Thedacare Regional Medical Center - Appleton Inc

Hospital in Appleton, WI, Medicare certification number 520160. CMS publishes 69 quality measures for it.

Medicare certification

Provider of Services

CCN: 520160The 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: Mar 13, 2013
Beds: 160
Overall star rating: 4 of 5Care Compare
Address: 1818 N Meade St
Appleton, WI 54911
(920) 731-4101

NPI records for this facility 7

Thedacare Regional Medical Center - Appleton, Inc
- General Acute Care Hospital
- Appleton, WI
- NPI 1740920909
Medicare enrollment
Thedacare Regional Medical Center - Appleton, Inc.
- General Acute Care Hospital
- Appleton, WI
- NPI 1497119218
Medicare enrollment
Thedacare Regional Medical Center - Appleton, Inc.
- General Acute Care Hospital
- Appleton, WI
- NPI 1689038408
Medicare enrollment
Thedacare Regional Medical Center - Appleton, Inc.
- General Acute Care Hospital
- Appleton, WI
- NPI 1831773589
Medicare enrollment
Thedacare Regional Medical Center - Appleton, Inc.
- General Acute Care Hospital
- Appleton, WI
- NPI 1902832306
Medicare enrollment
Thedacare Regional Medical Center - Appleton, Inc.
- General Acute Care Hospital
- Fond Du Lac, WI
- NPI 1912721002
Medicare enrollment
Thedacare Regional Medical Center - Appleton, Inc.
- General Acute Care Hospital
- Oshkosh, WI
- NPI 1912880329
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Better4 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 Better4 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 20

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected1.13
- State average 1.12 (computed here)
- National average 1.06
- No different than the national rate
- 559 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite Worse1.54
- State average 1.02 (computed here)
- National average 1
- Worse than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected173.41
- State average 168.21 (computed here)
- National average 173.3
- No different than the national rate
- 44 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected3.1
- State average 2.37 (computed here)
- National average 2.4
- No different than the national rate
- 49 patients
- Period from 07/01/2022
Death rate for COPD patients As expected9.4
- State average 8.59 (computed here)
- National average 8.6
- No different than the national rate
- 44 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected11.9
- State average 11.65 (computed here)
- National average 11.9
- No different than the national rate
- 133 patients
- Period from 07/01/2022
Death rate for heart failure patients Worse17.5
- State average 12.02 (computed here)
- National average 11.1
- Worse than the national rate
- 198 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected15.9
- State average 15.15 (computed here)
- National average 15.2
- No different than the national rate
- 167 patients
- Period from 07/01/2022
Death rate for stroke patients As expected15
- State average 11.76 (computed here)
- National average 11.9
- No different than the national rate
- 152 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected4.6
- State average 3.88 (computed here)
- National average 3.9
- No different than the national rate
- 2,922 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.18
- State average 0.21 (computed here)
- National average 0.21
- No different than the national rate
- 2,716 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.28
- State average 0.27 (computed here)
- National average 0.27
- No different than the national rate
- 2,789 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected2.32
- State average 3.5 (computed here)
- National average 3.52
- No different than the national rate
- 1,069 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected2.18
- State average 1.73 (computed here)
- National average 1.67
- No different than the national rate
- 465 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.22
- State average 2.45 (computed here)
- National average 2.34
- No different than the national rate
- 1,023 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected11.98
- State average 8.39 (computed here)
- National average 9.42
- No different than the national rate
- 473 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected5.22
- State average 4.94 (computed here)
- National average 5.27
- No different than the national rate
- 421 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.99
- State average 1.81 (computed here)
- National average 1.77
- No different than the national rate
- 182 patients
- Period from 07/01/2022
Pressure ulcer rate Worse2.37
- State average 0.76 (computed here)
- National average 0.63
- Worse than the national rate
- 1,900 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected2.7
- State average 3.91 (computed here)
- National average 4.1
- No different than the national rate
- 199 patients
- Period from 04/01/2023

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected0.46
- 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) Better0.17
- State average 0.54
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) As expected0.79
- State average 0.53
- National average 1
- No different than national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected1.2
- State average 0.58
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0.24
- 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 1

Medicare Care Compare

Abdomen CT Use of Contrast Material 0.5
- State average 4.55 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024

Measures CMS does not publish for this facility (1)

Breast Cancer Screening Recall Rates — 7

Spending per patient 1

Medicare Care Compare

Medicare hospital spending per patient (Medicare Spending per Beneficiary) 0.92
- State average 0.9
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 20

Medicare Care Compare

Antithrombotic Therapy by End of Hospital Day 2 99
- State average 96.09 (computed here)
- National average 92.79 (computed here)
- 94 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 71
- State average 72
- National average 65
- 310 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 149
- State average 144
- National average 168
- 405 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 147
- State average 137
- National average 162
- 389 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 244
- State average 203
- National average 257
- 11 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 97
- State average 98.07 (computed here)
- National average 96.1 (computed here)
- 112 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 99
- State average 97
- National average 93
- 118 patients
- Period from 01/01/2024
Head CT results 88
- State average 74
- National average 69
- 25 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 45
- State average 85
- National average 78
- 2,103 patients
- Period from 10/01/2024
Hospital Harm - Opioid Related Adverse Events 0
- State average 0.14 (computed here)
- National average 0.18 (computed here)
- 5,235 patients
- Period from 01/01/2024
Hospital Harm - Severe Hyperglycemia 6
- State average 9.13 (computed here)
- National average 8.08 (computed here)
- 10,914 patients
- Period from 01/01/2024
Hospital Harm - Severe Hypoglycemia 1
- State average 0.76 (computed here)
- National average 1.09 (computed here)
- 2,630 patients
- Period from 01/01/2024
Left before being seen 2
- State average 2
- National average 2
- 36,360 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 12
- State average 14
- National average 15
- 2,619 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 76
- State average 77
- National average 73
- 112 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 90
- State average 88
- National average 87
- 60 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 84
- State average 85
- National average 81
- 311 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 97
- State average 94
- National average 93
- 132 patients
- Period from 10/01/2024
ST-Segment Elevation Myocardial Infarction (STEMI) 50
- State average 37.33 (computed here)
- National average 46.51 (computed here)
- 32 patients
- Period from 01/01/2024
Venous Thromboembolism Prophylaxis 90
- State average 88.48 (computed here)
- National average 82.23 (computed here)
- 4,541 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (10)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 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 — medium
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
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
Intensive Care Unit Venous Thromboembolism Prophylaxis — 5

Unplanned visits 13

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected12.4
- State average 14.09 (computed here)
- National average 14.4
- No different than the national rate
- 440 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected20.1
- State average 21.16 (computed here)
- National average 21.3
- No different than the national rate
- 539 patients
- Period from 07/01/2023
Hospital return days for heart attack patients -5.2
- State average 9.95 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 143 patients
- Period from 07/01/2022
Hospital return days for heart failure patients -43.6
- State average -5.03 (computed here)
- National average 4.02 (computed here)
- Fewer days than average per 100 discharges
- 219 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients -60.6
- State average -3.39 (computed here)
- National average 5.65 (computed here)
- Fewer days than average per 100 discharges
- 181 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate Better15
- State average 17.04 (computed here)
- National average 17.3
- Better than the national rate
- 436 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5.8
- State average 5.66 (computed here)
- National average 5.4
- No different than the national rate
- 215 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected9.6
- State average 10.67 (computed here)
- National average 10.7
- No different than the national rate
- 215 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected4.8
- State average 5.79 (computed here)
- National average 5.8
- No different than the national rate
- 203 patients
- Period from 07/01/2023
Rate of readmission for CABG As expected8.6
- State average 10.61 (computed here)
- National average 11
- No different than the national rate
- 106 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected20.1
- State average 19.79 (computed here)
- National average 20
- No different than the national rate
- 121 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected12
- State average 13.21 (computed here)
- National average 13
- No different than the national rate
- 1,931 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected0.9
- State average 1.03 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 621 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (1)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4

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.