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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: Monday, September 29, 2025
Measure Hospital Result State Average State Benchmark National Average Report Period
Newborn Screening Card Transit Time 93.258 97.3 100 --- 4/1/2024-3/31/2025
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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 4/1/2024-3/31/2025
Central Line Associated Blood Stream Infections 0.41 0 1 4/1/2024-3/31/2025
Clostridioides difficile Infections 0 0.63 0 1 4/1/2024-3/31/2025
Methicillin-Resistant Staph. aureus Infections 0.4 0 1 4/1/2024-3/31/2025
Surgical Site Infection - Abdominal Hysterectomy 1.49 0 1 4/1/2024-3/31/2025
Surgical Site Infection - Colon Surgery 1.03 0 1 4/1/2024-3/31/2025
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Measure Hospital Result State Average State Benchmark National Average Report Period
Acute Stroke 5.197 0 6.83 4/1/2024-3/31/2025
Chronic Obstructive Pulmonary Disease 9 8.882 7.3 8.8 7/1/2021-6/30/2024
GastrointestinaI Hemorrhage 1.31 0 2.54 4/1/2024-3/31/2025
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 1.559 0 1.95 4/1/2024-3/31/2025
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 75 66 78 62 10/1/2023-9/30/2024
Definitely Recommend Hospital 74 74 87 70 10/1/2023-9/30/2024
Doctors Always Communicated Well 88 82 89 80 10/1/2023-9/30/2024
Nurses Always Communicated Well 83 83 91 80 10/1/2023-9/30/2024
Patient Rated Hospital High 78 76 87 72 10/1/2023-9/30/2024
Patients Always Received Requested Help 73 71 83 66 10/1/2023-9/30/2024
Patients Understood Their Care When They Left 55 55 64 52 10/1/2023-9/30/2024
Room Always Clean 75 77 87 74 10/1/2023-9/30/2024
Staff Always Explained Medications 67 65 74 62 10/1/2023-9/30/2024
Staff Provided Discharge Instructions 89 90 93 86 10/1/2023-9/30/2024
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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 0.041 0 0.03 4/1/2024-3/31/2025
Pneumothorax 0 0.011 0 0.02 4/1/2024-3/31/2025
Pressure Ulcers 0 0.027 0 0.07 4/1/2024-3/31/2025
Sepsis-1 48 70 71 63 10/1/2023-9/30/2024
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Measure Hospital Result State Average State Benchmark National Average Report Period
Perioperative Blood Clot 0 0.163 0 0.31 4/1/2024-3/31/2025
Perioperative Hemorrhage 0 0.165 0 0.23 4/1/2024-3/31/2025
Postoperative Respiratory Failure 0 0.299 0 0.73 4/1/2024-3/31/2025
Postoperative Sepsis 0 0.178 0 0.42 4/1/2024-3/31/2025
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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
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 9.9 9.65 7 --- 1/1/2024-12/31/2024
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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