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Mercyhealth Hospital and Medical Center - Walworth

N2950 State Road 67
Lake Geneva, Wisconsin, 53147
262-245-0535
http://www.mercyhealthsystem.org

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Generated: Wednesday, April 1, 2026
Measure Hospital Result State Average State Benchmark National Average Report Period
Newborn Screening Card Transit Time 95.556 97.59 100 --- 10/1/2024-9/30/2025
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Measure Hospital Result State Average State Benchmark National Average Report Period
Hip and Knee Surgery Complications 4 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 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 4.345 0 6.95 10/1/2024-9/30/2025
Chronic Obstructive Pulmonary Disease 9 8.882 7.3 8.8 7/1/2021-6/30/2024
GastrointestinaI Hemorrhage 1.417 0 2.72 10/1/2024-9/30/2025
Heart Attack 11.898 10.64 12.2 7/1/2021-6/30/2024
Heart Failure 11.4 12.329 9.7 11.6 7/1/2021-6/30/2024
Hip Fracture 0 1.727 0 2 10/1/2024-9/30/2025
Pneumonia 18.3 15.989 13.03 16.2 7/1/2021-6/30/2024
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This hospital does not provide Mortality - Procedures Services
Measure Hospital Result State Average State Benchmark National Average Report Period
Always Quiet at Night 73 66 77 60 4/1/2024-3/31/2025
Definitely Recommend Hospital 68 74 85 71 4/1/2024-3/31/2025
Doctors Always Communicated Well 87 82 88 80 4/1/2024-3/31/2025
Nurses Always Communicated Well 80 83 90 80 4/1/2024-3/31/2025
Patient Rated Hospital High 79 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 78 78 89 74 4/1/2024-3/31/2025
Staff Always Explained Medications 69 66 74 62 4/1/2024-3/31/2025
Staff Provided Discharge Instructions 90 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 86.037 79.62 94.09 --- 10/1/2024-5/15/2025
In Hospital Fall Associated Fracture Rate 0 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 48 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 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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Measure Hospital Result State Average State Benchmark National Average Report Period
Cesarean Birth 18.182 21.075 14.87 --- 1/1/2024-12/31/2024
Complications Excluding Blood Transfusion 0 0 0 --- 1/1/2024-12/31/2024
Severe Obstetric Complications 2.151 1.448 0 --- 1/1/2024-12/31/2024
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Measure Hospital Result State Average State Benchmark National Average Report Period
All Cause Unplanned Readmissions 10.2 9.77 6.7 --- 7/1/2024-6/30/2025
Chronic Obstructive Pulmonary Disease 18.7 17.911 17.3 18.2 7/1/2021-6/30/2024
Coronary Artery Bypass Graft DNR 10.483 9.22 10.6 7/1/2021-6/30/2024
Heart Attack 13.484 12.52 13.6 7/1/2021-6/30/2024
Heart Failure 18.1 19.339 18.01 19.7 7/1/2021-6/30/2024
Hip and Knee Surgery 4.722 3.9 4.8 7/1/2021-6/30/2024
Pneumonia 16.4 15.778 14.62 16 7/1/2021-6/30/2024
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