JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Hospital District or Authority

Evergreenhealth Medical Center

5 / 5

At a glance

Evergreenhealth Medical Center carries a 5-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 and worse on 0. For 30-day readmissions, it beats the national rate on 2 measures and trails 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 Limit0.056Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.106Same as national
Central Line Associated Bloodstream Infection: Number of Device Days5744Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases5.972Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.335Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.211Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.084Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days9137Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases11.515Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases6Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.521Same as national
SSI - Colon Surgery: Lower Confidence Limit0.015Same as national
SSI - Colon Surgery: Upper Confidence Limit1.501Same as national
SSI - Colon Surgery: Number of Procedures139Same as national
SSI - Colon Surgery: Predicted Cases3.286Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.304Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures75Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.535Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.074Same as national
MRSA Bacteremia: Upper Confidence Limit1.466Same as national
MRSA Bacteremia: Patient Days92007Same as national
MRSA Bacteremia: Predicted Cases4.507Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia0.444Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.200Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.576Better than national
Clostridium Difficile (C.Diff): Patient Days87596Better than national
Clostridium Difficile (C.Diff): Predicted Cases39.787Better than national
Clostridium Difficile (C.Diff): Observed Cases14Better than national
Clostridium Difficile (C.Diff)0.352Better 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 patients3.8Same as national146
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.4Better than national1698
Death rate for heart attack patients13.1Same as national160
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.2Same as national80
Death rate for heart failure patients8.7Better than national612
Death rate for pneumonia patients13.4Better than national435
Death rate for stroke patients12Same as national286
Pressure ulcer rate0.33Same as national5577
Death rate among surgical inpatients with serious treatable complications158.50Same as national62
Iatrogenic pneumothorax rate0.20Same as national6473
In-hospital fall-associated fracture rate0.35Same as national6368
Postoperative hemorrhage or hematoma rate2.37Same as national1295
Postoperative acute kidney injury requiring dialysis rate1.51Same as national559
Postoperative respiratory failure rate5.67Same as national573
Perioperative pulmonary embolism or deep vein thrombosis rate2.57Same as national1401
Postoperative sepsis rate4.57Same as national535
Postoperative wound dehiscence rate1.61Same as national268
Abdominopelvic accidental puncture or laceration rate1.10Same as national1003
CMS Medicare PSI 90: Patient safety and adverse events composite0.75Same 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 patients-12.2Not available152
Hospital return days for heart failure patients-16.4Not available687
Hospital return days for pneumonia patients17.4Not available450
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)13.8Better than national2781
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14Same as national566
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.3Same as national57
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.8Same as national57
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national1099
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.2Same as national152
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.2Same as national88
Heart failure (HF) 30-Day Readmission Rate16.8Better than national687
Rate of readmission after hip/knee replacement4.8Same as national147
Pneumonia (PN) 30-Day Readmission Rate14.9Same as national450

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 rating4463
Doctor communication - star rating4463
Communication about medicines - star rating2463
Discharge information - star rating3463
Cleanliness - star rating4463
Quietness - star rating3463
Overall hospital rating - star rating4463
Recommend hospital - star rating5463
Summary star rating4463

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 vaccination797032
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 better199398
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 better197373
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better23824
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 seen449441
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10084
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing62482
Appropriate care for severe sepsis and septic shock64164
Septic Shock 3-Hour Bundle9973
Septic Shock 6-Hour Bundle9555
Severe Sepsis 3-Hour Bundle76164
Severe Sepsis 6-Hour Bundle8285
Discharged on Antithrombotic Therapy98276
Anticoagulation Therapy for Atrial Fibrillation/Flutter7666
Antithrombotic Therapy by End of Hospital Day 296207
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis

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 Evergreenhealth Medical Center rated?
Evergreenhealth Medical Center has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Evergreenhealth Medical Center have emergency services?
Yes. Evergreenhealth Medical Center operates a 24/7 emergency department.
Where is Evergreenhealth Medical Center located?
Evergreenhealth Medical Center is located at 12040 Ne 128th Street, Kirkland, WA 98034.
What type of hospital is Evergreenhealth Medical Center?
Evergreenhealth Medical Center is classified by CMS as a Acute Care Hospitals facility (Government - Hospital District or Authority).

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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