Ascension St Francis Hospital
Hospital in Milwaukee, WI, Medicare certification number 520078. CMS publishes 39 quality measures for it.
Medicare certification
Provider of Services- CCN
- 520078
- Status
- Active
- Provider type
- Hospital – Short-term
- Listed by Care Compare as
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Control type
- Private (not for profit)
- Participating since
- Jul 1, 1966
- Last certification
- Oct 18, 2012
- Beds
- 270
- Overall star rating
- Address
- 3237 S 16TH St
Milwaukee, WI 53215
(414) 647-5000
NPI records for this facility 1
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1225087190
Medicare enrollment
Patient survey (HCAHPS) 9
Medicare Care Compare-
Cleanliness - star rating Better4
-
Communication about medicines - star rating Better3
-
Discharge information - star rating Worse2
-
Doctor communication - star rating Worse2
-
Nurse communication - star rating Worse2
-
Overall hospital rating - star rating Worse2
-
Quietness - star rating Worse3
-
Recommend hospital - star rating Worse2
-
Summary star rating Worse2
Complications and deaths 10
Medicare Care Compare-
Abdominopelvic accidental puncture or laceration rate As expected1.05
-
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.96
-
Death rate for heart failure patients As expected11.7
-
Death rate for pneumonia patients As expected12.6
-
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.6
-
Iatrogenic pneumothorax rate As expected0.2
-
In-hospital fall-associated fracture rate As expected0.27
-
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.91
-
Postoperative hemorrhage or hematoma rate As expected2.31
-
Pressure ulcer rate As expected0.48
Measures CMS does not publish for this facility (10)
Infections 1
Medicare Care Compare-
Clostridium Difficile (C.Diff) As expected0.82
Measures CMS does not publish for this facility (5)
Outpatient imaging 2
Medicare Care Compare-
Abdomen CT Use of Contrast Material 11.2
-
Breast Cancer Screening Recall Rates 6.4
Spending per patient 0
Medicare Care CompareMeasures CMS does not publish for this facility (1)
Timely and effective care 9
Medicare Care Compare-
Appropriate care for severe sepsis and septic shock 78
-
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 138
-
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 136
-
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better 117
-
Healthcare workers given influenza vaccination 86
-
Septic Shock 3-Hour Bundle 86
-
Septic Shock 6-Hour Bundle 100
-
Severe Sepsis 3-Hour Bundle 85
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Severe Sepsis 6-Hour Bundle 98
Measures CMS does not publish for this facility (21)
Unplanned visits 8
Medicare Care Compare-
Heart failure (HF) 30-Day Readmission Rate As expected21.3
-
Hospital return days for heart failure patients -64
-
Hospital return days for pneumonia patients -21.5
-
Pneumonia (PN) 30-Day Readmission Rate As expected16.7
-
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5.1
-
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected11.5
-
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected19.7
-
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected12.6
Measures CMS does not publish for this facility (6)
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.