincaid St
Mount Vernon, WA 98274
(360) 424-4111

NPI records for this facility 1

Public Hospital Dist No 1 Skagit
- General Acute Care Hospital
- Mount Vernon, WA
- NPI 1053357244
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Better4 of 5
- State average 3.53 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Better3 of 5
- State average 2.85 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Better4 of 5
- State average 3.55 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating Better4 of 5
- State average 3.2 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Better4 of 5
- State average 3.35 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Worse3 of 5
- State average 3.2 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse2 of 5
- State average 2.72 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better4 of 5
- State average 3.8 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Better4 of 5
- State average 3.23 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Complications and deaths 19

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected1.6
- State average 1.2 (computed here)
- National average 1.06
- No different than the national rate
- 758 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected1.15
- State average 1.03 (computed here)
- National average 1
- No different than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected186.78
- State average 182.9 (computed here)
- National average 173.3
- No different than the national rate
- 34 patients
- Period from 07/01/2022
Death rate for COPD patients As expected7.4
- State average 9.49 (computed here)
- National average 8.6
- No different than the national rate
- 74 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected12.5
- State average 12.48 (computed here)
- National average 11.9
- No different than the national rate
- 224 patients
- Period from 07/01/2022
Death rate for heart failure patients Worse17
- State average 12.56 (computed here)
- National average 11.1
- Worse than the national rate
- 311 patients
- Period from 07/01/2022
Death rate for pneumonia patients Worse22
- State average 16.02 (computed here)
- National average 15.2
- Worse than the national rate
- 257 patients
- Period from 07/01/2022
Death rate for stroke patients As expected8.7
- State average 11.33 (computed here)
- National average 11.9
- No different than the national rate
- 204 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.9
- State average 3.81 (computed here)
- National average 3.9
- No different than the national rate
- 2,081 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.17
- State average 0.2 (computed here)
- National average 0.21
- No different than the national rate
- 3,986 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.24
- State average 0.28 (computed here)
- National average 0.27
- No different than the national rate
- 4,015 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.69
- State average 3.51 (computed here)
- National average 3.52
- No different than the national rate
- 814 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected2.03
- State average 1.65 (computed here)
- National average 1.67
- No different than the national rate
- 246 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.84
- State average 2.47 (computed here)
- National average 2.34
- No different than the national rate
- 787 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected10.68
- State average 9.5 (computed here)
- National average 9.42
- No different than the national rate
- 211 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected4.41
- State average 5.28 (computed here)
- National average 5.27
- No different than the national rate
- 229 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.67
- State average 1.84 (computed here)
- National average 1.77
- No different than the national rate
- 182 patients
- Period from 07/01/2022
Pressure ulcer rate As expected1.03
- State average 0.7 (computed here)
- National average 0.63
- No different than the national rate
- 3,433 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected3.8
- State average 4.31 (computed here)
- National average 4.1
- No different than the national rate
- 35 patients
- Period from 04/01/2023

Measures CMS does not publish for this facility (1)

Death rate for CABG surgery patients — 5

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected1.48
- State average 0.57
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0.41
- State average 0.68
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.27
- State average 0.41
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0
- State average 0.68
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected1.63
- State average 1.08
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Measures CMS does not publish for this facility (1)

SSI - Abdominal Hysterectomy — 13

Outpatient imaging 1

Medicare Care Compare

Abdomen CT Use of Contrast Material 7
- State average 4.95 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024

Measures CMS does not publish for this facility (1)

Breast Cancer Screening Recall Rates — 7

Spending per patient 1

Medicare Care Compare

Medicare hospital spending per patient (Medicare Spending per Beneficiary) 0.92
- State average 0.92
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 17

Medicare Care Compare

Anticoagulation Therapy for Atrial Fibrillation/Flutter 61
- State average 78.43 (computed here)
- National average 74.05 (computed here)
- 36 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 45
- State average 60
- National average 65
- 186 patients
- Period from 10/01/2024
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better 194
- State average 156
- National average 168
- 397 patients
- Period from 10/01/2024
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better 188
- State average 151
- National average 162
- 365 patients
- Period from 10/01/2024
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better 269
- State average 238
- National average 257
- 23 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 98
- State average 97.47 (computed here)
- National average 96.1 (computed here)
- 149 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 93
- State average 95
- National average 93
- 71 patients
- Period from 01/01/2024
Head CT results 60
- State average 62
- National average 69
- 20 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 72
- State average 79
- National average 78
- 3,641 patients
- Period from 10/01/2024
Hospital Harm - Severe Hyperglycemia 9
- State average 7.75 (computed here)
- National average 8.08 (computed here)
- 10,894 patients
- Period from 01/01/2024
Hospital Harm - Severe Hypoglycemia 1
- State average 0.92 (computed here)
- National average 1.09 (computed here)
- 1,870 patients
- Period from 01/01/2024
Left before being seen 2
- State average 3
- National average 2
- 37,471 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 18
- State average 13
- National average 15
- 1,857 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 45
- State average 70
- National average 73
- 73 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 76
- State average 84
- National average 87
- 29 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 77
- State average 79
- National average 81
- 186 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 91
- State average 91
- National average 93
- 103 patients
- Period from 10/01/2024

Measures CMS does not publish for this facility (13)

Antithrombotic Therapy by End of Hospital Day 2 — 5
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better — 1
Emergency department volume — medium
Global Malnutrition Composite Score — 5
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented — 5
Global Malnutrition Composite Score: Malnutrition Risk Screening — 5
Global Malnutrition Composite Score: Nutrition Assessment — 5
Global Malnutrition Composite Score: Nutritional Care Plan — 5
Hospital Harm - Opioid Related Adverse Events — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
Intensive Care Unit Venous Thromboembolism Prophylaxis — 5
ST-Segment Elevation Myocardial Infarction (STEMI) — 1
Venous Thromboembolism Prophylaxis — 5

Unplanned visits 12

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected13.9
- State average 13.95 (computed here)
- National average 14.4
- No different than the national rate
- 263 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected20.1
- State average 20.97 (computed here)
- National average 21.3
- No different than the national rate
- 464 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 53.4
- State average 3.35 (computed here)
- National average 6.71 (computed here)
- More days than average per 100 discharges
- 204 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 7
- State average 3.2 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 317 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 40.6
- State average -3.1 (computed here)
- National average 5.65 (computed here)
- More days than average per 100 discharges
- 251 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected16
- State average 16.86 (computed here)
- National average 17.3
- No different than the national rate
- 361 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5.8
- State average 5.66 (computed here)
- National average 5.4
- No different than the national rate
- 410 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected10.7
- State average 10.36 (computed here)
- National average 10.7
- No different than the national rate
- 410 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected5.6
- State average 5.58 (computed here)
- National average 5.8
- No different than the national rate
- 35 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected19.7
- State average 19.93 (computed here)
- National average 20
- No different than the national rate
- 120 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected12.2
- State average 13.05 (computed here)
- National average 13
- No different than the national rate
- 2,026 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected0.8
- State average 1.05 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 1,001 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (2)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of readmission for CABG — 5

Sources for this page

Provider of Services: the certification, provider type, beds and status.
Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
NPPES NPI Registry: the NPI records connected to this certification.

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.