Hospital Report

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Western Wisconsin Health

1100 Bergslien Street
Baldwin, Wisconsin, 54002-2600
715-684-1111
http://www.wwhealth.org

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Generated: Friday, March 21, 2025
Measure Hospital Result State Average State Benchmark National Average Report Period
Newborn Screening Card Transit Time 94.044 98.53 100 --- 7/1/2023-6/30/2024
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Measure Hospital Result State Average State Benchmark National Average Report Period
Hip and Knee Surgery Complications 3.285 2.76 3.5 7/1/2020-6/30/2023
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Measure Hospital Result State Average State Benchmark National Average Report Period
Catheter-Associated Urinary Tract Infections DNR 0.62 0 1 10/1/2023-9/30/2024
Central Line Associated Blood Stream Infections DNR 0.53 0 1 10/1/2023-9/30/2024
Clostridioides difficile Infections DNR 0.63 0 1 10/1/2023-9/30/2024
Methicillin-Resistant Staph. aureus Infections DNR 0.4 0 1 10/1/2023-9/30/2024
Surgical Site Infection - Abdominal Hysterectomy DNR 1.62 0 1 10/1/2023-9/30/2024
Surgical Site Infection - Colon Surgery DNR 1.07 0 1 10/1/2023-9/30/2024
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Measure Hospital Result State Average State Benchmark National Average Report Period
Acute Stroke 5.938 0 6.83 10/1/2023-9/30/2024
Chronic Obstructive Pulmonary Disease 9.518 7.97 9.4 7/1/2020-6/30/2023
GastrointestinaI Hemorrhage 1.633 0 2.54 10/1/2023-9/30/2024
Heart Attack 12.112 10.86 12.6 7/1/2020-6/30/2023
Heart Failure 12.496 10.2 11.9 7/1/2020-6/30/2023
Hip Fracture 1.022 0 1.95 10/1/2023-9/30/2024
Pneumonia 17.418 14.58 17.9 7/1/2020-6/30/2023
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This hospital does not provide Mortality - Procedures Services
Measure Hospital Result State Average State Benchmark National Average Report Period
Always Quiet at Night 65 67 80 62 4/1/2023-3/31/2024
Definitely Recommend Hospital 84 74 85 70 4/1/2023-3/31/2024
Doctors Always Communicated Well 80 82 89 80 4/1/2023-3/31/2024
Nurses Always Communicated Well 86 83 90 80 4/1/2023-3/31/2024
Patient Rated Hospital High 83 76 86 72 4/1/2023-3/31/2024
Patients Always Received Requested Help 76 71 83 67 4/1/2023-3/31/2024
Patients Understood Their Care When They Left 61 56 64 52 4/1/2023-3/31/2024
Room Always Clean 78 77 88 74 4/1/2023-3/31/2024
Staff Always Explained Medications 69 66 76 62 4/1/2023-3/31/2024
Staff Provided Discharge Instructions 92 90 93 86 4/1/2023-3/31/2024
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Measure Hospital Result State Average State Benchmark National Average Report Period
Healthcare Personnel Influenza Immunization 88.397 83.41 94.79 --- 10/1/2023-5/15/2024
In Hospital Fall Associated Fracture Rate 0 0.015 0 0.03 10/1/2023-9/30/2024
Pneumothorax 0 0.009 0 0.02 10/1/2023-9/30/2024
Pressure Ulcers 0 0.029 0 0.07 10/1/2023-9/30/2024
Sepsis-1 59 69 70 62 4/1/2023-3/31/2024
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Measure Hospital Result State Average State Benchmark National Average Report Period
Perioperative Blood Clot 1.759 0.148 0 0.31 10/1/2023-9/30/2024
Perioperative Hemorrhage 0 0.233 0 0.23 10/1/2023-9/30/2024
Postoperative Respiratory Failure 0 0.259 0 0.73 10/1/2023-9/30/2024
Postoperative Sepsis 0 0.324 0 0.42 10/1/2023-9/30/2024
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Measure Hospital Result State Average State Benchmark National Average Report Period
All Cause Unplanned Readmissions 8.5 9.57 6.76 --- 7/1/2023-6/30/2024
Chronic Obstructive Pulmonary Disease 18.139 17.3 18.5 7/1/2020-6/30/2023
Coronary Artery Bypass Graft DNR 10.679 9.8 10.7 7/1/2020-6/30/2023
Heart Attack DNR 13.55 12.6 13.7 7/1/2020-6/30/2023
Heart Failure 19.6 19.4 17.91 19.8 7/1/2020-6/30/2023
Hip and Knee Surgery 4.33 3.76 4.5 7/1/2020-6/30/2023
Pneumonia 16.134 15.2 16.4 7/1/2020-6/30/2023
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