JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Providence Holy Family Hospital

3 / 5

At a glance

Providence Holy Family Hospital carries a 3-star CMS overall rating — in line with 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 1 measure and trails on 1.

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 Limit0.245Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.621Same as national
Central Line Associated Bloodstream Infection: Number of Device Days4590Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.115Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.963Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.227Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.427Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4837Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.364Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.892Same as national
SSI - Colon Surgery: Lower Confidence Limit0.768Same as national
SSI - Colon Surgery: Upper Confidence Limit3.472Same as national
SSI - Colon Surgery: Number of Procedures151Same as national
SSI - Colon Surgery: Predicted Cases3.988Same as national
SSI - Colon Surgery: Observed Cases7Same as national
SSI - Colon Surgery1.755Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures30Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.221Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.145Same as national
MRSA Bacteremia: Upper Confidence Limit2.854Same as national
MRSA Bacteremia: Patient Days44796Same as national
MRSA Bacteremia: Predicted Cases2.315Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia0.864Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.158Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.712Better than national
Clostridium Difficile (C.Diff): Patient Days43537Better than national
Clostridium Difficile (C.Diff): Predicted Cases19.435Better than national
Clostridium Difficile (C.Diff): Observed Cases7Better than national
Clostridium Difficile (C.Diff)0.360Better 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.8Same as national845
Death rate for heart attack patients12.6Same as national35
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.6Same as national68
Death rate for heart failure patients12.6Same as national300
Death rate for pneumonia patients18.8Same as national261
Death rate for stroke patients12.8Same as national115
Pressure ulcer rate0.22Same as national2793
Death rate among surgical inpatients with serious treatable complications187.75Same as national47
Iatrogenic pneumothorax rate0.24Same as national3235
In-hospital fall-associated fracture rate0.32Same as national3209
Postoperative hemorrhage or hematoma rate2.54Same as national787
Postoperative acute kidney injury requiring dialysis rate1.49Same as national375
Postoperative respiratory failure rate9.20Same as national383
Perioperative pulmonary embolism or deep vein thrombosis rate3.92Same as national844
Postoperative sepsis rate5.44Same as national331
Postoperative wound dehiscence rate1.82Same as national262
Abdominopelvic accidental puncture or laceration rate1.02Same as national815
CMS Medicare PSI 90: Patient safety and adverse events composite0.91Same 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 patientsNot available
Hospital return days for heart failure patients15.6Not available294
Hospital return days for pneumonia patients-4.3Not available229
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)12.7Better than national1171
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.4Same as national1310
Rate of inpatient admissions for patients receiving outpatient chemotherapy12Same as national90
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6.7Same as national90
Ratio of unplanned hospital visits after hospital outpatient surgery1.3Worse than national662
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.3Same as national73
Heart failure (HF) 30-Day Readmission Rate18.7Same as national294
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate14.5Same as national229

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 rating3428
Doctor communication - star rating3428
Communication about medicines - star rating2428
Discharge information - star rating3428
Cleanliness - star rating3428
Quietness - star rating2428
Overall hospital rating - star rating3428
Recommend hospital - star rating4428
Summary star rating3428

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 vaccination732033
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 better221366
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 better219342
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better24521
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 seen949266
Head CT results1127
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients8663
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing142202
Appropriate care for severe sepsis and septic shock86125
Septic Shock 3-Hour Bundle9240
Septic Shock 6-Hour Bundle9627
Severe Sepsis 3-Hour Bundle90125
Severe Sepsis 6-Hour Bundle9773
Discharged on Antithrombotic Therapy100156
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 297145
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis90715

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 Providence Holy Family Hospital rated?
Providence Holy Family Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Providence Holy Family Hospital have emergency services?
Yes. Providence Holy Family Hospital operates a 24/7 emergency department.
Where is Providence Holy Family Hospital located?
Providence Holy Family Hospital is located at 5633 North Lidgerwood, Spokane, WA 99208.
What type of hospital is Providence Holy Family Hospital?
Providence Holy Family Hospital 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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