JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Billings Clinic

4 / 5

At a glance

Billings Clinic carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 18 and worse on 0.

Healthcare-Associated Infections

lower is better · 36 measures reported

Rates of infections patients can acquire while receiving care, such as central-line and catheter-associated infections, MRSA, and C. difficile.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit0.117Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.251Same as national
Central Line Associated Bloodstream Infection: Number of Device Days6341Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases6.527Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.460Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.028Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.303Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days21847Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases26.912Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.111Better than national
SSI - Colon Surgery: Lower Confidence Limit0.008Better than national
SSI - Colon Surgery: Upper Confidence Limit0.753Better than national
SSI - Colon Surgery: Number of Procedures243Better than national
SSI - Colon Surgery: Predicted Cases6.547Better than national
SSI - Colon Surgery: Observed Cases1Better than national
SSI - Colon Surgery0.153Better than national
SSI - Abdominal Hysterectomy: Lower Confidence LimitSame as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit1.418Same as national
SSI - Abdominal Hysterectomy: Number of Procedures260Same as national
SSI - Abdominal Hysterectomy: Predicted Cases2.113Same as national
SSI - Abdominal Hysterectomy: Observed Cases0Same as national
SSI - Abdominal Hysterectomy0.000Same as national
MRSA Bacteremia: Lower Confidence Limit0.288Same as national
MRSA Bacteremia: Upper Confidence Limit1.478Same as national
MRSA Bacteremia: Patient Days90659Same as national
MRSA Bacteremia: Predicted Cases8.441Same as national
MRSA Bacteremia: Observed Cases6Same as national
MRSA Bacteremia0.711Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.105Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.370Better than national
Clostridium Difficile (C.Diff): Patient Days87610Better than national
Clostridium Difficile (C.Diff): Predicted Cases48.225Better than national
Clostridium Difficile (C.Diff): Observed Cases10Better than national
Clostridium Difficile (C.Diff)0.207Better than national

Complications & Deaths

lower is better · 20 measures reported

Rates of serious complications (like hip/knee replacement problems or accidental cuts during surgery) and 30-day mortality rates for common conditions.

MeasureScoreCompared to nationalSample
Rate of complications for hip/knee replacement patients3.9Same as national248
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.8Same as national2378
Death rate for heart attack patients12.4Same as national404
Death rate for CABG surgery patients2.8Same as national164
Death rate for COPD patients10.7Same as national163
Death rate for heart failure patients12.3Same as national434
Death rate for pneumonia patients17.4Same as national463
Death rate for stroke patients14.1Same as national335
Pressure ulcer rate0.28Same as national7441
Death rate among surgical inpatients with serious treatable complications205.34Same as national169
Iatrogenic pneumothorax rate0.11Same as national8970
In-hospital fall-associated fracture rate0.26Same as national9397
Postoperative hemorrhage or hematoma rate3.39Same as national3294
Postoperative acute kidney injury requiring dialysis rate1.58Same as national1574
Postoperative respiratory failure rate9.02Same as national1489
Perioperative pulmonary embolism or deep vein thrombosis rate3.43Same as national3452
Postoperative sepsis rate5.09Same as national1549
Postoperative wound dehiscence rate1.87Same as national714
Abdominopelvic accidental puncture or laceration rate0.76Same as national1912
CMS Medicare PSI 90: Patient safety and adverse events composite0.87Same as national

Unplanned Hospital Visits & Readmissions

lower is better · 14 measures reported

How often patients return to the hospital unexpectedly within 30 days of discharge — a marker of care quality and discharge planning.

MeasureScoreCompared to nationalSample
Hospital return days for heart attack patients10.7Not available467
Hospital return days for heart failure patients4.6Not available487
Hospital return days for pneumonia patients-33.4Not available487
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.2Same as national3680
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)10.2Same as national2552
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.4Same as national396
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6.5Same as national396
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national2043
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.2Same as national467
Rate of readmission for CABG11.7Same as national160
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.4Same as national179
Heart failure (HF) 30-Day Readmission Rate18.4Same as national487
Rate of readmission after hip/knee replacement3.9Same as national253
Pneumonia (PN) 30-Day Readmission Rate14.4Same as national487

Patient Experience (HCAHPS)

higher is better · 9 measures reported

What patients say about their hospital stay — communication with nurses and doctors, responsiveness, cleanliness, pain management, and whether they would recommend the hospital.

MeasureScoreSample
Nurse communication - star rating31329
Doctor communication - star rating31329
Communication about medicines - star rating21329
Discharge information - star rating31329
Cleanliness - star rating21329
Quietness - star rating31329
Overall hospital rating - star rating31329
Recommend hospital - star rating41329
Summary star rating31329

Timely & Effective Care

higher is better (unless a wait time) · 30 measures reported

How consistently hospitals follow recommended care processes — for example, giving heart-attack patients aspirin on arrival, or the average time spent in the emergency department.

MeasureScoreSample
Emergency department volumehigh
Global Malnutrition Composite Score
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented
Global Malnutrition Composite Score: Malnutrition Risk Screening
Global Malnutrition Composite Score: Nutrition Assessment
Global Malnutrition Composite Score: Nutritional Care Plan
Hospital Harm - Severe Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination786060
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 better172429
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 better172395
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better18434
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better
Left before being seen250540
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9997
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing144350
Appropriate care for severe sepsis and septic shock75500
Septic Shock 3-Hour Bundle82183
Septic Shock 6-Hour Bundle94109
Severe Sepsis 3-Hour Bundle87501
Severe Sepsis 6-Hour Bundle97321
Discharged on Antithrombotic Therapy96321
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 292262
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis971780

Maternal Health

lower is better · 4 measures reported

Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.

MeasureScoreSample
Cesarean Birth
Risk Adjusted Severe Obstetric Complications (All)
Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases)
Maternal Morbidity Structural MeasureYes

Frequently asked questions

How is Billings Clinic rated?
Billings Clinic has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Billings Clinic have emergency services?
Yes. Billings Clinic operates a 24/7 emergency department.
Where is Billings Clinic located?
Billings Clinic is located at 2800 10th Ave N, Billings, MT 59101.
What type of hospital is Billings Clinic?
Billings Clinic is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).

Data as of 2026-06-14. Source: CMS Provider Data Catalog. This is public data provided for informational purposes only and is not medical advice. See our methodology and editorial policy.

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