Hospital Report

ThedaCare Medical Center - Waupaca

800 Riverside Drive
Waupaca, Wisconsin, 54981
715-258-1000
http://www.thedacare.org

Generated: Sunday, April 14, 2024
Measure Hospital Result State Average State Benchmark National Average Report Period
Cesarean Birth 16.667 21.77 11.65 --- 10/1/2022-9/30/2023
Early Elective Delivery 3.31 0 --- 10/1/2022-9/30/2023
Exclusive Breast Milk Feeding 70.297 62.92 77.55 --- 10/1/2022-9/30/2023
Newborn Screening Card Transit Time 100 98.71 100 --- 10/1/2022-9/30/2023
Term Newborn Complications 6.796 3.37 1.31 --- 10/1/2022-9/30/2023
This hospital does not provide Hip and Knee Surgical Complications Services
Measure Hospital Result State Average State Benchmark National Average Report Period
Catheter-Associated Urinary Tract Infections 0.61 0 1 10/1/2022-9/30/2023
Central Line Associated Blood Stream Infections 0.69 0 1 10/1/2022-9/30/2023
Clostridioides difficile Infections 0.825 0.67 0 1 10/1/2022-9/30/2023
Methicillin-Resistant Staph. aureus Infections 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 0.88 0 1 10/1/2022-9/30/2023
Measure Hospital Result State Average State Benchmark National Average Report Period
Acute Stroke 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 2.336 0 2.51 10/1/2022-9/30/2023
Heart Attack DNR 12.2 10.6 12.6 7/1/2019-6/30/2022
Heart Failure 14.7 12.4 9.9 11.8 7/1/2019-6/30/2022
Hip Fracture 2.376 0 1.96 10/1/2022-9/30/2023
Pneumonia 18 18.1 15.8 18.2 7/1/2019-6/30/2022
This hospital does not provide Mortality - Procedures Services
Measure Hospital Result State Average State Benchmark National Average Report Period
Always Quiet at Night 70 66 76 62 4/1/2022-3/31/2023
Definitely Recommend Hospital 65 73 83 69 4/1/2022-3/31/2023
Doctors Always Communicated Well 80 81 88 79 4/1/2022-3/31/2023
Nurses Always Communicated Well 83 82 89 79 4/1/2022-3/31/2023
Patient Rated Hospital High 76 75 87 71 4/1/2022-3/31/2023
Patients Always Received Requested Help 68 70 81 66 4/1/2022-3/31/2023
Patients Understood Their Care When They Left 54 55 64 52 4/1/2022-3/31/2023
Room Always Clean 74 77 86 72 4/1/2022-3/31/2023
Staff Always Explained Medications 66 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 0.035 0 --- 10/1/2022-9/30/2023
Healthcare Personnel Influenza Immunization 57.03 83.2 94.8 --- 10/1/2022-5/15/2023
Pneumothorax 0 0.01 0 0.02 10/1/2022-9/30/2023
Pressure Ulcers 0.376 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 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 0.537 0 0.73 10/1/2022-9/30/2023
Postoperative Sepsis 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 8.5 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 19.8 19.9 18.3 20.2 7/1/2019-6/30/2022
Hip and Knee Surgery NA 4.2 3.5 4.3 7/1/2019-6/30/2022
Pneumonia 16.7 16.6 15.6 16.9 7/1/2019-6/30/2022