Hospital Report

ThedaCare Regional Medical Center-Neenah

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

Generated: Sunday, July 6, 2025
Measure Hospital Result State Average State Benchmark National Average Report Period
Newborn Screening Card Transit Time 97.03 97.61 100 --- 1/1/2024-12/31/2024
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
Measure Hospital Result State Average State Benchmark National Average Report Period
Catheter-Associated Urinary Tract Infections 0 0.61 0 1 1/1/2024-12/31/2024
Central Line Associated Blood Stream Infections 0 0.53 0 1 1/1/2024-12/31/2024
Clostridioides difficile Infections 0.698 0.57 0 1 1/1/2024-12/31/2024
Methicillin-Resistant Staph. aureus Infections 0 0.44 0 1 1/1/2024-12/31/2024
Surgical Site Infection - Abdominal Hysterectomy 1.66 0 1 1/1/2024-12/31/2024
Surgical Site Infection - Colon Surgery 0.6 0.91 0 1 1/1/2024-12/31/2024
Measure Hospital Result State Average State Benchmark National Average Report Period
Acute Stroke 3.234 5.936 0 6.83 1/1/2024-12/31/2024
Chronic Obstructive Pulmonary Disease 9.518 7.97 9.4 7/1/2020-6/30/2023
GastrointestinaI Hemorrhage 0 1.555 0 2.54 1/1/2024-12/31/2024
Heart Attack 14.5 12.112 10.86 12.6 7/1/2020-6/30/2023
Heart Failure 13.9 12.496 10.2 11.9 7/1/2020-6/30/2023
Hip Fracture 0.762 1.247 0 1.95 1/1/2024-12/31/2024
Pneumonia 21.4 17.418 14.58 17.9 7/1/2020-6/30/2023
Measure Hospital Result State Average State Benchmark National Average Report Period
Abdominal Aortic Aneurism Repair 0.977 0 3.64 1/1/2024-12/31/2024
Carotid Endarterectomy 0.268 0 0.43 1/1/2024-12/31/2024
Coronary Artery Bypass Graft NA 2.138 0 2.48 1/1/2024-12/31/2024
Percutaneous Coronary Intervention 0 2.306 0 3.31 1/1/2024-12/31/2024
Measure Hospital Result State Average State Benchmark National Average Report Period
Always Quiet at Night 54 66 78 62 7/1/2023-6/30/2024
Definitely Recommend Hospital 73 74 85 70 7/1/2023-6/30/2024
Doctors Always Communicated Well 80 82 89 80 7/1/2023-6/30/2024
Nurses Always Communicated Well 79 83 90 80 7/1/2023-6/30/2024
Patient Rated Hospital High 70 76 87 72 7/1/2023-6/30/2024
Patients Always Received Requested Help 63 71 83 67 7/1/2023-6/30/2024
Patients Understood Their Care When They Left 51 56 63 52 7/1/2023-6/30/2024
Room Always Clean 69 77 88 74 7/1/2023-6/30/2024
Staff Always Explained Medications 61 66 75 62 7/1/2023-6/30/2024
Staff Provided Discharge Instructions 89 90 94 86 7/1/2023-6/30/2024
Measure Hospital Result State Average State Benchmark National Average Report Period
Healthcare Personnel Influenza Immunization 93.705 83.41 94.79 --- 10/1/2023-5/15/2024
In Hospital Fall Associated Fracture Rate 0.013 0.034 0 0.03 1/1/2024-12/31/2024
Pneumothorax 0.038 0.01 0 0.02 1/1/2024-12/31/2024
Pressure Ulcers 0.082 0.025 0 0.07 1/1/2024-12/31/2024
Sepsis-1 64 70 69.5 63 7/1/2023-6/30/2024
Measure Hospital Result State Average State Benchmark National Average Report Period
Perioperative Blood Clot 0.146 0.149 0 0.31 1/1/2024-12/31/2024
Perioperative Hemorrhage 0.291 0.23 0 0.23 1/1/2024-12/31/2024
Postoperative Respiratory Failure 0.496 0.364 0 0.73 1/1/2024-12/31/2024
Postoperative Sepsis 0.345 0.283 0 0.42 1/1/2024-12/31/2024
Measure Hospital Result State Average State Benchmark National Average Report Period
Cesarean Birth 25.594 21.075 14.87 --- 1/1/2024-12/31/2024
Severe Obstetric Complications 0.96 1.448 0 --- 1/1/2024-12/31/2024
Measure Hospital Result State Average State Benchmark National Average Report Period
All Cause Unplanned Readmissions 10.1 9.71 7.2 --- 10/1/2023-9/30/2024
Chronic Obstructive Pulmonary Disease 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 13.5 13.55 12.6 13.7 7/1/2020-6/30/2023
Heart Failure 19.1 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 15.2 16.134 15.2 16.4 7/1/2020-6/30/2023