Washington Quality Acceleration

WSHA’s patient safety program started in 2005, when hospitals agreed to set competition aside and work together to improve the quality of health care for all patients. Since then, WSHA’s Patient Safety Program has made Washington state a national leader in improving health care delivery.

Because of WSHA’s record of success, it was awarded a contract with Centers for Medicare & Medicaid Services as part of CMS’s Partnership for Patients. As a Hospital Engagement Network (HEN), WSHA and the Washington State Medical Association partnered to support hospitals and medical practices in Washington and Oregon in their efforts to reduce patient harm.



$235 million in savings, including

  • $112 million saved through reduced hospital readmissions
  • 97% reduction in early elective deliveries ($9.6 million saved)


23,000 fewer potentially harmful events

  • 89% reduction in ventilator-associated pneumonia
  • 60% reduction in pressure ulcers
  • 38% reduction in severe sepsis and septic shock mortality resulting in 175 lives saved
  • 17% reduction in – or 42 fewer – Clostridium difficile infections
  • 13% reduction in catheter-associated blood stream infections

11,700 fewer readmissions

Click here to view a colorful infograph featuring this data.



Additional Background

To achieve these impressive results WSHA engaged with national experts who brought best medical evidence, innovative practices and on-site assistance. The importance of physician and hospital partnership to the success of Partnership for Patients cannot be understated.

Trainings were provided through WSHA’s nationally recognized Safe Tables Learning Collaboratives. Safe Tables provide a unique forum for large and small hospitals to come together on monthly calls and in-person quarterly trainings and look at data, share best practices and address specific safety and quality topics.

WSHA worked in partnership with many other organizations in these efforts, including Washington State Medical Association, Washington State Department of Health, Washington State Health Care Authority and Qualis Health.


Measure Target Submission Date Source 

Adverse drug events

40% reduction 45 days after the end of each month QBS

Adverse OB events

40% reduction Submitted quarterly QBS

Catheter-associated urinary tract infections

40% reduction

45 days after the end of each month


Central line-associated blood stream infections   

40% reduction 45 days after the end of each month NHSN

Injuries from falls and immobility

40% reduction 45 days after the end of each month QBS/CALNOC

Pressure ulcers

40% reduction Submit per state mandate, "Serious Reportable Events" DOH
Preventable readmissions 20% reduction WSHA abstracts from CHARS Qualis
Surgical site infections 40% reduction 45 days after the end of each month NHSN
Venous thromboembolism 40% reduction WSHA abstracts from CHARS CHARS 
Ventilator-associated pneumonia 40% reduction

45 days after the end of each month


Patient and family engagement* Meet all 5 criteria 

survey sent quarterly


Engaging leadership &transforming culture* Meet all 4 criteria 

Survey sent quarterly 


 *Not part of 10 Hospital Acquired Conditions Measures

Measure Definitions:

Click here for definitions for each measure


Congratulations to the winners of our 2014 ACHIEVING BEST CARE award!

Click here for the press release






WSHA hospitals share successful strategies for reducing harm. Click here for booklet and measure-specific stories.





The Safe Deliveries Road Map Safe Table Learning Collaborative:

Click here to learn more!





Tools for Cultural Transformation and Leadership Engagement - New Leadership Rounding Video now available!