This database was last updated in September 2019. It should only be used as
a historical snapshot.Researchers can find more recent data on timely and
effective care in the Centers for Medicare and Medicaid Services’
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TRIOS
900 south auburn street, kennewick, Wash. 99336
(509) 586-6111
68% of Patients Would "Definitely Recommend" this Hospital
(Wash. Avg: 72%)
4 violations related to ER care since 2015
Hospital Type
Acute Care Hospitals
Hospital Owner
Government - Hospital District or Authority
ER Volume
Medium (20K - 40K patients a year)
See this hospital's CMS profile page or inspection reports.
Patient Pathways Through This ER
After a patient arrives at the emergency room, they are typically seen by a doctor or medical practitioner and then either sent home or admitted to the hospital and taken to a room. A small percentage of patients leave without being seen. The chart below shows on average how long each of these pathways take. Lower numbers are better, and all times refer to the average length of time people waited.
All wait times are average.
Detailed Quality Measures
Here is a more in depth look at each quality measure, compared to state and national averages for hospitals with medium ER volumes. Experts caution that very small differences between hospitals for a given measure are unlikely to correspond to noticeable differences in the real world.
Time Until Sent Home
Average time patients spent in the emergency room before being sent home (if not admitted).
Left Without
Being Seen
Percentage of patients who left the emergency room without being seen by a doctor or medical practitioner.
Time Before Admission
Average time patients spent in the emergency room before being admitted to the hospital.
Data submitted were based on a sample of cases/patients.
Transfer Time
Among patients admitted, additional time they spent waiting before being taken to their room (sometimes referred to as "boarding time.")
Data submitted were based on a sample of cases/patients.
CT Scan
Percentage of patients who arrived with stroke symptoms and did not receive brain scan results within 45 mins.
Violations Related to ER Care
Problems found in emergency rooms at this hospital since 2015, as identified during the investigation of a complaint. About This Data →
COMPLIANCE WITH 489.24
Dec 14, 2018
Based on observation, review of patient records, hospital policies and procedures and staff interviews, the hospital failed to comply with all requirements of 489.24. Refer to citations and examples at: A 2402 (489.20(q)) Required Signage - Hospital failed to ensure that public signage clearly specified that there was no Emergency Department at the Women and Children's Hospital campus and was posted in areas likely to be noticed by individuals entering the building. A 2405 (489.20 (r) (3)) emergency room Log - The hospital failed to ensure that all individuals who arrived at the Women and Children's Hospital requesting care were registered in a Log with pertinent information and documentation of their condition and disposition as determined by a qualified staff member. A 2406 (489.24(a)) Medical Screening Exam - The Hospital failed to appropriately assess and stabilize a mental health patient prior to sending them to the Mental Health Crisis Office (Patient #26); and failed to provide a procedure at the Women and Children's Hospital by which a staff member qualified by education and experience was available to screen individuals entering the building seeking medical assistance.
See More ↓POSTING OF SIGNS
Dec 14, 2018
Based on observation and interview, the Hospital failed to ensure that public signage clearly specified that there was no Emergency Department at the Women and Children's Hospital campus and that the information was posted in areas likely to be noticed by individuals coming to the campus or entering the building. Failure to effectively educate and notify the public of the absence of emergency services delayed access to care, and risked patient health. Findings were: During Tour of the Women and Children's Hospital campus on 12/13/18 at 12:30 PM, it was noted that signage outside the hospital, readily seen by the public, specified "Women and Children's Hospital." There was no signage information that Emergency Services were not available at the campus.
See More ↓EMERGENCY ROOM LOG
Dec 14, 2018
Based on observations and interviews, the hospital failed to ensure that all individuals who arrived at the Women and Children's Hospital seeking Emergency Care were registered in a Log with pertinent information and documentation of their condition and disposition as determined by a qualified staff member. Failure to log these patients risked losing important information as to the number of patients arriving at the Women and Children's Hospital for emergency care, their care needs, and disposition. Findings were: During interview with the Security Guard at the Women and Children's Hospital campus on 12/13/18 at 12:40 PM, it was revealed that the "Walk In Disposition Log" that staff previously used to document each patient arriving and seeking medical care had been discontinued.
See More ↓MEDICAL SCREENING EXAM
Dec 14, 2018
Based on review of hospital policy and procedure, record review and staff interview, the hospital failed to appropriately assess and stabilize a mental health patient prior to sending them to the Mental Health Crisis Office (Patient #26); failed to ensure that individuals entering the building seeking medical assistance were initially screened by qualified staff; and failed to specify in hospital regulations or bylaws which medically qualified personnel had been determined qualified to conduct emergency medical screening exams (MSEs).
See More ↓Notes
“Average time” refers to the median wait time (the midpoint of all patients' wait times). References to “doctor or medical practitioner” indicate a doctor, nurse practitioner or physician's assistant. CMS reports the CT scan quality measure as the percentage of patients who received a scan within 45 minutes. We have reversed that measure so that all measures follow a “lower is better” pattern.
Additional design and development by Mike Tigas and Sisi Wei.
Sources
All data comes from the Centers for Medicare and Medicaid Services. Detailed quality measures at the hospital, state and national level were last updated September 2019. Most data was collected between October 2017 and October 2018. Data on ER-related violations is from January 2015 to June 2019.
Additional Info
How We've Updated ER Inspector | Download ProPublica's Emergency Room Planning Toolkit | About This Data
Don’t See Your ER?
In some cases we aren’t able to identify the exact location of a hospital, so it doesn’t appear on our mapped search results. However, it may still be in our database – try looking for it in the list of hospitals on each state's page.
In other cases, the hospital is missing from our database because it doesn't have an emergency department.
In other cases, the hospital is missing from the federal government’s Centers for Medicare and Medicaid Services (CMS) data. There are a couple of reasons why a hospital isn’t included in CMS data: it may not participate in Medicare, or it may share a certification number with another hospital (common across large hospital systems).
If you notice a hospital missing from our database, please first check if you can find it on CMS' website, and that it is listed as having an ER. If so, please email us with the hospital name and address.