MAYO CLINIC HEALTH SYSTEM - NORTHLAND, INC (BARRON, WI) Detailed Hospital Profile

Complaint Deficiency

Review or revise the resident's care plan after any major change in a resident's physical or mental health
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly hold, secure and manage each resident's personal money which is deposited with the nursing home
- Harm: Potential for minimal harm
- Scope: Some
Send and promptly deliver unopened mail to residents
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Protected exits that allow the resident to escape the building
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Allow the resident the right to participate in the planning or revision of the resident's care plan
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Potential for minimal harm
- Scope: Some
Protected exits that allow the resident to escape the building
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop policies and procedures for influenza and pneumococcal immunizations
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Protected exits that allow the resident to escape the building
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few

Process of Care

Heart Failure

Percent of patients who were given an evaluation of Left Ventricular Systolic Dysfunction (LVSD)

This Hospital:	100.0%
Wisconsin:	98.3%

Percent of Patients Given Discharge Instructions

This Hospital:	93.0%
State:	91.1%

Pneumonia

Percent of Patients Given Initial Antibiotic(s) within 6 Hours After Arrival

This Hospital:	97.0%
State:	97.9%

Percent of Patients Whose Initial ER Blood Culture Was Performed Prior To Administration Of First Dose Of Antibiotics

This Hospital:	100.0%
State:	97.6%

Percent of Patients Given the Most Appropriate Initial Antibiotic(s)

This Hospital:	100.0%
State:	95.6%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	97.0%
State:	96.3%

Surgery

Percent of Surgery Patients given an antibiotic at the right time (within one hour before surgery) to help prevent infection

This Hospital:	100.0%
State:	97.9%

Percent of Surgery Patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)

Here:	97.0%
Wisconsin:	97.5%

Percent of Surgery Patients who were given the right kind of antibiotic to help prevent infection

Here:	95.0%
Wisconsin:	99.0%

Percent of Surgery Patients who got treatment at right time (within 24 hours before or after surgery) to help prevent blood clot

Here:	89.0%
State:	97.0%

Percent of Surgery Patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries

This Hospital:	89.0%
State:	97.7%

Percent of Surgery Patients needing hair removed from the surgical area before surgery who had hair removed using a safer method

This Hospital:	100.0%
State:	99.9%

Percent of Surgery Patients whose urinary catheters were removed on the first or second day after surgery

Here:	86.0%
Wisconsin:	94.2%

Patients having surgery who were actively warmed in the operating room or whose body temperature was near normal

This Hospital:	100.0%
Wisconsin:	99.6%

Outcome of Care

30-Day Mortality Rates from Heart Failure

Here:	14.7%
State:	11.7%

30-Day Mortality Rates from Pneumonia

This Hospital:	17.4%
State:	11.9%

30-Day Readmission Rates from Heart Failure

Here:	24.5%
State:	23.7%

30-Day Readmission Rates from Pneumonia

Here:	16.6%
Wisconsin:	18.1%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Between 100 and 299
Survey Response Rate: 37%

How often did nurses communicate well with patients?

Sometimes or never

This Hospital:	3%
Wisconsin:	3%

Usually

This Hospital:	19%
State:	17%

Always

Here:	78%
Wisconsin:	80%

How often did doctors communicate well with patients?

Sometimes or never

Here:	5%
State:	3%

Usually

Here:	14%
Wisconsin:	15%

Always

Here:	81%
Wisconsin:	82%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	6%
Wisconsin:	6%

Usually

This Hospital:	21%
Wisconsin:	24%

Always

Here:	73%
Wisconsin:	70%

How often was patients' pain well controlled?

Sometimes or never

Here:	4%
Wisconsin:	5%

Usually

Here:	23%
State:	24%

Always

This Hospital:	73%
Wisconsin:	71%

How often did staff explain about medicines before giving them to patients?

Sometimes or never

Here:	15%
State:	15%

Usually

This Hospital:	21%
Wisconsin:	18%

Always

Here:	64%
Wisconsin:	67%

How often were the patients' rooms and bathrooms kept clean?

Sometimes or never

Here:	6%
Wisconsin:	5%

Usually

Here:	20%
Wisconsin:	17%

Always

This Hospital:	74%
Wisconsin:	78%

How often was the area around patients' rooms kept quiet at night?

Sometimes or never

This Hospital:	5%
Wisconsin:	8%

Usually

Here:	26%
Wisconsin:	30%

Always

This Hospital:	69%
Wisconsin:	62%

Were patients given information about what to do during their recovery at home?

Yes

Here:	85%
Wisconsin:	87%

Here:	15%
Wisconsin:	13%

How do patients rate the hospital overall on a scale from 0 (lowest) to 10 (highest)?

6 or lower

This Hospital:	6%
Wisconsin:	6%

7 or 8

This Hospital:	25%
State:	21%

9 or 10

This Hospital:	69%
State:	73%

Would patients recommend the hospital to friends and family?

Here:	3%
Wisconsin:	3%

Yes, probably

Here:	27%
Wisconsin:	24%

Yes, definitely

Here:	70%
State:	73%

MAYO CLINIC HEALTH SYSTEM - NORTHLAND, INC - BARRON, WI

Complaint Deficiency

Process of Care

Heart Failure

Pneumonia

Surgery

Outcome of Care

Hospital Consumer Assessment of Healthcare Providers

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