Hospital Report

Froedtert Community Hospital - Mequon

11421 N. Port Washington Road
Mequon, Wisconsin, 53092
262-796-0001
http://www.froedtert.com

Generated: Friday, August 29, 2025
This hospital does not provide Birth Services
This hospital does not provide Hip and Knee Surgical Complications Services
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 0.57 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 NA 1.66 0 1 1/1/2024-12/31/2024
Surgical Site Infection - Colon Surgery NA 0.91 0 1 1/1/2024-12/31/2024
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 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 DNR 11.898 10.64 12.2 7/1/2021-6/30/2024
Heart Failure 12.329 9.7 11.6 7/1/2021-6/30/2024
Hip Fracture 1.559 0 1.95 4/1/2024-3/31/2025
Pneumonia 12.3 15.989 13.03 16.2 7/1/2021-6/30/2024
This hospital does not provide Mortality - Procedures Services
Measure Hospital Result State Average State Benchmark National Average Report Period
Always Quiet at Night 85 66 78 62 10/1/2023-9/30/2024
Definitely Recommend Hospital 84 74 87 70 10/1/2023-9/30/2024
Doctors Always Communicated Well 84 82 89 80 10/1/2023-9/30/2024
Nurses Always Communicated Well 89 83 91 80 10/1/2023-9/30/2024
Patient Rated Hospital High 82 76 87 72 10/1/2023-9/30/2024
Patients Always Received Requested Help 83 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 69 77 87 74 10/1/2023-9/30/2024
Staff Always Explained Medications 71 65 74 62 10/1/2023-9/30/2024
Staff Provided Discharge Instructions 85 90 93 86 10/1/2023-9/30/2024
Measure Hospital Result State Average State Benchmark National Average Report Period
Healthcare Personnel Influenza Immunization 84.906 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 40 70 71 63 10/1/2023-9/30/2024
Measure Hospital Result State Average State Benchmark National Average Report Period
Perioperative Blood Clot 0.163 0 0.31 4/1/2024-3/31/2025
Perioperative Hemorrhage 0.165 0 0.23 4/1/2024-3/31/2025
Postoperative Respiratory Failure 0.299 0 0.73 4/1/2024-3/31/2025
Postoperative Sepsis 0.178 0 0.42 4/1/2024-3/31/2025
This hospital does not provide Perinatal Services
Measure Hospital Result State Average State Benchmark National Average Report Period
All Cause Unplanned Readmissions DNR 9.65 7 --- 1/1/2024-12/31/2024
Chronic Obstructive Pulmonary Disease 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 DNR 13.484 12.52 13.6 7/1/2021-6/30/2024
Heart Failure 19.339 18.01 19.7 7/1/2021-6/30/2024
Hip and Knee Surgery DNR 4.722 3.9 4.8 7/1/2021-6/30/2024
Pneumonia 14.6 15.778 14.62 16 7/1/2021-6/30/2024