ST. AGNES HOSPITAL HOSPICE in FOND DU LAC, WI:
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Overall Rating:

Database data was released on July 27, 2022

About ST. AGNES HOSPITAL HOSPICE

Rating:

ST. AGNES HOSPITAL HOSPICE is one of a type of hospital called Acute Care Hospitals located in FOND DU LAC, WI. It does provide emergency services. Its five star rating is 3. It's type of ownership is Voluntary non-profit - Private. The facility's Medicare ID is 520088.

There are 219 medical professionals affiliated with ST. AGNES HOSPITAL HOSPICE.

According to a survey by the Hospital Consumer Assessment of Healthcare Providers and Systems ("HCAHPS") that ended in September 30, 2021, 68% of the patients surveyed definitely recommended ST. AGNES HOSPITAL HOSPICE, while only 3% did not recommend going to ST. AGNES HOSPITAL HOSPICE.

The information presented below is based on data provide by U.S. Centers for Medicare & Medicaid Services (CMS). It is updated as new data is made available.

General Information for ST. AGNES HOSPITAL HOSPICE

Address:

430 E DIVISION ST
FOND DU LAC, WI 54935
Click for Map

Medicare Provider Number:

520088

Type:

Acute Care Hospitals

Ownership:

Voluntary non-profit - Private

Overall Hospital Quality Star Rating for ST. AGNES HOSPITAL HOSPICE

Overall Rating:

The Overall Hospital Quality Star Rating for ST. AGNES HOSPITAL HOSPICE summarizes a variety of measures across 5 areas of quality into a single star rating for each hospital. Once reporting thresholds are met, a hospital’s Overall Star Rating is calculated using only those measures for which data are available. Hospitals report data to The Centers for Medicare & Medicaid Services ("CMS") through the Hospital Inpatient Quality Reporting (IQR) Program, Hospital Outpatient Quality Reporting (OQR) Program, Hospital Readmission Reduction Program (HRRP), Hospital-Acquired Condition (HAC) Reduction Program, and Hospital Value-Based Purchasing (VBP) Program. Overall Star Ratings aren’t calculated for Veterans Health Administration (VHA) or Department of Defense (DoD) hospitals.

Most hospitals will have an Overall Hospital Quality Star Rating of 3.

The methodology used to calculate Overall Star Ratings involves multiple steps to select, standardize, and calculate scores based on Care Compare measures. Overall Star Ratings are created using this seven-step process:

  1. Selection and standardization of measures for inclusion in the Overall Star Rating
  2. Assignment of measures to groups
  3. Calculation and standardization of measure group scores
  4. Calculation of hospital summary scores as a weighted average of available group scores
  5. Application of minimum thresholds for receiving an Overall Star Rating
  6. Assignment of hospitals to peer groups based on their number of measure groups (3, 4, or 5)
  7. Application of clustering algorithm to categorize summary scores into star ratings

For each hospital, a hospital summary score is calculated by taking the weighted average of the hospital’s scores for each measure group. The table below shows the weight applied to each measure group. The hospital summary score is then used to assign hospitals to star ratings, using k-means clustering within each peer group.

Measure group Weight used in calculation
Mortality 22%
Safety 22%
Readmission 22%
Patient Experience 22%
Timely & Effective Care 12%

Note that these percentage weights are out of 100%. If a hospital has no measures in a certain measure group, the weighted percentage is redistributed proportionally to the other measure groups. For example, if a hospital had no measures in the Timely & Effective Care category, the 12% weight would be redistributed evenly as 25% for each of the Mortality, Safety of Care, Readmission and Patient Experience groups.

National distribution of the Overall Hospital Quality Star Rating The following table shows the national distribution of the Overall Star Rating based on July 2022 results.

Overall rating Number of hospitals / Percentage
1 star 198 (6.34%)
2 stars 702 (22.49%)
3 stars 895 (28.68%)
4 stars 895 (28.68%)
5 stars 431 (13.81%)
N/A 1,368 (30.47%)

Additional detailed on the method for calculating the Overall Hospital Quality Star Rating from this document.

Cost of ST. AGNES HOSPITAL HOSPICE, Compare to National and State Averages

Understanding how much a hospital is going to cost is extremely difficult. Hospitals themselves actively obscure what they charge and have negotiated different rates with different insurers. Then you have the problem of the wide variety of treatments which the ST. AGNES HOSPITAL HOSPICE provides.

To provide some standard metric to compare hospital costs, CMS publishes the MSPB (or "Medicare Spending Per Beneficiary"). Even though you may not be on Medicare, this metric may still be useful. The MSPB is expressed as a percentage compared to the national average for costs that Medicare incurs. A percentage higher than 100% means the hospital charges more than the national average while a percentage less than 100% means the hospital charges less than the national average.

MSPB for ST. AGNES HOSPITAL HOSPICE: Not Available

More Information about the calculation of Medicare Spending Per Beneficiary for ST. AGNES HOSPITAL HOSPICE: The measure assesses Medicare Part A and Part B payments for services provided to a ST. AGNES HOSPITAL HOSPICE during a spending-per-beneficiary episode that spans from three days prior to an inpatient hospital admission through 30 days after discharge. The payments included in this measure are price-standardized and risk-adjusted. The payment measures for heart attack, heart failure, pneumonia, and hip/knee replacement are estimates of payments associated with a 30-day episode of care for heart attack, heart failure, or pneumonia, or a 90-day episode of care for hip/knee replacement. The episode of care begins with the admission. For the heart attack, heart failure, and pneumonia measures, payments across multiple care settings, services, and supplies (inpatient, outpatient, skilled nursing facility, home health, hospice, physician/clinical laboratory/ambulance services, durable medical equipment, prosthetics/orthotics, and supplies) are assessed for the next 30 days. For hip/knee replacement, the measure includes all payments for the next 30 days but also includes payments related to the hip/knee replacement for days 31 – 90. For the heart attack, heart failure, pneumonia, and hip/knee replacement payment measures, payment rates are provided in the downloadable database and presented on the Hospital Care Compare website in terms of dollars. Hospitals’ rates are compared to the national mean payment to categorize whether a hospital’s payment rate is less than the national mean payment, no different than the national mean payment, or greater than the national mean payment, For some hospitals, the number of cases is too small to reliably compare their results to the national mean payment. The payment measures are not intended to be interpreted in isolation but to be considered in the context of existing quality measures such as CMS’s 30-day mortality measures for heart attack, heart failure, and pneumonia, and the 90-day complication measure for hip/knee replacement.

Infection Rates at ST. AGNES HOSPITAL HOSPICE

These measures show how often patients at ST. AGNES HOSPITAL HOSPICE contract certain infections during the course of their medical treatment, when compared to other hospitals nationally. HAI measures provide information on infections that occur while the patient is in the hospital and include: central line-associated bloodstream infections (CLABSI), catheterassociated urinary tract infections (CAUTI), surgical site infection (SSI) from colon surgery or abdominal hysterectomy, methicillin-resistant Staphylococcus Aureus (MRSA) blood laboratory-identified events (bloodstream infections), and Clostridium difficile (C.diff.) laboratory-identified events (intestinal infections). The HAI measures show how often patients at ST. AGNES HOSPITAL HOSPICE contract certain infections during the course of their medical treatment, when compared to like hospitals. The CDC calculates a Standardized Infection Ratio (SIR) which may take into account the type of patient care location, number of patients with an existing infection, laboratory methods, hospital affiliation with a medical school, bed size of the hospital, patient age, and classification of patient health. SIRs are calculated for the hospital, the state, and the nation. Hospitals’ SIRs are compared to the national benchmark to determine if hospitals’ performance on these measures is better than the national benchmark (lower), no different than the national benchmark, or worse than the national benchmark (higher). The HAI measures apply to all patients treated in acute care hospitals, including adult, pediatric, neonatal, Medicare, and non-Medicare patients.

Infection Type Score / Compare to National Average
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit 0.43 / Same
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit 3.29 / Same
Central Line Associated Bloodstream Infection: Number of Device Days 4,185.00 / Same
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases 2.93 / Same
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases 4.00 / Same
Central Line Associated Bloodstream Infection (ICU + select Wards) 1.36 / Same
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit 0.59 / Same
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit 3.59 / Same
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days 4,425.00 / Same
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases 3.09 / Same
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases 5.00 / Same
Catheter Associated Urinary Tract Infections (ICU + select Wards) 1.62 / Same
SSI - Colon Surgery: Lower Confidence Limit -- / Same
SSI - Colon Surgery: Upper Confidence Limit 1.88 / Same
SSI - Colon Surgery: Number of Procedures 59.00 / Same
SSI - Colon Surgery: Predicted Cases 1.59 / Same
SSI - Colon Surgery: Observed Cases 0.00 / Same
SSI - Colon Surgery 0.00 / Same
SSI - Abdominal Hysterectomy: Lower Confidence Limit 0.04 / Same
SSI - Abdominal Hysterectomy: Upper Confidence Limit 3.49 / Same
SSI - Abdominal Hysterectomy: Number of Procedures 176.00 / Same
SSI - Abdominal Hysterectomy: Predicted Cases 1.41 / Same
SSI - Abdominal Hysterectomy: Observed Cases 1.00 / Same
SSI - Abdominal Hysterectomy 0.71 / Same
MRSA Bacteremia: Lower Confidence Limit 0.03 / Same
MRSA Bacteremia: Upper Confidence Limit 2.97 / Same
MRSA Bacteremia: Patient Days 34,931.00 / Same
MRSA Bacteremia: Predicted Cases 1.66 / Same
MRSA Bacteremia: Observed Cases 1.00 / Same
MRSA Bacteremia 0.60 / Same
Clostridium Difficile (C.Diff): Lower Confidence Limit 0.38 / Same
Clostridium Difficile (C.Diff): Upper Confidence Limit 1.33 / Same
Clostridium Difficile (C.Diff): Patient Days 33,431.00 / Same
Clostridium Difficile (C.Diff): Predicted Cases 13.42 / Same
Clostridium Difficile (C.Diff): Observed Cases 10.00 / Same
Clostridium Difficile (C.Diff) 0.75 / Same

How ST. AGNES HOSPITAL HOSPICE Compares to Other Similar Facilities

This is how ST. AGNES HOSPITAL HOSPICE compares to other similar hospitals nationally based on data provided to CMS.

Top Hospitals in FOND DU LAC, WI

Worst Hospitals in FOND DU LAC, WI

Percentages of Complications and Deaths at ST. AGNES HOSPITAL HOSPICE

Measure Score Compared to National Rates
Rate of complications for hip/knee replacement patients 2.5% SAME
Death rate for heart attack patients 10.9% SAME
Death rate for CABG surgery patients NA Not Enough Data
Death rate for COPD patients 9.5% SAME
Death rate for heart failure patients 13.6% SAME
Death rate for pneumonia patients NA Not Enough Data
Death rate for stroke patients 16% SAME
Pressure ulcer rate NA Not Enough Data
Death rate among surgical inpatients with serious treatable complications NA Not Enough Data
Iatrogenic pneumothorax rate NA Not Enough Data
In-hospital fall with hip fracture rate NA Not Enough Data
Perioperative hemorrhage or hematoma rate NA Not Enough Data
Postoperative acute kidney injury requiring dialysis rate NA Not Enough Data
Postoperative respiratory failure rate NA Not Enough Data
Perioperative pulmonary embolism or deep vein thrombosis rate NA Not Enough Data
Postoperative sepsis rate NA Not Enough Data
Postoperative wound dehiscence rate NA Not Enough Data
Abdominopelvic accidental puncture or laceration rate NA Not Enough Data
CMS Medicare PSI 90: Patient safety and adverse events composite NA Not Enough Data

Skilled Nursing Facilities Near ST. AGNES HOSPITAL HOSPICE

Many hospital patients are not ready to return home after a hospital visit. If recovery is going to be protracted, doctors will often advise that the patients recuperate at a skilled nursing facility. Below is a list of the skilled nursing homes near ST. AGNES HOSPITAL HOSPICE ranked by their CMS 5-Star Overall Rating.

Facility Name Overall Rating
Samaritan Health Center 5:
Rocky Knoll Health Care 5:
Hillside Manor 5:
Harbor Haven Health and Rehabilitation 5:
St Francis Home 5:
Villa Loretto Nursing Home 5:
Park View Health Center 5:
Evergreen Health Center 5:
Edenbrook of Fond Du Lac 4:
Willowdale Health Services 4:
Homestead Health Services 4:
Whispering Pines Nursing and Rehab, LLC 4:
Eden Rehab Suites and Green House Homes 4:
Omro Care Center 3:
Christian Home and Rehab Ctr 3:
Bethel Home 3:
Hope Health and Rehab 3:
Edenbrook of Oshkosh 2:
Beaver Dam Health Care Center 2:
Fond Du Lac Lutheran Home 2:
Crossroads Care Center of Fond Du Lac 1:
Manor of Fond Du Lac 1:
Crossroads Care Center of Mayville 1:
Plymouth Health Services 1:

Medical Professsionals Affiliated with ST. AGNES HOSPITAL HOSPICE

These are the doctors affliated with this hospital:

Patient Survey Results

Below is information compiled by CMS on the percentage of patients who respond to specific treatments and a comparison of the results for ST. AGNES HOSPITAL HOSPICE to the national results for similar facilities.

Survey Question Response
Patients who reported that their nurses "Always" communicated well 81 %
Patients who reported that their nurses "Sometimes" or "Never" communicated well 3 %
Patients who reported that their nurses "Usually" communicated well 16 %
Nurse communication - linear mean score Not Applicable
Nurse communication - star rating Not Applicable
Patients who reported that their nurses "Always" treated them with courtesy and respect 88 %
Patients who reported that their nurses "Sometimes" or "Never" treated them with courtesy and respect 2 %
Patients who reported that their nurses "Usually" treated them with courtesy and respect 10 %
Patients who reported that their nurses "Always" listened carefully to them 79 %
Patients who reported that their nurses "Sometimes" or "Never" listened carefully to them 4 %
Patients who reported that their nurses "Usually" listened carefully to them 17 %
Patients who reported that their nurses "Always" explained things in a way they could understand 75 %
Patients who reported that their nurses "Sometimes" or "Never" explained things in a way they could understand 4 %
Patients who reported that their nurses "Usually" explained things in a way they could understand 21 %
Patients who reported that their doctors "Always" communicated well 78 %
Patients who reported that their doctors "Sometimes" or "Never" communicated well 5 %
Patients who reported that their doctors "Usually" communicated well 17 %
Doctor communication - linear mean score Not Applicable
Doctor communication - star rating Not Applicable
Patients who reported that their doctors "Always" treated them with courtesy and respect 86 %
Patients who reported that their doctors "Sometimes" or "Never" treated them with courtesy and respect 3 %
Patients who reported that their doctors "Usually" treated them with courtesy and respect 11 %
Patients who reported that their doctors "Always" listened carefully to them 79 %
Patients who reported that their doctors "Sometimes" or "Never" listened carefully to them 5 %
Patients who reported that their doctors "Usually" listened carefully to them 16 %
Patients who reported that their doctors "Always" explained things in a way they could understand 71 %
Patients who reported that their doctors "Sometimes" or "Never" explained things in a way they could understand 7 %
Patients who reported that their doctors "Usually" explained things in a way they could understand 22 %
Patients who reported that they "Always" received help as soon as they wanted 67 %
Patients who reported that they "Sometimes" or "Never" received help as soon as they wanted 7 %
Patients who reported that they "Usually" received help as soon as they wanted 26 %
Staff responsiveness - linear mean score Not Applicable
Staff responsiveness - star rating Not Applicable
Patients who reported that they "Always" received help after using the call button as soon as they wanted 62 %
Patients who reported that they "Sometimes" or "Never" received help after using the call button as soon as they wanted 6 %
Patients who reported that they "Usually" received help after using the call button as soon as they wanted 32 %
Patients who reported that they "Always" received bathroom help as soon as they wanted 72 %
Patients who reported that they "Sometimes" or "Never" received bathroom help as soon as they wanted 7 %
Patients who reported that they "Usually" received bathroom help as soon as they wanted 21 %
Patients who reported that staff "Always" explained about medicines before giving it to them 64 %
Patients who reported that staff "Sometimes" or "Never" explained about medicines before giving it to them 15 %
Patients who reported that staff "Usually" explained about medicines before giving it to them 21 %
Communication about medicines - linear mean score Not Applicable
Communication about medicines - star rating Not Applicable
Patients who reported that when receiving new medication the staff "Always" communicated what the medication was for 77 %
Patients who reported that when receiving new medication the staff "Sometimes" or "Never" communicated what the medication was for 7 %
Patients who reported that when receiving new medication the staff "Usually" communicated what the medication was for. 16 %
Patients who reported that when receiving new medication the staff "Always" discussed possible side effects 51 %
Patients who reported that when receiving new medication the staff "Sometimes" or "Never" discussed possible side effects 23 %
Patients who reported that when receiving new medication the staff "Usually" discussed possible side effects 26 %
Patients who reported that NO, they were not given information about what to do during their recovery at home 11 %
Patients who reported that YES, they were given information about what to do during their recovery at home 89 %
Discharge information - linear mean score Not Applicable
Discharge information - star rating Not Applicable
Patients who reported that NO, they did not discuss whether they would need help after discharge 11 %
Patients who reported that YES, they did discuss whether they would need help after discharge 89 %
Patients who reported that NO, they did not receive written information about possible symptoms to look out for after discharge 11 %
Patients who reported that YES, they did receive written information about possible symptoms to look out for after discharge 89 %
Patients who "Agree" they understood their care when they left the hospital 43 %
Patients who "Disagree" or "Strongly Disagree" they understood their care when they left the hospital 4 %
Patients who "Strongly Agree" they understood their care when they left the hospital 53 %
Care transition - linear mean score Not Applicable
Care transition - star rating Not Applicable
Patients who "Agree" that the staff took my preferences into account when determining my health care needs 52 %
Patients who "Disagree" or "Strongly Disagree" that the staff took my preferences into account when determining my health care needs 4 %
Patients who "Strongly Agree" that the staff took my preferences into account when determining my health care needs 44 %
Patients who "Agree" that they understood their responsiblities in managing their health 42 %
Patients who "Disagree" or "Strongly Disagree" that they understood their responsiblities in managing their health 4 %
Patients who "Strongly Agree" that they understood their responsiblities in managing their health 54 %
Patients who "Agree" that they understood the purposes of their medications when leaving the hospital 35 %
Patients who "Disagree" or "Strongly Disagree" that they understood the purposes of their medications when leaving the hospital 5 %
Patients who "Strongly Agree" that they understood the purposes of their medications when leaving the hospital 60 %
Patients who reported that their room and bathroom were "Always" clean 78 %
Patients who reported that their room and bathroom were "Sometimes" or "Never" clean 6 %
Patients who reported that their room and bathroom were "Usually" clean 16 %
Cleanliness - linear mean score Not Applicable
Cleanliness - star rating Not Applicable
Patients who reported that the area around their room was "Always" quiet at night 69 %
Patients who reported that the area around their room was "Sometimes" or "Never" quiet at night 5 %
Patients who reported that the area around their room was "Usually" quiet at night 26 %
Quietness - linear mean score Not Applicable
Quietness - star rating Not Applicable
Patients who gave their hospital a rating of 6 or lower on a scale from 0 (lowest) to 10 (highest) 5 %
Patients who gave their hospital a rating of 7 or 8 on a scale from 0 (lowest) to 10 (highest) 25 %
Patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest) 70 %
Overall hospital rating - linear mean score Not Applicable
Overall hospital rating - star rating Not Applicable
Patients who reported NO, they would probably not or definitely not recommend the hospital 3 %
Patients who reported YES, they would definitely recommend the hospital 68 %
Patients who reported YES, they would probably recommend the hospital 29 %
Recommend hospital - linear mean score Not Applicable
Recommend hospital - star rating Not Applicable
Summary star rating Not Applicable

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