MILE BLUFF MEDICAL CENTER, INC (MAUSTON, WI) Detailed Hospital Profile

Process of Care

Heart Attack

Average number of minutes before outpatients with chest pain or possible heart attack got an ECG

Here:	8
Wisconsin:	7

Outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival

This Hospital:	97.0%
State:	97.9%

Heart Failure

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

This Hospital:	81.0%
Wisconsin:	98.3%

Percent of Patients Given Discharge Instructions

This Hospital:	57.0%
Wisconsin:	91.1%

Pneumonia

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

This Hospital:	100.0%
State:	97.9%

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

Here:	89.0%
State:	97.6%

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

Here:	89.0%
Wisconsin:	95.6%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:	87.0%
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:	99.0%
State:	97.9%

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

This Hospital:	97.0%
State:	97.5%

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

Here:	97.0%
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

This Hospital:	85.0%
Wisconsin:	97.0%

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

Here:	85.0%
Wisconsin:	97.7%

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

Here:	99.0%
Wisconsin:	99.9%

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

Here:	80.0%
State:	94.2%

Outpatients having surgery who got an antibiotic at the right time - within one hour before surgery (higher numbers are better)

Here:	72.0%
State:	95.8%

Outpatients having surgery who got the right kind of antibiotic (higher numbers are better)

This Hospital:	92.0%
State:	97.3%

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

This Hospital:	13.4%
Wisconsin:	11.7%

30-Day Mortality Rates from Pneumonia

Here:	12.5%
Wisconsin:	11.9%

30-Day Readmission Rates from Heart Failure

This Hospital:	23.5%
State:	23.7%

30-Day Readmission Rates from Pneumonia

Here:	19.0%
State:	18.1%

Complaint Deficiency

Proper backup exit lighting
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Conduct initial and periodic assessments of each resident's functional capacity
- 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
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Minimal harm or potential for actual harm
- Scope: Some
A two-hour-resistant firewall in common walls
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Other fire safety features required by fire safety codes
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Immediate jeopardy to resident health or safety
- Scope: Some
Exits that are accessible at all times
- Harm: Actual harm
- Scope: Few
Completely assess the resident at least every twelve months
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Smoke barrier doors that can resist smoke for at least 20 minutes
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly protected cooking facilities
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for
- Harm: Potential for minimal harm
- Scope: Some
Keep each resident's personal and medical records private and confidential
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide housekeeping and maintenance services
- Harm: Potential for minimal harm
- Scope: Many
Check and assess each resident's assessment at least every 3 months
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure each resident receives an accurate assessment by a qualified health professional
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients
- Harm: Potential for minimal harm
- Scope: Some
Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function
- Harm: Immediate jeopardy to resident health or safety
- Scope: Some
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Actual harm
- Scope: Few
1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Offer other nutritional food to each resident who will not eat the food served
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that doctors visit residents regularly, as required
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Allow residents to easily view the results of the nursing home's most recent survey
- Harm: Potential for minimal harm
- Scope: Many
Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide activities to meet the interests and needs of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide housekeeping and maintenance services
- Harm: Potential for minimal harm
- Scope: Many
Provide care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Store, cook, and serve food in a safe and clean way
- 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: Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
An approved installation, maintenance and testing program for fire alarm systems
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Weekly inspections and monthly testing of generators
- Harm: Potential for minimal harm
- Scope: Many
Assess the resident when the resident enters the nursing home, in a timely manner
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly working alarms on sprinkler valves
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Some

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 35%

How often did nurses communicate well with patients?

Sometimes or never

Here:	3%
State:	3%

Usually

Here:	20%
Wisconsin:	17%

Always

Here:	77%
State:	80%

How often did doctors communicate well with patients?

Sometimes or never

This Hospital:	3%
Wisconsin:	3%

Usually

This Hospital:	13%
Wisconsin:	15%

Always

Here:	84%
State:	82%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Hospital:	8%
State:	6%

Usually

Here:	28%
State:	24%

Always

This Hospital:	64%
State:	70%

How often was patients' pain well controlled?

Sometimes or never

This Hospital:	6%
Wisconsin:	5%

Usually

Here:	30%
State:	24%

Always

Here:	64%
Wisconsin:	71%

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

Sometimes or never

Here:	16%
Wisconsin:	15%

Usually

This Hospital:	23%
Wisconsin:	18%

Always

Here:	61%
Wisconsin:	67%

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

Sometimes or never

Here:	5%
Wisconsin:	5%

Usually

Here:	19%
State:	17%

Always

Here:	76%
Wisconsin:	78%

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

Sometimes or never

This Hospital:	13%
State:	8%

Usually

This Hospital:	34%
Wisconsin:	30%

Always

This Hospital:	53%
Wisconsin:	62%

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

Yes

This Hospital:	86%
Wisconsin:	87%

Here:	14%
Wisconsin:	13%

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

6 or lower

Here:	10%
State:	6%

7 or 8

Here:	28%
State:	21%

9 or 10

Here:	62%
State:	73%

Would patients recommend the hospital to friends and family?

This Hospital:	4%
Wisconsin:	3%

Yes, probably

Here:	35%
Wisconsin:	24%

Yes, definitely

This Hospital:	61%
Wisconsin:	73%

Use of Medical Imaging

Outpatients who had a follow-up mammogram or ultrasound within 45 days after a screening mammogram.

This Hospital:	8.100%
Wisconsin:	8.007%

Outpatient CT scans of the abdomen that were combination (double) scans.

This Hospital:	0.126%
Wisconsin:	0.080%

Outpatient CT scans of the chest that were combination (double) scans.

This Hospital:	0.042%
Wisconsin:	0.018%

Outpatients who got cardiac imaging stress tests before low-risk outpatient surgery

This Hospital:	3.000%
State:	5.714%

Inpatient Prospective Payment System (IPPS) - Medicare Provider Charge Data

Cardiac Arrhythmia and Conduction Disorders without Complications

Average Covered Charges

This Hospital:	$15,860
Wisconsin:	$11,302

Average Total Payments

Here:	$3,828
Wisconsin:	$3,866

Number of discharges: 13

Here:	4.51%
State:	1.54%

Cellulitis without Major Complications

Average Covered Charges

This Hospital:	$16,101
Wisconsin:	$15,155

Average Total Payments

Here:	$5,637
Wisconsin:	$5,592

Number of discharges: 23

Here:	7.99%
Wisconsin:	2.19%

Chronic Obstructive Pulmonary Disease with Complications

Average Covered Charges

Here:	$21,176
Wisconsin:	$17,207

Average Total Payments

Here:	$6,551
State:	$6,424

Number of discharges: 16

This Hospital:	5.56%
State:	1.73%

Chronic Obstructive Pulmonary Disease without Complications

Average Covered Charges

This Hospital:	$14,424
Wisconsin:	$14,058

Average Total Payments

Here:	$4,858
Wisconsin:	$4,831

Number of discharges: 13

This Hospital:	4.51%
State:	0.96%

Degenerative Nervous System Disorders without Major Complications

Average Covered Charges

Here:	$12,865
Wisconsin:	$17,786

Average Total Payments

This Hospital:	$5,928
State:	$6,652

Number of discharges: 11

Here:	3.82%
State:	0.54%

Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications

Average Covered Charges

Here:	$17,917
Wisconsin:	$15,607

Average Total Payments

This Hospital:	$4,734
Wisconsin:	$4,974

Number of discharges: 29

Here:	10.07%
Wisconsin:	3.37%

Heart Failure and Shock with Complications

Average Covered Charges

Here:	$18,097
State:	$18,193

Average Total Payments

Here:	$6,557
State:	$6,800

Number of discharges: 20

Here:	6.94%
State:	3.63%

Kidney and Urinary Tract Infections without Major Complications

Average Covered Charges

This Hospital:	$10,805
Wisconsin:	$14,138

Average Total Payments

Here:	$5,292
State:	$5,212

Number of discharges: 15

This Hospital:	5.21%
Wisconsin:	2.69%

Medical Back Problems without Major Complications

Average Covered Charges

This Hospital:	$15,343
Wisconsin:	$16,500

Average Total Payments

This Hospital:	$5,378
Wisconsin:	$5,791

Number of discharges: 15

Here:	5.21%
State:	1.04%

Misc Disorders of Nutrition, Metabolism, Fluids or Electrolytes without Major Complications

Average Covered Charges

This Hospital:	$10,835
Wisconsin:	$13,556

Average Total Payments

This Hospital:	$4,832
State:	$4,737

Number of discharges: 19

Here:	6.60%
State:	2.21%

Other Kidney and Urinary Tract Diagnoses with Complications

Average Covered Charges

Here:	$13,590
Wisconsin:	$23,248

Average Total Payments

This Hospital:	$6,351
State:	$8,197

Number of discharges: 16

This Hospital:	5.56%
Wisconsin:	0.48%

Septicemia or Severe Sepsis without Mechanical Ventilation 96+ Hours without Major Complications

Average Covered Charges

Here:	$19,628
State:	$20,456

Average Total Payments

Here:	$7,406
State:	$7,598

Number of discharges: 14

This Hospital:	4.86%
State:	2.02%

Signs and Symptoms without Major Complications

Average Covered Charges

This Hospital:	$11,961
Wisconsin:	$15,001

Average Total Payments

This Hospital:	$4,619
State:	$4,781

Number of discharges: 12

This Hospital:	4.17%
Wisconsin:	1.07%

Simple Pneumonia and Pleurisy with Complications

Average Covered Charges

This Hospital:	$19,176
Wisconsin:	$18,127

Average Total Payments

This Hospital:	$6,622
State:	$6,684

Number of discharges: 29

This Hospital:	10.07%
State:	3.24%

Simple Pneumonia and Pleurisy with Major Complications

Average Covered Charges

This Hospital:	$23,862
State:	$26,905

Average Total Payments

Here:	$9,362
Wisconsin:	$9,736

Number of discharges: 13

This Hospital:	4.51%
State:	1.83%

Simple Pneumonia and Pleurisy without Complications

Average Covered Charges

Here:	$13,967
State:	$13,772

Average Total Payments

Here:	$4,720
Wisconsin:	$4,784

Number of discharges: 30

Here:	10.42%
Wisconsin:	1.08%

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

This Hospital:	13.0%
Wisconsin:	15.6%

Percent of long-stay residents who self-report moderate to severe pain

This Hospital:	23.7%
State:	11.2%

Percent of long-stay residents who lose too much weight

Here:	10.4%
State:	7.2%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

Here:	2.6%
Wisconsin:	4.7%

Percent of long-stay residents with a urinary tract infection

Here:	6.3%
Wisconsin:	6.4%

Percent of long-stay residents who were physically restrained

This Hospital:	2.0%
Wisconsin:	0.9%

Percent of long-stay residents experiencing one or more falls with major injury

This Hospital:	2.0%
Wisconsin:	3.4%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Hospital:	100.0%
Wisconsin:	97.6%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Hospital:	100.0%
Wisconsin:	98.4%

Percent of short-stay residents who self-report moderate to severe pain

Here:	30.4%
Wisconsin:	21.8%

Percent of short-stay residents with Pressure ulcers that are new or worsened

Here:	1.8%
State:	1.6%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	94.3%
State:	92.1%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Hospital:	89.1%
State:	92.0%

Percent of long-stay residents who received an antipsychotic medication

This Hospital:	8.7%
State:	18.8%

Hospital Acquired Conditions

Falls and injuries

This Hospital:	1.274%
Wisconsin:	0.737%

Infection from a Urinary Catheter

Here:	1.911%
Wisconsin:	0.765%

MILE BLUFF MEDICAL CENTER, INC - MAUSTON, WI

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

Complaint Deficiency

Hospital Consumer Assessment of Healthcare Providers

Use of Medical Imaging

Inpatient Prospective Payment System (IPPS) - Medicare Provider Charge Data

Quality Measures

Hospital Acquired Conditions

User Contributions:

Comment about this article, ask questions, or add new information about this topic: