Ascension- Mercy Hospital

Ratings, patient outcomes, and contact information for their location in Oshkosh, Wisconsin


Patient Ratings
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Address:

ASCENSION- MERCY HOSPITAL
500 SOUTH OAKWOOD ROAD -
OSHKOSH, WI 54904 [Outagamie county]

Phone Number:

(920) 223-1200

Ownership Type:

Non-profit

Medicare Certified on:

06/01/2018

Conditions during the last survey period

Condition Treated
# of Times Treated

Brain disease or condition (non-traumatic)

Less than 11

Brain injury (traumatic)

Less than 11

Hip or femur fracture

Less than 11

Hip or knee replacement, amputation or other bone or joint condition

Less than 11

Nervous system disorder (excluding stroke)

Less than 11

Spinal cord disease or condition (non-traumatic)

Less than 11

Spinal cord injury (traumatic)

Less than 11

Stroke

33

Patient outcomes at ASCENSION- MERCY HOSPITAL during the last survey period:

(compared to national levels and expectations)
Click to expand each topic and view patient results:
Infections from using a urinary catheter

Lowest estimate for how common catheter infections are: Not Available

Highest estimate for how common catheter infections are: Not Available

How the facility compares to others: Not Available

Days patients had a catheter: 120

Expected number of infections: 0.326

Actual number of infections: 0

Infection ratio compared to the national average: Not Available

How often patients were checked for their ability to do everyday activities and had goals set to improve it

Total number of patients: 67

Number of assessed patients: 67

Rate of patients assessed for functionality: 100.0

Improvement in patients taking care of themselves

Adjusted score for patient self-care improvement: 13.7

Total number of patients: 59

Actual score for patient self-care improvement: 14.0

Improvement in patients moving around

Adjusted score for patient mobility improvement: 30.9

Total number of patients: 60

Actual score for patient mobility improvement: 31.7

Patients who can take care of themselves as expected when they leave

Total number of patients: 60

Number of patients self-caring as expected at discharge: 39

Rate of patients self-caring as expected at discharge: 65.0

Patients who can move around as expected when they leave

Total number of patients: 60

Number of patients mobile as expected at discharge: 38

Rate of patients mobile as expected at discharge: 63.3

Patients who fall and get seriously hurt during their stay

Total number of patients: 67

Number of falls with major injury: 0

Rate of falls with major injury: 0.0

Infections caused by a tough-to-treat bacteria called Clostridium difficile

Lowest estimate for how common Clostridium difficile infections are: Not Available

Highest estimate for how common Clostridium difficile infections are: Not Available

How the facility compares to others in infection control: Not Available

Days patients were at risk for infection: 1,934

Expected number of Clostridium difficile infections: 0.867

Actual number of Clostridium difficile infections: 1

Infection ratio compared to the national average: Not Available

Healthcare workers who got a flu shot for the current season

Total number of healthcare workers: 10

Number of healthcare workers vaccinated against flu: 10

Rate of flu vaccination among healthcare workers: 100.0

Rate of avoidable hospital visits 30 days after leaving

How the facility compares to others in preventing readmissions: No Different than the National Rate

Rate of avoidable readmissions after leaving: 6.25

Number of avoidable readmissions after leaving: 3

Risk-adjusted rate of avoidable readmissions after leaving: 8.58

Lowest estimate of the risk-adjusted rate: 6.60

Highest estimate of the risk-adjusted rate: 11.28

Total number of patients: 48

Rate of avoidable hospital visits during the stay

How the facility compares to others in preventing readmissions: No Different than the National Rate

Rate of avoidable readmissions during the stay: 5.88

Number of avoidable readmissions during the stay: 3

Risk-adjusted rate of avoidable readmissions during the stay: 5.21

Lowest estimate of the risk-adjusted rate: 3.53

Highest estimate of the risk-adjusted rate: 7.53

Total number of patients: 51

Success rate of returning home or to the community from the hospital

How the facility compares to others in returning patients home or to the community: No Different than the National Rate

Number of patients who went home or to the community: 27

Rate of patients going home or to the community: 72.97

Risk-adjusted rate of patients going home or to the community: 68.55

Lowest estimate of the risk-adjusted rate: 59.30

Highest estimate of the risk-adjusted rate: 75.99

Total number of patients: 37

How much Medicare spends on a patient compared to others

Number of patient episodes evaluated: 47

Score for how much Medicare spends per patient: 0.89

Checking and following up on patients’ medications

Total number of patients: 67

Number of patients with reviewed medications: 67

Rate of medication review and follow-up care: 100.0

Patients who developed or worsened pressure ulcers/injuries

Adjusted rate of new or worsened pressure ulcers/injuries: 0.0

Total number of patients at risk: 67

Number of new or worsened pressure ulcers/injuries: 0

Rate of new or worsened pressure ulcers/injuries: 0.0


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