Agnesian Healthcare Inc
Doing business as SSM Health St Agnes Hospital-Fond Du Lac
Hospital in Fond Du Lac, WI, Medicare certification number 520088. CMS publishes 65 quality measures for it.
Medicare certification
Provider of Services- CCN
- 520088
- 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 22, 2016
- Beds
- 151
- Overall star rating
- Address
- 430 E Division St
Fond Du Lac, WI 54935
(920) 929-2300
NPI records for this facility (CCN to NPI Mapping) 1
-
dba SSM Health St Agnes Hospital Fond Du Lac
- General Acute Care Hospital
- Fond Du Lac, WI
- NPI 1346228541
Medicare enrollment
Units certified under this facility 1
Provider of ServicesParts of this facility that Medicare certifies under a number of their own, such as a psychiatric or rehabilitation unit.
Patient survey (HCAHPS) 9
Medicare Care Compare-
Cleanliness - star rating Better4
-
Communication about medicines - star rating Better3
-
Discharge information - star rating Better4
-
Doctor communication - star rating As expected3
-
Nurse communication - star rating Better4
-
Overall hospital rating - star rating Better4
-
Quietness - star rating Better4
-
Recommend hospital - star rating Worse2
-
Summary star rating Better4
Affiliated providers 380
Medicare Care CompareClinicians who list this facility as a hospital or facility affiliation in Care Compare.
-
Adetunji A Adejumo, MD
- Infectious Disease Physician
- Green Bay, WI
- NPI 1942532528
-
Shahriar Alizadegan, M.D
- Vascular Surgery Physician
- Milwaukee, WI
- NPI 1063647857
-
Bradley A Allen, MD
- Family Medicine Physician
- Beaver Dam, WI
- NPI 1447201918
-
Desirae Nichole Alsum
- Nurse Practitioner
- Fond Du Lac, WI
- NPI 1912748401
-
Paul Anderson
- Anesthesiology Physician
- Green Bay, WI
- NPI 1750648481
-
Laura A Andrews, MD
- Endocrinology, Diabetes & Metabolism Physician
- Menasha, WI
- NPI 1548254535
-
Kofi Awuah Asiamah, M.D.
- Internal Medicine Physician
- East Cleveland, OH
- NPI 1427221621
-
Christopher D Baggott, M.D.
- Neurological Surgery Physician
- Madison, WI
- NPI 1871818609
-
Heidi Bailey
- Family Nurse Practitioner
- Beaver Dam, WI
- NPI 1114643756
-
Seth Mathew Barudin, MD
- Family Medicine Physician
- Beaver Dam, WI
- NPI 1821051640
-
Lawrence R Bellmore III, MD
- Anesthesiology Physician
- Sturgeon Bay, WI
- NPI 1295056935
-
Elizabeth S Bensen, M.D.
- Physical Medicine & Rehabilitation Physician
- Fond Du Lac, WI
- NPI 1366433435
-
Elizabeth J Berenz, FNP-BC
- Family Nurse Practitioner
- Fond Du Lac, WI
- NPI 1619386885
-
Kate Elizabeth Bergl, APRN, FNP-C
- Family Nurse Practitioner
- Neenah, WI
- NPI 1710116561
-
Yaw D Berko, MD
- Internal Medicine Physician
- Green Bay, WI
- NPI 1003952995
-
Robert Michael Bertram, DPM
- Foot & Ankle Surgery Podiatrist
- Fond Du Lac, WI
- NPI 1578908042
-
Vikas Bhatara, MD
- Critical Care Medicine (Internal Medicine) Physician
- Lake Bluff, IL
- NPI 1811026446
-
Jagdev R Bhatoya, MD
- Hospitalist Physician
- Waupun, WI
- NPI 1811906555
-
Sumon Bhattacharjee, MD
- Neurological Surgery Physician
- Neenah, WI
- NPI 1740221910
-
Louann L Biddick, NP
- Nurse Practitioner
- Fond Du Lac, WI
- NPI 1770566721
-
Jennifer H Bissell, MD
- Family Medicine Physician
- Waupun, WI
- NPI 1316146962
-
Patrick J Bissell, MD
- Anesthesiology Physician
- Fond Du Lac, WI
- NPI 1467571802
-
Jacquelyn Mae Block, MFT, LCSW, LMFT
- Clinical Social Worker
- Fond Du Lac, WI
- NPI 1336360429
-
Melanie M. Bloedorn-Hansen, APNP
- Acute Care Nurse Practitioner
- Fond Du Lac, WI
- NPI 1326319732
-
Brycen D. Bodell, M.D.
- Vascular & Interventional Radiology Physician
- Milwaukee, WI
- NPI 1598178352
Complications and deaths 19
Medicare Care Compare-
Abdominopelvic accidental puncture or laceration rate As expected0.97
-
CMS Medicare PSI 90: Patient safety and adverse events composite As expected1.06
-
Death rate for CABG surgery patients As expected1.9
-
Death rate for COPD patients As expected9.3
-
Death rate for heart attack patients As expected10.8
-
Death rate for heart failure patients As expected15.5
-
Death rate for pneumonia patients As expected16.2
-
Death rate for stroke patients As expected9.8
-
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.2
-
Iatrogenic pneumothorax rate As expected0.24
-
In-hospital fall-associated fracture rate As expected0.29
-
Perioperative pulmonary embolism or deep vein thrombosis rate As expected2.89
-
Postoperative acute kidney injury requiring dialysis rate As expected1.48
-
Postoperative hemorrhage or hematoma rate As expected2.62
-
Postoperative respiratory failure rate As expected5.14
-
Postoperative sepsis rate As expected4.48
-
Postoperative wound dehiscence rate As expected1.71
-
Pressure ulcer rate As expected1.42
-
Rate of complications for hip/knee replacement patients As expected3.9
Measures CMS does not publish for this facility (1)
Infections 5
Medicare Care Compare-
Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected0
-
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0.98
-
Clostridium Difficile (C.Diff) Better0.29
-
MRSA Bacteremia As expected0
-
SSI - Colon Surgery As expected0
Measures CMS does not publish for this facility (1)
Outpatient imaging 2
Medicare Care Compare-
Abdomen CT Use of Contrast Material 5.8
-
Breast Cancer Screening Recall Rates 5
Spending per patient 1
Medicare Care Compare-
Medicare hospital spending per patient (Medicare Spending per Beneficiary) 0.88
Timely and effective care 16
Medicare Care Compare-
Antithrombotic Therapy by End of Hospital Day 2 94
-
Appropriate care for severe sepsis and septic shock 69
-
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 154
-
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 150
-
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better 220
-
Discharged on Antithrombotic Therapy 100
-
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 99
-
Head CT results 95
-
Healthcare workers given influenza vaccination 84
-
Hospital Harm - Severe Hypoglycemia 1
-
Left before being seen 1
-
Safe Use of Opioids - Concurrent Prescribing 13
-
Septic Shock 3-Hour Bundle 69
-
Septic Shock 6-Hour Bundle 62
-
Severe Sepsis 3-Hour Bundle 90
-
Severe Sepsis 6-Hour Bundle 96
Measures CMS does not publish for this facility (14)
Unplanned visits 13
Medicare Care Compare-
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected14.8
-
Heart failure (HF) 30-Day Readmission Rate As expected21
-
Hospital return days for heart attack patients -5
-
Hospital return days for heart failure patients -22.4
-
Hospital return days for pneumonia patients 17.3
-
Pneumonia (PN) 30-Day Readmission Rate As expected16.2
-
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected4.6
-
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected10.3
-
Rate of readmission after hip/knee replacement As expected5.5
-
Rate of readmission for CABG As expected12.4
-
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected19.4
-
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected12.3
-
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1
Measures CMS does not publish for this facility (1)
Other hospitals in Fond Du Lac, 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.