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Clinical Outcomes and Quality

Ettore Palazzo, MD

Ettore Palazzo, MD, FACP
Chief Medical & Quality Officer

On behalf of all of us at EvergreenHealth who are committed to ensuring your clinical care and outcomes are the best they can possibly be, thank you for taking the time to visit this page. You will be hard pressed nowadays to find a health care system that doesn't claim it is 'committed to quality'. And, it's a genuine claim – organizations around the country are united to ensure that you and your family get the highest level of quality during hospitalization or a clinical visit.

But what does 'quality' in health care mean and how can you measure the quality of your care? How might knowing the quality of your provider influence your decisions?

As you research health care quality, a number of indicators can be compared. Fortunately, in recent years our industry has moved much further towards complete transparency – and there are a wealth of resources now available to help you make informed decisions about your care.

We are pleased to provide you with information to help explain quality standards in specific clinical areas. If you cannot find the information you seek, I welcome you to contact us at

How to Measure Hospital Quality

While there is much data available to highlight a health care organization's quality efforts and outcomes, no single source can definitively measure overall quality. Consulting a number of sources related specifically to your area of interest will serve as a helpful measure of where and from whom to get the highest quality care for your medical needs. By researching health care quality, you can make informed choices about where to receive treatment and also better understand the risks involved with some procedures.

At EvergreenHealth, we comply with all local, state and federal laws and regulations, including regular survey and inspection by organizations including the State Department of Health, Centers for Medicare and Medicaid Services, Joint Commission on Accreditation of Healthcare Organization, American College of Surgeons and many others.

We also participate in voluntary public reporting systems such as the Hospital Compare and The Leapfrog Group, among others. We support transparency and believe that the residents of our community benefit when able to directly compare health care systems on quality measurements.

We commit ourselves to continuous quality improvement. Our multidisciplinary improvement teams, comprised of doctors, nurses, hospital leadership and other health care professionals, are dedicated to enhancing quality in many areas; examples include communication, medication management, heart failure, heart attack, pneumonia and stroke.

Independent Third-Party Quality Information

To support your exploration of hospital and health system quality, below is information about the many agencies and groups that track health care quality and provide independent data, including information on EvergreenHealth.

The Joint Commission

Joint Commission accreditation and certification is recognized nationwide as a symbol of quality. This independent, not-for-profit organization provides accreditation and certification for nearly 15,000 health care organizations and programs in the United States that meet certain performance standards.

Hospital Compare (Centers for Medicare & Medicaid Services)

Hospital Compare is a product of the Centers for Medicare & Medicaid Services (CMS) and the Hospital Quality Alliance (HQA). The Hospital Compare website provides information on how well hospitals care for patients with certain medical conditions or surgical procedures, along with the results from a survey of patients about their experience during a recent hospital stay. The information comes from hospitals that have agreed to submit quality information to the public at

Washington State Hospital Association

The Washington State Hospital Association (WSHA) has undertaken a significant effort to become a source of important information about hospital quality for patients. WSHA believes quality means that health care providers are taking the right steps at the right time, and patients are healthier because of it.

You can compare hospital quality scores and compare EvergreenHealth to other area hospitals. Search by type of care, look at all hospitals in a region, and learn more about how to be an informed, engaged patient at


Healthgrades is one of the nation's leading health care ratings organizations, providing ratings and profiles of hospitals, nursing homes and physicians to consumers, corporations, health plans and hospitals. The complication or mortality rate of 26 different diagnoses or procedures can be viewed at

Consumer Reports

Consumer Reports is now rating hospitals on measures including overall patient satisfaction, attentiveness of hospital staff, effectiveness of communication and more at (requires paid subscription).

Washington Health Alliance

The Washington Health Alliance is a statewide partnership involving employers, physicians, hospitals, patients and health plans to improve quality while reducing health care cost increases. Washington Health Alliance releases its "community checkup" comparing the quality of care provided by local ambulatory care clinics. Learn more at

Clinical Outcomes Assessment Program (COAP)

COAP provides Washington state hospital outcomes data for percutaneous coronary intervention (PCI) and coronary bypass graft surgery (CABG). The COAP initiative works with hospitals to promote transparency and to improve quality of care and accountability in the health-care industry can be viewed at

Awards & Recognition

Awards confirm our commitment to provide the highest quality care and patient experience. These clinical achievement awards were accomplished by the work of our dedicated and talented physicians, nurses, staff and volunteers. View all of EvergreenHealth's awards.