Home / Quality Report of ST MARY'S HOSPITAL at MADISON, WI

ST MARY'S HOSPITAL Quality Report

ST MARY'S HOSPITAL
707 S MILLS ST
MADISON, WI 53715

DANE county
Phone: 608-251-6100
Acute Care Hospitals
Ownership: Voluntary non-profit - Other
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 MARY'S HOSPITAL
79%
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 MARY'S HOSPITAL
89%
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 MARY'S HOSPITAL
75%
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: 20 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 MARY'S HOSPITAL
98%
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 MARY'S HOSPITAL
93%
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 MARY'S HOSPITAL
99%
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 MARY'S HOSPITAL
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 MARY'S HOSPITAL
76%
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%

2. Heart Failure Patients Given Discharge Instructions

ST MARY'S HOSPITAL
54%
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 MARY'S HOSPITAL
88%
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 MARY'S HOSPITAL
72%
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 MARY'S HOSPITAL
90%
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)

ST MARY'S HOSPITAL
89%
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

ST MARY'S HOSPITAL
79%
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%

4. Pneumonia Patients Given Oxygenation Assessment

ST MARY'S 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

ST MARY'S HOSPITAL
76%
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

ST MARY'S HOSPITAL
60%
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

ST MARY'S HOSPITAL
66%
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%

Surgical Infection Prevention

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

ST MARY'S HOSPITAL
88%
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: 2040 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

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

ST MARY'S HOSPITAL
97%
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: 996 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

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

ST MARY'S HOSPITAL
93%
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: 1975 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...