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Black River Memorial Hospital
Demographic Information
711 W. Adams Street Black River Falls, WI 54615 715-284-5361 http://www.brmh.net	Services:	Rehabilitation/Physical Medicine, Orthopedics, Obstetrics, Hospice/Palliative Care, Emergency, Adult Intensive Care
	Discharges/Yr:	1100
	Population:	Rural
	Staffed Beds:	25

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 10:58 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 (%)	+	100	97	98
ACEI for LVSD (%)	+	100	94	94
Smoking Cessation Counseling (%)	+	100	96	98
Discharge Instructions (%)	+	95	83	87
Heart Failure Index (%)	+	94	82

Pneumonia	Hosp. Score	State Benchmark	State Average	National Average
Pneumococcal vaccination (%)	+	99	92	92
Smoking Cessation Counseling (%)	+	100	94	97
Less than 6 hours to antibiotics (%)	+	100	97	94
Approp Anbtc	+	97	93	91
Blood Culture Collected	+	100	95	95
Flu vaccine	+	98	89	89
Pneumonia Index (%)	63	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 (%)	98	100	99
Procedure verification (%)	98	100	99
Medication abbreviations (%)	99	100	99
Medication reconcilliation (%)	67	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 (%)	+	100	96
Appropriate Antibiotics (%)	+	100	99
Stop Antibiotics (%)	+	100	93
Hysterectomy	Hosp. Score	State Benchmark	National Average
Start Antibiotics (%)	100	100	96
Appropriate Antibiotics (%)	100	100	97
Stop Antibiotics (%)	89	100	94
Knee Surgery	Hosp. Score	State Benchmark	National Average
Start Antibiotics (%)	+	100	97
Appropriate Antibiotics (%)	+	100	99
Stop Antibiotics (%)	+	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 (%)	47	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	+	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	+	2.97	1.72
Pneumonia mortality rate	As Expected	6.06	3.70

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