Columbia St. Mary's Hospital Ozaukee
Demographic Information

13111 N. Port Washington Road
Mequon, WI  53097
262-243-7300
http://www.columbia-stmarys.org
Services: Adult Intensive Care, Alcohol/Chemical Dependency, Cardiovascular, Emergency, Gynecology, Neurology, Obstetrics, Oncology, Orthopedics, Pediatrics, Psychiatry, Pulmonary, Trauma, Urology/Nephrology, Rehabilitation/Physical Medicine
Discharges/Yr: 7386
Population: Suburban
Staffed Beds: 153
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 10:39 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 (%) 98 100 99 98
Aspirin at discharge (%) 97 100 99 98
Beta-blocker at discharge (%) 93 100 99 98
ACEI for LVSD (%) 97 100 95 95
Smoking Cessation Counseling (%) 93 100 99 99
PCI <90 min 65 98 88 86
Throm Med <30 min + 33 55
Heart Attack Index (%) 78 98 94
Heart Failure Hosp.
Score
State
Benchmark
State
Average
National
Average
LVF assessment (%) 94 100 97 98
ACEI for LVSD (%) 86 100 94 94
Smoking Cessation Counseling (%) 64 100 96 98
Discharge Instructions (%) 73 95 83 87
Heart Failure Index (%) 72 94 82
Pneumonia Hosp.
Score
State
Benchmark
State
Average
National
Average
Pneumococcal vaccination (%) 88 99 92 92
Smoking Cessation Counseling (%) 87 100 94 97
Less than 6 hours to antibiotics (%) 96 100 97 94
Approp Anbtc 84 97 93 91
Blood Culture Collected 95 100 95 95
Flu vaccine 87 98 89 89
Pneumonia Index (%) 74 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 (%) 96 100 99  
Medication abbreviations (%) 99 100 99  
Medication reconcilliation (%) 94 100 89  

Surgical Infection Prevention

Measurement data are from 10/1/2008—9/30/2009
Colon Surgery Hosp.
Score
State
Benchmark
National
Average
Start Antibiotics (%) 86 100 91
Appropriate Antibiotics (%) 91 100 87
Stop Antibiotics (%) 88 93 83
Hip Surgery Hosp.
Score
State
Benchmark
National
Average
Start Antibiotics (%) 91 100 96
Appropriate Antibiotics (%) 100 100 99
Stop Antibiotics (%) 91 100 93
Hysterectomy Hosp.
Score
State
Benchmark
National
Average
Start Antibiotics (%) 91 100 96
Appropriate Antibiotics (%) 96 100 97
Stop Antibiotics (%) 90 100 94
Knee Surgery Hosp.
Score
State
Benchmark
National
Average
Start Antibiotics (%) 95 100 97
Appropriate Antibiotics (%) 100 100 99
Stop Antibiotics (%) 85 100 94
Other Cardiac Hosp.
Score
State
Benchmark
National
Average
Start Antibiotics (%) 100 100 96
Appropriate Antibiotics (%) 100 100 100
Stop Antibiotics (%) 89 100 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 (%) 94 100 97
Appropriate Antibiotics (%) 100 100 99
Stop Antibiotics (%) 96 100 95
Index Hosp.
Score
State
Benchmark
State
Average
Surgical Infection Prevention index (%) 74 94 85

 Deaths data (2007)
Deaths due to IllnessExperienceNat'l Avg(%)State Avg(%)
Acute myocardial infarction (AMI) mortality rateAs Expected8.856.63
Acute stroke mortality rateAs Expected11.209.55
AMI mortality rate - without transfersAs Expected9.737.40
Congestive heart failure (CHF) mortality rateAs Expected4.362.68
Gastrointestinal (GI) hemorrhage mortality rateAs Expected2.971.72
Hip fracture mortality rateAs Expected3.142.11
Pneumonia mortality rateAs Expected6.063.70
Deaths During a ProcedureExperienceNat'l Avg(%)State Avg(%)
AAA repair mortality rate+7.275.94
CABG mortality rateAs Expected3.372.05
CEA mortality rateAs Expected0.670.31
Hip replacement mortality rateAs Expected0.270.13
Pancreatic resection mortality rate+6.092.59
PTCA mortality rateAs Expected1.311.05


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