Gundersen Lutheran Medical Center

Hospital in La Crosse, WI, Medicare certification number 520087. CMS publishes 64 quality measures for it.

Medicare certification

Provider of Services

CCN: 520087The number CMS certifies the facility under, not a provider identifier
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: Dec 7, 2016
Beds: 325
Overall star rating: 4 of 5Care Compare
Address: 1910 South Ave
La Crosse, WI 54601
(608) 782-7300

NPI records for this facility 7

Gundersen Lutheran Medical Center Inc
- General Acute Care Hospital
- La Crosse, WI
- NPI 1376593442
Medicare enrollment
Gundersen Lutheran Medical Center Inc
- Clinic/Center
- La Crosse, WI
- NPI 1790646719
Medicare enrollment
Gundersen Lutheran Medical Center Inc
- Clinic/Center
- Winona, MN
- NPI 1952959603
Medicare enrollment
Gundersen Lutheran Medical Center, Inc
- Clinic/Center
- Onalaska, WI
- NPI 1225372923
Medicare enrollment
Gundersen Lutheran Medical Center, Inc
- Clinic/Center
- La Crosse, WI
- NPI 1497090138
Medicare enrollment
Gundersen Lutheran Medical Center, Inc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Onalaska, WI
- NPI 1871837567
Medicare enrollment
Gundersen Lutheran Medical Center, Inc.
- Air Ambulance
- La Crosse, WI
- NPI 1467468173
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse2 of 5
- State average 4.01 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Better3 of 5
- State average 3.58 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Better4 of 5
- State average 4.14 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating As expected3 of 5
- State average 3.68 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Better4 of 5
- State average 4.22 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Better4 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 Better4 of 5
- State average 4.04 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Complications and deaths 19

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected1.48
- State average 1.12 (computed here)
- National average 1.06
- No different than the national rate
- 1,462 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected1.05
- State average 1.02 (computed here)
- National average 1
- No different than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected169.26
- State average 168.21 (computed here)
- National average 173.3
- No different than the national rate
- 97 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected2.6
- State average 2.37 (computed here)
- National average 2.4
- No different than the national rate
- 68 patients
- Period from 07/01/2022
Death rate for COPD patients As expected8.6
- State average 8.59 (computed here)
- National average 8.6
- No different than the national rate
- 90 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected12.6
- State average 11.65 (computed here)
- National average 11.9
- No different than the national rate
- 263 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected12.8
- State average 12.02 (computed here)
- National average 11.1
- No different than the national rate
- 328 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected13
- State average 15.15 (computed here)
- National average 15.2
- No different than the national rate
- 188 patients
- Period from 07/01/2022
Death rate for stroke patients As expected12.2
- State average 11.76 (computed here)
- National average 11.9
- No different than the national rate
- 321 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.5
- State average 3.88 (computed here)
- National average 3.9
- No different than the national rate
- 3,737 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.23
- State average 0.21 (computed here)
- National average 0.21
- No different than the national rate
- 6,228 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.32
- State average 0.27 (computed here)
- National average 0.27
- No different than the national rate
- 6,307 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected2.34
- State average 3.5 (computed here)
- National average 3.52
- No different than the national rate
- 2,197 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected2.13
- State average 1.73 (computed here)
- National average 1.67
- No different than the national rate
- 745 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.67
- State average 2.45 (computed here)
- National average 2.34
- No different than the national rate
- 2,112 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected6.48
- State average 8.39 (computed here)
- National average 9.42
- No different than the national rate
- 715 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected4.4
- State average 4.94 (computed here)
- National average 5.27
- No different than the national rate
- 663 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.96
- State average 1.81 (computed here)
- National average 1.77
- No different than the national rate
- 476 patients
- Period from 07/01/2022
Pressure ulcer rate As expected1.17
- State average 0.76 (computed here)
- National average 0.63
- No different than the national rate
- 5,097 patients
- Period from 07/01/2022

Measures CMS does not publish for this facility (1)

Rate of complications for hip/knee replacement patients — 1

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected0.82
- 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 expected1.03
- State average 0.54
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.22
- State average 0.53
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0.31
- State average 0.58
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0.59
- State average 0.98
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Measures CMS does not publish for this facility (1)

SSI - Abdominal Hysterectomy — 13

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 4.9
- State average 4.55 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 7.2
- State average 5.62 (computed here)
- National average 8.08 (computed here)
- Period from 07/01/2024

Spending per patient 1

Medicare Care Compare

Medicare hospital spending per patient (Medicare Spending per Beneficiary) 1.07
- State average 0.9
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 16

Medicare Care Compare

Appropriate care for severe sepsis and septic shock 62
- State average 72
- National average 65
- 144 patients
- Period from 10/01/2024
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 168
- State average 144
- National average 168
- 1,570 patients
- Period from 10/01/2024
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
- State average 137
- National average 162
- 1,442 patients
- Period from 10/01/2024
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better 176
- State average 203
- National average 257
- 125 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 96
- State average 98.07 (computed here)
- National average 96.1 (computed here)
- 222 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 98
- State average 97
- National average 93
- 116 patients
- Period from 01/01/2024
Head CT results 72
- State average 74
- National average 69
- 18 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 79
- State average 85
- National average 78
- 10,326 patients
- Period from 10/01/2024
Hospital Harm - Severe Hyperglycemia 7
- State average 9.13 (computed here)
- National average 8.08 (computed here)
- 16,058 patients
- Period from 01/01/2024
Hospital Harm - Severe Hypoglycemia 1
- State average 0.76 (computed here)
- National average 1.09 (computed here)
- 3,736 patients
- Period from 01/01/2024
Left before being seen 1
- State average 2
- National average 2
- 68,279 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 11
- State average 14
- National average 15
- 3,274 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 73
- State average 77
- National average 73
- 59 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 75
- State average 88
- National average 87
- 24 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 79
- State average 85
- National average 81
- 145 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 97
- State average 94
- National average 93
- 89 patients
- Period from 10/01/2024

Measures CMS does not publish for this facility (14)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Antithrombotic Therapy by End of Hospital Day 2 — 5
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better — 1
Emergency department volume — very high
Global Malnutrition Composite Score — 5
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented — 5
Global Malnutrition Composite Score: Malnutrition Risk Screening — 5
Global Malnutrition Composite Score: Nutrition Assessment — 5
Global Malnutrition Composite Score: Nutritional Care Plan — 5
Hospital Harm - Opioid Related Adverse Events — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
Intensive Care Unit Venous Thromboembolism Prophylaxis — 5
ST-Segment Elevation Myocardial Infarction (STEMI) — 1
Venous Thromboembolism Prophylaxis — 5

Unplanned visits 12

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected13.3
- State average 14.09 (computed here)
- National average 14.4
- No different than the national rate
- 465 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected20.9
- State average 21.16 (computed here)
- National average 21.3
- No different than the national rate
- 704 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 19.3
- State average 9.95 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 278 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 5.3
- State average -5.03 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 362 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 13.2
- State average -3.39 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 209 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected16.2
- State average 17.04 (computed here)
- National average 17.3
- No different than the national rate
- 348 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy Worse8.2
- State average 5.66 (computed here)
- National average 5.4
- Worse than the national rate
- 390 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected10
- State average 10.67 (computed here)
- National average 10.7
- No different than the national rate
- 390 patients
- Period from 01/01/2024
Rate of readmission for CABG As expected12
- State average 10.61 (computed here)
- National average 11
- No different than the national rate
- 131 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected17.8
- State average 19.79 (computed here)
- National average 20
- No different than the national rate
- 203 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected14.4
- State average 13.21 (computed here)
- National average 13
- No different than the national rate
- 2,734 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1.2
- State average 1.03 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 1,372 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (2)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of readmission after hip/knee replacement — 1

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.