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Ascension SE Wisconsin Hospital - Elmbrook Campus

19333 West North Avenue
Brookfield, Wisconsin, 53045
262-785-2000
http://healthcare.ascension.org/locations/wisconsin

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Generated: Monday, June 9, 2025
This hospital does not provide Birth Services
Measure Hospital Result State Average State Benchmark National Average Report Period
Hip and Knee Surgery Complications 2.9 3.285 2.76 3.5 7/1/2020-6/30/2023
Compare to other Hospitals
Measure Hospital Result State Average State Benchmark National Average Report Period
Catheter-Associated Urinary Tract Infections 0.61 0 1 1/1/2024-12/31/2024
Central Line Associated Blood Stream Infections 0.53 0 1 1/1/2024-12/31/2024
Clostridioides difficile Infections 1.199 0.57 0 1 1/1/2024-12/31/2024
Methicillin-Resistant Staph. aureus Infections 0.44 0 1 1/1/2024-12/31/2024
Surgical Site Infection - Abdominal Hysterectomy 1.66 0 1 1/1/2024-12/31/2024
Surgical Site Infection - Colon Surgery 0 0.91 0 1 1/1/2024-12/31/2024
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Measure Hospital Result State Average State Benchmark National Average Report Period
Acute Stroke 4.41 5.936 0 6.83 1/1/2024-12/31/2024
Chronic Obstructive Pulmonary Disease 10.7 9.518 7.97 9.4 7/1/2020-6/30/2023
GastrointestinaI Hemorrhage 0 1.555 0 2.54 1/1/2024-12/31/2024
Heart Attack 12.1 12.112 10.86 12.6 7/1/2020-6/30/2023
Heart Failure 12.2 12.496 10.2 11.9 7/1/2020-6/30/2023
Hip Fracture 1.317 1.247 0 1.95 1/1/2024-12/31/2024
Pneumonia 15.1 17.418 14.58 17.9 7/1/2020-6/30/2023
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Measure Hospital Result State Average State Benchmark National Average Report Period
Abdominal Aortic Aneurism Repair 0.977 0 3.64 1/1/2024-12/31/2024
Carotid Endarterectomy 0.268 0 0.43 1/1/2024-12/31/2024
Coronary Artery Bypass Graft NA 2.138 0 2.48 1/1/2024-12/31/2024
Percutaneous Coronary Intervention 0 2.306 0 3.31 1/1/2024-12/31/2024
Compare to other Hospitals
Measure Hospital Result State Average State Benchmark National Average Report Period
Always Quiet at Night 56 66 78 62 7/1/2023-6/30/2024
Definitely Recommend Hospital 65 74 85 70 7/1/2023-6/30/2024
Doctors Always Communicated Well 78 82 89 80 7/1/2023-6/30/2024
Nurses Always Communicated Well 75 83 90 80 7/1/2023-6/30/2024
Patient Rated Hospital High 65 76 87 72 7/1/2023-6/30/2024
Patients Always Received Requested Help 58 71 83 67 7/1/2023-6/30/2024
Patients Understood Their Care When They Left 49 56 63 52 7/1/2023-6/30/2024
Room Always Clean 66 77 88 74 7/1/2023-6/30/2024
Staff Always Explained Medications 60 66 75 62 7/1/2023-6/30/2024
Staff Provided Discharge Instructions 86 90 94 86 7/1/2023-6/30/2024
Compare to other Hospitals
Measure Hospital Result State Average State Benchmark National Average Report Period
Healthcare Personnel Influenza Immunization DNR 83.41 94.79 --- 10/1/2023-5/15/2024
In Hospital Fall Associated Fracture Rate 0.033 0.034 0 0.03 1/1/2024-12/31/2024
Pneumothorax 0.075 0.01 0 0.02 1/1/2024-12/31/2024
Pressure Ulcers 0 0.025 0 0.07 1/1/2024-12/31/2024
Sepsis-1 66 70 69.5 63 7/1/2023-6/30/2024
Compare to other Hospitals
Measure Hospital Result State Average State Benchmark National Average Report Period
Perioperative Blood Clot 0.226 0.149 0 0.31 1/1/2024-12/31/2024
Perioperative Hemorrhage 0.137 0.23 0 0.23 1/1/2024-12/31/2024
Postoperative Respiratory Failure 0.939 0.364 0 0.73 1/1/2024-12/31/2024
Postoperative Sepsis 0.179 0.283 0 0.42 1/1/2024-12/31/2024
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This hospital does not provide Perinatal Services
Measure Hospital Result State Average State Benchmark National Average Report Period
All Cause Unplanned Readmissions 9.8 9.71 7.2 --- 10/1/2023-9/30/2024
Chronic Obstructive Pulmonary Disease 19 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 14.3 13.55 12.6 13.7 7/1/2020-6/30/2023
Heart Failure 17.6 19.4 17.91 19.8 7/1/2020-6/30/2023
Hip and Knee Surgery 4.2 4.33 3.76 4.5 7/1/2020-6/30/2023
Pneumonia 16.7 16.134 15.2 16.4 7/1/2020-6/30/2023
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