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HSHS St. Mary's Hospital Medical Center

1726 Shawano Avenue
Green Bay, Wisconsin, 54303-3282
920-498-4200
http://www.hshs.org/StMarysGreenBay

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Generated: Sunday, March 16, 2025
This hospital does not provide Birth Services
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
Compare to other Hospitals
Measure Hospital Result State Average State Benchmark National Average Report Period
Catheter-Associated Urinary Tract Infections 0.751 0.62 0 1 10/1/2023-9/30/2024
Central Line Associated Blood Stream Infections 0 0.53 0 1 10/1/2023-9/30/2024
Clostridioides difficile Infections 0.507 0.63 0 1 10/1/2023-9/30/2024
Methicillin-Resistant Staph. aureus Infections 0 0.4 0 1 10/1/2023-9/30/2024
Surgical Site Infection - Abdominal Hysterectomy 1.62 0 1 10/1/2023-9/30/2024
Surgical Site Infection - Colon Surgery 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 11.727 5.938 0 6.83 10/1/2023-9/30/2024
Chronic Obstructive Pulmonary Disease 10.8 9.518 7.97 9.4 7/1/2020-6/30/2023
GastrointestinaI Hemorrhage 3.086 1.633 0 2.54 10/1/2023-9/30/2024
Heart Attack 11.4 12.112 10.86 12.6 7/1/2020-6/30/2023
Heart Failure 14.4 12.496 10.2 11.9 7/1/2020-6/30/2023
Hip Fracture 0 1.022 0 1.95 10/1/2023-9/30/2024
Pneumonia 19.5 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 NA 1.408 0 3.64 10/1/2023-9/30/2024
Carotid Endarterectomy NA 0.214 0 0.43 10/1/2023-9/30/2024
Coronary Artery Bypass Graft NA 2.613 0 2.48 10/1/2023-9/30/2024
Percutaneous Coronary Intervention 3.745 2.184 0 3.31 10/1/2023-9/30/2024
Compare to other Hospitals
Measure Hospital Result State Average State Benchmark National Average Report Period
Always Quiet at Night 59 67 80 62 4/1/2023-3/31/2024
Definitely Recommend Hospital 62 74 85 70 4/1/2023-3/31/2024
Doctors Always Communicated Well 79 82 89 80 4/1/2023-3/31/2024
Nurses Always Communicated Well 77 83 90 80 4/1/2023-3/31/2024
Patient Rated Hospital High 67 76 86 72 4/1/2023-3/31/2024
Patients Always Received Requested Help 57 71 83 67 4/1/2023-3/31/2024
Patients Understood Their Care When They Left 49 56 64 52 4/1/2023-3/31/2024
Room Always Clean 64 77 88 74 4/1/2023-3/31/2024
Staff Always Explained Medications 58 66 76 62 4/1/2023-3/31/2024
Staff Provided Discharge Instructions 86 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 87.729 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 0.125 0.029 0 0.07 10/1/2023-9/30/2024
Sepsis-1 57 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 0.148 0.148 0 0.31 10/1/2023-9/30/2024
Perioperative Hemorrhage 0.702 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 0.754 0.324 0 0.42 10/1/2023-9/30/2024
Compare to other Hospitals
Measure Hospital Result State Average State Benchmark National Average Report Period
All Cause Unplanned Readmissions 8.4 9.57 6.76 --- 7/1/2023-6/30/2024
Chronic Obstructive Pulmonary Disease 18.2 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 12.5 13.55 12.6 13.7 7/1/2020-6/30/2023
Heart Failure 18.5 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 16.2 16.134 15.2 16.4 7/1/2020-6/30/2023
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