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About Us

Quality Data

Quality data are measurements that reflect the level of care we provide. They allow us to continually assess our performance and seek ways to improve. This information reflects our commitment to greater data transparency in health care. Data transparency provides everyone with accessible, accurate, honest and clear information about the quality of care we provide at Bozeman Health Deaconess Hospital. Wherever possible, we compare our results to statewide and national standards. This helps you better understand how we perform compared to other hospitals.

Click one of the following links to view the quality results:

Preventative Care

Patients assessed and given influenza vaccination

Why is this important?

"Influenza, or the "flu," is a respiratory illness that is caused by flu viruses and easily spread from person to person.

There are over 200,000 hospitalizations from the flu on average every year. An average of 36,000 Americans die annually due to the flu and its complications.

The best way to prevent the flu is to get a flu shot each year during the fall season. Because flu viruses change from year to year, it is important to get a flu shot each year.

Higher percentages are better."

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The rates displayed in this graph for national, Montana and top 10% hospitals are from data reported for discharges October 1, 2016 to March 31, 2017.

Healthcare workers given influenza vaccination

Why is this important?

"Influenza, or the "flu," is a respiratory illness that is caused by flu viruses and easily spread from person to person. There are over 200,000 hospitalizations from the flu on average every year.

Hospital staff and healthcare workers who are infected with the flu virus can transmit the virus to coworkers and patients, including those at higher risk for getting very sick from the flu. In order to reduce the spread of flu within a hospital, the Centers for Disease Control and Prevention recommends that all healthcare workers who work in a healthcare setting receive the flu vaccine (“flu shot”) each year.

Vaccinating healthcare workers has been found to reduce the risk of flu illness, medical visits, antibiotic use, and flu-related deaths. It is recommended that all healthcare facilities provide the flu vaccine to their healthcare workers. This measure shows the percentage of all healthcare workers in a hospital that received the flu vaccine.

Higher percentages are better."

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The rates displayed in this graph for national, Montana and top 10% hospitals are from data reported for discharges October 1, 2016 to March 31, 2017.

Pregnancy and Delivery Care

Percent of newborns whose deliveries were scheduled too early (1-2 weeks early), when a scheduled delivery was not medically necessary

Why is this important?

"Guidelines developed by doctors and researchers say it’s best to wait until the 39th completed week of pregnancy to deliver your baby because important fetal development takes place in your baby’s brain and lungs during the last few weeks of pregnancy.

Sometimes women go into early labor on their own, and early deliveries can’t be prevented. Sometimes, doctors decide that inducing labor or delivering a baby early by C-section (called "elective delivery”) is in the best interest of the mother and the baby. In these cases, early deliveries are medically necessary.

However, doctors may also decide to induce labor or deliver babies by C-section early as a convenience to themselves or their patient. This practice is not recommended. Hospitals should work with doctors and patients to avoid early elective deliveries when they are not medically necessary.

This measure shows the percent of pregnancy women who had elective deliveries 1-3 weeks early (either vaginally or by C-section) who early deliveries were not medically necessary. Higher numbers may indicate that hospitals aren't doing enough to discourage this unsafe practice.

Lower percentages are better."

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The rates displayed in this graph for national, Montana and top 10% of hospitals are from data reported for discharges July 1, 2017, to June 30, 2018.

Timely Emergency Department Care

Percentage of patients who left the emergency department before being seen by a healthcare professional

Why is this important?

Hospital emergency departments that have high percentages of patients who leave without being seen may not have the staff or resources to provide timely and effective emergency room care. Patients who leave the emergency department without being seen may be seriously ill, putting themselves at higher risk for poor health outcomes.

This measure shows the percentage of all individuals who signed into an emergency department but left before being evaluated by a healthcare professional.


Lower numbers are better.

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The rates displayed in this graph for national, Montana and top 10% hospitals are from data reported for discharges July 1, 2016 to June 30, 2017.

Percentage of patients who came to the emergency department with stroke symptoms who received brain scan results within 45 minutes of arrival

Why is this important?

Timely and effective care in hospital emergency departments is essential for good patient outcomes. Delays before getting care in the emergency department can reduce the quality of care and increase risks and discomfort for patients with serious illnesses or injuries. Waiting times at different hospitals can vary widely, depending on the number of patients seen, staffing levels, efficiency, admitting procedures, or the availability of inpatient beds.

  • People who suffer from strokes need to get treatment immediately to lessen the amount of brain damage that occurs with any stroke. A scan of the brain must be taken to determine the type and severity of the stroke before treatment can be provided.
  • Long waits may be a sign that the emergency department is understaffed or overcrowded. Delaying the diagnosis and treatment of strokes may lead to further brain damage.
  • Standards of care say that patients with stroke symptoms should get brain scan results (to diagnose whether and how severely a stroke occurred) within 45 minutes of arriving at the emergency department. This measure shows the percentage of emergency department patients with stroke symptoms who got brain scan results within that time period.

Higher percentages are better.

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The rates displayed in this graph for national, Montana and top 10% hospitals are from data reported for discharges July 1, 2016 to June 30, 2017.

HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems)

Percent of patients who reported that their nurses "Always" communicated well

Why is this important?

HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) is a national, standardized survey of hospital patients. HCAHPS (pronounced “ H-caps”) was created to publicly report the patient’s perspective of hospital care. The survey asks a random sample of recently discharged patients about important aspects of their hospital experience.The HCAHPS results posted on Hospital Compare allow consumers to make fair and objective comparisons between hospitals, and of individual hospitals to state and national benchmarks, on ten important measures of patients' perspectives of care.
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The rates displayed in this graph for national, Montana and top 10% hospitals are from data reported for discharges July 1, 2016 to June 30, 2017.

Percent of patients who reported that their doctors "Always" communicated well

Why is this important?

HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) is a national, standardized survey of hospital patients. HCAHPS (pronounced “H-caps>”) was created to publicly report the patient’s perspective of hospital care. The survey asks a random sample of recently discharged patients about important aspects of their hospital experience.The HCAHPS results posted on Hospital Compare allow consumers to make fair and objective comparisons between hospitals, and of individual hospitals to state and national benchmarks, on ten important measures of patients' perspectives of care.

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The rates displayed in this graph for national, Montana and top 10% hospitals are from data reported for discharges July 1, 2016 to June 30, 2017.

Percent of patients who reported that they "Always" received help as soon as they wanted

Why is this important?

HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) is a national, standardized survey of hospital patients. HCAHPS (pronounced “H-caps”) was created to publicly report the patient’s perspective of hospital care. The survey asks a random sample of recently discharged patients about important aspects of their hospital experience.The HCAHPS results posted on Hospital Compare allow consumers to make fair and objective comparisons between hospitals, and of individual hospitals to state and national benchmarks, on ten important measures of patients' perspectives of care.

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The rates displayed in this graph for national, Montana and top 10% hospitals are from data reported for discharges July 1, 2016 to June 30, 2017.

Percent of patients who reported that their pain was "Always" well controlled

Why is this important?

HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) is a national, standardized survey of hospital patients. HCAHPS (pronounced “H-caps”) was created to publicly report the patient’s perspective of hospital care. The survey asks a random sample of recently discharged patients about important aspects of their hospital experience.The HCAHPS results posted on Hospital Compare allow consumers to make fair and objective comparisons between hospitals, and of individual hospitals to state and national benchmarks, on ten important measures of patients' perspectives of care.

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The rates displayed in this graph for national, Montana and top 10% hospitals are from data reported for discharges July 1, 2016 to June 30, 2017.

Percent of patients who reported that staff "Always" explained about medicines before giving it to them

Why is this important?

HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) is a national, standardized survey of hospital patients. HCAHPS (pronounced “H-caps”) was created to publicly report the patient’s perspective of hospital care. The survey asks a random sample of recently discharged patients about important aspects of their hospital experience.The HCAHPS results posted on Hospital Compare allow consumers to make fair and objective comparisons between hospitals, and of individual hospitals to state and national benchmarks, on ten important measures of patients' perspectives of care.

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The rates displayed in this graph for national, Montana and top 10% hospitals are from data reported for discharges July 1, 2016 to June 30, 2017.

Percent of patients who reported that their room and bathroom were "Always" clean

Why is this important?

HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) is a national, standardized survey of hospital patients. HCAHPS (pronounced “H-caps”) was created to publicly report the patient’s perspective of hospital care. The survey asks a random sample of recently discharged patients about important aspects of their hospital experience.The HCAHPS results posted on Hospital Compare allow consumers to make fair and objective comparisons between hospitals, and of individual hospitals to state and national benchmarks, on ten important measures of patients' perspectives of care.
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The rates displayed in this graph for national, Montana and top 10% hospitals are from data reported for discharges July 1, 2016 to June 30, 2017.

Percent of patients who reported that the area around their room was "Always" quiet at night

Why is this important?

HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) is a national, standardized survey of hospital patients. HCAHPS (pronounced “H-caps”) was created to publicly report the patient’s perspective of hospital care. The survey asks a random sample of recently discharged patients about important aspects of their hospital experience.The HCAHPS results posted on Hospital Compare allow consumers to make fair and objective comparisons between hospitals, and of individual hospitals to state and national benchmarks, on ten important measures of patients' perspectives of care.

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The rates displayed in this graph for national, Montana and top 10% hospitals are from data reported for discharges July 1, 2016 to June 30, 2017.

Percent of patients at each hospital who reported that yes, they were given information about what to do during their recovery at home

Why is this important?

HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) is a national, standardized survey of hospital patients. HCAHPS (pronounced “H-caps”) was created to publicly report the patient’s perspective of hospital care. The survey asks a random sample of recently discharged patients about important aspects of their hospital experience.The HCAHPS results posted on Hospital Compare allow consumers to make fair and objective comparisons between hospitals, and of individual hospitals to state and national benchmarks, on ten important measures of patients' perspectives of care.

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The rates displayed in this graph for national, Montana and top 10% hospitals are from data reported for discharges July 1, 2016 to June 30, 2017.

Patients who "Strongly Agree" they understood their care when they left the hospital

Why is this important?

HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) is a national, standardized survey of hospital patients. HCAHPS (pronounced “ H-caps”) was created to publicly report the patient’s perspective of hospital care. The survey asks a random sample of recently discharged patients about important aspects of their hospital experience.The HCAHPS results posted on Hospital Compare allow consumers to make fair and objective comparisons between hospitals, and of individual hospitals to state and national benchmarks, on ten important measures of patients' perspectives of care.
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The rates displayed in this graph for national, Montana and top 10% hospitals are from data reported for discharges July 1, 2016 to June 30, 2017.

Percent of patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest)

Why is this important?

HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) is a national, standardized survey of hospital patients. HCAHPS (pronounced “H-caps”) was created to publicly report the patient’s perspective of hospital care. The survey asks a random sample of recently discharged patients about important aspects of their hospital experience.The HCAHPS results posted on Hospital Compare allow consumers to make fair and objective comparisons between hospitals, and of individual hospitals to state and national benchmarks, on ten important measures of patients' perspectives of care.

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The rates displayed in this graph for national, Montana and top 10% hospitals are from data reported for discharges July 1, 2016 to June 30, 2017.

Percent of patients who reported yes, they would definitely recommend the hospital

Why is this important?

HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) is a national, standardized survey of hospital patients. HCAHPS (pronounced “H-caps”) was created to publicly report the patient’s perspective of hospital care. The survey asks a random sample of recently discharged patients about important aspects of their hospital experience.The HCAHPS results posted on Hospital Compare allow consumers to make fair and objective comparisons between hospitals, and of individual hospitals to state and national benchmarks, on ten important measures of patients' perspectives of care.

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The rates displayed in this graph for national, Montana and top 10% hospitals are from data reported for discharges July 1, 2016 to June 30, 2017.

Colonoscopy Follow-up

Percentage of patients receiving appropriate recommendation for follow-up screening colonoscopy

Why is this important?

  • The U.S. Preventive Services Task Force (USPSTF)recommends screening for colorectal cancer beginning at age 50. A colonoscopy is one test doctors can use to find precancerous polyps (abnormal growths) or colorectal cancer. During a colonoscopy, your doctor can remove any polyps that are found.
  • Individuals between the ages of 50 and 75 who are not at high risk should have a colonoscopy every 10 years. For most people, the benefits of having colonoscopies more often do not outweigh the risks. Talk to your doctor about other types of cancer screening tests that may be right for you.
  • This measure shows the percentage of patients aged 50 to 75 years whose colonoscopy did not require removal of a polyp or a biopsy and who received a recommendation for having their next follow-up colonoscopy in 10 years.

Higher percentages are better.
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The rates displayed in this graph for national, Montana and top 10% hospitals are from data reported for discharges January 1, 2016 to December 31, 2016.

Percentage of patients with history of polyps receiving follow-up colonoscopy in the appropriate timeframe

Why is this important?

  • If your colonoscopy finds precancerous polyps, the length of time before you will need a follow-up colonoscopy depends on the size, type, and number of polyps removed.
  • In most cases, experts recommend waiting at least three years between the first colonoscopy that identifies the polyps and a repeat colonscopy.
  • Because colonoscopy has some risk of complications, the benefits of more frequent colonoscopies do not outweigh the risks, and is inappropriate in many cases.
  • This measure shows the percentage of patients aged 18 years and older with a history of polyp(s) in a previous colonoscopy who received a surveillance colonoscopy at least three years following their previous colonoscopy.

Higher percentages are better.
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The rates displayed in this graph for national, Montana and top 10% hospitals are from data reported for discharges January 1, 2016 to December 31, 2016.

Cancer Care

Percentage of patients receiving appropriate radiation therapy for cancer that has spread to the bone .

Why is this important?

  • In patients with certain types of cancer, it is more likely for their cancer to spread to the bone. Cancer in the bone causes pain and disability.
  • External Beam Radiation Therapy (EBRT) uses high doses of radiation to destroy cancer cells and shrink tumors. It is a common therapy to control pain, with few side effects, for patients with cancer spread to the bone.
  • Evidence has shown that short-term use of EBRT can have similar pain relief outcomes to longer-term use of this therapy, and is efficient, cost effective, and preferred by many patients.
  • For all patients with bone cancer regardless of age, this measure shows how often they receive the recommended EBRT radiation treatment. Appropriate use of EBRT prevents unnecessary exposure to radiation and decreases the frequency and severity of side effects.

Higher percentages are better.

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The rates displayed in this graph for national, Montana and top 10% hospitals are from data reported for discharges January 1, 2016 to December 31, 2016.