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St Agnes Hsptl - 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 Agnes Hsptl.

Basic Information

Address: 430 E Divison St, Fond Du Lac, WI 54935         Phone: 920-929-2300
Hospital Type: Acute Care Hospitals         Emergency Services: Yes
Hospital Owner: Voluntary non-profit - Private

Major Inpatient Hospital Services

The information in this table reflects inpatient hospital services provided by St Agnes Hsptl to Medicare beneficiaries.

Service Name Number of Cases Treated i
Major joint replacement or reattachment of lower extremity without MCC72
Heart failure and shock with CC40
Perc cardiovasc proc with drug-eluting stent without MCC36
Simple pneumonia and pleurisy with MCC31
Heart failure and shock without CC/MCC19
Chronic obstructive pulmonary disease with MCC18
Major small and large bowel procedures with CC17
Acute myocardial infarction, discharged alive with MCC15
Chronic obstructive pulmonary disease with CC15
Chest Pain14
Chronic obstructive pulmonary disease without CC/MCC11
Extracranial procedures without CC/MCC11
Transurethral prostatectomy without CC/MCC11
Acute myocardial infarction, discharged alive without CC/MCC<11 (*)
Acute myocardial infarction, discharged alive with CC<11 (*)
Heart failure and shock with MCC<11 (*)
Diabetes with MCC<11 (*)
Cardiac valve and oth maj cardiothoracic proc without card cath without CC/MCC<11 (*)
Cardiac valve and oth maj cardiothoracic proc without card cath with MCC<11 (*)
Cardiac valve and oth maj cardiothoracic proc without card cath with CC<11 (*)
Major cardiovasc procedures with MCC or thoracic aortic aneurysm repair<11 (*)
Permanent cardiac pacemaker implant without CC/MCC<11 (*)
Permanent cardiac pacemaker implant with CC<11 (*)
Laparoscopic cholecystectomy without c.d.e. without CC/MCC<11 (*)
Laparoscopic cholecystectomy without c.d.e. with MCC<11 (*)
Laparoscopic cholecystectomy without c.d.e. with CC<11 (*)
Hernia procedures except inguinal and femoral without CC/MCC<11 (*)
Hernia procedures except inguinal and femoral with CC<11 (*)
Major small and large bowel procedures without CC/MCC<11 (*)
Major small and large bowel procedures with MCC<11 (*)
Stomach, esophageal duodenal proc without CC/MCC<11 (*)
Cervical spinal fusion without CC/MCC<11 (*)
Back and neck proc exc spinal fusion without CC/MCC<11 (*)
Back and neck proc exc spinal fusion with CC/MCC or disc device/neurostim<11 (*)
Major joint replacement or reattachment of lower extremity with MCC<11 (*)
Revision of hip or knee replacement without CC/MCC<11 (*)
Biopsies of musculoskeletal system and connective tissue with MCC<11 (*)
Kidney and ureter procedures for neoplasm without CC/MCC<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 with CC/MCC<11 (*)
Uterine and adnexa proc for non-malignancy without CC/MCC<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 Agnes Hsptl 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 15.1
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 11.9
Upper Mortality Estimate - Hospital 30-Day Death (Mortality) Rates from Heart Attack 18.9
Number of Patients - Hospital 30-Day Death (Mortality) Rates from Heart Attack 143
Footnote - Hospital 30-Day Death (Mortality) Rates from Heart Attack
Hospital 30-Day Death (Mortality) Rates from Heart Failure 14.2
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 10.8
Upper Mortality Estimate - Hospital 30-Day Death (Mortality) Rates from Heart Failure 18.5
Number of Patients - Hospital 30-Day Death (Mortality) Rates from Heart Failure 171
Footnote - Hospital 30-Day Death (Mortality) Rates from Heart Failure
Hospital 30-Day Death (Mortality) Rates from Pneumonia 11
Comparison to U S Rate - Hospital 30-Day Death (Mortality) Rates from Pneumonia No Different than U.S. National Rate
Lower Mortality Estimate - Hospital 30-Day Death (Mortality) Rates from Pneumonia 8.5
Upper Mortality Estimate - Hospital 30-Day Death (Mortality) Rates from Pneumonia 14.3
Number of Patients - Hospital 30-Day Death (Mortality) Rates from Pneumonia 272
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 Agnes Hsptl 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. 3%
Percent of patients who reported that their nurses "Usually" communicated well. 19%
Percent of patients who reported that their nurses "Always" communicated well. 78%
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. 17%
Percent of patients who reported that their doctors "Always" communicated well. 79%
Percent of patients who reported that they "Sometimes" or "Never" received help as soon as they wanted. 11%
Percent of patients who reported that they "Usually" received help as soon as they wanted. 28%
Percent of patients who reported that they "Always" received help as soon as they wanted. 61%
Percent of patients who reported that their pain was "Sometimes" or "Never" well controlled. 6%
Percent of patients who reported that their pain was "Usually" well controlled. 23%
Percent of patients who reported that their pain was "Always" well controlled. 71%
Percent of patients who reported that staff "Sometimes" or "Never" explained about medicines before giving it to them. 15%
Percent of patients who reported that staff "Usually" explained about medicines before giving it to them. 26%
Percent of patients who reported that staff "Always" explained about medicines before giving it to them. 59%
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. 13%
Percent of patients who reported that their room and bathroom were "Always" clean. 81%
Percent of patients who reported that the area around their room was "Sometimes" or "Never" quiet at night. 9%
Percent of patients who reported that the area around their room was "Usually" quiet at night. 34%
Percent of patients who reported that the area around their room was "Always" quiet at night. 57%
Percent of patients who reported that YES,they were given information about what to do during their recovery at home. 85%
Percent of patients who reported that they were not given information about what to do during their recovery at home. 15%
Percent of patients who gave their hospital a rating of 6 or lower on a scale from 0 (lowest) to 10 (highest). 5%
Percent of patients who gave their hospital a rating of 7 or 8 on a scale from 0 (lowest) to 10 (highest). 24%
Percent of patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest). 71%
Percent of patients who reported NO,they would not recommend the hospital. 4%
Percent of patients who reported YES,they would probably recommend the hospital. 25%
Percent of patients who reported YES,they would definitely recommend the hospital. 71%
Number of Completed Surveys 300 or more
Survey Response Rate Percent 42%
Hospital Footnote