Hospital Report

HSHS St. Nicholas Hospital

3100 Superior Avenue
Sheboygan, Wisconsin, 53081
920-459-8300
http://www.hshs.org/StNicholas

Generated: Monday, December 2, 2024
Measure Hospital Result State Average State Benchmark National Average Report Period
Cesarean Birth 15.789 0 0 --- 7/1/2023-6/30/2024
Newborn Screening Card Transit Time 97.788 98.53 100 --- 7/1/2023-6/30/2024
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 0.64 0 1 4/1/2023-3/31/2024
Central Line Associated Blood Stream Infections 0.71 0 1 4/1/2023-3/31/2024
Clostridioides difficile Infections 0 0.56 0 1 4/1/2023-3/31/2024
Methicillin-Resistant Staph. aureus Infections 0.41 0 1 4/1/2023-3/31/2024
Surgical Site Infection - Abdominal Hysterectomy 1.38 0 1 4/1/2023-3/31/2024
Surgical Site Infection - Colon Surgery 0.87 0 1 4/1/2023-3/31/2024
Measure Hospital Result State Average State Benchmark National Average Report Period
Acute Stroke 5.14 0 6.83 7/1/2023-6/30/2024
Chronic Obstructive Pulmonary Disease 9.518 7.97 9.4 7/1/2020-6/30/2023
GastrointestinaI Hemorrhage 0 2.104 0 2.54 7/1/2023-6/30/2024
Heart Attack 12.112 10.86 12.6 7/1/2020-6/30/2023
Heart Failure 12.5 12.496 10.2 11.9 7/1/2020-6/30/2023
Hip Fracture 0 1.273 0 1.95 7/1/2023-6/30/2024
Pneumonia 17.8 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 1.298 0 3.64 7/1/2023-6/30/2024
Carotid Endarterectomy 0.151 0 0.43 7/1/2023-6/30/2024
Coronary Artery Bypass Graft NA 3.392 0 2.48 7/1/2023-6/30/2024
Percutaneous Coronary Intervention NA 2.226 0 3.31 7/1/2023-6/30/2024
Measure Hospital Result State Average State Benchmark National Average Report Period
Always Quiet at Night 69 67 79 62 1/1/2023-12/31/2023
Definitely Recommend Hospital 73 74 84 70 1/1/2023-12/31/2023
Doctors Always Communicated Well 79 82 89 80 1/1/2023-12/31/2023
Nurses Always Communicated Well 83 83 90 80 1/1/2023-12/31/2023
Patient Rated Hospital High 69 76 86 72 1/1/2023-12/31/2023
Patients Always Received Requested Help 64 71 84 66 1/1/2023-12/31/2023
Patients Understood Their Care When They Left 55 56 64 52 1/1/2023-12/31/2023
Room Always Clean 71 77 89 73 1/1/2023-12/31/2023
Staff Always Explained Medications 63 66 77 62 1/1/2023-12/31/2023
Staff Provided Discharge Instructions 88 90 93 86 1/1/2023-12/31/2023
Measure Hospital Result State Average State Benchmark National Average Report Period
Healthcare Personnel Influenza Immunization 89.012 83.41 94.79 --- 10/1/2023-5/15/2024
In Hospital Fall Associated Fracture Rate 0.104 0.017 0 0.03 7/1/2023-6/30/2024
Pneumothorax 0 0.008 0 0.02 7/1/2023-6/30/2024
Pressure Ulcers 0 0.038 0 0.07 7/1/2023-6/30/2024
Sepsis-1 43 69 66 62 1/1/2023-12/31/2023
Measure Hospital Result State Average State Benchmark National Average Report Period
Perioperative Blood Clot 0 0.169 0 0.31 7/1/2023-6/30/2024
Perioperative Hemorrhage 0 0.301 0 0.23 7/1/2023-6/30/2024
Postoperative Respiratory Failure 0 0.289 0 0.73 7/1/2023-6/30/2024
Postoperative Sepsis 0 0.302 0 0.42 7/1/2023-6/30/2024
Measure Hospital Result State Average State Benchmark National Average Report Period
All Cause Unplanned Readmissions 9.2 9.47 6.68 --- 4/1/2023-3/31/2024
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 13.55 12.6 13.7 7/1/2020-6/30/2023
Heart Failure 19.3 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 16 16.134 15.2 16.4 7/1/2020-6/30/2023