Select by Hospital

Agnesian HealthCare/St. Agnes Hospital (Fond du Lac)
87
Amery Regional Medical Center (Amery)
3
Appleton Medical Center (Appleton)
4
Aspirus Medford Hospital & Clinics, Inc. (Medford)
58
Aspirus Wausau Hospital (Wausau)
120
Aurora BayCare Medical Center in Green Bay (Green Bay)
5
Aurora Lakeland Medical Center in Elkhorn (Elkhorn)
6
Aurora Medical Center in Grafton (Grafton)
146
Aurora Medical Center in Hartford (Hartford)
9
Aurora Medical Center in Kenosha (Kenosha)
7
Aurora Medical Center in Oshkosh (Oshkosh)
127
Aurora Medical Center in Summit (Summit)
145
Aurora Medical Center of Manitowoc County (Two Rivers)
8
Aurora Memorial Hospital of Burlington (Burlington)
59
Aurora Sheboygan Memorial Medical Center (Sheboygan)
10
Aurora Sinai Medical Center (Milwaukee)
11
Aurora St Luke's Medical Center - South Shore (Cudahy)
123
Aurora St. Luke's Medical Center (Milwaukee)
97
Aurora West Allis Medical Center (West Allis)
121
Baldwin Area Medical Center, Inc. (Baldwin)
13
Bay Area Medical Center (Marinette)
15
Beaver Dam Community Hospitals, Inc. (Beaver Dam)
16
Bellin Health Oconto Hospital (Oconto)
130
Bellin Hospital (Green Bay)
17
Bellin Psychiatric Center (Green Bay)
142
Beloit Health System (Beloit)
18
Berlin Memorial Hospital (Berlin)
19
Black River Memorial Hospital (Black River Falls)
20
Burnett Medical Center (Grantsburg)
23
Calumet Medical Center (Chilton)
24
Chippewa Valley Hospital (Durand)
25
Columbia Center Birth Hospital (Mequon)
132
Columbia St. Mary's Hospital Milwaukee (Milwaukee)
134
Columbia St. Mary's Hospital Ozaukee (Mequon)
27
Columbus Community Hospital (Columbus)
29
Crossing Rivers Health Medical Center (Prairie du Chien)
71
Cumberland Healthcare (Cumberland)
32
Divine Savior Healthcare (Portage)
33
Edgerton Hospital and Health Services (Edgerton)
57
Essentia Health St. Mary's Hospital - Superior (Superior)
101
Flambeau Hospital (Park Falls)
37
Fort HealthCare (Fort Atkinson)
38
Froedtert & The Medical College of Wisconsin Community Memorial Hospital Campus (Menomonee Falls)
30
Froedtert & The Medical College of Wisconsin Froedtert Hospital Campus (Milwaukee)
42
Froedtert & The Medical College of Wisconsin St. Josephs Hospital Campus (West Bend)
93
Grant Regional Health Center (Lancaster)
44
Gundersen Boscobel Area Hospital and Clinics (Boscobel)
22
Gundersen Health System (La Crosse)
45
Gundersen St. Joseph's Hospital and Clinics (Hillsboro)
96
Gundersen Tri County Hospital & Clinics (Whitehall)
112
Hayward Area Memorial Hospital (Hayward)
46
Holy Family Memorial Inc (Manitowoc)
48
Howard Young Medical Center (Woodruff)
49
HSHS Sacred Heart Hospital (Eau Claire)
78
HSHS St. Clare Memorial Hospital (Oconto Falls)
31
HSHS St. Joseph's Hospital (Chippewa Falls)
94
HSHS St. Mary's Hospital Medical Center (Green Bay)
100
HSHS St. Nicholas Hospital (Sheboygan)
105
HSHS St. Vincent Hospital (Green Bay)
106
Hudson Hospital & Clinics (Hudson)
50
Indianhead Medical Center/Shell Lake (Shell Lake)
51
Lakeview Medical Center (Rice lake)
54
Langlade Hospital - An Aspirus Partner (Antigo)
55
Mayo Clinic Health System - Chippewa Valley (Bloomer)
21
Mayo Clinic Health System - Eau Claire (Eau Claire)
56
Mayo Clinic Health System - Franciscan Healthcare in La Crosse (La Crosse)
40
Mayo Clinic Health System - Franciscan Healthcare in Sparta (Sparta)
41
Mayo Clinic Health System - Northland in Barron (Barron)
14
Mayo Clinic Health System - Oakridge in Osseo (Osseo)
70
Mayo Clinic Health System - Red Cedar in Menomonie (Menomonie)
67
Memorial Hospital of Lafayette Co. (Darlington)
60
Memorial Medical Center (Ashland)
61
Memorial Medical Center (Neillsville)
62
Mercy Hospital and Trauma Center (Janesville)
63
Mercy Medical Center (Oshkosh)
64
Mercy Walworth Hospital and Medical Center (Lake Geneva)
140
Meriter-UnityPoint Health (Madison)
65
Midwest Orthopedic Specialty Hospital (Franklin)
144
Mile Bluff Medical Center (Mauston)
66
Ministry Door County Medical Center (Sturgeon Bay)
34
Ministry Eagle River Memorial Hospital (Eagle River)
35
Ministry Good Samaritan Health Center (Merrill)
43
Ministry Our Lady of Victory Hospital (Stanley)
116
Ministry Sacred Heart Hospital (Tomahawk)
79
Ministry Saint Clare's Hospital (Weston)
131
Ministry Saint Joseph's Hospital (Marshfield)
80
Ministry Saint Mary's Hospital (Rhinelander)
102
Ministry Saint Michael's Hospital (Stevens Point)
82
Monroe Clinic (Monroe)
108
Moundview Memorial Hospital & Clinics, Inc. (Friendship)
2
OakLeaf Surgical Hospital (Altoona)
133
Oconomowoc Memorial Hospital (Oconomowoc)
69
Orthopaedic Hospital of Wisconsin (Glendale)
128
Osceola Medical Center (Osceola)
126
Reedsburg Area Medical Center (Reedsburg)
72
Ripon Medical Center, Inc. (Ripon)
73
River Falls Area Hospital (River Falls)
74
Riverside Medical Center (Waupaca)
75
Riverview Hospital Association (Wisconsin Rapids)
76
Rusk County Memorial Hospital (Ladysmith)
77
Sauk Prairie Healthcare (Prairie du Sac)
83
Shawano Medical Center (Shawano)
84
Southwest Health Center (Platteville)
85
Spooner Health System (Spooner)
86
St. Clare Hospital & Health Services (Baraboo)
89
St. Croix Regional Medical Center (St. Croix Falls)
90
St. Elizabeth Hospital (Appleton)
91
St. Mary's Hospital (Madison)
99
St. Mary's Janesville Hospital (Janesville)
147
Stoughton Hospital Association (Stoughton)
107
The Richland Hospital, Inc. (Richland Center)
109
Theda Clark Medical Center (Neenah)
110
ThedaCare Medical Center - New London (New London)
68
Tomah Memorial Hospital (Tomah)
111
United Hospital System (Kenosha)
52
University of Wisconsin Hospital & Clinics Authority (Madison)
113
Upland Hills Health, Inc. (Dodgeville)
114
UW Health Partners Watertown Regional Medical Center (Watertown)
117
Vernon Memorial Hospital (Viroqua)
115
Waukesha Memorial Hospital (Waukesha)
118
Waupun Memorial Hospital (Waupun)
119
Westfields Hospital & Clinic (New Richmond)
47
Wheaton Franciscan Healthcare - All Saints, Inc (Racine)
81
Wheaton Franciscan Healthcare - Franklin (Franklin)
143
Wheaton Franciscan Healthcare - St. Francis (Milwaukee)
92
Wheaton Franciscan, Inc. - St. Joseph, Elmbrook, TWHH (Milwaukee)
95
Wild Rose Community Memorial Hospital (Wild Rose)
122
Froedtert & The Medical College of Wisconsin Community Memorial Hospital Campus
Demographic Information

W180 N8085 Town Hall Road
Menomonee Falls, WI  53051
262-251-1000
http://www.communitymemorial.com
Services: Emergency, Obstetrics, Psychiatry, Cardiovascular, Orthopedics

View this hospital’s charges for the 75 most common hospitalizations in WI
Discharges/Yr: 9597
Population: Suburban
Staffed Beds: 202
Report generated Jan 30 2015 6:43 PM
 

Medical Services

Measurement data are from 1/1/2013—12/31/2013
Heart Attack Hosp.
Score
State
Benchmark
State
Average
National
Average
PCI within 90 minutes 96 100 96 96
Heart Failure Hosp.
Score
State
Benchmark
State
Average
National
Average
LVF assessment (%) 100 100 99 99
Pneumonia Hosp.
Score
State
Benchmark
State
Average
National
Average
Appropriate Antibiotic 98 100 96 95

Error Prevention

Measurement data are from 1/1/2014—6/30/2014
National Safety Goals Hosp.
Score
State
Benchmark
State
Average
 
Medication reconciliation (%) 100 92  

Surgical Services

Measurement data are from 1/1/2013—12/31/2013
Colon Surgery Hosp.
Score
State
Benchmark
National
Average
Start antibiotic (%) 100 100
Appropriate antibiotic (%) 96 100
Stop antibiotic (%) 98 100
Hip Surgery Hosp.
Score
State
Benchmark
National
Average
Start antibiotic (%) 99 100
Appropriate antibiotic (%) 100 100
Stop antibiotic (%) 100 100
Hysterectomy Hosp.
Score
State
Benchmark
National
Average
Start antibiotic (%) 100 100
Appropriate antibiotic (%) 100 100
Stop antibiotic (%) 100 100
Knee Surgery Hosp.
Score
State
Benchmark
National
Average
Start antibiotic (%) 100 100
Appropriate antibiotic (%) 99 100
Stop antibiotic (%) 100 100
Other Cardiac Hosp.
Score
State
Benchmark
National
Average
Start antibiotic (%) + 100
Appropriate antibiotic (%) + 100
Stop antibiotic (%) + 100
Blood Sugar Controlled (%) + 100
Vascular Surgery Hosp.
Score
State
Benchmark
National
Average
Start antibiotic (%) + 100
Appropriate antibiotic (%) + 100
Stop antibiotic (%) + 100
CABG Hosp.
Score
State
Benchmark
National
Average
Start antibiotic (%) 100 100
Appropriate antibiotic (%) 100 100
Stop antibiotic (%) 100 100
Blood Sugar Controlled (%) 96 100
Surgical Care - All Procedures Hosp.
Score
State
Benchmark
National
Average
Start antibiotic (%) 100 100 99
Appropriate antibiotic (%) 99 100 99
Stop antibiotic (%) 100 100 98
Clot Prevention Given (%) 100 100 98
Urinary Catheter Removal (%) 100 100 97
Beta Blocker Received (%) 99 100 98

Deaths Data (2012)
Deaths due to IllnessExperienceNat'l Avg(%)State Avg(%)
Acute stroke mortality rateAs Expected9.136.91
Gastrointestinal (GI) hemorrhage mortality rateAs Expected2.411.40
Hip fracture mortality rateAs Expected2.780.61
Deaths During a ProcedureExperienceNat'l Avg(%)State Avg(%)
AAA repair mortality rate+4.121.75
CABG mortality rateAs Expected2.581.14
CEA mortality rateBetter0.400.01
Craniotomy mortality rate+5.706.41
Hip replacement mortality rateBetter0.090.00
PTCA mortality rateAs Expected1.730.59
High Risk Procedure - Volumes Volume
AAA Volume 12
CABG Volume 168
CEA Volume 64
Esophageal Resection Volume +
PTCA Volume 201
Pancreatic Resection Volume +
Incidental Appendectomy Rate (%) 0.00

     
Birth Measures Data  (7/1/2013 - 6/30/2014)
MeasureRateState Average
Pre-Birth Steroids +91
Forceps Delivery11
Vacuum Delivery46
Breast Feeding7279
Infant Composite22
Early Elective Delivery26

     
Patient Experience of Care Survey (1/1/2013 - 12/31/2013)
Measure Rate National Average State Average State Benchmark
Patients ranked hospital high 74 71 75 83
Definitely recommend hospital 77 71 74 85
Doctors always communicated well 82 82 83 89
Nurses always communicated well 80 79 82 88
Patients always received requested help 66 68 72 84
Staff always explained medications 65 64 68 76
Pain always well controlled 72 71 72 79
Always quiet at night 61 61 64 72
Room always clean 73 74 79 88
Staff provided discharge instructions 88 86 89 92

     
Stroke Data (1/1/2013 - 12/31/2013)
Measure Rate State Average State Benchmark
STK-2: Antithrombotic Therapy 100 98 100
STK-3: Anticoagulation Therapy + 94 100
STK-5: Start Antithrombotic 99 98 100
STK-6: Discharge on Statin Medication 97 89 100
STK-8: Stroke Education 98 87 100
STK-10: Assessed for Rehab 100 98 100

     
CMS 30-Day Mortality Data (7/1/2010 - 6/30/2013)
Measure Rate National Average State Average
Pneumonia 12.0 11.9 12.2
Heart Failure 15.1 11.9 12.6
Heart Attack 19.2 14.9 15.1

     
CMS 30-Day Readmission Data (7/1/2010 - 6/30/2013)
Measure Rate National Average State Average
Pneumonia 17.7 17.3 16.9
Heart Failure 20.7 22.7 21.7
Heart Attack 18.7 17.8 17.3

     
CLABSI - Central Line Associated Blood Stream Infection Data (ICU Patients) (7/1/2013 - 6/30/2014)
Measure Ratio National Comparison State Comparison
CLABSI 0.802 1.000 0.387

     
CAUTI - Catheter Associated Urinary Tract Infections (7/1/2013 - 6/30/2014)
Measure Ratio National Comparison State Comparison
CAUTI 1.659 1.000 0.855

     
Surgical Site Infections (SSI) - Colon Surgery (7/1/2013 - 6/30/2014)
Measure Ratio National Comparison State Comparison
SSI - Colon Surgery 0.726 1.000 0.966

     
Surgical Site Infections (SSI) - Abdominal Hysterectomy (7/1/2013 - 6/30/2014)
Measure Ratio National Comparison State Comparison
SSI - Abdominal Hysterectomy + 1.000 1.078

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