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Wisconsin Hospital Compliance - Detail

Surgery Patients Who Were Given the Right Kind of Antibiotic to Help Prevent Infection

Choosing the appropriate antibiotic is critical because it must be effective in preventing infections caused by bacteria likely to be present around the surgical site. Antibiotic selection therefore varies depending on the type of surgery. Guidelines for appropriate antibiotic selection have been developed by the CDC.

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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
1 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.
Hayward Area Mem Hsptl (< 25)67%-21.0%6-21 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
77 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.
Baldwin Area Med Ctr100%0.0%39-11
Black River Mem Hsptl100%+4.0%58+6
Burnett Med Ctr (< 25)100%+100.0%5+31 and 3
Calumet Medical Ctr100%0.0%30+92 and 3
Franciscan Skemp Arcadia (< 25)100%0.0%22+61
Good Samaritan Hlth Ctr100%0.0%58-6
Lakeview Med Ctr100%0.0%293+132
Luther Hospital Mayo Health System100%+1.0%932-19
Mercy Walworth Hospital & Medical Center100%0.0%65+3
Monroe Clinic100%+1.0%212-82
Oak Leaf Surgcl Hsptl100%0.0%240-19
Orthopaedic Hsptl of Wi (< 25)100%0.0%5+21
Our Lady of Victory Hsptl (< 25)100%0.0%1-31 and 3
Red Cedar Medical Center-Mayo Health Sys100%0.0%72-92
River Falls Area Hsptl (< 25)100%N/A24+241, 2, and 3
Wis Heart Hospital - Wheaton Franciscan Healthcare100%0.0%138+52
Appleton Med Ctr99%0.0%1131+92
Aurora Med Center-Washington County99%+1.0%174-152
Aurora Sheboygan Mem Med Ctr99%0.0%237-72
Fort Healthcare99%0.0%191-142
Franciscan Skemp La Crosse Hsptl99%0.0%633-41
Howard Young Med Ctr99%+1.0%270-52
Langlade Hospital99%+1.0%78-3
Mercy Med Ctr of Oshkosh99%+1.0%251+32
Meriter Hsptl99%0.0%767-1482
Reedsburg Area Med Ctr99%-1.0%82-32
Riverview Hsptl Assoc99%-1.0%303-21
Sauk Prairie Mem Hsptl99%0.0%369+20
St Clare's Hospital of Weston Inc99%0.0%613-39
St Elizabeth Hsptl99%+1.0%478+262
St Mary's Hospital99%+1.0%1908-52
St Nicholas Hospital99%0.0%276+4
Vernon Mem Hsptl99%0.0%336+202
Wheaton Franciscan Healthcare- All Saints99%+3.0%439+182
Wheaton Franciscan Healthcare- St Joseph99%+1.0%353-32
Aurora Baycare Med Ctr98%0.0%375+32
Aurora Med Ctr Kenosha98%+1.0%159+102
Aurora Med Ctr Manitowoc Cty98%0.0%170-92
Beaver Dam Com Hsptl98%-1.0%226-1
Divine Savior Hlthcare98%0.0%96-1
Door County Memorial Hospital98%+4.0%58-8
Froedtert Mem Lutheran Hsptl98%0.0%475-52
Memorial Health Ctr98%0.0%54+12
Mercy Hlth Sys Corp98%0.0%711-272
Oconomowoc Mem Hsptl98%0.0%270+62
Richland Hsptl98%+2.0%42-5
St Josephs Hsptl98%0.0%181+82
St Marys Hospital98%0.0%435+15
St Marys Hsptl Med Ctr98%-1.0%422-9
St Michaels Hsptl98%-1.0%392+28
Stoughton Hsptl98%-2.0%45-1
Uw Hlth Partners - Watertown Regional Medical Ctr98%0.0%190-112
Waukesha Memorial Hospital98%+1.0%453-352
Waupun Mem Hsptl98%0.0%57-7
Wheaton Franciscan Healthcare- St Francis98%0.0%371-112
Aurora Memorial Hsptl Burlington97%0.0%208-12
Bay Area Med Ctr97%0.0%155+6
Bellin Memorial Hsptl97%+1.0%620-52
Columbia St Marys Ozaukee Campus97%-1.0%336+212
Community Mem Hsptl97%0.0%442+202
St Agnes Hsptl97%0.0%373+12
St Croix Reg Med Ctr97%0.0%89+1
St Josephs Hsptl97%0.0%1354-18
St Vincent Hsptl97%-1.0%468+72
Theda Clark Med Ctr97%0.0%329-92
Wheaton Franciscan Healthcare- Elmbrook Memorial97%+1.0%304-32
Aspirus Wausau Hospital96%-1.0%410+62
Columbia St Marys Hsptl Milw (col & Milw Campus)96%+1.0%419+642
Gundersen Luth Med Ctr96%-1.0%70802
Holy Family Memorial96%0.0%269+16
St Josephs Com Hsptl West Bend96%-2.0%127-232
Uw Health Uw Hospitals and Clinics96%-1.0%456-72
West Allis Mem Hsptl96%+2.0%25802
Aurora Health Care Metro, Inc95%-1.0%423+262
Southwest Health Center Inc95%+1.0%40-14
St Clare Hsptl Hlth Svcs95%-2.0%151+12
Upland Hills Hlth (< 25)95%+5.0%19-211

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.
Baldwin Area Med Ctr100%0.0%39-11
Black River Mem Hsptl100%+4.0%58+6
Burnett Med Ctr (< 25)100%+100.0%5+31 and 3
Calumet Medical Ctr100%0.0%30+92 and 3
Franciscan Skemp Arcadia (< 25)100%0.0%22+61
Good Samaritan Hlth Ctr100%0.0%58-6
Lakeview Med Ctr100%0.0%293+132
Luther Hospital Mayo Health System100%+1.0%932-19
Mercy Walworth Hospital & Medical Center100%0.0%65+3
Monroe Clinic100%+1.0%212-82
Oak Leaf Surgcl Hsptl100%0.0%240-19
Orthopaedic Hsptl of Wi (< 25)100%0.0%5+21
Our Lady of Victory Hsptl (< 25)100%0.0%1-31 and 3
Red Cedar Medical Center-Mayo Health Sys100%0.0%72-92
River Falls Area Hsptl (< 25)100%N/A24+241, 2, and 3
Wis Heart Hospital - Wheaton Franciscan Healthcare100%0.0%138+52
Appleton Med Ctr99%0.0%1131+92
Aurora Med Center-Washington County99%+1.0%174-152
Aurora Sheboygan Mem Med Ctr99%0.0%237-72
Fort Healthcare99%0.0%191-142
Franciscan Skemp La Crosse Hsptl99%0.0%633-41
Howard Young Med Ctr99%+1.0%270-52
Langlade Hospital99%+1.0%78-3
Mercy Med Ctr of Oshkosh99%+1.0%251+32
Meriter Hsptl99%0.0%767-1482
Reedsburg Area Med Ctr99%-1.0%82-32
Riverview Hsptl Assoc99%-1.0%303-21
Sauk Prairie Mem Hsptl99%0.0%369+20
St Clare's Hospital of Weston Inc99%0.0%613-39
St Elizabeth Hsptl99%+1.0%478+262
St Mary's Hospital99%+1.0%1908-52
St Nicholas Hospital99%0.0%276+4
Vernon Mem Hsptl99%0.0%336+202
Wheaton Franciscan Healthcare- All Saints99%+3.0%439+182
Wheaton Franciscan Healthcare- St Joseph99%+1.0%353-32
Aurora Baycare Med Ctr98%0.0%375+32
Aurora Med Ctr Kenosha98%+1.0%159+102
Aurora Med Ctr Manitowoc Cty98%0.0%170-92
Beaver Dam Com Hsptl98%-1.0%226-1
Divine Savior Hlthcare98%0.0%96-1
Door County Memorial Hospital98%+4.0%58-8
Froedtert Mem Lutheran Hsptl98%0.0%475-52
Memorial Health Ctr98%0.0%54+12
Mercy Hlth Sys Corp98%0.0%711-272
Oconomowoc Mem Hsptl98%0.0%270+62
Richland Hsptl98%+2.0%42-5
St Josephs Hsptl98%0.0%181+82
St Marys Hospital98%0.0%435+15
St Marys Hsptl Med Ctr98%-1.0%422-9
St Michaels Hsptl98%-1.0%392+28
Stoughton Hsptl98%-2.0%45-1
Uw Hlth Partners - Watertown Regional Medical Ctr98%0.0%190-112
Waukesha Memorial Hospital98%+1.0%453-352
Waupun Mem Hsptl98%0.0%57-7
Wheaton Franciscan Healthcare- St Francis98%0.0%371-112
Aurora Memorial Hsptl Burlington97%0.0%208-12
Bay Area Med Ctr97%0.0%155+6
Bellin Memorial Hsptl97%+1.0%620-52
Columbia St Marys Ozaukee Campus97%-1.0%336+212
Community Mem Hsptl97%0.0%442+202
St Agnes Hsptl97%0.0%373+12
St Croix Reg Med Ctr97%0.0%89+1
St Josephs Hsptl97%0.0%1354-18
St Vincent Hsptl97%-1.0%468+72
Theda Clark Med Ctr97%0.0%329-92
Wheaton Franciscan Healthcare- Elmbrook Memorial97%+1.0%304-32
Aspirus Wausau Hospital96%-1.0%410+62
Columbia St Marys Hsptl Milw (col & Milw Campus)96%+1.0%419+642
Gundersen Luth Med Ctr96%-1.0%70802
Holy Family Memorial96%0.0%269+16
St Josephs Com Hsptl West Bend96%-2.0%127-232
Uw Health Uw Hospitals and Clinics96%-1.0%456-72
West Allis Mem Hsptl96%+2.0%25802
Aurora Health Care Metro, Inc95%-1.0%423+262
Southwest Health Center Inc95%+1.0%40-14
St Clare Hsptl Hlth Svcs95%-2.0%151+12
Upland Hills Hlth (< 25)95%+5.0%19-211
United Hsptl Sys94%0.0%377-162
Community Mem Hsptl93%-2.0%54-3
Memorial Med Ctr93%-1.0%137-4
Beloit Mem Hsptl92%-3.0%265-142
Boscobel Area Health Care (< 25)92%+3.0%12+31
Memorial Hsptl Lafayette Cty92%-3.0%26+4
Sacred Heart Hsptl92%+3.0%319-132
Aurora Lakeland Med Ctr91%-2.0%162+12
Grant Reg Hlth Ctr (< 25)91%+6.0%11-21
St Josephs Com Hlth Svcs (< 25)91%+8.0%11-11
Aurora Med Ctr Oshkosh90%+1.0%186-92
Hess Mem Hsptl89%-2.0%102+122
Luther Midelfort- Northland Mayo Health System (< 25)89%-11.0%19-31
Shawano Med Ctr (< 25)85%-6.0%20-31
Amery Reg Med Ctr83%-6.0%35-19
Hayward Area Mem Hsptl (< 25)67%-21.0%6-21 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