Home / Quality Report of DOOR COUNTY MEMORIAL HOSPITAL at STURGEON BAY, WI

DOOR COUNTY MEMORIAL HOSPITAL Quality Report

DOOR COUNTY MEMORIAL HOSPITAL
323 SOUTH 18TH AVENUE
STURGEON BAY, WI 54235

DOOR county
Phone: 920-743-5566
Critical Access Hospitals
Ownership: Voluntary non-profit - Church
Accreditation: Yes
Emergency Service: Yes

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

Heart Attack

1. Heart Attack Patients Given Beta Blocker at Discharge

DOOR COUNTY MEMORIAL HOSPITAL
100%
Average for the State of Wisconsin
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: 4 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.

2. Heart Attack Patients Given Beta Blocker at Arrival

DOOR COUNTY MEMORIAL HOSPITAL
100%
Average for the State of Wisconsin
92%
National Average of Hospitals submitting data:
87%
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. Heart Attack Patients Given Aspirin at Discharge

DOOR COUNTY MEMORIAL HOSPITAL
100%
Average for the State of Wisconsin
95%
National Average of Hospitals submitting data:
90%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 3 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.

4. Heart Attack Patients Given Aspirin at Arrival

DOOR COUNTY MEMORIAL HOSPITAL
80%
Average for the State of Wisconsin
94%
National Average of Hospitals submitting data:
93%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 5 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

DOOR COUNTY MEMORIAL HOSPITAL
67%
Average for the State of Wisconsin
79%
National Average of Hospitals submitting data:
83%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 3 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.

2. Heart Failure Patients Given Discharge Instructions

DOOR COUNTY MEMORIAL HOSPITAL
58%
Average for the State of Wisconsin
73%
National Average of Hospitals submitting data:
63%
Top 10%' of Hospitals submitting data scored equal to or higher than:
94%

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

DOOR COUNTY MEMORIAL HOSPITAL
81%
Average for the State of Wisconsin
87%
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)

DOOR COUNTY MEMORIAL HOSPITAL
44%
Average for the State of Wisconsin
87%
National Average of Hospitals submitting data:
82%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 16 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.

Pneumonia

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

DOOR COUNTY MEMORIAL HOSPITAL
94%
Average for the State of Wisconsin
94%
National Average of Hospitals submitting data:
90%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%

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

DOOR COUNTY MEMORIAL HOSPITAL
88%
Average for the State of Wisconsin
88%
National Average of Hospitals submitting data:
84%
Top 10%' of Hospitals submitting data scored equal to or higher than:
95%

3. Pneumonia Patients Given Smoking Cessation Advice/Counseling

DOOR COUNTY MEMORIAL HOSPITAL
88%
Average for the State of Wisconsin
83%
National Average of Hospitals submitting data:
81%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 17 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.

4. Pneumonia Patients Given Oxygenation Assessment

DOOR COUNTY MEMORIAL HOSPITAL
100%
Average for the State of Wisconsin
100%
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

DOOR COUNTY MEMORIAL HOSPITAL
80%
Average for the State of Wisconsin
88%
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

DOOR COUNTY MEMORIAL HOSPITAL
55%
Average for the State of Wisconsin
80%
National Average of Hospitals submitting data:
71%
Top 10%' of Hospitals submitting data scored equal to or higher than:
94%

7. Pneumonia Patients Assessed and Given Influenza Vaccination

DOOR COUNTY MEMORIAL HOSPITAL
40%
Average for the State of Wisconsin
79%
National Average of Hospitals submitting data:
70%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 10 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.

Surgical Infection Prevention

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

DOOR COUNTY MEMORIAL HOSPITAL
74%
Average for the State of Wisconsin
86%
National Average of Hospitals submitting data:
78%
Top 10%' of Hospitals submitting data scored equal to or higher than:
95%

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

DOOR COUNTY MEMORIAL HOSPITAL
92%
Average for the State of Wisconsin
94%
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

DOOR COUNTY MEMORIAL HOSPITAL
83%
Average for the State of Wisconsin
82%
National Average of Hospitals submitting data:
74%
Top 10%' of Hospitals submitting data scored equal to or higher than:
95%


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...