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 1
-
- 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
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Postoperative sepsis rate As expected4.34
-
Postoperative wound dehiscence rate As expected1.69
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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
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Hospital return days for pneumonia patients -11.6
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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)
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.