Hospital Report

Ascension Columbia St. Mary's Hospital Ozaukee

13111 N. Port Washington Road
Mequon, Wisconsin, 53097-2416
262-243-7300
http://healthcare.ascension.org/locations/wisconsin

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Generated: Thursday, May 9, 2024
Measure Hospital Result State Average State Benchmark National Average Report Period
Cesarean Birth 20 21.95 14.55 --- 1/1/2023-12/31/2023
Early Elective Delivery 3.4 0 --- 1/1/2023-12/31/2023
Exclusive Breast Milk Feeding 64.762 62.99 76.39 --- 1/1/2023-12/31/2023
Newborn Screening Card Transit Time 93.902 98.98 100 --- 1/1/2023-12/31/2023
Term Newborn Complications 2.198 3.19 1.46 --- 1/1/2023-12/31/2023
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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
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Measure Hospital Result State Average State Benchmark National Average Report Period
Catheter-Associated Urinary Tract Infections 0.926 0.61 0 1 10/1/2022-9/30/2023
Central Line Associated Blood Stream Infections 0.4 0.69 0 1 10/1/2022-9/30/2023
Clostridioides difficile Infections 0.938 0.67 0 1 10/1/2022-9/30/2023
Methicillin-Resistant Staph. aureus Infections 0.761 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 0.88 0 1 10/1/2022-9/30/2023
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Measure Hospital Result State Average State Benchmark National Average Report Period
Acute Stroke 2.164 6.431 0 6.86 10/1/2022-9/30/2023
Chronic Obstructive Pulmonary Disease 9 9.3 7.8 9.2 7/1/2019-6/30/2022
GastrointestinaI Hemorrhage 1.51 2.336 0 2.51 10/1/2022-9/30/2023
Heart Attack 12.7 12.2 10.6 12.6 7/1/2019-6/30/2022
Heart Failure 12.6 12.4 9.9 11.8 7/1/2019-6/30/2022
Hip Fracture 1.815 2.376 0 1.96 10/1/2022-9/30/2023
Pneumonia 16.4 18.1 15.8 18.2 7/1/2019-6/30/2022
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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 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
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Measure Hospital Result State Average State Benchmark National Average Report Period
Always Quiet at Night 59 66 76 62 4/1/2022-3/31/2023
Definitely Recommend Hospital 68 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 76 82 89 79 4/1/2022-3/31/2023
Patient Rated Hospital High 68 75 87 71 4/1/2022-3/31/2023
Patients Always Received Requested Help 57 70 81 66 4/1/2022-3/31/2023
Patients Understood Their Care When They Left 48 55 64 52 4/1/2022-3/31/2023
Room Always Clean 69 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 86 89 93 86 4/1/2022-3/31/2023
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Measure Hospital Result State Average State Benchmark National Average Report Period
Falls with Major Injury 0.04 0.035 0 --- 10/1/2022-9/30/2023
Healthcare Personnel Influenza Immunization 81.56 83.2 94.8 --- 10/1/2022-5/15/2023
Pneumothorax 0.088 0.01 0 0.02 10/1/2022-9/30/2023
Pressure Ulcers 0.07 0.064 0 0.07 10/1/2022-9/30/2023
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Measure Hospital Result State Average State Benchmark National Average Report Period
Perioperative Blood Clot 0.342 0.235 0 0.35 10/1/2022-9/30/2023
Perioperative Hemorrhage 0 0.253 0 0.23 10/1/2022-9/30/2023
Postoperative Respiratory Failure 0.525 0.537 0 0.73 10/1/2022-9/30/2023
Postoperative Sepsis 0.485 0.257 0 0.43 10/1/2022-9/30/2023
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Measure Hospital Result State Average State Benchmark National Average Report Period
All Cause Unplanned Readmissions 9.8 9.1 6.38 --- 7/1/2022-6/30/2023
Chronic Obstructive Pulmonary Disease 18.2 18.8 17.8 19.3 7/1/2019-6/30/2022
Coronary Artery Bypass Graft 12 11 9.9 11 7/1/2019-6/30/2022
Heart Attack 14.7 13.7 12.5 14 7/1/2019-6/30/2022
Heart Failure 21 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 16.3 16.6 15.6 16.9 7/1/2019-6/30/2022
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