Hospital Report

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Mile Bluff Medical Center

1050 Division St
Mauston, Wisconsin, 53948
608-847-6161
http://www.milebluff.com

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Generated: Monday, September 21, 2026
Measure Hospital Result State Average State Benchmark National Baseline Report Period
Newborn Screening Card Transit Time 96.203 98.13 100 --- 4/1/2025-3/31/2026
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Measure Hospital Result State Average State Benchmark National Baseline Report Period
Hip and Knee Surgery Complications 3.763 2.7 4.1 7/1/2022-6/30/2025
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Measure Hospital Result State Average State Benchmark National Baseline Report Period
Catheter-Associated Urinary Tract Infections 0.39 0 1 4/1/2025-3/31/2026
Central Line Associated Blood Stream Infections 0.52 0 1 4/1/2025-3/31/2026
Clostridioides difficile Infections 0.5 0 1 4/1/2025-3/31/2026
Methicillin-Resistant Staph. aureus Infections 0.5 0 1 4/1/2025-3/31/2026
Surgical Site Infection - Abdominal Hysterectomy 0.77 0 1 4/1/2025-3/31/2026
Surgical Site Infection - Colon Surgery 0.93 0 1 4/1/2025-3/31/2026
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Measure Hospital Result State Average State Benchmark National Baseline Report Period
Acute Stroke 4.656 0 6.95 4/1/2025-3/31/2026
Chronic Obstructive Pulmonary Disease 8.668 7.2 8.6 7/1/2022-6/30/2025
GastrointestinaI Hemorrhage 1.376 0 2.72 4/1/2025-3/31/2026
Heart Attack 11.63 10.76 11.9 7/1/2022-6/30/2025
Heart Failure 11.7 12.104 9.8 11.1 7/1/2022-6/30/2025
Hip Fracture 1.185 0 2 4/1/2025-3/31/2026
Pneumonia 17.5 15.063 12.56 15.2 7/1/2022-6/30/2025
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This hospital does not provide Mortality - Procedures Services
Measure Hospital Result State Average State Benchmark National Baseline Report Period
Always Quiet at Night 65 65 76 60 10/1/2024-9/30/2025
Definitely Recommend Hospital 72 75 85 71 10/1/2024-9/30/2025
Doctors Always Communicated Well 86 82 88 80 10/1/2024-9/30/2025
Nurses Always Communicated Well 86 83 89 80 10/1/2024-9/30/2025
Patient Rated Hospital High 75 76 87 72 10/1/2024-9/30/2025
Room Always Clean 79 78 88 74 10/1/2024-9/30/2025
Staff Always Explained Medications 73 66 76 62 10/1/2024-9/30/2025
Staff Provided Discharge Instructions 93 89 93 86 10/1/2024-9/30/2025
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Measure Hospital Result State Average State Benchmark National Baseline Report Period
Healthcare Personnel Influenza Immunization 67.283 80.64 94.26 --- 10/1/2025-5/15/2026
In Hospital Fall Associated Fracture Rate 0 0.029 0 0.03 4/1/2025-3/31/2026
Pneumothorax 0 0.009 0 0.02 4/1/2025-3/31/2026
Pressure Ulcers 0 0.063 0 0.08 4/1/2025-3/31/2026
Sepsis-1 86 72 72 65 10/1/2024-9/30/2025
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Measure Hospital Result State Average State Benchmark National Baseline Report Period
Perioperative Blood Clot 1.104 0.29 0 0.33 4/1/2025-3/31/2026
Perioperative Hemorrhage 0 0.103 0 0.23 4/1/2025-3/31/2026
Postoperative Respiratory Failure 0 0.439 0 0.72 4/1/2025-3/31/2026
Postoperative Sepsis 0 0.269 0 0.45 4/1/2025-3/31/2026
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Measure Hospital Result State Average State Benchmark National Baseline Report Period
Cesarean Birth 15.789 20.811 13.572 --- 1/1/2025-12/31/2025
Complications Excluding Blood Transfusion 0 0.433 0 --- 1/1/2025-12/31/2025
Severe Obstetric Complications 0.893 1.584 0 --- 1/1/2025-12/31/2025
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Measure Hospital Result State Average State Benchmark National Baseline Report Period
All Cause Unplanned Readmissions 9.3 9.95 6.9 --- 1/1/2025-12/31/2025
Chronic Obstructive Pulmonary Disease 19.746 18.9 20 7/1/2022-6/30/2025
Coronary Artery Bypass Graft DNR 10.526 8.66 11 7/1/2022-6/30/2025
Heart Attack 13.977 12.76 14.4 7/1/2022-6/30/2025
Heart Failure 21 21.029 19.9 21.3 7/1/2022-6/30/2025
Hip and Knee Surgery 5.834 4.8 5.8 7/1/2022-6/30/2025
Pneumonia 16.4 16.909 15.97 17.3 7/1/2022-6/30/2025
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