Home / Quality Report of ST AGNES HSPTL at FOND DU LAC, WI

ST AGNES HSPTL Quality Report

ST AGNES HSPTL
430 E DIVISON ST
FOND DU LAC, WI 54935

FOND DU LAC county
Phone: 920-926-5408
Acute Care 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 ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

ST AGNES HSPTL
89%
Average for the State of Wisconsin
85%
National Average of Hospitals submitting data:
83%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%

2. Heart Attack Patients Given Smoking Cessation Advice/Counseling

ST AGNES HSPTL
91%
Average for the State of Wisconsin
93%
National Average of Hospitals submitting data:
89%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%

3. Heart Attack Patients Given PCI Within 90 Minutes Of Arrival

ST AGNES HSPTL
88%
Average for the State of Wisconsin
72%
National Average of Hospitals submitting data:
55%
Top 10%' of Hospitals submitting data scored equal to or higher than:
88%
Notes:
  1. Sample size: 16 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.

4. Heart Attack Patients Given Beta Blocker at Discharge

ST AGNES HSPTL
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%

5. Heart Attack Patients Given Beta Blocker at Arrival

ST AGNES HSPTL
92%
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%

6. Heart Attack Patients Given Aspirin at Discharge

ST AGNES HSPTL
97%
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%

7. Heart Attack Patients Given Aspirin at Arrival

ST AGNES HSPTL
99%
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%

Heart Failure

1. Heart Failure Patients Given Smoking Cessation Advice/Counseling

ST AGNES HSPTL
88%
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: 16 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

ST AGNES HSPTL
66%
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

ST AGNES HSPTL
89%
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)

ST AGNES HSPTL
76%
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%

Pneumonia

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

ST AGNES HSPTL
93%
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: 97 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

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

ST AGNES HSPTL
92%
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%
Notes:
  1. Sample size: 105 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

3. Pneumonia Patients Given Smoking Cessation Advice/Counseling

ST AGNES HSPTL
85%
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: 27 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

4. Pneumonia Patients Given Oxygenation Assessment

ST AGNES HSPTL
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%
Notes:
  1. Sample size: 172 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

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

ST AGNES HSPTL
81%
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%
Notes:
  1. Sample size: 133 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

6. Pneumonia Patients Assessed and Given Pneumococcal Vaccination

ST AGNES HSPTL
47%
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%
Notes:
  1. Sample size: 139 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

7. Pneumonia Patients Assessed and Given Influenza Vaccination

ST AGNES HSPTL
61%
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: 18 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 the Appropriate Preventative Antibiotic(s) for Their Surgery

ST AGNES HSPTL
91%
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: 140 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

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

ST AGNES HSPTL
71%
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%
Notes:
  1. Sample size: 231 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

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

ST AGNES HSPTL
82%
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%
Notes:
  1. Sample size: 248 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.


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...