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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: Thursday, June 12, 2025
Measure Hospital Result State Average State Benchmark National Average Report Period
Newborn Screening Card Transit Time 93.407 97.61 100 --- 1/1/2024-12/31/2024
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Measure Hospital Result State Average State Benchmark National Average Report Period
Hip and Knee Surgery Complications 3.6 3.285 2.76 3.5 7/1/2020-6/30/2023
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Measure Hospital Result State Average State Benchmark National Average Report Period
Catheter-Associated Urinary Tract Infections 0.61 0 1 1/1/2024-12/31/2024
Central Line Associated Blood Stream Infections 0.53 0 1 1/1/2024-12/31/2024
Clostridioides difficile Infections 0 0.57 0 1 1/1/2024-12/31/2024
Methicillin-Resistant Staph. aureus Infections 0.44 0 1 1/1/2024-12/31/2024
Surgical Site Infection - Abdominal Hysterectomy 1.66 0 1 1/1/2024-12/31/2024
Surgical Site Infection - Colon Surgery 0.91 0 1 1/1/2024-12/31/2024
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Measure Hospital Result State Average State Benchmark National Average Report Period
Acute Stroke 5.936 0 6.83 1/1/2024-12/31/2024
Chronic Obstructive Pulmonary Disease 8.8 9.518 7.97 9.4 7/1/2020-6/30/2023
GastrointestinaI Hemorrhage 1.555 0 2.54 1/1/2024-12/31/2024
Heart Attack DNR 12.112 10.86 12.6 7/1/2020-6/30/2023
Heart Failure 11 12.496 10.2 11.9 7/1/2020-6/30/2023
Hip Fracture 0 1.247 0 1.95 1/1/2024-12/31/2024
Pneumonia 18.9 17.418 14.58 17.9 7/1/2020-6/30/2023
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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 76 66 78 62 7/1/2023-6/30/2024
Definitely Recommend Hospital 79 74 85 70 7/1/2023-6/30/2024
Doctors Always Communicated Well 87 82 89 80 7/1/2023-6/30/2024
Nurses Always Communicated Well 85 83 90 80 7/1/2023-6/30/2024
Patient Rated Hospital High 82 76 87 72 7/1/2023-6/30/2024
Patients Always Received Requested Help 77 71 83 67 7/1/2023-6/30/2024
Patients Understood Their Care When They Left 57 56 63 52 7/1/2023-6/30/2024
Room Always Clean 79 77 88 74 7/1/2023-6/30/2024
Staff Always Explained Medications 66 66 75 62 7/1/2023-6/30/2024
Staff Provided Discharge Instructions 90 90 94 86 7/1/2023-6/30/2024
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Measure Hospital Result State Average State Benchmark National Average Report Period
Healthcare Personnel Influenza Immunization 81.874 83.41 94.79 --- 10/1/2023-5/15/2024
In Hospital Fall Associated Fracture Rate 0 0.034 0 0.03 1/1/2024-12/31/2024
Pneumothorax 0 0.01 0 0.02 1/1/2024-12/31/2024
Pressure Ulcers 0 0.025 0 0.07 1/1/2024-12/31/2024
Sepsis-1 58 70 69.5 63 7/1/2023-6/30/2024
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Measure Hospital Result State Average State Benchmark National Average Report Period
Perioperative Blood Clot 0 0.149 0 0.31 1/1/2024-12/31/2024
Perioperative Hemorrhage 0 0.23 0 0.23 1/1/2024-12/31/2024
Postoperative Respiratory Failure 0 0.364 0 0.73 1/1/2024-12/31/2024
Postoperative Sepsis 0 0.283 0 0.42 1/1/2024-12/31/2024
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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
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 10.3 9.71 7.2 --- 10/1/2023-9/30/2024
Chronic Obstructive Pulmonary Disease 19.6 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 DNR 13.55 12.6 13.7 7/1/2020-6/30/2023
Heart Failure 19 19.4 17.91 19.8 7/1/2020-6/30/2023
Hip and Knee Surgery 3.9 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
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