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Beaver Dam Community Hospitals, Inc.
Demographic Information
707 S. University Avenue Beaver Dam, WI 53916 -887-7181 http://www.bdch.com	Services:	Adult Intensive Care, Emergency, Gynecology, Obstetrics, Oncology, Orthopedics
	Discharges/Yr:	2612
	Population:	Rural
	Staffed Beds:	60

KEY
-- No data collected at this time or no cases met criteria. [MORE INFO]
+ Data collected, but not enough cases to be representative of care provided in this reporting period. As CheckPoint adds data, more hospitals will report this measure. [MORE INFO]

Click here for definitions of Better, As Expected and Worse, with regard to Deaths.

State Benchmark - The 90th percentile of Wisconsin hospitals reporting each measure.
State Average - The average of Wisconsin hospitals reporting each measure.
National Average - The average of hospitals in the U.S. accredited by The Joint Commission

Report generated 10 Sep 2010 9:51 AM

Medical Services Measurement data are from 10/1/2008—9/30/2009
Heart Attack	Hosp. Score	State Benchmark	State Average	National Average
Aspirin at arrival (%)	+	100	99	98
Aspirin at discharge (%)	+	100	99	98
Beta-blocker at discharge (%)	+	100	99	98
ACEI for LVSD (%)	+	100	95	95
Smoking Cessation Counseling (%)	—	100	99	99
PCI <90 min	—	98	88	86
Throm Med <30 min	—	—	33	55
Heart Attack Index (%)	+	98	94

Heart Failure	Hosp. Score	State Benchmark	State Average	National Average
LVF assessment (%)	79	100	97	98
ACEI for LVSD (%)	+	100	94	94
Smoking Cessation Counseling (%)	+	100	96	98
Discharge Instructions (%)	38	95	83	87
Heart Failure Index (%)	38	94	82

Pneumonia	Hosp. Score	State Benchmark	State Average	National Average
Pneumococcal vaccination (%)	89	99	92	92
Smoking Cessation Counseling (%)	+	100	94	97
Less than 6 hours to antibiotics (%)	97	100	97	94
Approp Anbtc	94	97	93	91
Blood Culture Collected	98	100	95	95
Flu vaccine	90	98	89	89
Pneumonia Index (%)	81	94	84
Error Prevention Measurement data are from 7/1/2009—12/31/2009

National Safety Goals	Hosp. Score	State Benchmark	State Average
Site marking (%)	100	100	99
Procedure verification (%)	100	100	99
Medication abbreviations (%)	100	100	99
Medication reconcilliation (%)	91	100	89

Surgical Infection Prevention Measurement data are from 10/1/2008—9/30/2009
Colon Surgery	Hosp. Score	State Benchmark	National Average
Start Antibiotics (%)	+	100	91
Appropriate Antibiotics (%)	+	100	87
Stop Antibiotics (%)	+	93	83
Hip Surgery	Hosp. Score	State Benchmark	National Average
Start Antibiotics (%)	92	100	96
Appropriate Antibiotics (%)	100	100	99
Stop Antibiotics (%)	94	100	93
Hysterectomy	Hosp. Score	State Benchmark	National Average
Start Antibiotics (%)	94	100	96
Appropriate Antibiotics (%)	94	100	97
Stop Antibiotics (%)	90	100	94
Knee Surgery	Hosp. Score	State Benchmark	National Average
Start Antibiotics (%)	91	100	97
Appropriate Antibiotics (%)	99	100	99
Stop Antibiotics (%)	87	100	94
Other Cardiac	Hosp. Score	State Benchmark	National Average
Start Antibiotics (%)	—	100	96
Appropriate Antibiotics (%)	—	100	100
Stop Antibiotics (%)	—	100	94
Vascular Surgery	Hosp. Score	State Benchmark	National Average
Start Antibiotics (%)	—	100	94
Appropriate Antibiotics (%)	—	100	98
Stop Antibiotics (%)	—	100	87
CABG	Hosp. Score	State Benchmark	National Average
Start Antibiotics (%)	—	100	97
Appropriate Antibiotics (%)	—	100	99
Stop Antibiotics (%)	—	100	95
Index	Hosp. Score	State Benchmark	State Average
Surgical Infection Prevention index (%)	77	94	85

Deaths data (2007)

Deaths due to Illness	Experience	Nat'l Avg(%)	State Avg(%)
Acute myocardial infarction (AMI) mortality rate	+	8.85	6.63
Acute stroke mortality rate	As Expected	11.20	9.55
AMI mortality rate - without transfers	+	9.73	7.40
Congestive heart failure (CHF) mortality rate	As Expected	4.36	2.68
Gastrointestinal (GI) hemorrhage mortality rate	As Expected	2.97	1.72
Hip fracture mortality rate	As Expected	3.14	2.11
Pneumonia mortality rate	As Expected	6.06	3.70

Deaths During a Procedure	Experience	Nat'l Avg(%)	State Avg(%)
Hip replacement mortality rate	As Expected	0.27	0.13