St Joseph Medical Center

Hospital in Tacoma, WA, Medicare certification number 500108. CMS publishes 65 quality measures for it.

Medicare certification

Provider of Services

CCN: 500108The 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 - Church
Control type: Church
Participating since: Jul 1, 1966
Last certification: Mar 17, 1993
Beds: 340
Overall star rating: 3 of 5Care Compare
Address: 1717 South J Street
Tacoma, WA 98405
(253) 627-4101

NPI records for this facility 3

Franciscan Health System
- General Acute Care Hospital
- Tacoma, WA
- NPI 1124291117
Medicare enrollment
Franciscan Health System
- Clinical Medical Laboratory
- Tacoma, WA
- NPI 1659585370
Medicare enrollment
Franciscan Health System
- General Acute Care Hospital
- Tacoma, WA
- NPI 1952309098
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 Worse3 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 Worse3 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 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 As expected0.9
- State average 1.2 (computed here)
- National average 1.06
- No different than the national rate
- 1,524 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.83
- 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 expected188.25
- State average 182.9 (computed here)
- National average 173.3
- No different than the national rate
- 146 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected1.9
- State average 2.23 (computed here)
- National average 2.4
- No different than the national rate
- 92 patients
- Period from 07/01/2022
Death rate for COPD patients As expected9.2
- State average 9.49 (computed here)
- National average 8.6
- No different than the national rate
- 69 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected12.3
- State average 12.48 (computed here)
- National average 11.9
- No different than the national rate
- 189 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected12.4
- State average 12.56 (computed here)
- National average 11.1
- No different than the national rate
- 383 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected16.2
- State average 16.02 (computed here)
- National average 15.2
- No different than the national rate
- 207 patients
- Period from 07/01/2022
Death rate for stroke patients As expected10.3
- State average 11.33 (computed here)
- National average 11.9
- No different than the national rate
- 524 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.4
- State average 3.81 (computed here)
- National average 3.9
- No different than the national rate
- 4,438 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.18
- State average 0.2 (computed here)
- National average 0.21
- No different than the national rate
- 6,201 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
- 6,784 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.28
- State average 3.51 (computed here)
- National average 3.52
- No different than the national rate
- 2,128 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.02
- State average 1.65 (computed here)
- National average 1.67
- No different than the national rate
- 930 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.08
- State average 2.47 (computed here)
- National average 2.34
- No different than the national rate
- 2,042 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected8.67
- State average 9.5 (computed here)
- National average 9.42
- No different than the national rate
- 820 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected6.74
- State average 5.28 (computed here)
- National average 5.27
- No different than the national rate
- 928 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.82
- State average 1.84 (computed here)
- National average 1.77
- No different than the national rate
- 447 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.11
- State average 0.7 (computed here)
- National average 0.63
- No different than the national rate
- 5,564 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected5.1
- State average 4.31 (computed here)
- National average 4.1
- No different than the national rate
- 31 patients
- Period from 04/01/2023

Infections 6

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) Better0.16
- 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) Better0.1
- State average 0.68
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.28
- State average 0.41
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0.61
- State average 0.68
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Abdominal Hysterectomy As expected0.65
- State average 1.2
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery Better0.18
- State average 1.08
- National average 1
- Better than the national benchmark
- Period from 10/01/2024

Outpatient imaging 1

Medicare Care Compare

Abdomen CT Use of Contrast Material 6.3
- 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 15

Medicare Care Compare

Antithrombotic Therapy by End of Hospital Day 2 93
- State average 94.15 (computed here)
- National average 92.79 (computed here)
- 446 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 54
- State average 60
- National average 65
- 311 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 218
- State average 156
- National average 168
- 400 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 211
- State average 151
- National average 162
- 369 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 384
- State average 238
- National average 257
- 29 patients
- Period from 10/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 98
- State average 95
- National average 93
- 43 patients
- Period from 01/01/2024
Healthcare workers given influenza vaccination 80
- State average 79
- National average 78
- 4,472 patients
- Period from 10/01/2024
Intensive Care Unit Venous Thromboembolism Prophylaxis 98
- State average 95.07 (computed here)
- National average 93.49 (computed here)
- 2,466 patients
- Period from 01/01/2024
Left before being seen 1
- State average 3
- National average 2
- 46,068 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 11
- State average 13
- National average 15
- 6,419 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 52
- State average 70
- National average 73
- 80 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 89
- State average 84
- National average 87
- 35 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 75
- State average 79
- National average 81
- 311 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 90
- State average 91
- National average 93
- 156 patients
- Period from 10/01/2024
Venous Thromboembolism Prophylaxis 87
- State average 85.03 (computed here)
- National average 82.23 (computed here)
- 8,778 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (15)

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
Discharged on Antithrombotic Therapy — 5
Emergency department volume — 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
Head CT results — 1
Hospital Harm - Opioid Related Adverse Events — 5
Hospital Harm - Severe Hyperglycemia — 5
Hospital Harm - Severe Hypoglycemia — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
ST-Segment Elevation Myocardial Infarction (STEMI) — 1

Unplanned visits 13

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected13.1
- State average 13.95 (computed here)
- National average 14.4
- No different than the national rate
- 448 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected19.1
- State average 20.97 (computed here)
- National average 21.3
- No different than the national rate
- 842 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 2.6
- State average 3.35 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 259 patients
- Period from 07/01/2022
Hospital return days for heart failure patients -0.1
- State average 3.2 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 429 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients -19.2
- State average -3.1 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 204 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
- 437 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected4.9
- State average 5.66 (computed here)
- National average 5.4
- No different than the national rate
- 30 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected9.7
- State average 10.36 (computed here)
- National average 10.7
- No different than the national rate
- 30 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
- 37 patients
- Period from 07/01/2023
Rate of readmission for CABG As expected10.6
- State average 10.51 (computed here)
- National average 11
- No different than the national rate
- 137 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected20.9
- State average 19.93 (computed here)
- National average 20
- No different than the national rate
- 209 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected13.8
- State average 13.05 (computed here)
- National average 13
- No different than the national rate
- 317 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1.1
- State average 1.05 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 668 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.