Deaconess Medical Center

Hospital in Spokane, WA, Medicare certification number 500044. CMS publishes 65 quality measures for it.

Medicare certification

Provider of Services

CCN: 500044The 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: Voluntary non-profit - Private
Control type: Private (not for profit)
Participating since: Jul 1, 1966
Last certification: Jul 7, 2000
Beds: 388
Overall star rating: 3 of 5Care Compare
Most recent change of ownership: Oct 1, 2008 (1 total)
Address: W 800 Fifth Avenue
Spokane, WA 99210
(509) 473-5800

NPI records for this facility 1

Multicare Health System
- General Acute Care Hospital
- Spokane, WA
- NPI 1356528269
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse2 of 5
- State average 3.53 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Worse2 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 As expected3 of 5
- State average 3.2 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse2 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 Worse3 of 5
- State average 2.72 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Worse3 of 5
- State average 3.8 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse3 of 5
- State average 3.23 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Complications and deaths 20

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate Worse2.18
- State average 1.2 (computed here)
- National average 1.06
- Worse than the national rate
- 1,341 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite Worse1.53
- State average 1.03 (computed here)
- National average 1
- Worse than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected187.94
- State average 182.9 (computed here)
- National average 173.3
- No different than the national rate
- 102 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected2.4
- State average 2.23 (computed here)
- National average 2.4
- No different than the national rate
- 57 patients
- Period from 07/01/2022
Death rate for COPD patients As expected11
- State average 9.49 (computed here)
- National average 8.6
- No different than the national rate
- 44 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected14.6
- State average 12.48 (computed here)
- National average 11.9
- No different than the national rate
- 180 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected13.2
- State average 12.56 (computed here)
- National average 11.1
- No different than the national rate
- 306 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected16.3
- State average 16.02 (computed here)
- National average 15.2
- No different than the national rate
- 338 patients
- Period from 07/01/2022
Death rate for stroke patients As expected13.8
- State average 11.33 (computed here)
- National average 11.9
- No different than the national rate
- 186 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.6
- State average 3.81 (computed here)
- National average 3.9
- No different than the national rate
- 2,843 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.15
- State average 0.2 (computed here)
- National average 0.21
- No different than the national rate
- 5,088 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.26
- State average 0.28 (computed here)
- National average 0.27
- No different than the national rate
- 5,290 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate Worse5.73
- State average 3.51 (computed here)
- National average 3.52
- Worse than the national rate
- 2,023 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.81
- State average 1.65 (computed here)
- National average 1.67
- No different than the national rate
- 1,073 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate Worse3.9
- State average 2.47 (computed here)
- National average 2.34
- Worse than the national rate
- 1,931 patients
- Period from 07/01/2022
Postoperative respiratory failure rate Worse18.78
- State average 9.5 (computed here)
- National average 9.42
- Worse than the national rate
- 1,110 patients
- Period from 07/01/2022
Postoperative sepsis rate Worse9.17
- State average 5.28 (computed here)
- National average 5.27
- Worse than the national rate
- 1,099 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected2.14
- State average 1.84 (computed here)
- National average 1.77
- No different than the national rate
- 506 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.62
- State average 0.7 (computed here)
- National average 0.63
- No different than the national rate
- 3,776 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
- 66 patients
- Period from 04/01/2023

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) Better0.31
- State average 0.57
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) Better0.35
- State average 0.68
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.53
- State average 0.41
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0.97
- State average 0.68
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0.25
- 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 1.6
- 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) 0.97
- State average 0.92
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 16

Medicare Care Compare

Antithrombotic Therapy by End of Hospital Day 2 92
- State average 94.15 (computed here)
- National average 92.79 (computed here)
- 106 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 52
- State average 60
- National average 65
- 126 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 181
- State average 156
- National average 168
- 401 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 180
- State average 151
- National average 162
- 377 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 198
- State average 238
- National average 257
- 19 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 98
- State average 97.47 (computed here)
- National average 96.1 (computed here)
- 130 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 100
- State average 95
- National average 93
- 76 patients
- Period from 01/01/2024
Head CT results 36
- State average 62
- National average 69
- 11 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 92
- State average 79
- National average 78
- 4,520 patients
- Period from 10/01/2024
Hospital Harm - Severe Hypoglycemia 2
- State average 0.92 (computed here)
- National average 1.09 (computed here)
- 2,269 patients
- Period from 01/01/2024
Left before being seen 2
- State average 3
- National average 2
- 70,907 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 16
- State average 13
- National average 15
- 3,396 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 68
- State average 70
- National average 73
- 56 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 82
- State average 84
- National average 87
- 28 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 73
- State average 79
- National average 81
- 127 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 95
- State average 91
- National average 93
- 66 patients
- Period from 10/01/2024

Measures CMS does not publish for this facility (14)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 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 — very high
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
Hospital Harm - Severe Hyperglycemia — 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 13

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected13.2
- State average 13.95 (computed here)
- National average 14.4
- No different than the national rate
- 339 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate Better18.4
- State average 20.97 (computed here)
- National average 21.3
- Better than the national rate
- 451 patients
- Period from 07/01/2023
Hospital return days for heart attack patients -15.6
- State average 3.35 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 228 patients
- Period from 07/01/2022
Hospital return days for heart failure patients -16.7
- State average 3.2 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 330 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients -25.8
- State average -3.1 (computed here)
- National average 5.65 (computed here)
- Fewer days than average per 100 discharges
- 338 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected17.2
- State average 16.86 (computed here)
- National average 17.3
- No different than the national rate
- 501 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5.6
- State average 5.66 (computed here)
- National average 5.4
- No different than the national rate
- 279 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected9.1
- State average 10.36 (computed here)
- National average 10.7
- No different than the national rate
- 279 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected5.7
- State average 5.58 (computed here)
- National average 5.8
- No different than the national rate
- 63 patients
- Period from 07/01/2023
Rate of readmission for CABG As expected10.9
- State average 10.51 (computed here)
- National average 11
- No different than the national rate
- 87 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected20.1
- State average 19.93 (computed here)
- National average 20
- No different than the national rate
- 91 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected13.2
- State average 13.05 (computed here)
- National average 13
- No different than the national rate
- 1,733 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1.2
- State average 1.05 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 655 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (1)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4

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.