Hospital Report

ThedaCare Regional Medical Center-Neenah

130 Second Street
Neenah, Wisconsin, 54956-2883
920-729-3100
http://www.thedacare.org

Generated: Sunday, April 14, 2024
Measure Hospital Result State Average State Benchmark National Average Report Period
Cesarean Birth 25.214 21.77 11.65 --- 10/1/2022-9/30/2023
Early Elective Delivery 0.82 3.31 0 --- 10/1/2022-9/30/2023
Exclusive Breast Milk Feeding 58.34 62.92 77.55 --- 10/1/2022-9/30/2023
Newborn Screening Card Transit Time 99.057 98.71 100 --- 10/1/2022-9/30/2023
Term Newborn Complications 8.066 3.37 1.31 --- 10/1/2022-9/30/2023
Measure Hospital Result State Average State Benchmark National Average Report Period
Hip and Knee Surgery Complications DNR 3.1 2.6 3.2 4/1/2019-3/31/2022
Measure Hospital Result State Average State Benchmark National Average Report Period
Catheter-Associated Urinary Tract Infections 0.359 0.61 0 1 10/1/2022-9/30/2023
Central Line Associated Blood Stream Infections 0 0.69 0 1 10/1/2022-9/30/2023
Clostridioides difficile Infections 0.607 0.67 0 1 10/1/2022-9/30/2023
Methicillin-Resistant Staph. aureus Infections 0 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 0.281 0.88 0 1 10/1/2022-9/30/2023
Measure Hospital Result State Average State Benchmark National Average Report Period
Acute Stroke 6.314 6.431 0 6.86 10/1/2022-9/30/2023
Chronic Obstructive Pulmonary Disease DNR 9.3 7.8 9.2 7/1/2019-6/30/2022
GastrointestinaI Hemorrhage 3.524 2.336 0 2.51 10/1/2022-9/30/2023
Heart Attack 14 12.2 10.6 12.6 7/1/2019-6/30/2022
Heart Failure 14.1 12.4 9.9 11.8 7/1/2019-6/30/2022
Hip Fracture 1.528 2.376 0 1.96 10/1/2022-9/30/2023
Pneumonia 19 18.1 15.8 18.2 7/1/2019-6/30/2022
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 NA 2.985 0 2.49 10/1/2022-9/30/2023
Percutaneous Coronary Intervention 2.262 0 3.26 10/1/2022-9/30/2023
Measure Hospital Result State Average State Benchmark National Average Report Period
Always Quiet at Night 53 66 76 62 4/1/2022-3/31/2023
Definitely Recommend Hospital 70 73 83 69 4/1/2022-3/31/2023
Doctors Always Communicated Well 79 81 88 79 4/1/2022-3/31/2023
Nurses Always Communicated Well 78 82 89 79 4/1/2022-3/31/2023
Patient Rated Hospital High 67 75 87 71 4/1/2022-3/31/2023
Patients Always Received Requested Help 58 70 81 66 4/1/2022-3/31/2023
Patients Understood Their Care When They Left 51 55 64 52 4/1/2022-3/31/2023
Room Always Clean 65 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 87 89 93 86 4/1/2022-3/31/2023
Measure Hospital Result State Average State Benchmark National Average Report Period
Falls with Major Injury 0.045 0.035 0 --- 10/1/2022-9/30/2023
Healthcare Personnel Influenza Immunization 58.09 83.2 94.8 --- 10/1/2022-5/15/2023
Pneumothorax 0.038 0.01 0 0.02 10/1/2022-9/30/2023
Pressure Ulcers 0.221 0.064 0 0.07 10/1/2022-9/30/2023
Measure Hospital Result State Average State Benchmark National Average Report Period
Perioperative Blood Clot 0.033 0.235 0 0.35 10/1/2022-9/30/2023
Perioperative Hemorrhage 0.227 0.253 0 0.23 10/1/2022-9/30/2023
Postoperative Respiratory Failure 0.527 0.537 0 0.73 10/1/2022-9/30/2023
Postoperative Sepsis 0.258 0.257 0 0.43 10/1/2022-9/30/2023
Measure Hospital Result State Average State Benchmark National Average Report Period
All Cause Unplanned Readmissions 9.2 9.1 6.38 --- 7/1/2022-6/30/2023
Chronic Obstructive Pulmonary Disease 18.8 17.8 19.3 7/1/2019-6/30/2022
Coronary Artery Bypass Graft NA 11 9.9 11 7/1/2019-6/30/2022
Heart Attack 13.7 12.5 14 7/1/2019-6/30/2022
Heart Failure 18.8 19.9 18.3 20.2 7/1/2019-6/30/2022
Hip and Knee Surgery 4.2 3.5 4.3 7/1/2019-6/30/2022
Pneumonia 16.6 16.6 15.6 16.9 7/1/2019-6/30/2022