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Ascension NE Wisconsin - Mercy Campus

500 S. Oakwood Road
Oshkosh, Wisconsin, 54904
920-223-2000
http://www.ascension.org

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Generated: Saturday, April 4, 2026
This hospital does not provide Birth Services
Measure Hospital Result State Average State Benchmark National Average Report Period
Hip and Knee Surgery Complications 3.6 3.294 2.66 3.6 7/1/2021-6/30/2024
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Measure Hospital Result State Average State Benchmark National Average Report Period
Catheter-Associated Urinary Tract Infections 0.53 0 1 10/1/2024-9/30/2025
Central Line Associated Blood Stream Infections 0.5 0 1 10/1/2024-9/30/2025
Clostridioides difficile Infections 0.607 0.61 0 1 10/1/2024-9/30/2025
Methicillin-Resistant Staph. aureus Infections 0.43 0 1 10/1/2024-9/30/2025
Surgical Site Infection - Abdominal Hysterectomy 1.05 0 1 10/1/2024-9/30/2025
Surgical Site Infection - Colon Surgery 0.85 0 1 10/1/2024-9/30/2025
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Measure Hospital Result State Average State Benchmark National Average Report Period
Acute Stroke 0 4.345 0 6.95 10/1/2024-9/30/2025
Chronic Obstructive Pulmonary Disease 9.4 8.882 7.3 8.8 7/1/2021-6/30/2024
GastrointestinaI Hemorrhage 0 1.417 0 2.72 10/1/2024-9/30/2025
Heart Attack 13.6 11.898 10.64 12.2 7/1/2021-6/30/2024
Heart Failure 13.2 12.329 9.7 11.6 7/1/2021-6/30/2024
Hip Fracture 1.198 1.727 0 2 10/1/2024-9/30/2025
Pneumonia 17.5 15.989 13.03 16.2 7/1/2021-6/30/2024
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Measure Hospital Result State Average State Benchmark National Average Report Period
Abdominal Aortic Aneurism Repair 1.513 0 3.69 10/1/2024-9/30/2025
Carotid Endarterectomy 0.16 0 0.47 10/1/2024-9/30/2025
Coronary Artery Bypass Graft NA 2.448 0 2.54 10/1/2024-9/30/2025
Percutaneous Coronary Intervention 9.715 2.317 0 3.46 10/1/2024-9/30/2025
Compare to other Hospitals
Measure Hospital Result State Average State Benchmark National Average Report Period
Always Quiet at Night 66 66 77 60 4/1/2024-3/31/2025
Definitely Recommend Hospital 65 74 85 71 4/1/2024-3/31/2025
Doctors Always Communicated Well 78 82 88 80 4/1/2024-3/31/2025
Nurses Always Communicated Well 77 83 90 80 4/1/2024-3/31/2025
Patient Rated Hospital High 70 77 87 72 4/1/2024-3/31/2025
Patients Always Received Requested Help DNR 0 0 --- 4/1/2024-3/31/2025
Patients Understood Their Care When They Left DNR 0 0 --- 4/1/2024-3/31/2025
Room Always Clean 70 78 89 74 4/1/2024-3/31/2025
Staff Always Explained Medications 64 66 74 62 4/1/2024-3/31/2025
Staff Provided Discharge Instructions 91 90 93 87 4/1/2024-3/31/2025
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Measure Hospital Result State Average State Benchmark National Average Report Period
Healthcare Personnel Influenza Immunization 79.292 79.62 94.09 --- 10/1/2024-5/15/2025
In Hospital Fall Associated Fracture Rate 0.033 0.037 0 0.03 10/1/2024-9/30/2025
Pneumothorax 0 0.008 0 0.02 10/1/2024-9/30/2025
Pressure Ulcers 0 0.039 0 0.08 10/1/2024-9/30/2025
Sepsis-1 65 71 71.5 64 4/1/2024-3/31/2025
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Measure Hospital Result State Average State Benchmark National Average Report Period
Perioperative Blood Clot 0.248 0.318 0 0.33 10/1/2024-9/30/2025
Perioperative Hemorrhage 0 0.157 0 0.23 10/1/2024-9/30/2025
Postoperative Respiratory Failure 0 0.478 0 0.72 10/1/2024-9/30/2025
Postoperative Sepsis 0 0.428 0 0.45 10/1/2024-9/30/2025
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This hospital does not provide Perinatal Services
Measure Hospital Result State Average State Benchmark National Average Report Period
All Cause Unplanned Readmissions 11.4 9.77 6.7 --- 7/1/2024-6/30/2025
Chronic Obstructive Pulmonary Disease 17.7 17.911 17.3 18.2 7/1/2021-6/30/2024
Coronary Artery Bypass Graft NA 10.483 9.22 10.6 7/1/2021-6/30/2024
Heart Attack 14.2 13.484 12.52 13.6 7/1/2021-6/30/2024
Heart Failure 17 19.339 18.01 19.7 7/1/2021-6/30/2024
Hip and Knee Surgery 3.9 4.722 3.9 4.8 7/1/2021-6/30/2024
Pneumonia 15.1 15.778 14.62 16 7/1/2021-6/30/2024
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