Hospital Report
Mercyhealth Hospital and Trauma Center - Janesville
1000 Mineral Point Ave., PO Box 5003
Janesville, Wisconsin, 53548
608-756-6000
http://www.mercyhealthsystem.org
Generated: Thursday, May 9, 2024
Birth
| Measure | Hospital Result | State Average | State Benchmark | National Average | Report Period |
|---|---|---|---|---|---|
| Cesarean Birth | 20.853 | 21.95 | 14.55 | --- | 1/1/2023-12/31/2023 |
| Early Elective Delivery | 0 | 3.4 | 0 | --- | 1/1/2023-12/31/2023 |
| Exclusive Breast Milk Feeding | 59.605 | 62.99 | 76.39 | --- | 1/1/2023-12/31/2023 |
| Newborn Screening Card Transit Time | 99.837 | 98.98 | 100 | --- | 1/1/2023-12/31/2023 |
| Term Newborn Complications | 3.32 | 3.19 | 1.46 | --- | 1/1/2023-12/31/2023 |
Hip and Knee Surgical Complications
| Measure | Hospital Result | State Average | State Benchmark | National Average | Report Period |
|---|---|---|---|---|---|
| Hip and Knee Surgery Complications | 3.2 | 3.1 | 2.6 | 3.2 | 4/1/2019-3/31/2022 |
Infections
| Measure | Hospital Result | State Average | State Benchmark | National Average | Report Period |
|---|---|---|---|---|---|
| Catheter-Associated Urinary Tract Infections | 0.73 | 0.61 | 0 | 1 | 10/1/2022-9/30/2023 |
| Central Line Associated Blood Stream Infections | 0.784 | 0.69 | 0 | 1 | 10/1/2022-9/30/2023 |
| Clostridioides difficile Infections | 0.216 | 0.67 | 0 | 1 | 10/1/2022-9/30/2023 |
| Methicillin-Resistant Staph. aureus Infections | 0.739 | 0.42 | 0 | 1 | 10/1/2022-9/30/2023 |
| Surgical Site Infection - Abdominal Hysterectomy | 1.15 | 0 | 1 | 10/1/2022-9/30/2023 | |
| Surgical Site Infection - Colon Surgery | 1.453 | 0.88 | 0 | 1 | 10/1/2022-9/30/2023 |
Mortality - Conditions
| Measure | Hospital Result | State Average | State Benchmark | National Average | Report Period |
|---|---|---|---|---|---|
| Acute Stroke | 8.382 | 6.431 | 0 | 6.86 | 10/1/2022-9/30/2023 |
| Chronic Obstructive Pulmonary Disease | 10.6 | 9.3 | 7.8 | 9.2 | 7/1/2019-6/30/2022 |
| GastrointestinaI Hemorrhage | 0.902 | 2.336 | 0 | 2.51 | 10/1/2022-9/30/2023 |
| Heart Attack | 13.3 | 12.2 | 10.6 | 12.6 | 7/1/2019-6/30/2022 |
| Heart Failure | 12.9 | 12.4 | 9.9 | 11.8 | 7/1/2019-6/30/2022 |
| Hip Fracture | 3.123 | 2.376 | 0 | 1.96 | 10/1/2022-9/30/2023 |
| Pneumonia | 18.1 | 18.1 | 15.8 | 18.2 | 7/1/2019-6/30/2022 |
Mortality - Procedures
| Measure | Hospital Result | State Average | State Benchmark | National Average | Report Period |
|---|---|---|---|---|---|
| Abdominal Aortic Aneurism Repair | 1.854 | 0 | 3.61 | 10/1/2022-9/30/2023 | |
| Carotid Endarterectomy | 0.082 | 0 | 0.43 | 10/1/2022-9/30/2023 | |
| Coronary Artery Bypass Graft | 10.648 | 2.985 | 0 | 2.49 | 10/1/2022-9/30/2023 |
| Percutaneous Coronary Intervention | 2.908 | 2.262 | 0 | 3.26 | 10/1/2022-9/30/2023 |
Patient Experience
| Measure | Hospital Result | State Average | State Benchmark | National Average | Report Period |
|---|---|---|---|---|---|
| Always Quiet at Night | 51 | 66 | 76 | 62 | 4/1/2022-3/31/2023 |
| Definitely Recommend Hospital | 62 | 73 | 83 | 69 | 4/1/2022-3/31/2023 |
| Doctors Always Communicated Well | 76 | 81 | 88 | 79 | 4/1/2022-3/31/2023 |
| Nurses Always Communicated Well | 77 | 82 | 89 | 79 | 4/1/2022-3/31/2023 |
| Patient Rated Hospital High | 68 | 75 | 87 | 71 | 4/1/2022-3/31/2023 |
| Patients Always Received Requested Help | 60 | 70 | 81 | 66 | 4/1/2022-3/31/2023 |
| Patients Understood Their Care When They Left | 48 | 55 | 64 | 52 | 4/1/2022-3/31/2023 |
| Room Always Clean | 69 | 77 | 86 | 72 | 4/1/2022-3/31/2023 |
| Staff Always Explained Medications | 59 | 66 | 75 | 62 | 4/1/2022-3/31/2023 |
| Staff Provided Discharge Instructions | 89 | 89 | 93 | 86 | 4/1/2022-3/31/2023 |
Patient Safety - All Patients
| Measure | Hospital Result | State Average | State Benchmark | National Average | Report Period |
|---|---|---|---|---|---|
| Falls with Major Injury | 0.056 | 0.035 | 0 | --- | 10/1/2022-9/30/2023 |
| Healthcare Personnel Influenza Immunization | 86.88 | 83.2 | 94.8 | --- | 10/1/2022-5/15/2023 |
| Pneumothorax | 0.025 | 0.01 | 0 | 0.02 | 10/1/2022-9/30/2023 |
| Pressure Ulcers | 0 | 0.064 | 0 | 0.07 | 10/1/2022-9/30/2023 |
Patient Safety - Patients with Surgery
| Measure | Hospital Result | State Average | State Benchmark | National Average | Report Period |
|---|---|---|---|---|---|
| Perioperative Blood Clot | 0.099 | 0.235 | 0 | 0.35 | 10/1/2022-9/30/2023 |
| Perioperative Hemorrhage | 0.921 | 0.253 | 0 | 0.23 | 10/1/2022-9/30/2023 |
| Postoperative Respiratory Failure | 0.761 | 0.537 | 0 | 0.73 | 10/1/2022-9/30/2023 |
| Postoperative Sepsis | 1.255 | 0.257 | 0 | 0.43 | 10/1/2022-9/30/2023 |
Readmissions
| Measure | Hospital Result | State Average | State Benchmark | National Average | Report Period |
|---|---|---|---|---|---|
| All Cause Unplanned Readmissions | 10.6 | 9.1 | 6.38 | --- | 7/1/2022-6/30/2023 |
| Chronic Obstructive Pulmonary Disease | 17.9 | 18.8 | 17.8 | 19.3 | 7/1/2019-6/30/2022 |
| Coronary Artery Bypass Graft | 11.6 | 11 | 9.9 | 11 | 7/1/2019-6/30/2022 |
| Heart Attack | 14.4 | 13.7 | 12.5 | 14 | 7/1/2019-6/30/2022 |
| Heart Failure | 20.6 | 19.9 | 18.3 | 20.2 | 7/1/2019-6/30/2022 |
| Hip and Knee Surgery | 4.2 | 4.2 | 3.5 | 4.3 | 7/1/2019-6/30/2022 |
| Pneumonia | 16.9 | 16.6 | 15.6 | 16.9 | 7/1/2019-6/30/2022 |