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Note: The following measure(s) will be retired from CheckPoint in December 2014:
  • AMI-2 – Aspirin on Discharge
  • PN-3b – Blood Culture before First Abx
  • HF-1 – Discharge Instructions
  • HF-3 – ACEI/ARB for LVSD
  • SCIP-Inf-10 – Periop Temp. Management
Meriter Hospital
Demographic Information

202 S. Park St.
Madison, WI  53715

Services:
Discharges/Yr:
Population:
Staffed Beds:
KEY
- No Cases Met Criteria. The hospital had no cases that met the measure criteria during the applicable time period.
+ Low Volume. The hospital collects data, but their volume of data was too small to report with statistical confidence.
IP In Progress. The hospital is collecting data, but does not have four quarters of data necessary for public reporting.
DNR Did not report. The hospital has not authorized CheckPoint to report this measure or the hospital has not provided data for this measure.
NA Not Applicable. The hospital does not provide this service.
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 Apr 25 2014 4:40 AM

Medical Services

Measurement data are from 7/1/2012—6/30/2013
Heart Attack Hosp.
Score
State
Benchmark
State
Average
National
Average
Aspirin at discharge (%) 100 100 99 99
PCI <90 min 92 100 95 96
Throm Med <30 min 100 60
Heart Failure Hosp.
Score
State
Benchmark
State
Average
National
Average
LVF assessment (%) 100 100 99 100
ACEI for LVSD (%) 97 100 96 97
Discharge Instructions (%) 99 100 96 95
Pneumonia Hosp.
Score
State
Benchmark
State
Average
National
Average
Approp Anbtc 95 100 97 97
Blood Culture Collected 99 100 98 98

Error Prevention

Measurement data are from 7/1/2013—12/31/2013
National Safety Goals Hosp.
Score
State
Benchmark
State
Average
 
Site marking (%) 97 100 98  
Procedure verification (%) 100 100 98  
Medication reconciliation (%) 97 100 91  

Surgical Services

Measurement data are from 7/1/2012—6/30/2013
Colon Surgery Hosp.
Score
State
Benchmark
National
Average
Start Antibiotics (%) 95 100 98
Appropriate Antibiotics (%) 100 100 96
Stop Antibiotics (%) 100 100 96
Hip Surgery Hosp.
Score
State
Benchmark
National
Average
Start Antibiotics (%) 96 100 99
Appropriate Antibiotics (%) 100 100 100
Stop Antibiotics (%) 100 100 98
Hysterectomy Hosp.
Score
State
Benchmark
National
Average
Start Antibiotics (%) 98 100 99
Appropriate Antibiotics (%) 98 100 98
Stop Antibiotics (%) 99 100 98
Knee Surgery Hosp.
Score
State
Benchmark
National
Average
Start Antibiotics (%) 99 100 99
Appropriate Antibiotics (%) 100 100 100
Stop Antibiotics (%) 99 100 98
Other Cardiac Hosp.
Score
State
Benchmark
National
Average
Start Antibiotics (%) 98 100 99
Appropriate Antibiotics (%) 100 100 100
Stop Antibiotics (%) 96 100 98
Blood Sugar Controlled (%) 93 100
Vascular Surgery Hosp.
Score
State
Benchmark
National
Average
Start Antibiotics (%) + 100 98
Appropriate Antibiotics (%) + 100 99
Stop Antibiotics (%) + 100 96
CABG Hosp.
Score
State
Benchmark
National
Average
Start Antibiotics (%) 98 100 99
Appropriate Antibiotics (%) 100 100 100
Stop Antibiotics (%) 100 100 99
Blood Sugar Controlled (%) 92
Index Hosp.
Score
State
Benchmark
State
Average
Surgical Infection Prevention index (%) 91 98 95
Surgical Care – All Procedures Hosp.
Score
State
Benchmark
National
Average
Start Antibiotics (%) 97 100 99
Appropriate Antibiotics (%) 100 100 99
Stop Antibiotics (%) 99 100 98
Clot Prevention Given (%) 96 100 98
Cath Removal (%) 96 100 97
Temp Management (%) 100 100 100
Beta Blocker Received (%) 99 100 98

 Deaths data ()
High Risk Procedure - Volumes Volume
AAA Volume
CABG Volume
CEA Volume
Esophageal Resection Volume
PTCA Volume
Pancreatic Resection Volume
Incidental Appendectomy (%)

     
 Birth Measures Data ()
MeasureRateState Average
Pre-Birth Steroids
Forceps Delivery
Vacuum Delivery
Breast Feeding
Infant Composite
Early Elective Delivery

     
 Patient Experience of Care Survey Data ()
Measure Rate National Average State Average State Benchmark
Patients ranked hospital high
Definitely recommend hospital
Doctors always communicated well
Nurses always communicated well
Patients always received requested help
Staff always explained medications
Pain always well controlled
Always quiet at night
Room always clean
Staff provided discharge instructions

     
 Stroke Data ()
Measure Rate State Average State Benchmark
STK-2: AntiThrom on Dischg
STK-3: Anticoag for AFib/AFlut
STK-5: Early AntiThrom
STK-6: Dischg on Statin Med
STK-8: Stroke Education
STK-10: Assess for Rehab

     
 CMS 30-Day Mortality Data ()
Measure Rate National Average State Average
Pneumonia
Heart Failure
Heart Attack

     
 CMS 30-Day Readmission Data ()
Measure Rate National Average State Average
Pneumonia
Heart Failure
Heart Attack

     
 CLABSI - Central Line Associated Blood Stream Infection Data (ICU Patients) ()
Measure Ratio National Comparison State Comparison
CLABSI

     
 CAUTI – Catheter Associated Urinary Tract Infections ()
Measure Ratio National Comparison State Comparison
CAUTI

     
 Surgical Site Infections (SSI) - Colon Surgery()
Measure Ratio National Comparison State Comparison
SSI – Colon Surgery

     
 Surgical Site Infections (SSI) – Abdominal Hysterectomy ()
Measure Ratio National Comparison State Comparison
SSI – Abdominal Hysterectomy


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