Hospital Report
SSM Health St. Mary's Hospital
700 Park Street South
Madison, Wisconsin, 53715
608-251-6100
http://www.ssmhealth.com/wisconsin
Generated: Friday, July 26, 2024
Birth
Measure | Hospital Result | State Average | State Benchmark | National Average | Report Period |
---|---|---|---|---|---|
Newborn Screening Card Transit Time | 100 | 0 | 0 | --- | 4/1/2023-3/31/2024 |
Hip and Knee Surgical Complications
Measure | Hospital Result | State Average | State Benchmark | National Average | Report Period |
---|---|---|---|---|---|
Hip and Knee Surgery Complications | 3.1 | 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 | 0.225 | 0.63 | 0 | 1 | 1/1/2023-12/31/2023 |
Central Line Associated Blood Stream Infections | 0.452 | 0.69 | 0 | 1 | 1/1/2023-12/31/2023 |
Clostridioides difficile Infections | 0.144 | 0.54 | 0 | 1 | 1/1/2023-12/31/2023 |
Methicillin-Resistant Staph. aureus Infections | 0.409 | 0.47 | 0 | 1 | 1/1/2023-12/31/2023 |
Surgical Site Infection - Abdominal Hysterectomy | 0 | 1.11 | 0 | 1 | 1/1/2023-12/31/2023 |
Surgical Site Infection - Colon Surgery | 1.331 | 0.85 | 0 | 1 | 1/1/2023-12/31/2023 |
Mortality - Conditions
Measure | Hospital Result | State Average | State Benchmark | National Average | Report Period |
---|---|---|---|---|---|
Acute Stroke | 5.038 | 4.924 | 0 | 6.86 | 1/1/2023-12/31/2023 |
Chronic Obstructive Pulmonary Disease | 9.7 | 9.3 | 7.8 | 9.2 | 7/1/2019-6/30/2022 |
GastrointestinaI Hemorrhage | 1.436 | 2.194 | 0 | 2.51 | 1/1/2023-12/31/2023 |
Heart Attack | 12.1 | 12.2 | 10.6 | 12.6 | 7/1/2019-6/30/2022 |
Heart Failure | 13.4 | 12.4 | 9.9 | 11.8 | 7/1/2019-6/30/2022 |
Hip Fracture | 2.573 | 2.15 | 0 | 1.96 | 1/1/2023-12/31/2023 |
Pneumonia | 18.4 | 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 | 9.689 | 1.978 | 0 | 3.61 | 1/1/2023-12/31/2023 |
Carotid Endarterectomy | 0 | 0.055 | 0 | 0.43 | 1/1/2023-12/31/2023 |
Coronary Artery Bypass Graft | 1.829 | 2.589 | 0 | 2.49 | 1/1/2023-12/31/2023 |
Percutaneous Coronary Intervention | 2.853 | 1.971 | 0 | 3.26 | 1/1/2023-12/31/2023 |
Patient Experience
Measure | Hospital Result | State Average | State Benchmark | National Average | Report Period |
---|---|---|---|---|---|
Always Quiet at Night | 60 | 66 | 76 | 62 | 7/1/2022-6/30/2023 |
Definitely Recommend Hospital | 72 | 73 | 84 | 69 | 7/1/2022-6/30/2023 |
Doctors Always Communicated Well | 80 | 82 | 88 | 80 | 7/1/2022-6/30/2023 |
Nurses Always Communicated Well | 78 | 83 | 89 | 79 | 7/1/2022-6/30/2023 |
Patient Rated Hospital High | 72 | 75 | 85 | 71 | 7/1/2022-6/30/2023 |
Patients Always Received Requested Help | 54 | 70 | 80 | 66 | 7/1/2022-6/30/2023 |
Patients Understood Their Care When They Left | 51 | 55 | 65 | 52 | 7/1/2022-6/30/2023 |
Room Always Clean | 74 | 77 | 86 | 73 | 7/1/2022-6/30/2023 |
Staff Always Explained Medications | 58 | 66 | 75 | 62 | 7/1/2022-6/30/2023 |
Staff Provided Discharge Instructions | 86 | 89 | 93 | 86 | 7/1/2022-6/30/2023 |
Patient Safety - All Patients
Measure | Hospital Result | State Average | State Benchmark | National Average | Report Period |
---|---|---|---|---|---|
Healthcare Personnel Influenza Immunization | 93.53 | 83.2 | 94.8 | --- | 10/1/2022-5/15/2023 |
Pneumothorax | 0.015 | 0.008 | 0 | 0.02 | 1/1/2023-12/31/2023 |
Pressure Ulcers | 0.044 | 0.063 | 0 | 0.07 | 1/1/2023-12/31/2023 |
Sepsis-1 | 69 | 66 | 67.5 | 60 | 4/1/2022-3/31/2023 |
Patient Safety - Patients with Surgery
Measure | Hospital Result | State Average | State Benchmark | National Average | Report Period |
---|---|---|---|---|---|
In Hospital Fall Associated Fracture Rate | 0.023 | 0.028 | 0 | 0.03 | 1/1/2023-12/31/2023 |
Perioperative Blood Clot | 0.151 | 0.215 | 0 | 0.35 | 1/1/2023-12/31/2023 |
Perioperative Hemorrhage | 0.307 | 0.27 | 0 | 0.23 | 1/1/2023-12/31/2023 |
Postoperative Respiratory Failure | 0.505 | 0.554 | 0 | 0.73 | 1/1/2023-12/31/2023 |
Postoperative Sepsis | 0.32 | 0.247 | 0 | 0.43 | 1/1/2023-12/31/2023 |
Readmissions
Measure | Hospital Result | State Average | State Benchmark | National Average | Report Period |
---|---|---|---|---|---|
All Cause Unplanned Readmissions | 10.6 | 9.13 | 6.56 | --- | 10/1/2022-9/30/2023 |
Chronic Obstructive Pulmonary Disease | 19 | 18.8 | 17.8 | 19.3 | 7/1/2019-6/30/2022 |
Coronary Artery Bypass Graft | 9.9 | 11 | 9.9 | 11 | 7/1/2019-6/30/2022 |
Heart Attack | 13.9 | 13.7 | 12.5 | 14 | 7/1/2019-6/30/2022 |
Heart Failure | 17.7 | 19.9 | 18.3 | 20.2 | 7/1/2019-6/30/2022 |
Hip and Knee Surgery | 3.5 | 4.2 | 3.5 | 4.3 | 7/1/2019-6/30/2022 |
Pneumonia | 16.7 | 16.6 | 15.6 | 16.9 | 7/1/2019-6/30/2022 |