Hospital Report

SSM Health St. Mary's Hospital - Janesville

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

Generated: Tuesday, June 18, 2024
Measure Hospital Result State Average State Benchmark National Average Report Period
Cesarean Birth 12.821 21.95 14.55 --- 1/1/2023-12/31/2023
Early Elective Delivery 9.524 3.4 0 --- 1/1/2023-12/31/2023
Exclusive Breast Milk Feeding 68.201 62.99 76.39 --- 1/1/2023-12/31/2023
Newborn Screening Card Transit Time 99.775 98.98 100 --- 1/1/2023-12/31/2023
Term Newborn Complications 0.913 3.19 1.46 --- 1/1/2023-12/31/2023
Measure Hospital Result State Average State Benchmark National Average Report Period
Hip and Knee Surgery Complications 2.6 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 0.63 0 1 1/1/2023-12/31/2023
Central Line Associated Blood Stream Infections 0.69 0 1 1/1/2023-12/31/2023
Clostridioides difficile Infections 0.678 0.54 0 1 1/1/2023-12/31/2023
Methicillin-Resistant Staph. aureus Infections 0.47 0 1 1/1/2023-12/31/2023
Surgical Site Infection - Abdominal Hysterectomy 1.11 0 1 1/1/2023-12/31/2023
Surgical Site Infection - Colon Surgery 0.957 0.85 0 1 1/1/2023-12/31/2023
Measure Hospital Result State Average State Benchmark National Average Report Period
Acute Stroke 0 4.924 0 6.86 1/1/2023-12/31/2023
Chronic Obstructive Pulmonary Disease DNR 9.3 7.8 9.2 7/1/2019-6/30/2022
GastrointestinaI Hemorrhage 1.586 2.194 0 2.51 1/1/2023-12/31/2023
Heart Attack DNR 12.2 10.6 12.6 7/1/2019-6/30/2022
Heart Failure 10.7 12.4 9.9 11.8 7/1/2019-6/30/2022
Hip Fracture 2.15 0 1.96 1/1/2023-12/31/2023
Pneumonia 19 18.1 15.8 18.2 7/1/2019-6/30/2022
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 4/1/2022-3/31/2023
Definitely Recommend Hospital 79 73 83 69 4/1/2022-3/31/2023
Doctors Always Communicated Well 82 81 88 79 4/1/2022-3/31/2023
Nurses Always Communicated Well 82 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 61 70 81 66 4/1/2022-3/31/2023
Patients Understood Their Care When They Left 54 55 64 52 4/1/2022-3/31/2023
Room Always Clean 61 77 86 72 4/1/2022-3/31/2023
Staff Always Explained Medications 63 66 75 62 4/1/2022-3/31/2023
Staff Provided Discharge Instructions 87 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 0.036 0 --- 1/1/2023-12/31/2023
Healthcare Personnel Influenza Immunization 92.58 83.2 94.8 --- 10/1/2022-5/15/2023
Pneumothorax 0 0.008 0 0.02 1/1/2023-12/31/2023
Pressure Ulcers 0 0.063 0 0.07 1/1/2023-12/31/2023
Sepsis-1 DNR 0 0 --- 1/1/2022-12/31/2022
Measure Hospital Result State Average State Benchmark National Average Report Period
Perioperative Blood Clot 0.33 0.215 0 0.35 1/1/2023-12/31/2023
Perioperative Hemorrhage 0 0.27 0 0.23 1/1/2023-12/31/2023
Postoperative Respiratory Failure 1.451 0.554 0 0.73 1/1/2023-12/31/2023
Postoperative Sepsis 0.613 0.247 0 0.43 1/1/2023-12/31/2023
Measure Hospital Result State Average State Benchmark National Average Report Period
All Cause Unplanned Readmissions 9.7 9.13 6.56 --- 10/1/2022-9/30/2023
Chronic Obstructive Pulmonary Disease 18.1 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 13.7 12.5 14 7/1/2019-6/30/2022
Heart Failure 20.6 19.9 18.3 20.2 7/1/2019-6/30/2022
Hip and Knee Surgery 3.7 4.2 3.5 4.3 7/1/2019-6/30/2022
Pneumonia 17.7 16.6 15.6 16.9 7/1/2019-6/30/2022