Home / Quality Report of COMMUNITY MEMORIAL HOSPITAL at WINONA, MN

COMMUNITY MEMORIAL HOSPITAL Quality Report

COMMUNITY MEMORIAL HOSPITAL
855 MANKATO AVENUE
WINONA, MN 55987

WINONA county
Phone: 507-454-3650
Acute Care Hospitals
Ownership: Voluntary non-profit - Private
Accreditation: No
Emergency Service: Yes

Please use the following conditions to evaluate the quality of this hospital.

Heart Attack

1. Heart Attack Patients Given Aspirin at Arrival

COMMUNITY MEMORIAL HOSPITAL
100%
Average for the State of Minnesota
93%
National Average of Hospitals submitting data:
93%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%

2. Heart Attack Patients Given Smoking Cessation Advice/Counseling

COMMUNITY MEMORIAL HOSPITAL
100%
Average for the State of Minnesota
68%
National Average of Hospitals submitting data:
89%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 1 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.
  3. Rate reflects fewer than the maximum possible quarters of data for the measure.

3. Heart Attack Patients Given Beta Blocker at Discharge

COMMUNITY MEMORIAL HOSPITAL
100%
Average for the State of Minnesota
95%
National Average of Hospitals submitting data:
90%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%

4. Heart Attack Patients Given Beta Blocker at Arrival

COMMUNITY MEMORIAL HOSPITAL
100%
Average for the State of Minnesota
87%
National Average of Hospitals submitting data:
87%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%

5. Heart Attack Patients Given Aspirin at Discharge

COMMUNITY MEMORIAL HOSPITAL
96%
Average for the State of Minnesota
91%
National Average of Hospitals submitting data:
90%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 24 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.

6. Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

COMMUNITY MEMORIAL HOSPITAL
100%
Average for the State of Minnesota
90%
National Average of Hospitals submitting data:
83%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 6 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.

Heart Failure

1. Heart Failure Patients Given Smoking Cessation Advice/Counseling

COMMUNITY MEMORIAL HOSPITAL
100%
Average for the State of Minnesota
68%
National Average of Hospitals submitting data:
83%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 4 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.
  3. Rate reflects fewer than the maximum possible quarters of data for the measure.

2. Heart Failure Patients Given Discharge Instructions

COMMUNITY MEMORIAL HOSPITAL
97%
Average for the State of Minnesota
57%
National Average of Hospitals submitting data:
63%
Top 10%' of Hospitals submitting data scored equal to or higher than:
94%
Notes:
  1. Sample size: 30 patients
  2. Rate reflects fewer than the maximum possible quarters of data for the measure.

3. Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function

COMMUNITY MEMORIAL HOSPITAL
97%
Average for the State of Minnesota
78%
National Average of Hospitals submitting data:
84%
Top 10%' of Hospitals submitting data scored equal to or higher than:
99%

4. Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

COMMUNITY MEMORIAL HOSPITAL
96%
Average for the State of Minnesota
85%
National Average of Hospitals submitting data:
82%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%

Pneumonia

1. Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics

COMMUNITY MEMORIAL HOSPITAL
100%
Average for the State of Minnesota
94%
National Average of Hospitals submitting data:
90%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 49 patients
  2. Rate reflects fewer than the maximum possible quarters of data for the measure.

2. Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)

COMMUNITY MEMORIAL HOSPITAL
88%
Average for the State of Minnesota
81%
National Average of Hospitals submitting data:
84%
Top 10%' of Hospitals submitting data scored equal to or higher than:
95%
Notes:
  1. Sample size: 41 patients
  2. Rate reflects fewer than the maximum possible quarters of data for the measure.

3. Pneumonia Patients Given Smoking Cessation Advice/Counseling

COMMUNITY MEMORIAL HOSPITAL
92%
Average for the State of Minnesota
71%
National Average of Hospitals submitting data:
81%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 13 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.
  3. Rate reflects fewer than the maximum possible quarters of data for the measure.

4. Pneumonia Patients Given Oxygenation Assessment

COMMUNITY MEMORIAL HOSPITAL
100%
Average for the State of Minnesota
99%
National Average of Hospitals submitting data:
99%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%

5. Pneumonia Patients Given Initial Antibiotic(s) within 4 Hours After Arrival

COMMUNITY MEMORIAL HOSPITAL
95%
Average for the State of Minnesota
85%
National Average of Hospitals submitting data:
80%
Top 10%' of Hospitals submitting data scored equal to or higher than:
93%

6. Pneumonia Patients Assessed and Given Pneumococcal Vaccination

COMMUNITY MEMORIAL HOSPITAL
93%
Average for the State of Minnesota
73%
National Average of Hospitals submitting data:
71%
Top 10%' of Hospitals submitting data scored equal to or higher than:
94%

Surgical Infection Prevention

1. Surgery Patients Who Received Preventative Antibiotic(s) One Hour Before Incision

COMMUNITY MEMORIAL HOSPITAL
86%
Average for the State of Minnesota
81%
National Average of Hospitals submitting data:
78%
Top 10%' of Hospitals submitting data scored equal to or higher than:
95%
Notes:
  1. Sample size: 69 patients
  2. Rate reflects fewer than the maximum possible quarters of data for the measure.

2. Surgery Patients who Received the Appropriate Preventative Antibiotic(s) for Their Surgery

COMMUNITY MEMORIAL HOSPITAL
40%
Average for the State of Minnesota
92%
National Average of Hospitals submitting data:
90%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%

3. Surgery Patients Whose Preventative Antibiotic(s) are Stopped Within 24 hours After Surgery

COMMUNITY MEMORIAL HOSPITAL
62%
Average for the State of Minnesota
84%
National Average of Hospitals submitting data:
74%
Top 10%' of Hospitals submitting data scored equal to or higher than:
95%
Notes:
  1. Sample size: 68 patients
  2. Rate reflects fewer than the maximum possible quarters of data for the measure.


Note: The data on this site only reflect the aspects of "Heart Attack", "Heart Failure", "Pneumonia", and "Surgical Infection Prevention". These are important indicators of the hospital quality. However, they are not the comprehensive evaluation. learn more...