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QUALIS HEALTH
Hospital Outpatient Quality Reporting
Hospital Performance Report for Emergency Department Measures
This material was prepared by Qualis Health, the Medicare Quality Innovation Network - Quality Improvement Organization (QIN-QIO) for Idaho and Washington, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. WA-D1-QH-2890-04-17
Community: Washington StateIncludes Data Through: Q2 2015 - Q1 2016Report Created: April 20, 2017
Purpose of the ReportThis report shows performance on emergency department (ED) throughput. The source of the data is Hospital Compare. It is intended to help hospitals focus specifically on ways to improve efficiencies and care in their emergency departments.
About Qualis HealthQualis Health is one of the nation’s leading population health management organizations, working with clients throughout the public and private sector to advance the quality, efficiency, and value of healthcare for millions of Americans every day. As the Medicare Quality Improvement Network - Quality Improvement Organization for Idaho and Washington, our team of quality improvement consultants and clinical leaders works with healthcare providers, consumers, and community partners to redesign processes, build sustainable change, and deliver care with improved value, quality, and safety for patients.
1
Qualis Health Report
In an effort to help hospitals focus specifically on ways to improve efficiencies and care in their
emergency departments, Qualis Health provides the following hospital performance report for select
outpatient quality measures. Time periods of performance, unless otherwise indicated, are from second
quarter, 2015 to the end of first quarter, 2016. The source of the data is Hospital Compare.
Bar charts are used to compare hospitals’ performance to each other and to national benchmarks. Bars
in green meet or exceed the national benchmark; bars in yellow are above the national benchmark; and
bars in red are more than 1.5 times higher than the national benchmark.
Emergency Department Throughput
The report shows performance on the three measures for emergency department (ED) throughput:
Median Time from Door to Diagnostic Evaluation; Median Time from Arrival to Departure for Discharged
Patients; Percent of Patients that Left without Being Seen. Overcrowding and heavy emergency
department resource demand leads to ambulance diversion, prolonged patient waiting times, increased
suffering for those who wait, rushed and unpleasant episodes of care, and potentially poor patient
outcomes. Reducing the time patients remain in the emergency department (ED) potentially improves
access to care.
Pain Management
The report also shows performance on Median Time to Pain Management for Long-Bone Fractures. Pain
management in patients with long bone fractures remains undertreated in emergency departments for
all patients, but especially for minorities and other patients of color, including children.1 2 3 4 Improving
the time from ED arrival to administration of analgesics for all patients presenting with confirmed and
potential long-bone fractures improves satisfaction with care, improves outcomes, and potentially
improves ED efficiency and throughput.5
1 Ritsema TS, Kelen GD, Pronovost RJ, and Pham JC. The national trend in quality of emergency department pain
management of long bone fractures. Acad Emerg Med. 2007 Feb 14; 14(2):163-9. 2 Epps CD, Ware LJ, and Packard A. Ethnic wait time differences in analgesic administration in the emergency
department. Pain Manag Nurs. 2008 Mar;9(1):26-32. 3 Todd KH, Samaroo N, and Hoffman JR. Ethnicity as a risk factor for inadequate emergency department analgesia.
JAMA. 1993 Mar 24-31;29(12):1537-9. 4 Friedland LR and Kulick RM. Emergency department analgesic use in pediatric trauma victims with fractures. Ann
Emerg Med. 1994 Feb;23(2):203-7. 5 Brown JC, Klein EJ, Lewis CW, Johnston BD, and Cummings P. Emergency department analgesia for fracture pain.
Ann Emerg Med. 2003 Aug;42(2):197-205.
2
Door to Diagnostic Evaluation by Qualified Medical Personnel
Measure Definition
The process measure is defined as the median time, in minutes, from the patient’s earliest documented arrival time at the ED to the first direct, personal
exchange between an ambulatory patient and a physician or institutionally credentialed provider to initiate the medical screening examination in the emergency
department.
4 10 11 12 13 14 14 16 16 17 18 19 19 19 20 21 22 23 24 25 26 27 28 28 29 29 30 30 30 31 31 31
34 34 35 35 36 37 38 38 40 42 46
50 55
58
68
National Median, 22
SAM
AR
ITA
N H
OSP
ITA
L
SWED
ISH
ISSA
QU
AH
SWED
ISH
MED
ICA
L C
ENTE
R
SWED
ISH
MED
ICA
L C
ENTE
R /
CH
ERR
Y H
ILL
ST A
NTH
ON
Y H
OSP
ITA
L
SWED
ISH
ED
MO
ND
S H
OSP
ITA
L
WA
LLA
WA
LLA
GEN
ERA
L H
OSP
ITA
L
PR
OV
IDEN
CE
ST M
AR
Y M
EDIC
AL
CEN
TER
VIR
GIN
IA M
ASO
N M
EDIC
AL
CEN
TER
KA
DLE
C R
EGIO
NA
L M
EDIC
AL
CEN
TER
TOP
PEN
ISH
CO
MM
UN
ITY
HO
SPIT
AL
HIG
HLI
NE
MED
ICA
L C
ENTE
R
OLY
MP
IC M
EDIC
AL
CEN
TER
EVER
GR
EEN
HEA
LTH
MED
ICA
L C
ENTE
R
KEN
NEW
ICK
GEN
ERA
L H
OSP
ITA
L
PR
OV
IDEN
CE
CEN
TRA
LIA
HO
SPIT
AL
UN
IVER
SITY
OF
WA
SHIN
GTO
N M
EDIC
AL…
EVER
GR
EEN
HEA
LTH
MO
NR
OE
HA
RB
OR
VIE
W M
EDIC
AL
CEN
TER
OV
ERLA
KE
HO
SPIT
AL
MED
ICA
L C
ENTE
R
CA
SCA
DE
VA
LLEY
HO
SPIT
AL
VA
LLEY
HO
SPIT
AL
NO
RTH
WES
T H
OSP
ITA
L
ISLA
ND
HO
SPIT
AL
CEN
TRA
L W
ASH
ING
TON
HO
SPIT
AL
ST C
LAR
E H
OSP
ITA
L
YAK
IMA
VA
LLEY
MEM
OR
IAL
HO
SPIT
AL
VA
LLEY
MED
ICA
L C
ENTE
R
CA
PIT
AL
MED
ICA
L C
ENTE
R
GR
AYS
HA
RB
OR
CO
MM
UN
ITY
HO
SPIT
AL
TAC
OM
A G
ENER
AL
ALL
ENM
OR
E H
OSP
ITA
L
ST F
RA
NC
IS C
OM
MU
NIT
Y H
OSP
ITA
L
SKA
GIT
VA
LLEY
HO
SPIT
AL
ST J
OSE
PH
MED
ICA
L C
ENTE
R
HA
RR
ISO
N M
EMO
RIA
L H
OSP
ITA
L
PR
OV
IDEN
CE
HO
LY F
AM
ILY
HO
SPIT
AL
DEA
CO
NES
S H
OSP
ITA
L
YAK
IMA
REG
ION
AL
MED
ICA
L A
ND
…
MU
LTIC
AR
E A
UB
UR
N M
EDIC
AL
CEN
TER
LEG
AC
Y SA
LMO
N C
REE
K M
EDIC
AL
CEN
TER
PR
OV
IDEN
CE
REG
ION
AL
MED
ICA
L…
PEA
CEH
EALT
H S
T JO
SEP
H M
EDIC
AL…
PR
OV
IDEN
CE
SAC
RED
HEA
RT
MED
ICA
L…
PEA
CEH
EALT
H S
OU
THW
EST
MED
ICA
L…
PEA
CH
EALT
H S
T JO
HN
MED
ICA
L C
ENTE
R
MU
LTIC
AR
E G
OO
D S
AM
AR
ITA
N H
OSP
ITA
L
PR
OV
IDEN
CE
ST P
ETER
HO
SPIT
AL
Door to Diagnostic Evaluation Median Time (minutes), Q2 2015 - Q1 2016
3
27 32
36 37 38 38 40 40 42 44 45 45 46 47 48 49 50 50 52 52 54 54 55 58 58 58 59 59 60 61 62 62 64 65 66 66 68 68 68 68 69 70 72 73
78 80 85
National Median, 52
SWED
ISH
ED
MO
ND
S H
OSP
ITA
L
WA
LLA
WA
LLA
GEN
ERA
L H
OSP
ITA
L
SWED
ISH
MED
ICA
L C
ENTE
R
KEN
NEW
ICK
GEN
ERA
L H
OSP
ITA
L
OV
ERLA
KE
HO
SPIT
AL
MED
ICA
L C
ENTE
R
OLY
MP
IC M
EDIC
AL
CEN
TER
CEN
TRA
L W
ASH
ING
TON
HO
SPIT
AL
SWED
ISH
ISSA
QU
AH
HA
RB
OR
VIE
W M
EDIC
AL
CEN
TER
SWED
ISH
MED
ICA
L C
ENTE
R /
CH
ERR
Y H
ILL
YAK
IMA
VA
LLEY
MEM
OR
IAL
HO
SPIT
AL
KA
DLE
C R
EGIO
NA
L M
EDIC
AL
CEN
TER
VIR
GIN
IA M
ASO
N M
EDIC
AL
CEN
TER
EVER
GR
EEN
HEA
LTH
MED
ICA
L C
ENTE
R
TOP
PEN
ISH
CO
MM
UN
ITY
HO
SPIT
AL
LEG
AC
Y SA
LMO
N C
REE
K M
EDIC
AL
CEN
TER
PR
OV
IDEN
CE
SAC
RED
HEA
RT
MED
ICA
L C
ENTE
R
VA
LLEY
HO
SPIT
AL
ST J
OSE
PH
MED
ICA
L C
ENTE
R
ST A
NTH
ON
Y H
OSP
ITA
L
HIG
HLI
NE
MED
ICA
L C
ENTE
R
CA
PIT
AL
MED
ICA
L C
ENTE
R
ST F
RA
NC
IS C
OM
MU
NIT
Y H
OSP
ITA
L
DEA
CO
NES
S H
OSP
ITA
L
CA
SCA
DE
VA
LLEY
HO
SPIT
AL
VA
LLEY
MED
ICA
L C
ENTE
R
SKA
GIT
VA
LLEY
HO
SPIT
AL
ST C
LAR
E H
OSP
ITA
L
SAM
AR
ITA
N H
OSP
ITA
L
YAK
IMA
REG
ION
AL
MED
ICA
L A
ND
CA
RD
IAC
CEN
TER
PR
OV
IDEN
CE
ST M
AR
Y M
EDIC
AL
CEN
TER
MU
LTIC
AR
E A
UB
UR
N M
EDIC
AL
CEN
TER
UN
IVER
SITY
OF
WA
SHIN
GTO
N M
EDIC
AL
CTR
HA
RR
ISO
N M
EMO
RIA
L H
OSP
ITA
L
PEA
CEH
EALT
H S
T JO
SEP
H M
EDIC
AL
CEN
TER
GR
AYS
HA
RB
OR
CO
MM
UN
ITY
HO
SPIT
AL
NO
RTH
WES
T H
OSP
ITA
L
PR
OV
IDEN
CE
REG
ION
AL
MED
ICA
L C
ENTE
R E
VER
ETT
PR
OV
IDEN
CE
CEN
TRA
LIA
HO
SPIT
AL
EVER
GR
EEN
HEA
LTH
MO
NR
OE
PR
OV
IDEN
CE
HO
LY F
AM
ILY
HO
SPIT
AL
TAC
OM
A G
ENER
AL
ALL
ENM
OR
E H
OSP
ITA
L
PEA
CH
EALT
H S
T JO
HN
MED
ICA
L C
ENTE
R
PEA
CEH
EALT
H S
OU
THW
EST
MED
ICA
L C
ENTE
R
PR
OV
IDEN
CE
ST P
ETER
HO
SPIT
AL
ISLA
ND
HO
SPIT
AL
MU
LTIC
AR
E G
OO
D S
AM
AR
ITA
N H
OSP
ITA
L
Median Time to Pain Management for Long Bone Fractures in the ED Q2 2015 - Q1 2016
4
19
5
19
6
20
1
20
1
20
2
22
2
22
4
23
1
23
3
23
4
24
0
24
6
24
7
25
4
25
5
26
1
26
7
27
2
27
8
28
0
28
2
28
2
28
4
28
5
28
5
28
6
29
2
29
8
29
9
30
0
30
6
31
3
31
5
32
2
32
8
32
8
32
9
34
1
34
4
34
8
35
1
35
4
37
0 40
0 44
0
45
4 48
8
National Median, 279
YAK
IMA
VA
LLEY
MEM
OR
IAL
HO
SPIT
AL
WA
LLA
WA
LLA
GEN
ERA
L H
OSP
ITA
L
TOP
PEN
ISH
CO
MM
UN
ITY
HO
SPIT
AL
SWED
ISH
ISSA
QU
AH
SWED
ISH
MED
ICA
L C
ENTE
R /
CH
ERR
Y H
ILL
KEN
NEW
ICK
GEN
ERA
L H
OSP
ITA
L
CEN
TRA
L W
ASH
ING
TON
HO
SPIT
AL
OV
ERLA
KE
HO
SPIT
AL
MED
ICA
L C
ENTE
R
OLY
MP
IC M
EDIC
AL
CEN
TER
ISLA
ND
HO
SPIT
AL
VIR
GIN
IA M
ASO
N M
EDIC
AL
CEN
TER
EVER
GR
EEN
HEA
LTH
MED
ICA
L C
ENTE
R
SWED
ISH
MED
ICA
L C
ENTE
R
SAM
AR
ITA
N H
OSP
ITA
L
EVER
GR
EEN
HEA
LTH
MO
NR
OE
CA
PIT
AL
MED
ICA
L C
ENTE
R
GR
AYS
HA
RB
OR
CO
MM
UN
ITY
HO
SPIT
AL
VA
LLEY
HO
SPIT
AL
CA
SCA
DE
VA
LLEY
HO
SPIT
AL
PEA
CH
EALT
H S
T JO
HN
MED
ICA
L C
ENTE
R
PEA
CEH
EALT
H S
T JO
SEP
H M
EDIC
AL
CEN
TER
PR
OV
IDEN
CE
SAC
RED
HEA
RT
MED
ICA
L C
ENTE
R
PEA
CEH
EALT
H S
OU
THW
EST
MED
ICA
L C
ENTE
R
SKA
GIT
VA
LLEY
HO
SPIT
AL
LEG
AC
Y SA
LMO
N C
REE
K M
EDIC
AL
CEN
TER
PR
OV
IDEN
CE
CEN
TRA
LIA
HO
SPIT
AL
SWED
ISH
ED
MO
ND
S H
OSP
ITA
L
HIG
HLI
NE
MED
ICA
L C
ENTE
R
PR
OV
IDEN
CE
ST M
AR
Y M
EDIC
AL
CEN
TER
HA
RR
ISO
N M
EMO
RIA
L H
OSP
ITA
L
YAK
IMA
REG
ION
AL
MED
ICA
L A
ND
CA
RD
IAC
CEN
TER
ST C
LAR
E H
OSP
ITA
L
PR
OV
IDEN
CE
REG
ION
AL
MED
ICA
L C
ENTE
R E
VER
ETT
PR
OV
IDEN
CE
ST P
ETER
HO
SPIT
AL
DEA
CO
NES
S H
OSP
ITA
L
PR
OV
IDEN
CE
HO
LY F
AM
ILY
HO
SPIT
AL
ST A
NTH
ON
Y H
OSP
ITA
L
NO
RTH
WES
T H
OSP
ITA
L
MU
LTIC
AR
E A
UB
UR
N M
EDIC
AL
CEN
TER
MU
LTIC
AR
E G
OO
D S
AM
AR
ITA
N H
OSP
ITA
L
KA
DLE
C R
EGIO
NA
L M
EDIC
AL
CEN
TER
VA
LLEY
MED
ICA
L C
ENTE
R
TAC
OM
A G
ENER
AL
ALL
ENM
OR
E H
OSP
ITA
L
ST F
RA
NC
IS C
OM
MU
NIT
Y H
OSP
ITA
L
HA
RB
OR
VIE
W M
EDIC
AL
CEN
TER
UN
IVER
SITY
OF
WA
SHIN
GTO
N M
EDIC
AL
CTR
ST J
OSE
PH
MED
ICA
L C
ENTE
R
Median Time from ED Arrival to ED Departure for Patients Admitted to the Facility from the ED, Q2 2015 - Q1 2016
5
59
60
69
72
73
75
76
76
80
85
86
92
94
97
98
10
0
10
2
10
4
10
4
10
4
10
6
10
8
10
8
10
8
11
0
11
8
12
0
12
3
12
5
12
9
12
9
13
0
13
0
13
0
13
1
13
2
13
6
13
8
13
8
14
2
14
9
15
2 17
1
18
5
21
7
22
9
30
6
National Median, 99
OLY
MP
IC M
EDIC
AL
CEN
TER
CEN
TRA
L W
ASH
ING
TON
HO
SPIT
AL
EVER
GR
EEN
HEA
LTH
MO
NR
OE
TOP
PEN
ISH
CO
MM
UN
ITY
HO
SPIT
AL
SAM
AR
ITA
N H
OSP
ITA
L
SWED
ISH
ISSA
QU
AH
WA
LLA
WA
LLA
GEN
ERA
L H
OSP
ITA
L
CA
PIT
AL
MED
ICA
L C
ENTE
R
YAK
IMA
VA
LLEY
MEM
OR
IAL
HO
SPIT
AL
CA
SCA
DE
VA
LLEY
HO
SPIT
AL
SWED
ISH
MED
ICA
L C
ENTE
R
GR
AYS
HA
RB
OR
CO
MM
UN
ITY
HO
SPIT
AL
SWED
ISH
ED
MO
ND
S H
OSP
ITA
L
EVER
GR
EEN
HEA
LTH
MED
ICA
L C
ENTE
R
PEA
CEH
EALT
H S
OU
THW
EST
MED
ICA
L C
ENTE
R
PR
OV
IDEN
CE
CEN
TRA
LIA
HO
SPIT
AL
VA
LLEY
HO
SPIT
AL
VIR
GIN
IA M
ASO
N M
EDIC
AL
CEN
TER
SWED
ISH
MED
ICA
L C
ENTE
R /
CH
ERR
Y H
ILL
PEA
CH
EALT
H S
T JO
HN
MED
ICA
L C
ENTE
R
ISLA
ND
HO
SPIT
AL
KEN
NEW
ICK
GEN
ERA
L H
OSP
ITA
L
PR
OV
IDEN
CE
SAC
RED
HEA
RT
MED
ICA
L C
ENTE
R
LEG
AC
Y SA
LMO
N C
REE
K M
EDIC
AL
CEN
TER
OV
ERLA
KE
HO
SPIT
AL
MED
ICA
L C
ENTE
R
HA
RR
ISO
N M
EMO
RIA
L H
OSP
ITA
L
DEA
CO
NES
S H
OSP
ITA
L
HIG
HLI
NE
MED
ICA
L C
ENTE
R
PR
OV
IDEN
CE
REG
ION
AL
MED
ICA
L C
ENTE
R E
VER
ETT
NO
RTH
WES
T H
OSP
ITA
L
ST A
NTH
ON
Y H
OSP
ITA
L
SKA
GIT
VA
LLEY
HO
SPIT
AL
PR
OV
IDEN
CE
ST P
ETER
HO
SPIT
AL
TAC
OM
A G
ENER
AL
ALL
ENM
OR
E H
OSP
ITA
L
PEA
CEH
EALT
H S
T JO
SEP
H M
EDIC
AL
CEN
TER
MU
LTIC
AR
E A
UB
UR
N M
EDIC
AL
CEN
TER
ST C
LAR
E H
OSP
ITA
L
PR
OV
IDEN
CE
HO
LY F
AM
ILY
HO
SPIT
AL
VA
LLEY
MED
ICA
L C
ENTE
R
YAK
IMA
REG
ION
AL
MED
ICA
L A
ND
CA
RD
IAC
CEN
TER
MU
LTIC
AR
E G
OO
D S
AM
AR
ITA
N H
OSP
ITA
L
PR
OV
IDEN
CE
ST M
AR
Y M
EDIC
AL
CEN
TER
KA
DLE
C R
EGIO
NA
L M
EDIC
AL
CEN
TER
UN
IVER
SITY
OF
WA
SHIN
GTO
N M
EDIC
AL
CTR
ST F
RA
NC
IS C
OM
MU
NIT
Y H
OSP
ITA
L
HA
RB
OR
VIE
W M
EDIC
AL
CEN
TER
ST J
OSE
PH
MED
ICA
L C
ENTE
R
Median Time from Admit Decision Time to Time of Departure from the ED for Patients Admitted to the Facility, Q2 2015 - Q1 2016
6
Median Time from Emergency Department Arrival to Emergency Department Departure for Discharged Patients
Measure Definition
The process measure is defined as the median time, in minutes, from the patient’s earliest documented arrival time at the ED to the documented time at which
the patient departed from the emergency department.
98
10
2
10
6
10
9
11
0
11
2
12
3
12
6
12
6
12
8
12
8
13
1
13
2
13
5
13
8
14
2
14
6
14
6
14
7
15
0
15
0
15
2
15
6
15
8
16
4
16
4
16
7
17
0
17
1
17
2
17
4
17
8
18
0
18
1
18
3
18
8
18
9
19
0
19
5
19
5
19
6
20
2
20
2
21
4 23
7
24
2
24
7
National Median, 140
TOP
PEN
ISH
CO
MM
UN
ITY
HO
SPIT
AL
WA
LLA
WA
LLA
GEN
ERA
L H
OSP
ITA
L
YAK
IMA
VA
LLEY
MEM
OR
IAL
HO
SPIT
AL
SWED
ISH
MED
ICA
L C
ENTE
R
SWED
ISH
ISSA
QU
AH
CA
SCA
DE
VA
LLEY
HO
SPIT
AL
PR
OV
IDEN
CE
ST M
AR
Y M
EDIC
AL…
YAK
IMA
REG
ION
AL
MED
ICA
L A
ND
…
KEN
NEW
ICK
GEN
ERA
L H
OSP
ITA
L
KA
DLE
C R
EGIO
NA
L M
EDIC
AL
CEN
TER
VA
LLEY
HO
SPIT
AL
SWED
ISH
ED
MO
ND
S H
OSP
ITA
L
CEN
TRA
L W
ASH
ING
TON
HO
SPIT
AL
EVER
GR
EEN
HEA
LTH
MO
NR
OE
SAM
AR
ITA
N H
OSP
ITA
L
SWED
ISH
MED
ICA
L C
ENTE
R /
CH
ERR
Y…
ISLA
ND
HO
SPIT
AL
HIG
HLI
NE
MED
ICA
L C
ENTE
R
CA
PIT
AL
MED
ICA
L C
ENTE
R
VIR
GIN
IA M
ASO
N M
EDIC
AL
CEN
TER
ST F
RA
NC
IS C
OM
MU
NIT
Y H
OSP
ITA
L
PEA
CH
EALT
H S
T JO
HN
MED
ICA
L C
ENTE
R
GR
AYS
HA
RB
OR
CO
MM
UN
ITY
HO
SPIT
AL
EVER
GR
EEN
HEA
LTH
MED
ICA
L C
ENTE
R
OV
ERLA
KE
HO
SPIT
AL
MED
ICA
L C
ENTE
R
PR
OV
IDEN
CE
HO
LY F
AM
ILY
HO
SPIT
AL
OLY
MP
IC M
EDIC
AL
CEN
TER
PEA
CEH
EALT
H S
T JO
SEP
H M
EDIC
AL…
PR
OV
IDEN
CE
CEN
TRA
LIA
HO
SPIT
AL
LEG
AC
Y SA
LMO
N C
REE
K M
EDIC
AL…
NO
RTH
WES
T H
OSP
ITA
L
HA
RR
ISO
N M
EMO
RIA
L H
OSP
ITA
L
VA
LLEY
MED
ICA
L C
ENTE
R
ST C
LAR
E H
OSP
ITA
L
DEA
CO
NES
S H
OSP
ITA
L
ST J
OSE
PH
MED
ICA
L C
ENTE
R
TAC
OM
A G
ENER
AL
ALL
ENM
OR
E…
ST A
NTH
ON
Y H
OSP
ITA
L
SKA
GIT
VA
LLEY
HO
SPIT
AL
PEA
CEH
EALT
H S
OU
THW
EST
MED
ICA
L…
PR
OV
IDEN
CE
ST P
ETER
HO
SPIT
AL
MU
LTIC
AR
E A
UB
UR
N M
EDIC
AL
CEN
TER
MU
LTIC
AR
E G
OO
D S
AM
AR
ITA
N…
PR
OV
IDEN
CE
REG
ION
AL
MED
ICA
L…
HA
RB
OR
VIE
W M
EDIC
AL
CEN
TER
PR
OV
IDEN
CE
SAC
RED
HEA
RT
MED
ICA
L…
UN
IVER
SITY
OF
WA
SHIN
GTO
N…
ED Arrival to ED Departure for Discharged Patients Median Time (minutes), Q2 2015 - Q1 2016
7
Left Emergency Department without Being Seen
Measure Definition
This measure is defined as the percent of patients who presented to the emergency department and signed-in to be evaluated for emergency service, but
left without being evaluated by a qualified healthcare provider.
0 0
1 1 1 1 1 1 1 1 1 1 1 1 1 1
2 2 2 2 2 2 2 2 2 2 2 2 2 2
3 3 3 3 3 3 3 3
4 4 4
5 5 5 5 5
National Median, 2
WA
LLA
WA
LLA
GEN
ERA
L H
OSP
ITA
L
SWED
ISH
ISSA
QU
AH
UN
IVER
SITY
OF
WA
SHIN
GTO
N M
EDIC
AL…
HIG
HLI
NE
MED
ICA
L C
ENTE
R
SWED
ISH
MED
ICA
L C
ENTE
R /
CH
ERR
Y H
ILL
SWED
ISH
ED
MO
ND
S H
OSP
ITA
L
SWED
ISH
MED
ICA
L C
ENTE
R
SAM
AR
ITA
N H
OSP
ITA
L
YAK
IMA
VA
LLEY
MEM
OR
IAL
HO
SPIT
AL
TOP
PEN
ISH
CO
MM
UN
ITY
HO
SPIT
AL
HA
RR
ISO
N M
EMO
RIA
L H
OSP
ITA
L
OV
ERLA
KE
HO
SPIT
AL
MED
ICA
L C
ENTE
R
KEN
NEW
ICK
GEN
ERA
L H
OSP
ITA
L
KA
DLE
C R
EGIO
NA
L M
EDIC
AL
CEN
TER
CA
SCA
DE
VA
LLEY
HO
SPIT
AL
ST A
NTH
ON
Y H
OSP
ITA
L
NO
RTH
WES
T H
OSP
ITA
L
PR
OV
IDEN
CE
ST M
AR
Y M
EDIC
AL
CEN
TER
SKA
GIT
VA
LLEY
HO
SPIT
AL
VIR
GIN
IA M
ASO
N M
EDIC
AL
CEN
TER
ISLA
ND
HO
SPIT
AL
YAK
IMA
REG
ION
AL
MED
ICA
L A
ND
…
PEA
CEH
EALT
H S
T JO
SEP
H M
EDIC
AL…
MU
LTIC
AR
E G
OO
D S
AM
AR
ITA
N H
OSP
ITA
L
EVER
GR
EEN
HEA
LTH
MO
NR
OE
ST J
OSE
PH
MED
ICA
L C
ENTE
R
VA
LLEY
HO
SPIT
AL
EVER
GR
EEN
HEA
LTH
MED
ICA
L C
ENTE
R
TAC
OM
A G
ENER
AL
ALL
ENM
OR
E H
OSP
ITA
L
CA
PIT
AL
MED
ICA
L C
ENTE
R
PR
OV
IDEN
CE
CEN
TRA
LIA
HO
SPIT
AL
ST C
LAR
E H
OSP
ITA
L
GR
AYS
HA
RB
OR
CO
MM
UN
ITY
HO
SPIT
AL
DEA
CO
NES
S H
OSP
ITA
L
OLY
MP
IC M
EDIC
AL
CEN
TER
VA
LLEY
MED
ICA
L C
ENTE
R
ST F
RA
NC
IS C
OM
MU
NIT
Y H
OSP
ITA
L
LEG
AC
Y SA
LMO
N C
REE
K M
EDIC
AL
CEN
TER
MU
LTIC
AR
E A
UB
UR
N M
EDIC
AL
CEN
TER
PEA
CH
EALT
H S
T JO
HN
MED
ICA
L C
ENTE
R
PEA
CEH
EALT
H S
OU
THW
EST
MED
ICA
L…
PR
OV
IDEN
CE
REG
ION
AL
MED
ICA
L…
PR
OV
IDEN
CE
ST P
ETER
HO
SPIT
AL
PR
OV
IDEN
CE
SAC
RED
HEA
RT
MED
ICA
L…
HA
RB
OR
VIE
W M
EDIC
AL
CEN
TER
PR
OV
IDEN
CE
HO
LY F
AM
ILY
HO
SPIT
AL
Percent of ED Patients Left without Being Seen, CY 2015
8
100 96
93 92 88 87 86
82 79 79 77 76 76 75 73 73 71 69 69
60 57
46 44 44
27
National Median, 69
Percent of Results for Stroke Patients Who Received Head CT or MRI Scan* Who Received Interpretation within 45 Minutes of ED Arrival, Q2 2015 - Q1 2016