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110
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113
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117
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47

St. Croix Regional Medical Center

Demographic Information
235 E State Street
St. Croix Falls, WI  54024
715-483-3261
http://www.scrmc.org
Services: Adult Intensive Care, Cardiovascular, Emergency, Gynecology, Hospice/Palliative Care, Long Term Acute Care, Neurology, Obstetrics, Oncology, Orthopedics, Pediatrics, Psychiatry, Pulmonary, Rehabilitation/Physical Medicine, Trauma, Urology/Nephrology

View this hospital’s charges for the 75 most common hospitalizations in WI
Discharges/Yr: 1952
Population: Rural
Staffed Beds: 25
Report generated Jul 21 2019 10:30 PM
 
Composite scores are calculated from the most recent publicly reported CheckPoint data available on the calculation date. There may be different date ranges for the component measures within a single composite score. Composite calculation date: 2/7/2019.
Measure Star Rating Hospital Result WI Average National Average Hospital Trend Desired Direction Report Period
Birth
Birth Composite
Cesarean Section (PC-02) DNR 22 1/1/2018 - 12/31/2018
Early Elective Delivery (PC-01) DNR 3 1/1/2018 - 12/31/2018
Exclusive Breastfeeding (PC-05) DNR 65 1/1/2018 - 12/31/2018
Infant Complications DNR 3 1/1/2018 - 12/31/2018
Newborn Screening Turnaround Time DNR 99 1/1/2018 - 12/31/2018
High-Risk Procedure Volume
Abdominal Aortic Aneurysm Repair 1/1/2018 - 12/31/2018
Angioplasty-PTCA 1/1/2018 - 12/31/2018
Carotid Endarterectomy 1/1/2018 - 12/31/2018
Heart Bypass-CABG 1/1/2018 - 12/31/2018
Hip and Knee Replacement Surgery
Hip and Knee Composite
Hip and Knee Replacement Complications 3.2 2.5 2.6 4/1/2014 - 3/31/2017
Hip and Knee Replacement Readmissions (CMS 30-day) 4.3 4.1 4.2 7/1/2014 - 6/30/2017
Hip Fracture Mortality + + 1.75 1/1/2018 - 12/31/2018
Hip Replacement Mortality 0.00 0.01 1/1/2018 - 12/31/2018
Infections
Infection Composite DNR
Catheter Associated Urinary Tract Infections + + 0.95 1.00 1/1/2018 - 12/31/2018
Central Line Associated Blood Stream Infections + + 0.53 1.00 1/1/2018 - 12/31/2018
Clostridioides difficile Infections + + 0.68 1.00 1/1/2018 - 12/31/2018
Methicillin Resistant Staph Aureus Infections + + 0.43 1.00 1/1/2018 - 12/31/2018
SSI - Abdominal Hysterectomy + + 1.31 1.00 1/1/2018 - 12/31/2018
SSI - Colon Surgery + + 0.70 1.00 1/1/2018 - 12/31/2018
Mortality Rates
Mortality Composite NA
Abdominal Aortic Aneurysm Repair 4.38 1/1/2018 - 12/31/2018
Angioplasty - PTCA 1.71 1/1/2018 - 12/31/2018
Carotid Endarterectomy 0.10 1/1/2018 - 12/31/2018
COPD (CMS 30-day) 8.8 8.5 8.3 7/1/2014 - 6/30/2017
Craniotomy 4.92 1/1/2018 - 12/31/2018
Gastrointestinal (GI) Hemorrhage + + 1.36 1/1/2018 - 12/31/2018
Heart Attack (CMS 30-day) NA NA 13.3 13.2 7/1/2014 - 6/30/2017
Heart Bypass - CABG NA NA 2.16 1/1/2018 - 12/31/2018
Heart Failure (CMS 30-day) 11.2 12.3 11.7 7/1/2014 - 6/30/2017
Pneumonia (CMS 30-day) 16.5 15.9 15.7 7/1/2014 - 6/30/2017
Stroke + + 5.81 1/1/2018 - 12/31/2018
Patient Safety
Accidental Puncture or Cut (PSI-15) 0.00 0.00 1/1/2018 - 12/31/2018
Falls with Major Injury (Rate per 1,000 discharges) 0.30 0.04 1/1/2018 - 12/31/2018
Healthcare Personnel Influenza Vaccination (IMM-3) 97.9 94.0 10/1/2017 - 5/15/2018
Pneumothorax/Collapsed Lung (PSI-6) 0.00 0.01 1/1/2018 - 12/31/2018
Post-Op Abdominal Wound Complication (PSI-14) 0.00 0.00 1/1/2018 - 12/31/2018
Post-Op Bleeding (PSI-9) 0.25 0.17 1/1/2018 - 12/31/2018
Post-Op Blood Clot (PSI-12) 0.00 0.25 1/1/2018 - 12/31/2018
Post-Op Hip Fracture (PSI-8) 0.00 0.01 1/1/2018 - 12/31/2018
Post-Op Kidney Complications (PSI-10) 0.00 0.00 1/1/2018 - 12/31/2018
Post-Op Respiratory Failure (PSI-11) 0.31 0.19 1/1/2018 - 12/31/2018
Post-Op Sepsis/Blood Infection (PSI-13) 0.00 0.14 1/1/2018 - 12/31/2018
Pressure Ulcers (PSI-3) 0.00 0.03 1/1/2018 - 12/31/2018
Patient Experience
Patient Experience Composite
Always Quiet at Night 66 66 62 7/1/2017 - 6/30/2018
Definitely Recommend Hospital 73 76 72 7/1/2017 - 6/30/2018
Doctors Always Communicated Well 79 84 81 7/1/2017 - 6/30/2018
Nurses Always Communicated Well 83 83 80 7/1/2017 - 6/30/2018
Patient Rated Hospital High 74 78 73 7/1/2017 - 6/30/2018
Patients Always Received Requested Help 73 74 70 7/1/2017 - 6/30/2018
Patients Understood Their Care When They Left 52 57 53 7/1/2017 - 6/30/2018
Room Always Clean 80 80 75 7/1/2017 - 6/30/2018
Staff Always Explained Medications 64 69 66 7/1/2017 - 6/30/2018
Staff Provided Discharge Instructions 90 90 87 7/1/2017 - 6/30/2018
Readmissions
Readmissions Composite NA
All Causes 7.4 8.7 7/1/2017 - 6/30/2018
CABG (CMS 30-day) NA NA 13.1 13.2 7/1/2014 - 6/30/2017
COPD (CMS 30-day) NA NA 19.3 19.6 7/1/2014 - 6/30/2017
Heart Attack (CMS 30-day) NA NA 15.6 16.0 7/1/2014 - 6/30/2017
Heart Failure (CMS 30-day) 21.6 20.8 21.7 7/1/2014 - 6/30/2017
Hip and Knee Replacement (CMS 30-day) 4.3 4.1 4.2 7/1/2014 - 6/30/2017
Pneumonia (CMS 30-day) 15.1 16.2 16.7 7/1/2014 - 6/30/2017
Stroke (CMS 30-day) NA NA 11.5 11.9 7/1/2014 - 6/30/2017
Stroke
Stroke Mortality Rate + + 5.81 1/1/2018 - 12/31/2018
Stroke Readmissions (CMS 30-day) NA NA 11.5 11.9 7/1/2014 - 6/30/2017

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