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Wisconsin Hospital Compliance - Detail

Surgery Patients Who Were Given an Antibiotic Within One Hour Before Surgery to Help Prevent Infection

Giving patients antibiotics right before surgery helps to boost the patient's ability to fight off contamination during surgery that could lead to infection. Studies show that patients given antibiotics either more than one hour before or after the first surgical incision is made experience higher rates of infection compared to those who are given antibiotics within one hour before surgery begins.

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Wisconsin Hospitals with Low Compliance for this Procedure

Low compliance describes hospitals that followed this infection prevention procedure 79 percent of the time or less. The compliance level of hospitals which report a small number of cases (fewer than 25) should not be regarded as reliably predicting performance; these hospitals are displayed in italics and include Note 1. "Patients" is the number of patients for which data was submitted. The change columns describe the change in compliance and the change in the number of patients as compared to the previous quarter. Click the hospital names to access detailed information. The chart below lists hospitals in order based on the number of patients sampled (hospitals serving the largest number of patients first). You can re-sort the table by clicking on the table headers.

HospitalComplianceChangePatientsChangeNotes
6 of 120 total surgical sites.
[1] The number of cases is too small (fewer than 25) to reliably tell how well a hospital is performing.
[2] The hospital indicated that the data submitted for this measure were based on a sample of cases.
[3] Data was collected during a shorter time period (fewer quarters) than the maximum possible time for this measure (One quarter equals three months.)
[4] Inaccurate information submitted and suppressed for one or more quarters.
[5] No data is available from the hospital for this measure.
St Croix Reg Med Ctr74%-5.0%92+3
Grant Reg Hlth Ctr (< 25)73%+11.0%11-21
Gundersen Luth Med Ctr73%0.0%74102
United Hsptl Sys72%+2.0%380-212
St Josephs Com Hlth Svcs (< 25)64%+6.0%11-11
Burnett Med Ctr (< 25)60%+10.0%5+31 and 3

Wisconsin Hospitals with High Compliance for this Procedure

High compliance describes hospitals that followed this infection prevention procedure 95 percent of the time or more. The compliance level of hospitals which report a small number of cases (fewer than 25) should not be regarded as reliably predicting performance; these hospitals are displayed in italics and include Note 1. "Patients" is the number of patients for which data was submitted. The change columns describe the change in compliance and the change in the number of patients as compared to the previous quarter. Click the hospital names to access detailed information. The chart below lists hospitals in order based on the number of patients sampled (hospitals serving the largest number of patients first). You can re-sort the table by clicking on the table headers.

HospitalComplianceChangePatientsChangeNotes
46 of 120 total surgical sites.
[1] The number of cases is too small (fewer than 25) to reliably tell how well a hospital is performing.
[2] The hospital indicated that the data submitted for this measure were based on a sample of cases.
[3] Data was collected during a shorter time period (fewer quarters) than the maximum possible time for this measure (One quarter equals three months.)
[4] Inaccurate information submitted and suppressed for one or more quarters.
[5] No data is available from the hospital for this measure.
Aurora Memorial Hsptl Burlington100%0.0%206-12
Black River Mem Hsptl100%0.0%58+6
Franciscan Skemp Arcadia (< 25)100%0.0%22+61
Hayward Area Mem Hsptl (< 25)100%0.0%6-21 and 3
Hess Mem Hsptl100%+1.0%101+122
Mercy Walworth Hospital & Medical Center100%0.0%65+3
Orthopaedic Hsptl of Wi (< 25)100%0.0%5+21
Our Lady of Victory Hsptl (< 25)100%+25.0%1-31 and 3
Aurora Baycare Med Ctr99%0.0%367+42
Lakeview Med Ctr99%0.0%293+132
Riverview Hsptl Assoc99%+2.0%303-22
St Clare Hsptl Hlth Svcs99%0.0%151+12
Aspirus Wausau Hospital98%+2.0%400+72
Aurora Health Care Metro, Inc98%+1.0%416+242
Aurora Lakeland Med Ctr98%0.0%160+12
Aurora Med Ctr Manitowoc Cty98%+1.0%170-92
Aurora Med Ctr Oshkosh98%0.0%187-92
Aurora Sheboygan Mem Med Ctr98%0.0%236-82
Franciscan Skemp La Crosse Hsptl98%+1.0%627-42
Sauk Prairie Mem Hsptl98%0.0%369+20
St Clare's Hospital of Weston Inc98%-1.0%606-40
St Michaels Hsptl98%0.0%391+29
Stoughton Hsptl98%-2.0%45-1
Waupun Mem Hsptl98%0.0%57-7
West Allis Mem Hsptl98%+1.0%25702
Wis Heart Hospital - Wheaton Franciscan Healthcare98%0.0%133+42
Aurora Med Center-Washington County97%-1.0%173-142
Aurora Med Ctr Kenosha97%-2.0%158+102
Oconomowoc Mem Hsptl97%+1.0%267+72
Red Cedar Medical Center-Mayo Health Sys97%+1.0%72-92
St Josephs Hsptl97%+1.0%179+92
Waukesha Memorial Hospital97%+1.0%448-352
Bellin Memorial Hsptl96%-1.0%599-22
Luther Hospital Mayo Health System96%0.0%919-19
Mercy Hlth Sys Corp96%-1.0%710-272
Oak Leaf Surgcl Hsptl96%+1.0%240-18
St Agnes Hsptl96%+1.0%368-22
St Vincent Hsptl96%+1.0%457+82
Uw Health Uw Hospitals and Clinics96%0.0%444-62
Wheaton Franciscan Healthcare- St Francis96%+1.0%370-52
Fort Healthcare95%+1.0%190-142
Howard Young Med Ctr95%+2.0%266-82
Langlade Hospital95%0.0%79-2
St Marys Hsptl Med Ctr95%0.0%420-9
Theda Clark Med Ctr95%+2.0%324-132
Wheaton Franciscan Healthcare- St Joseph95%+1.0%351-62

All Wisconsin Hospitals

This chart describes the infection prevention compliance rates for this procedure for all reporting hospitals in the state. This list also includes hospitals that did not submit any data to CMS for this procedure or do not have cause to perform this procedure. The compliance level of hospitals which report a small number of cases (fewer than 25) should not be regarded as reliably predicting performance; these hospitals are displayed in italics and include Note 1. "Patients" is the number of patients for which data was submitted. The change columns describe the change in compliance and the change in the number of patients as compared to the previous quarter. Click the hospital names to access detailed information and re-sort the table by clicking on the table headers.

HospitalComplianceChangePatientsChangeNotes
120 of 120 total surgical sites.
[1] The number of cases is too small (fewer than 25) to reliably tell how well a hospital is performing.
[2] The hospital indicated that the data submitted for this measure were based on a sample of cases.
[3] Data was collected during a shorter time period (fewer quarters) than the maximum possible time for this measure (One quarter equals three months.)
[4] Inaccurate information submitted and suppressed for one or more quarters.
[5] No data is available from the hospital for this measure.
Aurora Memorial Hsptl Burlington100%0.0%206-12
Black River Mem Hsptl100%0.0%58+6
Franciscan Skemp Arcadia (< 25)100%0.0%22+61
Hayward Area Mem Hsptl (< 25)100%0.0%6-21 and 3
Hess Mem Hsptl100%+1.0%101+122
Mercy Walworth Hospital & Medical Center100%0.0%65+3
Orthopaedic Hsptl of Wi (< 25)100%0.0%5+21
Our Lady of Victory Hsptl (< 25)100%+25.0%1-31 and 3
Aurora Baycare Med Ctr99%0.0%367+42
Lakeview Med Ctr99%0.0%293+132
Riverview Hsptl Assoc99%+2.0%303-22
St Clare Hsptl Hlth Svcs99%0.0%151+12
Aspirus Wausau Hospital98%+2.0%400+72
Aurora Health Care Metro, Inc98%+1.0%416+242
Aurora Lakeland Med Ctr98%0.0%160+12
Aurora Med Ctr Manitowoc Cty98%+1.0%170-92
Aurora Med Ctr Oshkosh98%0.0%187-92
Aurora Sheboygan Mem Med Ctr98%0.0%236-82
Franciscan Skemp La Crosse Hsptl98%+1.0%627-42
Sauk Prairie Mem Hsptl98%0.0%369+20
St Clare's Hospital of Weston Inc98%-1.0%606-40
St Michaels Hsptl98%0.0%391+29
Stoughton Hsptl98%-2.0%45-1
Waupun Mem Hsptl98%0.0%57-7
West Allis Mem Hsptl98%+1.0%25702
Wis Heart Hospital - Wheaton Franciscan Healthcare98%0.0%133+42
Aurora Med Center-Washington County97%-1.0%173-142
Aurora Med Ctr Kenosha97%-2.0%158+102
Oconomowoc Mem Hsptl97%+1.0%267+72
Red Cedar Medical Center-Mayo Health Sys97%+1.0%72-92
St Josephs Hsptl97%+1.0%179+92
Waukesha Memorial Hospital97%+1.0%448-352
Bellin Memorial Hsptl96%-1.0%599-22
Luther Hospital Mayo Health System96%0.0%919-19
Mercy Hlth Sys Corp96%-1.0%710-272
Oak Leaf Surgcl Hsptl96%+1.0%240-18
St Agnes Hsptl96%+1.0%368-22
St Vincent Hsptl96%+1.0%457+82
Uw Health Uw Hospitals and Clinics96%0.0%444-62
Wheaton Franciscan Healthcare- St Francis96%+1.0%370-52
Fort Healthcare95%+1.0%190-142
Howard Young Med Ctr95%+2.0%266-82
Langlade Hospital95%0.0%79-2
St Marys Hsptl Med Ctr95%0.0%420-9
Theda Clark Med Ctr95%+2.0%324-132
Wheaton Franciscan Healthcare- St Joseph95%+1.0%351-62
Amery Reg Med Ctr94%+5.0%35-20
Columbia St Marys Hsptl Milw (col & Milw Campus)94%-1.0%413+632
Community Mem Hsptl94%-2.0%53-3
Divine Savior Hlthcare94%+1.0%96-2
Memorial Health Ctr94%+4.0%53+11
Meriter Hsptl94%+1.0%765-1462
Good Samaritan Hlth Ctr93%+3.0%58-5
St Mary's Hospital93%+1.0%1890-12
Appleton Med Ctr92%+3.0%1127+72
Froedtert Mem Lutheran Hsptl92%+1.0%459-72
Mercy Med Ctr of Oshkosh92%+4.0%256-42
Bay Area Med Ctr91%0.0%156+6
Columbia St Marys Ozaukee Campus91%+1.0%334+192
St Josephs Com Hsptl West Bend91%0.0%127-232
Baldwin Area Med Ctr90%-2.0%39-11
Beaver Dam Com Hsptl90%+1.0%225-2
Boscobel Area Health Care (< 25)90%+15.0%10+21
Monroe Clinic90%+2.0%210-92
Reedsburg Area Med Ctr90%+10.0%82-32
Sacred Heart Hsptl90%0.0%319-132
St Marys Hospital90%+3.0%442+16
Upland Hills Hlth (< 25)90%-3.0%20-211
Uw Hlth Partners - Watertown Regional Medical Ctr90%+4.0%189-102
St Elizabeth Hsptl89%+5.0%487+62
St Josephs Hsptl89%0.0%1339-14
Wheaton Franciscan Healthcare- All Saints89%+9.0%431+122
Wheaton Franciscan Healthcare- Elmbrook Memorial89%+2.0%304-22
Memorial Hsptl Lafayette Cty88%-3.0%26+4
Richland Hsptl88%+9.0%42-5
River Falls Area Hsptl (< 25)88%N/A24+241, 2, and 3
Calumet Medical Ctr87%+1.0%30+92 and 3
Vernon Mem Hsptl87%-3.0%333+202
Holy Family Memorial86%+4.0%270+16
St Nicholas Hospital86%-1.0%281+4
Beloit Mem Hsptl85%-1.0%263-172
Shawano Med Ctr (< 25)85%+3.0%20-21
Door County Memorial Hospital84%+8.0%58-8
Luther Midelfort- Northland Mayo Health System (< 25)84%-2.0%19-31
Community Mem Hsptl83%+2.0%451+132
Southwest Health Center Inc83%-5.0%42-14
Memorial Med Ctr82%+3.0%142-5
St Croix Reg Med Ctr74%-5.0%92+3
Grant Reg Hlth Ctr (< 25)73%+11.0%11-21
Gundersen Luth Med Ctr73%0.0%74102
United Hsptl Sys72%+2.0%380-212
St Josephs Com Hlth Svcs (< 25)64%+6.0%11-11
Burnett Med Ctr (< 25)60%+10.0%5+31 and 3
Berlin Memorial HospitalN/AN/AN/AN/A5
Columbia CenterN/AN/AN/AN/A5
Columbus Com HsptlN/AN/AN/AN/A5
Cumberland Memorial HospitalN/AN/AN/AN/A5
Eagle River Mem HsptlN/AN/AN/AN/A5
Edgerton Hospital and Health ServicesN/AN/AN/AN/A5
Flambeau Hsptl (< 25)N/AN/A0-13
Franciscan Skemp Sparta HsptlN/AN/AN/AN/A5
Hudson HospitalN/AN/AN/AN/A5
Indianhead Med CtrN/AN/AN/AN/A5
Luther Midelfort- Chippewa Valley Mayo Hlth System (< 25)N/AN/A003
Luther Midelfort- Oakridge Mayo Health SystemN/AN/AN/AN/A5
Memorial Medical CtrN/AN/AN/AN/A5
Moundview Mem Hsptl and ClinicsN/AN/AN/AN/A5
New London Family Med CtrN/AN/AN/AN/A5
Oconto Hospital & Medical Center, IncN/AN/AN/AN/A5
Ripon Med CtrN/AN/AN/AN/A5
Riverside Med CtrN/AN/AN/AN/A5
Rusk County Mem HsptlN/AN/AN/AN/A5
Sacred Heart HsptlN/AN/AN/AN/A5
Spooner Health SysN/AN/AN/AN/A5
St Marys Hsptl SuperiorN/AN/AN/AN/A5
Tomah Mem HsptlN/AN/AN/AN/A5
Tri County Mem HsptlN/AN/AN/AN/A5
Westfields HospitalN/AN/AN/AN/A5
Wheaton Franciscan Healthcare- Franklin, IncN/AN/AN/AN/A5
Wild Rose Com Mem HsptlN/AN/AN/AN/A5