JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

Providence Milwaukie Hospital

3 / 5

At a glance

Providence Milwaukie Hospital carries a 3-star CMS overall rating — in line with the national norm.

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 Limit—Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit—Not available
Central Line Associated Bloodstream Infection: Number of Device Days661Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.523Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)—Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit—Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit—Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1310Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.966Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)—Not available
SSI - Colon Surgery: Lower Confidence Limit—Not available
SSI - Colon Surgery: Upper Confidence Limit—Not available
SSI - Colon Surgery: Number of Procedures17Not available
SSI - Colon Surgery: Predicted Cases0.425Not available
SSI - Colon Surgery: Observed Cases1Not available
SSI - Colon Surgery—Not available
SSI - Abdominal Hysterectomy: Lower Confidence Limit—Not available
SSI - Abdominal Hysterectomy: Upper Confidence Limit—Not available
SSI - Abdominal Hysterectomy: Number of Procedures9Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.079Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal Hysterectomy—Not available
MRSA Bacteremia: Lower Confidence Limit—Not available
MRSA Bacteremia: Upper Confidence Limit—Not available
MRSA Bacteremia: Patient Days14813Not available
MRSA Bacteremia: Predicted Cases0.510Not available
MRSA Bacteremia: Observed Cases1Not available
MRSA Bacteremia—Not available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.011Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.078Same as national
Clostridium Difficile (C.Diff): Patient Days14813Same as national
Clostridium Difficile (C.Diff): Predicted Cases4.573Same as national
Clostridium Difficile (C.Diff): Observed Cases1Same as national
Clostridium Difficile (C.Diff)0.219Same as 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 patients—Not available—
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.1Same as national275
Death rate for heart attack patients12.1Same as national30
Death rate for CABG surgery patients—Not available—
Death rate for COPD patients—Not available—
Death rate for heart failure patients13.3Same as national109
Death rate for pneumonia patients17.2Same as national60
Death rate for stroke patients14.4Same as national27
Pressure ulcer rate0.45Same as national887
Death rate among surgical inpatients with serious treatable complications—Not available—
Iatrogenic pneumothorax rate0.20Same as national1132
In-hospital fall-associated fracture rate0.26Same as national1073
Postoperative hemorrhage or hematoma rate2.31Same as national115
Postoperative acute kidney injury requiring dialysis rate1.67Same as national25
Postoperative respiratory failure rate—Not available—
Perioperative pulmonary embolism or deep vein thrombosis rate3.75Same as national129
Postoperative sepsis rate—Not available—
Postoperative wound dehiscence rate—Not available—
Abdominopelvic accidental puncture or laceration rate1.03Same as national144
CMS Medicare PSI 90: Patient safety and adverse events composite1.02Same 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—Not available—
Hospital return days for heart failure patients-40.1Not available113
Hospital return days for pneumonia patients49.9Not available57
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.4Same as national396
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.8Same as national464
Rate of inpatient admissions for patients receiving outpatient chemotherapy—Not available—
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy—Not available—
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national90
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate—Not available—
Rate of readmission for CABG—Not available—
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients—Not available—
Heart failure (HF) 30-Day Readmission Rate18.7Same as national113
Rate of readmission after hip/knee replacement—Not available—
Pneumonia (PN) 30-Day Readmission Rate16.1Same as national57

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 rating3539
Doctor communication - star rating4539
Communication about medicines - star rating2539
Discharge information - star rating3539
Cleanliness - star rating3539
Quietness - star rating2539
Overall hospital rating - star rating3539
Recommend hospital - star rating3539
Summary star rating3539

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 volumemedium—
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 vaccination591119
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 better186415
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 better185393
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better32816
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 seen431069
Head CT results6712
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9863
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery——
ST-Segment Elevation Myocardial Infarction (STEMI)——
Safe Use of Opioids - Concurrent Prescribing13938
Appropriate care for severe sepsis and septic shock4996
Septic Shock 3-Hour Bundle7027
Septic Shock 6-Hour Bundle8116
Severe Sepsis 3-Hour Bundle6996
Severe Sepsis 6-Hour Bundle8347
Discharged on Antithrombotic Therapy9860
Anticoagulation Therapy for Atrial Fibrillation/Flutter——
Antithrombotic Therapy by End of Hospital Day 29845
Venous Thromboembolism Prophylaxis802059
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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)—

Frequently asked questions

How is Providence Milwaukie Hospital rated?
Providence Milwaukie Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Providence Milwaukie Hospital have emergency services?
According to CMS records, Providence Milwaukie Hospital does not report a 24/7 emergency department.
Where is Providence Milwaukie Hospital located?
Providence Milwaukie Hospital is located at 10150 Se 32nd Avenue, Milwaukie, OR 97222.
What type of hospital is Providence Milwaukie Hospital?
Providence Milwaukie Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Church).

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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