Madison VA Medical Center

Hospital in Madison, WI, Medicare certification number 52004F. CMS publishes 34 quality measures for it.

Medicare certification

Provider of Services

CCN: 52004FThe number CMS certifies the facility under, not a provider identifier
Status: Active
Provider type: Hospital
Listed by Care Compare as: Acute Care - Veterans Administration
Ownership: Veterans Health Administration
Participating since: Mar 1, 1991
Last certification: Mar 1, 1991
Beds: 475
Overall star rating: 5 of 5Care Compare
Address: 2500 Overlook Terrace
Madison, WI 53705
(608) 256-1901

NPI records for this facility (CCN to NPI Mapping) 1

William S Middleton Veterans Hospital
- VA Clinic/Center
- Madison, WI
- NPI 1811801897
Name & address match

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Better5 of 5
- State average 4.01 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Better5 of 5
- State average 3.58 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Better5 of 5
- State average 4.14 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating Better4 of 5
- State average 3.68 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Better5 of 5
- State average 4.22 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Better5 of 5
- State average 3.88 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Better4 of 5
- State average 3.95 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better5 of 5
- State average 4.14 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Better5 of 5
- State average 4.04 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Complications and deaths 16

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected1.09
- State average 1.12 (computed here)
- National average 1.06
- No different than the national rate
- 1,070 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.87
- State average 1.02 (computed here)
- National average 1
- No different than the national value
- Period from 07/01/2022
Death rate for COPD patients As expected6.8
- State average 8.59 (computed here)
- National average 8.6
- No different than the national rate
- 235 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected12.1
- State average 11.65 (computed here)
- National average 11.9
- No different than the national rate
- 76 patients
- Period from 07/01/2022
Death rate for heart failure patients Better7.1
- State average 12.02 (computed here)
- National average 11.1
- Better than the national rate
- 419 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected11.2
- State average 15.15 (computed here)
- National average 15.2
- No different than the national rate
- 327 patients
- Period from 07/01/2022
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate Better3.1
- State average 3.88 (computed here)
- National average 3.9
- Better than the national rate
- 1,506 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.17
- State average 0.21 (computed here)
- National average 0.21
- No different than the national rate
- 6,056 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.38
- State average 0.27 (computed here)
- National average 0.27
- No different than the national rate
- 6,612 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.63
- State average 3.5 (computed here)
- National average 3.52
- No different than the national rate
- 1,043 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.28
- State average 1.73 (computed here)
- National average 1.67
- No different than the national rate
- 533 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected3.13
- State average 2.45 (computed here)
- National average 2.34
- No different than the national rate
- 1,000 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected6.06
- State average 8.39 (computed here)
- National average 9.42
- No different than the national rate
- 490 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected5.87
- State average 4.94 (computed here)
- National average 5.27
- No different than the national rate
- 488 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.62
- State average 1.81 (computed here)
- National average 1.77
- No different than the national rate
- 201 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.38
- State average 0.76 (computed here)
- National average 0.63
- No different than the national rate
- 4,587 patients
- Period from 07/01/2022

Measures CMS does not publish for this facility (4)

Death rate among surgical inpatients with serious treatable complications — 1
Death rate for CABG surgery patients — 5
Death rate for stroke patients — 5
Rate of complications for hip/knee replacement patients — 1

Infections 2

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected1.61
- State average 0.54
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0.51
- State average 0.54
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Measures CMS does not publish for this facility (4)

Clostridium Difficile (C.Diff) — 5
MRSA Bacteremia — 5
SSI - Abdominal Hysterectomy — 5
SSI - Colon Surgery — 5

Unplanned visits 7

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected14.7
- State average 14.09 (computed here)
- National average 14.4
- No different than the national rate
- 55 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected21.4
- State average 21.16 (computed here)
- National average 21.3
- No different than the national rate
- 345 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 90.7
- State average 9.95 (computed here)
- National average 6.71 (computed here)
- More days than average per 100 discharges
- 84 patients
- Period from 07/01/2022
Hospital return days for heart failure patients -13.8
- State average -5.03 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 501 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 5.1
- State average -3.39 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 373 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected18.7
- State average 17.04 (computed here)
- National average 17.3
- No different than the national rate
- 265 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected20.2
- State average 19.79 (computed here)
- National average 20
- No different than the national rate
- 182 patients
- Period from 07/01/2023

Measures CMS does not publish for this facility (7)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy — 5
Rate of inpatient admissions for patients receiving outpatient chemotherapy — 5
Rate of readmission after hip/knee replacement — 1
Rate of readmission for CABG — 5
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) — 5
Ratio of unplanned hospital visits after hospital outpatient surgery — 5

Other hospitals in Madison, WI

Sources for this page

Provider of Services: the certification, provider type, beds and status.
Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
NPPES NPI Registry: the NPI records connected to this certification.

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.