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St Mary's Hospital - Profile, Major Services, Health Measures, and Patient Experience

The following tables show the profile, major inpatient hospital services, 30-day mortality measures, and patient hospital experience survey at St Mary's Hospital.

Basic Information

Address: 700 South Park St, Madison, WI 53715         Phone: 608-251-6100
Hospital Type: Acute Care Hospitals         Emergency Services: Yes
Hospital Owner: Voluntary non-profit - Other

Major Inpatient Hospital Services

The information in this table reflects inpatient hospital services provided by St Mary's Hospital to Medicare beneficiaries.

Service Name Number of Cases Treated i
Major joint replacement or reattachment of lower extremity without MCC472
Heart failure and shock with CC209
Chest Pain154
Perc cardiovasc proc with drug-eluting stent without MCC140
Heart failure and shock with MCC113
Chronic obstructive pulmonary disease with CC108
Chronic obstructive pulmonary disease with MCC100
Simple pneumonia and pleurisy with MCC90
Spinal fusion except cervical without MCC89
Extracranial procedures without CC/MCC84
Heart failure and shock without CC/MCC68
Major small and large bowel procedures with CC68
Acute myocardial infarction, discharged alive with MCC66
Chronic obstructive pulmonary disease without CC/MCC59
Cardiac valve and oth maj cardiothoracic proc without card cath with MCC49
Revision of hip or knee replacement with CC48
Major small and large bowel procedures with MCC47
Acute myocardial infarction, discharged alive with CC35
Extracranial procedures with CC35
Back and neck proc exc spinal fusion with CC/MCC or disc device/neurostim33
Coronary bypass without cardiac cath with MCC32
Permanent cardiac pacemaker implant with CC31
Permanent cardiac pacemaker implant without CC/MCC29
Major cardiovasc procedures with MCC or thoracic aortic aneurysm repair28
Laparoscopic cholecystectomy without c.d.e. with CC28
Revision of hip or knee replacement without CC/MCC28
Back and neck proc exc spinal fusion without CC/MCC27
Hernia procedures except inguinal and femoral with CC20
Major joint replacement or reattachment of lower extremity with MCC20
Cardiac defibrillator implant without cardiac cath without MCC19
Coronary bypass without cardiac cath without MCC19
Laparoscopic cholecystectomy without c.d.e. without CC/MCC17
Acute myocardial infarction, discharged alive without CC/MCC15
Cardiac valve and oth maj cardiothoracic proc without card cath with CC15
Hernia procedures except inguinal and femoral without CC/MCC15
Laparoscopic cholecystectomy without c.d.e. with MCC14
Major small and large bowel procedures without CC/MCC13
Cervical spinal fusion without CC/MCC13
Stomach, esophageal duodenal proc without CC/MCC11
Uterine and adnexa proc for non-malignancy without CC/MCC11
Diabetes with MCC<11 (*)
Cardiac valve and oth maj cardiothoracic proc without card cath without CC/MCC<11 (*)
Cardiac defibrillator implant without cardiac cath with MCC<11 (*)
Cardiac defib implant with cardiac cath without AMI/HF/shock without MCC<11 (*)
Cardiac defib implant with cardiac cath without AMI/HF/shock with MCC<11 (*)
Cholecystectomy except by laparoscope without c.d.e. with MCC<11 (*)
Hernia procedures except inguinal and femoral with MCC<11 (*)
Cervical spinal fusion with MCC<11 (*)
Cervical spinal fusion with CC<11 (*)
Spinal fusion except cervical with MCC<11 (*)
Major shoulder or elbow joint procedures without CC/MCC<11 (*)
Major shoulder or elbow joint procedures with CC/MCC<11 (*)
Bilateral or multiple major joint procs of lower extremity without MCC<11 (*)
Revision of hip or knee replacement with MCC<11 (*)
Biopsies of musculoskeletal system and connective tissue without CC/MCC<11 (*)
Biopsies of musculoskeletal system and connective tissue with MCC<11 (*)
Biopsies of musculoskeletal system and connective tissue with CC<11 (*)
Other musculoskelet sys and conn tiss O.R. proc with MCC<11 (*)
Kidney and ureter procedures for neoplasm without CC/MCC<11 (*)
Kidney and ureter procedures for neoplasm with MCC<11 (*)
Kidney and ureter procedures for neoplasm with CC<11 (*)
Kidney and ureter procedures for non-neoplasm with MCC<11 (*)
Transurethral procedures with MCC<11 (*)
Other kidney and urinary tract procedures with MCC<11 (*)
Other kidney and urinary tract procedures with CC<11 (*)
Transurethral prostatectomy without CC/MCC<11 (*)
Transurethral prostatectomy with CC/MCC<11 (*)
Female reproductive system reconstructive procedures<11 (*)

Note: (*) indicates data cannot be disclosed to protect personal health information due to the small number of Medicare patients.
CC: Complicating or Comorbid condition; MCC: Major Complicating or Comorbid Condition.

30-Day Mortality Measures

The 30-day mortality rate at St Mary's Hospital was calculated by CMS (Centers for Medicare & Medicaid Services) using Medicare claims and eligibility information as well as VA administrative information.

Measure Name Result
Hospital 30-Day Death (Mortality) Rates from Heart Attack 13.2
Comparison to U S Rate - Hospital 30-Day Death (Mortality) Rates from Heart Attack No Different than U.S. National Rate
Lower Mortality Estimate - Hospital 30-Day Death (Mortality) Rates from Heart Attack 10.7
Upper Mortality Estimate - Hospital 30-Day Death (Mortality) Rates from Heart Attack 16.1
Number of Patients - Hospital 30-Day Death (Mortality) Rates from Heart Attack 372
Footnote - Hospital 30-Day Death (Mortality) Rates from Heart Attack
Hospital 30-Day Death (Mortality) Rates from Heart Failure 10.7
Comparison to U S Rate - Hospital 30-Day Death (Mortality) Rates from Heart Failure No Different than U.S. National Rate
Lower Mortality Estimate - Hospital 30-Day Death (Mortality) Rates from Heart Failure 8.6
Upper Mortality Estimate - Hospital 30-Day Death (Mortality) Rates from Heart Failure 13.1
Number of Patients - Hospital 30-Day Death (Mortality) Rates from Heart Failure 516
Footnote - Hospital 30-Day Death (Mortality) Rates from Heart Failure
Hospital 30-Day Death (Mortality) Rates from Pneumonia 9
Comparison to U S Rate - Hospital 30-Day Death (Mortality) Rates from Pneumonia Better than U.S. National Rate
Lower Mortality Estimate - Hospital 30-Day Death (Mortality) Rates from Pneumonia 7
Upper Mortality Estimate - Hospital 30-Day Death (Mortality) Rates from Pneumonia 11.3
Number of Patients - Hospital 30-Day Death (Mortality) Rates from Pneumonia 508
Footnote - Hospital 30-Day Death (Mortality) Rates from Pneumonia

Patient Hospital Experience Survey

The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Patient Survey is a 32-item survey instrument and data collection methodology for measuring patients’ perceptions of their hospital experience. This survey at St Mary's Hospital is administered to a random sample of adult inpatients between 48 hours and six weeks after discharge.

Survey Question Result
Percent of patients who reported that their nurses "Sometimes" or "Never" communicated well. 2%
Percent of patients who reported that their nurses "Usually" communicated well. 15%
Percent of patients who reported that their nurses "Always" communicated well. 83%
Percent of patients who reported that their doctors "Sometimes" or "Never" communicated well. 4%
Percent of patients who reported that their doctors "Usually" communicated well. 15%
Percent of patients who reported that their doctors "Always" communicated well. 81%
Percent of patients who reported that they "Sometimes" or "Never" received help as soon as they wanted. 6%
Percent of patients who reported that they "Usually" received help as soon as they wanted. 26%
Percent of patients who reported that they "Always" received help as soon as they wanted. 68%
Percent of patients who reported that their pain was "Sometimes" or "Never" well controlled. 5%
Percent of patients who reported that their pain was "Usually" well controlled. 26%
Percent of patients who reported that their pain was "Always" well controlled. 69%
Percent of patients who reported that staff "Sometimes" or "Never" explained about medicines before giving it to them. 11%
Percent of patients who reported that staff "Usually" explained about medicines before giving it to them. 18%
Percent of patients who reported that staff "Always" explained about medicines before giving it to them. 71%
Percent of patients who reported that their room and bathroom were "Sometimes" or "Never" clean. 6%
Percent of patients who reported that their room and bathroom were "Usually" clean. 16%
Percent of patients who reported that their room and bathroom were "Always" clean. 78%
Percent of patients who reported that the area around their room was "Sometimes" or "Never" quiet at night. 6%
Percent of patients who reported that the area around their room was "Usually" quiet at night. 27%
Percent of patients who reported that the area around their room was "Always" quiet at night. 67%
Percent of patients who reported that YES,they were given information about what to do during their recovery at home. 89%
Percent of patients who reported that they were not given information about what to do during their recovery at home. 11%
Percent of patients who gave their hospital a rating of 6 or lower on a scale from 0 (lowest) to 10 (highest). 3%
Percent of patients who gave their hospital a rating of 7 or 8 on a scale from 0 (lowest) to 10 (highest). 13%
Percent of patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest). 84%
Percent of patients who reported NO,they would not recommend the hospital. 1%
Percent of patients who reported YES,they would probably recommend the hospital. 14%
Percent of patients who reported YES,they would definitely recommend the hospital. 85%
Number of Completed Surveys 300 or more
Survey Response Rate Percent 51%
Hospital Footnote