Columbia St Marys Hospital Milwaukee Inc
Doing business as Ascension Columbia St Marys Hospital Milwaukee
Hospital in Milwaukee, WI, Medicare certification number 520051. CMS publishes 58 quality measures for it.
Medicare certification
Provider of Services- CCN
- 520051
- Status
- Active
- Provider type
- Hospital – Short-term
- Listed by Care Compare as
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Church
- Control type
- Church
- Participating since
- Jul 1, 1966
- Last certification
- Mar 3, 2017
- Beds
- 422
- Overall star rating
- Address
- 2323 N Lake Dr
Milwaukee, WI 53211
(414) 585-1374
NPI records for this facility (CCN to NPI Mapping) 1
-
dba Ascension Columbia St Mary's Hospital Milwaukee Campus
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1871656082
Medicare enrollment
Patient survey (HCAHPS) 9
Medicare Care Compare-
Cleanliness - star rating Worse3
-
Communication about medicines - star rating Worse2
-
Discharge information - star rating Worse3
-
Doctor communication - star rating As expected3
-
Nurse communication - star rating Worse3
-
Overall hospital rating - star rating Worse2
-
Quietness - star rating Worse3
-
Recommend hospital - star rating Worse3
-
Summary star rating Worse3
Affiliated providers 843
Medicare Care CompareClinicians who list this facility as a hospital or facility affiliation in Care Compare.
-
Genevieve Nguyen Abbey, M.D.
- Diagnostic Radiology Physician
- New York, NY
- NPI 1962678474
-
Beth E Abramson, M.D.
- Psychiatry Physician
- Milwaukee, WI
- NPI 1922045996
-
Eric D Abston, MD
- Internal Medicine Physician
- Boston, MA
- NPI 1912347667
-
Lauren Ann Ackerman, PA-C
- Physician Assistant
- Cudahy, WI
- NPI 1992357982
-
Beth J Adams, PA-C
- Physician Assistant
- Mequon, WI
- NPI 1801237540
-
Tamara A Adducci, MD
- Obstetrics & Gynecology Physician
- Milwaukee, WI
- NPI 1083939367
-
Ayobami A Adelayi, CRNA
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1477926202
-
Omosalewa Adenikinju, M.D.
- Vascular & Interventional Radiology Physician
- Fairfax, VA
- NPI 1558758607
-
Dima Adl, MD
- Pulmonary Disease Physician
- Milwaukee, WI
- NPI 1851365506
-
Omer Afzal, M.D.
- Nephrology Physician
- Waukesha, WI
- NPI 1952393944
-
Michelle M Agnew, M.D.
- Internal Medicine Physician
- Brookfield, WI
- NPI 1720051550
-
Arsalan Ahmad
- Internal Medicine Physician
- Bayonne, NJ
- NPI 1962143560
-
Janine Marie Ahrens, APNP
- Nurse Practitioner
- Waukesha, WI
- NPI 1659390896
-
Omprakash Ahuja, MD
- Pulmonary Disease Physician
- Eau Claire, WI
- NPI 1861563058
-
Zhaowei Ai, MD
- Interventional Cardiology Physician
- Green Bay, WI
- NPI 1487645271
-
Tara L Alauf, CRNA
- Certified Registered Nurse Anesthetist
- West Allis, WI
- NPI 1639534191
-
John A Albert, MD
- Rheumatology Physician
- Glendale, WI
- NPI 1861428070
-
Jasmine Aleem, FNP-BC
- Nurse Practitioner
- Milwaukee, WI
- NPI 1932950060
-
Catherine V Aleman, MD
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1528147428
-
Anushayanthan Alfred, M.D., M.P.H
- Nephrology Physician
- Glendale, WI
- NPI 1871765859
-
Abbas Ali, M.D.
- Pulmonary Disease Physician
- Milwaukee, WI
- NPI 1336163690
-
Azra Ali, M.D.
- Hospitalist Physician
- Rockford, IL
- NPI 1700804028
-
Mohammad Adel Ali, M.D.
- Vascular & Interventional Radiology Physician
- Mishawaka, IN
- NPI 1679759898
-
Sabrina Ali, MD
- Family Medicine Physician
- Milwaukee, WI
- NPI 1497334460
-
Zaid Sameer Aljuboori, M.D.,
- Neurological Surgery Physician
- Wilkes Barre, PA
- NPI 1518233410
Complications and deaths 19
Medicare Care Compare-
Abdominopelvic accidental puncture or laceration rate As expected1.17
-
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.94
-
Death rate among surgical inpatients with serious treatable complications As expected161.13
-
Death rate for CABG surgery patients As expected2.7
-
Death rate for COPD patients As expected7.9
-
Death rate for heart attack patients As expected12.3
-
Death rate for heart failure patients As expected10.4
-
Death rate for pneumonia patients As expected13.8
-
Death rate for stroke patients As expected9.5
-
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.1
-
Iatrogenic pneumothorax rate As expected0.22
-
In-hospital fall-associated fracture rate As expected0.27
-
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.47
-
Postoperative acute kidney injury requiring dialysis rate As expected1.72
-
Postoperative hemorrhage or hematoma rate As expected2.14
-
Postoperative respiratory failure rate As expected10.04
-
Postoperative sepsis rate As expected4.34
-
Postoperative wound dehiscence rate As expected1.69
-
Pressure ulcer rate As expected0.49
Measures CMS does not publish for this facility (1)
Infections 5
Medicare Care Compare-
Catheter Associated Urinary Tract Infections (ICU + select Wards) Better0.4
-
Central Line Associated Bloodstream Infection (ICU + select Wards) Better0.29
-
Clostridium Difficile (C.Diff) Better0.51
-
MRSA Bacteremia As expected0.34
-
SSI - Colon Surgery As expected1.17
Measures CMS does not publish for this facility (1)
Outpatient imaging 2
Medicare Care Compare-
Abdomen CT Use of Contrast Material 8.8
-
Breast Cancer Screening Recall Rates 5
Spending per patient 1
Medicare Care Compare-
Medicare hospital spending per patient (Medicare Spending per Beneficiary) 0.98
Timely and effective care 10
Medicare Care Compare-
Appropriate care for severe sepsis and septic shock 65
-
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better 171
-
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better 265
-
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better 167
-
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better 242
-
Healthcare workers given influenza vaccination 85
-
Septic Shock 3-Hour Bundle 75
-
Septic Shock 6-Hour Bundle 91
-
Severe Sepsis 3-Hour Bundle 82
-
Severe Sepsis 6-Hour Bundle 92
Measures CMS does not publish for this facility (20)
Unplanned visits 12
Medicare Care Compare-
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected15.5
-
Heart failure (HF) 30-Day Readmission Rate As expected20.7
-
Hospital return days for heart attack patients 24.7
-
Hospital return days for heart failure patients -12.4
-
Hospital return days for pneumonia patients -11.6
-
Pneumonia (PN) 30-Day Readmission Rate As expected16.1
-
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected4.9
-
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected8.4
-
Rate of readmission for CABG As expected12.2
-
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected18.6
-
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected14.8
-
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1
Measures CMS does not publish for this facility (2)
Other hospitals in Milwaukee, 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, and the clinicians who list this facility as an affiliation.
- NPPES NPI Registry: the NPI records connected to this certification and the names of the providers listed above.