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SSM Health St. Mary's Hospital - Janesville

3400 E. Racine Street
Janesville, Wisconsin, 53546
608-373-8000
http://www.ssmhealth.com/wisconsin

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Generated: Friday, December 19, 2025
Measure Hospital Result State Average State Benchmark National Average Report Period
Newborn Screening Card Transit Time 96.354 97.52 100 --- 7/1/2024-6/30/2025
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Measure Hospital Result State Average State Benchmark National Average Report Period
Hip and Knee Surgery Complications 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 0.51 0 1 7/1/2024-6/30/2025
Central Line Associated Blood Stream Infections 0.49 0 1 7/1/2024-6/30/2025
Clostridioides difficile Infections 0.697 0.62 0 1 7/1/2024-6/30/2025
Methicillin-Resistant Staph. aureus Infections 0.38 0 1 7/1/2024-6/30/2025
Surgical Site Infection - Abdominal Hysterectomy 1.49 0 1 7/1/2024-6/30/2025
Surgical Site Infection - Colon Surgery 0.89 0 1 7/1/2024-6/30/2025
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Measure Hospital Result State Average State Benchmark National Average Report Period
Acute Stroke 6.032 5.63 0 6.95 7/1/2024-6/30/2025
Chronic Obstructive Pulmonary Disease 8.6 8.882 7.3 8.8 7/1/2021-6/30/2024
GastrointestinaI Hemorrhage 2.718 1.591 0 2.72 7/1/2024-6/30/2025
Heart Attack 11.898 10.64 12.2 7/1/2021-6/30/2024
Heart Failure 12.3 12.329 9.7 11.6 7/1/2021-6/30/2024
Hip Fracture 0 1.126 0 2 7/1/2024-6/30/2025
Pneumonia 18 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 66 66 76 62 1/1/2024-12/31/2024
Definitely Recommend Hospital 75 74 86 71 1/1/2024-12/31/2024
Doctors Always Communicated Well 81 83 89 80 1/1/2024-12/31/2024
Nurses Always Communicated Well 81 83 90 80 1/1/2024-12/31/2024
Patient Rated Hospital High 79 77 88 73 1/1/2024-12/31/2024
Patients Always Received Requested Help 65 71 84 67 1/1/2024-12/31/2024
Patients Understood Their Care When They Left 53 56 65 53 1/1/2024-12/31/2024
Room Always Clean 57 77 88 74 1/1/2024-12/31/2024
Staff Always Explained Medications 63 65 74 62 1/1/2024-12/31/2024
Staff Provided Discharge Instructions 86 90 93 87 1/1/2024-12/31/2024
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Measure Hospital Result State Average State Benchmark National Average Report Period
Healthcare Personnel Influenza Immunization 77.593 79.62 94.09 --- 10/1/2024-5/15/2025
In Hospital Fall Associated Fracture Rate 0.05 0.037 0 0.03 7/1/2024-6/30/2025
Pneumothorax 0.086 0.01 0 0.02 7/1/2024-6/30/2025
Pressure Ulcers 0 0.033 0 0.08 7/1/2024-6/30/2025
Sepsis-1 70 71 71 64 1/1/2024-12/31/2024
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Measure Hospital Result State Average State Benchmark National Average Report Period
Perioperative Blood Clot 0.37 0.166 0 0.33 7/1/2024-6/30/2025
Perioperative Hemorrhage 0.681 0.166 0 0.23 7/1/2024-6/30/2025
Postoperative Respiratory Failure 2.022 0.466 0 0.72 7/1/2024-6/30/2025
Postoperative Sepsis 0.81 0.284 0 0.45 7/1/2024-6/30/2025
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Measure Hospital Result State Average State Benchmark National Average Report Period
Cesarean Birth 22.535 21.075 14.87 --- 1/1/2024-12/31/2024
Severe Obstetric Complications 0 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 9.64 6.7 --- 4/1/2024-3/31/2025
Chronic Obstructive Pulmonary Disease 17.6 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 19.8 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 15.9 15.778 14.62 16 7/1/2021-6/30/2024
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