Froedtert Memorial Lutheran Hospital, Inc.

Doing business as Froedtert Memorial Lutheran Hospital

Hospital in Milwaukee, WI, Medicare certification number 520177. CMS publishes 66 quality measures for it.

Medicare certification

Provider of Services

CCN: 520177The 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: Sep 29, 1980
Last certification: Jul 17, 2012
Beds: 596
Overall star rating: 3 of 5Care Compare
Address: 9200 W Wisconsin Ave
Milwaukee, WI 53226
(414) 805-3000

NPI records for this facility (CCN to NPI Mapping) 1

Froedtert Memorial Lutheran Hospital, Inc.

dba CDI-Froedtert Memorial Lutheran Hospital
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1255334173
Medicare enrollment

Units certified under this facility 1

Provider of Services

Parts of this facility that Medicare certifies under a number of their own, such as a psychiatric or rehabilitation unit.

Froedtert Bluemound Rehabilitation Hospital Inpatient rehabilitation facility, CCN 52T177, 19 measures, 7 providers

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse3 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 Worse3 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

Affiliated providers 2,330

Page 1 of 94Medicare Care Compare

Clinicians who list this facility as a hospital or facility affiliation in Care Compare.

Vinay Kumar Aakalu, MD
- Ophthalmology Physician
- Milwaukee, WI
- NPI 1851598072
Daniel Wesley Abbott, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Manitowoc, WI
- NPI 1467894873
Abubaker Abdalla, MD
- Hospitalist Physician
- Milwaukee, WI
- NPI 1194187617
Maisoun Abdelbaqi
- Anatomic Pathology & Clinical Pathology Physician
- Shreveport, LA
- NPI 1770784894
Sameem M Abedin, MD
- Hematology & Oncology Physician
- Milwaukee, WI
- NPI 1063641157
Lolia Abibo, M.D.
- Hospitalist Physician
- Milwaukee, WI
- NPI 1912359795
Carissa Aboubakare, WHNP-BC
- Women's Health Nurse Practitioner
- New Berlin, WI
- NPI 1497206916
Kartikey Bhaskar Acharya, M.D., M.P.H.
- Infectious Disease Physician
- Milwaukee, WI
- NPI 1023242864
Pramod Acharya, MD
- Hospitalist Physician
- Milwaukee, WI
- NPI 1932439254
Lindsay Acheson
- Family Nurse Practitioner
- Milwaukee, WI
- NPI 1457940264
Stephanie Adamietz, APNP, CRNA
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1225658842
Nina Rae Adams, APNP
- Nurse Practitioner
- Milwaukee, WI
- NPI 1780965418
Naveen Kumar Addagatla, M.D
- Neurology Physician
- Milwaukee, WI
- NPI 1366718231
Jennifer Oluyemisi Adeghate, MD, PHD
- Retina Specialist (Ophthalmology) Physician
- Milwaukee, WI
- NPI 1437655891
Babajide Adio, DO
- Hospitalist Physician
- Milwaukee, WI
- NPI 1962934844
Jason Richard Adkins, D.O.
- Anesthesiology Physician
- Milwaukee, WI
- NPI 1205299633
Mohamed Agab, MD
- Hospitalist Physician
- Milwaukee, WI
- NPI 1831743277
Mohit Agarwal, MD
- Diagnostic Radiology Physician
- Milwaukee, WI
- NPI 1265864169
Anshu Aggarwal
- Family Medicine Physician
- Milwaukee, WI
- NPI 1528599693
Dilpesh S Agrawal, M.D, MRCP
- Gastroenterology Physician
- Milwaukee, WI
- NPI 1407134422
Rishav Agrawal, MD
- Hospitalist Physician
- Milwaukee, WI
- NPI 1174225528
Gabriel Aguero, DO
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1144808544
Syeda Bushra Ahesam
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1700536042
Baseer Ul-Anwar Ahmad, MD
- Ophthalmology Physician
- Milwaukee, WI
- NPI 1114160918
Huda Ahmad
- Physician Assistant
- Milwaukee, WI
- NPI 1659250280

Complications and deaths 20

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected1.73
- State average 1.12 (computed here)
- National average 1.06
- No different than the national rate
- 2,798 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.78
- 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 expected186.28
- State average 168.21 (computed here)
- National average 173.3
- No different than the national rate
- 238 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected2.4
- State average 2.37 (computed here)
- National average 2.4
- No different than the national rate
- 83 patients
- Period from 07/01/2022
Death rate for COPD patients As expected6.5
- State average 8.59 (computed here)
- National average 8.6
- No different than the national rate
- 150 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected10.7
- State average 11.65 (computed here)
- National average 11.9
- No different than the national rate
- 129 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected9.5
- State average 12.02 (computed here)
- National average 11.1
- No different than the national rate
- 482 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected12.8
- State average 15.15 (computed here)
- National average 15.2
- No different than the national rate
- 419 patients
- Period from 07/01/2022
Death rate for stroke patients As expected9.7
- State average 11.76 (computed here)
- National average 11.9
- No different than the national rate
- 609 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate Better2.5
- State average 3.88 (computed here)
- National average 3.9
- Better than the national rate
- 6,659 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.22
- State average 0.21 (computed here)
- National average 0.21
- No different than the national rate
- 13,152 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.17
- State average 0.27 (computed here)
- National average 0.27
- No different than the national rate
- 13,985 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected4.31
- State average 3.5 (computed here)
- National average 3.52
- No different than the national rate
- 3,884 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.54
- State average 1.73 (computed here)
- National average 1.67
- No different than the national rate
- 165 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.53
- State average 2.45 (computed here)
- National average 2.34
- No different than the national rate
- 2,975 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected6.29
- State average 8.39 (computed here)
- National average 9.42
- No different than the national rate
- 164 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected4.5
- State average 4.94 (computed here)
- National average 5.27
- No different than the national rate
- 164 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected2.17
- State average 1.81 (computed here)
- National average 1.77
- No different than the national rate
- 1,016 patients
- Period from 07/01/2022
Pressure ulcer rate Better0.12
- State average 0.76 (computed here)
- National average 0.63
- Better than the national rate
- 11,521 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected3.8
- State average 3.91 (computed here)
- National average 4.1
- No different than the national rate
- 27 patients
- Period from 04/01/2023

Infections 6

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) Better0.4
- State average 0.54
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) Better0.68
- State average 0.54
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.59
- State average 0.53
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0.92
- State average 0.58
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Abdominal Hysterectomy As expected1.62
- State average 1.45
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected1.23
- State average 0.98
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 4
- State average 4.55 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 7.1
- 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) 0.96
- State average 0.9
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 15

Medicare Care Compare

Appropriate care for severe sepsis and septic shock 43
- State average 72
- National average 65
- 148 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 279
- State average 144
- National average 168
- 515 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 275
- State average 137
- National average 162
- 494 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 345
- State average 203
- National average 257
- 20 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 99
- State average 98.07 (computed here)
- National average 96.1 (computed here)
- 570 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
- 77 patients
- Period from 01/01/2024
Healthcare workers given influenza vaccination 95
- State average 85
- National average 78
- 13,567 patients
- Period from 10/01/2024
Hospital Harm - Severe Hypoglycemia 2
- State average 0.76 (computed here)
- National average 1.09 (computed here)
- 10,219 patients
- Period from 01/01/2024
Left before being seen 6
- State average 2
- National average 2
- 81,316 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 12
- State average 14
- National average 15
- 11,912 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 57
- State average 77
- National average 73
- 53 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 82
- State average 88
- National average 87
- 22 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 68
- State average 85
- National average 81
- 148 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 84
- State average 94
- National average 93
- 64 patients
- Period from 10/01/2024
Venous Thromboembolism Prophylaxis 80
- State average 88.48 (computed here)
- National average 82.23 (computed here)
- 21,482 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (15)

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
Head CT results — 1
Hospital Harm - Opioid Related Adverse Events — 5
Hospital Harm - Severe Hyperglycemia — 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

Unplanned visits 13

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected14.3
- State average 14.09 (computed here)
- National average 14.4
- No different than the national rate
- 271 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected21.3
- State average 21.16 (computed here)
- National average 21.3
- No different than the national rate
- 1,248 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 11.3
- State average 9.95 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 144 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 15
- State average -5.03 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 550 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 21.1
- State average -3.39 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 439 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected17.6
- State average 17.04 (computed here)
- National average 17.3
- No different than the national rate
- 858 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5.5
- State average 5.66 (computed here)
- National average 5.4
- No different than the national rate
- 1,155 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy Worse14.3
- State average 10.67 (computed here)
- National average 10.7
- Worse than the national rate
- 1,155 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected6.2
- State average 5.79 (computed here)
- National average 5.8
- No different than the national rate
- 27 patients
- Period from 07/01/2023
Rate of readmission for CABG As expected9.4
- State average 10.61 (computed here)
- National average 11
- No different than the national rate
- 150 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected21.2
- State average 19.79 (computed here)
- National average 20
- No different than the national rate
- 474 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected11.1
- State average 13.21 (computed here)
- National average 13
- No different than the national rate
- 1,074 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1.1
- State average 1.03 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 1,103 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (1)

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

Other hospitals in Milwaukee, 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.

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.