Hospital Report

Mercyhealth Hospital and Medical Center - Walworth

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

Generated: Sunday, April 14, 2024
Measure Hospital Result State Average State Benchmark National Average Report Period
Cesarean Birth 10.345 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 40.678 62.92 77.55 --- 10/1/2022-9/30/2023
Newborn Screening Card Transit Time 97.436 98.71 100 --- 10/1/2022-9/30/2023
Term Newborn Complications 15.966 3.37 1.31 --- 10/1/2022-9/30/2023
Measure Hospital Result State Average State Benchmark National Average Report Period
Hip and Knee Surgery Complications 4 3.1 2.6 3.2 4/1/2019-3/31/2022
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 0.67 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 8 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 10.4 12.4 9.9 11.8 7/1/2019-6/30/2022
Hip Fracture 6.539 2.376 0 1.96 10/1/2022-9/30/2023
Pneumonia 17.2 18.1 15.8 18.2 7/1/2019-6/30/2022
Measure Hospital Result State Average State Benchmark National Average Report Period
Abdominal Aortic Aneurism Repair NA 1.854 0 3.61 10/1/2022-9/30/2023
Carotid Endarterectomy NA 0.082 0 0.43 10/1/2022-9/30/2023
Coronary Artery Bypass Graft NA 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
Measure Hospital Result State Average State Benchmark National Average Report Period
Always Quiet at Night 73 66 76 62 4/1/2022-3/31/2023
Definitely Recommend Hospital 75 73 83 69 4/1/2022-3/31/2023
Doctors Always Communicated Well 84 81 88 79 4/1/2022-3/31/2023
Nurses Always Communicated Well 81 82 89 79 4/1/2022-3/31/2023
Patient Rated Hospital High 78 75 87 71 4/1/2022-3/31/2023
Patients Always Received Requested Help 71 70 81 66 4/1/2022-3/31/2023
Patients Understood Their Care When They Left 56 55 64 52 4/1/2022-3/31/2023
Room Always Clean 79 77 86 72 4/1/2022-3/31/2023
Staff Always Explained Medications 65 66 75 62 4/1/2022-3/31/2023
Staff Provided Discharge Instructions 88 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 85.29 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 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 0.433 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 0.537 0 0.73 10/1/2022-9/30/2023
Postoperative Sepsis 0 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 10.7 9.1 6.38 --- 7/1/2022-6/30/2023
Chronic Obstructive Pulmonary Disease 19.7 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 DNR 13.7 12.5 14 7/1/2019-6/30/2022
Heart Failure 19.3 19.9 18.3 20.2 7/1/2019-6/30/2022
Hip and Knee Surgery 4 4.2 3.5 4.3 7/1/2019-6/30/2022
Pneumonia 17.5 16.6 15.6 16.9 7/1/2019-6/30/2022