Hospital Report

Ascension Columbia St. Mary's Hospital Milwaukee

2301 North Lake Drive
Milwaukee, Wisconsin, 53211
414-585-1000
http://healthcare.ascension.org/locations/wisconsin

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Generated: Saturday, July 27, 2024
Measure Hospital Result State Average State Benchmark National Average Report Period
Newborn Screening Card Transit Time 97.493 0 0 --- 4/1/2023-3/31/2024
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Measure Hospital Result State Average State Benchmark National Average Report Period
Hip and Knee Surgery Complications DNR 3.1 2.6 3.2 4/1/2019-3/31/2022
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Measure Hospital Result State Average State Benchmark National Average Report Period
Catheter-Associated Urinary Tract Infections 0.131 0.63 0 1 1/1/2023-12/31/2023
Central Line Associated Blood Stream Infections 0.384 0.69 0 1 1/1/2023-12/31/2023
Clostridioides difficile Infections 0.801 0.54 0 1 1/1/2023-12/31/2023
Methicillin-Resistant Staph. aureus Infections 0.71 0.47 0 1 1/1/2023-12/31/2023
Surgical Site Infection - Abdominal Hysterectomy 2.431 1.11 0 1 1/1/2023-12/31/2023
Surgical Site Infection - Colon Surgery 0.548 0.85 0 1 1/1/2023-12/31/2023
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Measure Hospital Result State Average State Benchmark National Average Report Period
Acute Stroke 6.705 4.924 0 6.86 1/1/2023-12/31/2023
Chronic Obstructive Pulmonary Disease 9 9.3 7.8 9.2 7/1/2019-6/30/2022
GastrointestinaI Hemorrhage 0.591 2.194 0 2.51 1/1/2023-12/31/2023
Heart Attack 12.7 12.2 10.6 12.6 7/1/2019-6/30/2022
Heart Failure 12.6 12.4 9.9 11.8 7/1/2019-6/30/2022
Hip Fracture 1.466 2.15 0 1.96 1/1/2023-12/31/2023
Pneumonia 16.4 18.1 15.8 18.2 7/1/2019-6/30/2022
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Measure Hospital Result State Average State Benchmark National Average Report Period
Abdominal Aortic Aneurism Repair 0 1.978 0 3.61 1/1/2023-12/31/2023
Carotid Endarterectomy 0.055 0 0.43 1/1/2023-12/31/2023
Coronary Artery Bypass Graft 2.788 2.589 0 2.49 1/1/2023-12/31/2023
Percutaneous Coronary Intervention 3.616 1.971 0 3.26 1/1/2023-12/31/2023
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Measure Hospital Result State Average State Benchmark National Average Report Period
Always Quiet at Night 58 66 76 62 7/1/2022-6/30/2023
Definitely Recommend Hospital 66 73 84 69 7/1/2022-6/30/2023
Doctors Always Communicated Well 79 82 88 80 7/1/2022-6/30/2023
Nurses Always Communicated Well 75 83 89 79 7/1/2022-6/30/2023
Patient Rated Hospital High 67 75 85 71 7/1/2022-6/30/2023
Patients Always Received Requested Help 56 70 80 66 7/1/2022-6/30/2023
Patients Understood Their Care When They Left 47 55 65 52 7/1/2022-6/30/2023
Room Always Clean 69 77 86 73 7/1/2022-6/30/2023
Staff Always Explained Medications 56 66 75 62 7/1/2022-6/30/2023
Staff Provided Discharge Instructions 85 89 93 86 7/1/2022-6/30/2023
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Measure Hospital Result State Average State Benchmark National Average Report Period
Healthcare Personnel Influenza Immunization 85.61 83.2 94.8 --- 10/1/2022-5/15/2023
Pneumothorax 0.027 0.008 0 0.02 1/1/2023-12/31/2023
Pressure Ulcers 0.044 0.063 0 0.07 1/1/2023-12/31/2023
Sepsis-1 49 66 67.5 60 4/1/2022-3/31/2023
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Measure Hospital Result State Average State Benchmark National Average Report Period
In Hospital Fall Associated Fracture Rate 0.03 0.028 0 0.03 1/1/2023-12/31/2023
Perioperative Blood Clot 0.217 0.215 0 0.35 1/1/2023-12/31/2023
Perioperative Hemorrhage 0.32 0.27 0 0.23 1/1/2023-12/31/2023
Postoperative Respiratory Failure 1.178 0.554 0 0.73 1/1/2023-12/31/2023
Postoperative Sepsis 0.603 0.247 0 0.43 1/1/2023-12/31/2023
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Measure Hospital Result State Average State Benchmark National Average Report Period
All Cause Unplanned Readmissions 10 9.13 6.56 --- 10/1/2022-9/30/2023
Chronic Obstructive Pulmonary Disease 18.2 18.8 17.8 19.3 7/1/2019-6/30/2022
Coronary Artery Bypass Graft 12 11 9.9 11 7/1/2019-6/30/2022
Heart Attack 14.7 13.7 12.5 14 7/1/2019-6/30/2022
Heart Failure 21 19.9 18.3 20.2 7/1/2019-6/30/2022
Hip and Knee Surgery 4.2 3.5 4.3 7/1/2019-6/30/2022
Pneumonia 16.3 16.6 15.6 16.9 7/1/2019-6/30/2022
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