Fort Memorial Hospital is a hospital registered with U.S Centers for Medicare & Medicaid Services.
The facility number is #520071.
The hospital type is acute care hospitals.
The address is 611 Sherman Ave E
Fort Atkinson
WI 53538.
The overall rating is 5.
| Facility ID | 520071 |
| Facility Name | FORT MEMORIAL HOSPITAL |
| Address |
611 Sherman Ave E Fort Atkinson WI 53538 |
| County | Jefferson |
| Telephone | (920) 568-5000 |
| Hospital Type | Acute Care Hospitals |
| Hospital Ownership | Voluntary non-profit - Private |
| Emergency Services | Yes |
| Overall Rating | 5 |
| Mortality Measure |
Total measures in the group: 7. Facility reported measures count: 4. Better than the national value: 0, No different: 4, Worse: 0 |
| Safety of Care Measure |
Total measures in the group: 8. Facility reported measures count: 3. Better than the national value: 0, No different: 3, Worse: 0 |
| Readmission Measure |
Total measures in the group: 11. Facility reported measures count: 9. Better than the national value: 0, No different: 9, Worse: 0 |
| Patient Experience Measure |
Total measures in the group: 8. Facility reported measures count: 8. Better than the national value: , No different: , Worse: |
| Timly Effectiveness Measure |
Total measures in the group: 14. Facility reported measures count: 11. Better than the national value: , No different: , Worse: |
| Notes |
The Overall Hospital Quality Star rating 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. The average is about 37 measures. Hospitals report data to the Centers for Medicare & Medicaid Services 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. The methodology uses a simple average of measure scores to calculate measure group scores and Z-score standardization to standardize measure group scores for these 5 measure groups: 1. Mortality 2. Safety of Care 3. Readmission 4. Patient Experience 5. Timely & Effective Care After estimating the group score for each hospital and each group, CMS calculates a weighted average to combine the 5 group scores into a single hospital summary score. If a hospital is missing a measure category or group, the weights are redistributed proportionally amongst the qualifying measure categories or groups. |
| Question | Responses |
|---|---|
| Patients who reported that they "Always" received bathroom help as soon as they wanted | Percent: 70% |
| Patients who reported that they "Sometimes" or "Never" received bathroom help as soon as they wanted | Percent: 7% |
| Patients who reported that they "Usually" received bathroom help as soon as they wanted | Percent: 23% |
| Patients who reported that they "Always" received help after using the call button as soon as they wanted | Percent: 69% |
| Patients who reported that they "Sometimes" or "Never" received help after using the call button as soon as they wanted | Percent: 5% |
| Patients who reported that they "Usually" received help after using the call button as soon as they wanted | Percent: 26% |
| Patients who reported that their room and bathroom were "Always" clean | Percent: 83% |
| Patients who reported that their room and bathroom were "Sometimes" or "Never" clean | Percent: 3% |
| Patients who reported that their room and bathroom were "Usually" clean | Percent: 14% |
| Cleanliness - linear mean score | Score: 93 (scale 1-100) |
| Cleanliness - star rating | Rating: 4 (scale 1-5) |
| Patients who reported that their nurses "Always" communicated well | Percent: 84% |
| Nurse communication - linear mean score | Score: 94 (scale 1-100) |
| Patients who reported that their nurses "Sometimes" or "Never" communicated well | Percent: 2% |
| Nurse communication - star rating | Rating: 4 (scale 1-5) |
| Patients who reported that their nurses "Usually" communicated well | Percent: 14% |
| Patients who reported that their doctors "Always" communicated well | Percent: 82% |
| Doctor communication - linear mean score | Score: 93 (scale 1-100) |
| Patients who reported that their doctors "Sometimes" or "Never" communicated well | Percent: 3% |
| Doctor communication - star rating | Rating: 4 (scale 1-5) |
| Patients who reported that their doctors "Usually" communicated well | Percent: 15% |
| Patients who reported that they "Always" received help as soon as they wanted | Percent: 70% |
| Staff responsiveness - linear mean score | Score: 88 (scale 1-100) |
| Patients who reported that they "Sometimes" or "Never" received help as soon as they wanted | Percent: 6% |
| Staff responsiveness - star rating | Rating: 4 (scale 1-5) |
| Patients who reported that they "Usually" received help as soon as they wanted | Percent: 24% |
| Patients who reported that staff "Always" explained about medicines before giving it to them | Percent: 71% |
| Communication about medicines - linear mean score | Score: 84 (scale 1-100) |
| Patients who reported that staff "Sometimes" or "Never" explained about medicines before giving it to them | Percent: 13% |
| Communication about medicines - star rating | Rating: 4 (scale 1-5) |
| Patients who reported that staff "Usually" explained about medicines before giving it to them | Percent: 16% |
| Discharge information - linear mean score | Score: 91 (scale 1-100) |
| Patients who reported that NO, they were not given information about what to do during their recovery at home | Percent: 9% |
| Discharge information - star rating | Rating: 4 (scale 1-5) |
| Patients who reported that YES, they were given information about what to do during their recovery at home | Percent: 91% |
| Patients who "Agree" they understood their care when they left the hospital | Percent: 41% |
| Patients who "Disagree" or "Strongly Disagree" they understood their care when they left the hospital | Percent: 3% |
| Care transition - linear mean score | Score: 84 (scale 1-100) |
| Patients who "Strongly Agree" they understood their care when they left the hospital | Percent: 56% |
| Care transition - star rating | Rating: 4 (scale 1-5) |
| Patients who "Agree" that they understood the purposes of their medications when leaving the hospital | Percent: 33% |
| Patients who "Disagree" or "Strongly Disagree" that they understood the purposes of their medications when leaving the hospital | Percent: 4% |
| Patients who "Strongly Agree" that they understood the purposes of their medications when leaving the hospital | Percent: 63% |
| Patients who "Agree" that the staff took my preferences into account when determining my health care needs | Percent: 47% |
| Patients who "Disagree" or "Strongly Disagree" that the staff took my preferences into account when determining my health care needs | Percent: 3% |
| Patients who "Strongly Agree" that the staff took my preferences into account when determining my health care needs | Percent: 50% |
| Patients who "Agree" that they understood their responsiblities in managing their health | Percent: 43% |
| Patients who "Disagree" or "Strongly Disagree" that they understood their responsiblities in managing their health | Percent: 3% |
| Patients who "Strongly Agree" that they understood their responsiblities in managing their health | Percent: 54% |
| Patients who reported that NO, they did not discuss whether they would need help after discharge | Percent: 10% |
| Patients who reported that YES, they did discuss whether they would need help after discharge | Percent: 90% |
| Patients who reported that their doctors "Always" explained things in a way they could understand | Percent: 79% |
| Patients who reported that their doctors "Sometimes" or "Never" explained things in a way they could understand | Percent: 4% |
| Patients who reported that their doctors "Usually" explained things in a way they could understand | Percent: 17% |
| Patients who reported that their doctors "Always" listened carefully to them | Percent: 80% |
| Patients who reported that their doctors "Sometimes" or "Never" listened carefully to them | Percent: 3% |
| Patients who reported that their doctors "Usually" listened carefully to them | Percent: 17% |
| Patients who reported that their doctors "Always" treated them with courtesy and respect | Percent: 87% |
| Patients who reported that their doctors "Sometimes" or "Never" treated them with courtesy and respect | Percent: 1% |
| Patients who reported that their doctors "Usually" treated them with courtesy and respect | Percent: 12% |
| Patients who gave their hospital a rating of 6 or lower on a scale from 0 (lowest) to 10 (highest) | Percent: 6% |
| Patients who gave their hospital a rating of 7 or 8 on a scale from 0 (lowest) to 10 (highest) | Percent: 19% |
| Patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest) | Percent: 75% |
| Overall hospital rating - linear mean score | Score: 90 (scale 1-100) |
| Overall hospital rating - star rating | Rating: 4 (scale 1-5) |
| Patients who reported that when receiving new medication the staff "Always" communicated what the medication was for | Percent: 84% |
| Patients who reported that when receiving new medication the staff "Sometimes" or "Never" communicated what the medication was for | Percent: 6% |
| Patients who reported that when receiving new medication the staff "Usually" communicated what the medication was for. | Percent: 10% |
| Patients who reported that their nurses "Always" explained things in a way they could understand | Percent: 79% |
| Patients who reported that their nurses "Sometimes" or "Never" explained things in a way they could understand | Percent: 4% |
| Patients who reported that their nurses "Usually" explained things in a way they could understand | Percent: 17% |
| Patients who reported that their nurses "Always" listened carefully to them | Percent: 82% |
| Patients who reported that their nurses "Sometimes" or "Never" listened carefully to them | Percent: 2% |
| Patients who reported that their nurses "Usually" listened carefully to them | Percent: 16% |
| Patients who reported that their nurses "Always" treated them with courtesy and respect | Percent: 90% |
| Patients who reported that their nurses "Sometimes" or "Never" treated them with courtesy and respect | Percent: 1% |
| Patients who reported that their nurses "Usually" treated them with courtesy and respect | Percent: 9% |
| Patients who reported that the area around their room was "Always" quiet at night | Percent: 63% |
| Patients who reported that the area around their room was "Sometimes" or "Never" quiet at night | Percent: 4% |
| Patients who reported that the area around their room was "Usually" quiet at night | Percent: 33% |
| Quietness - linear mean score | Score: 86 (scale 1-100) |
| Quietness - star rating | Rating: 4 (scale 1-5) |
| Patients who reported NO, they would probably not or definitely not recommend the hospital | Percent: 2% |
| Patients who reported YES, they would definitely recommend the hospital | Percent: 71% |
| Recommend hospital - linear mean score | Score: 89 (scale 1-100) |
| Patients who reported YES, they would probably recommend the hospital | Percent: 27% |
| Recommend hospital - star rating | Rating: 3 (scale 1-5) |
| Patients who reported that when receiving new medication the staff "Always" discussed possible side effects | Percent: 59% |
| Patients who reported that when receiving new medication the staff "Sometimes" or "Never" discussed possible side effects | Percent: 20% |
| Patients who reported that when receiving new medication the staff "Usually" discussed possible side effects | Percent: 21% |
| Summary star rating | Rating: 4 (scale 1-5) |
| Patients who reported that NO, they did not receive written information about possible symptoms to look out for after discharge | Percent: 8% |
| Patients who reported that YES, they did receive written information about possible symptoms to look out for after discharge | Percent: 92% |
| Measure Name | Compared to National | Denominator | Score | |
|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients | No Different Than the National Rate | 121 | 2.4 | |
| Death rate for heart attack patients | Number of Cases Too Small | |||
| Death rate for CABG surgery patients | ||||
| Death rate for COPD patients | No Different Than the National Rate | 64 | 7.9 | |
| Death rate for heart failure patients | No Different Than the National Rate | 76 | 11.3 | |
| Death rate for pneumonia patients | No Different Than the National Rate | 143 | 13 | |
| Death rate for stroke patients | No Different Than the National Rate | 38 | 14 | |
| Postoperative Acute Kidney Injury Requiring Dialysis Rate | No Different Than the National Rate | 140 | 1.34 | |
| Postoperative Respiratory Failure Rate | No Different Than the National Rate | 135 | 5.41 | |
| Serious blood clots after surgery | No Different Than the National Rate | 292 | 3.20 | |
| Blood stream infection after surgery | No Different Than the National Rate | 132 | 4.60 | |
| A wound that splits open after surgery on the abdomen or pelvis | No Different Than the National Rate | 62 | 0.90 | |
| Accidental cuts and tears from medical treatment | No Different Than the National Rate | 164 | 1.20 | |
| Pressure sores | No Different Than the National Rate | 744 | 0.37 | |
| Deaths among Patients with Serious Treatable Complications after Surgery | Number of Cases Too Small | |||
| Collapsed lung due to medical treatment | No Different Than the National Rate | 1145 | 0.25 | |
| Broken hip from a fall after surgery | No Different Than the National Rate | 1046 | 0.11 | |
| Serious complications | No Different Than the National Value | 0.87 | ||
| Perioperative Hemorrhage or Hematoma Rate | No Different Than the National Rate | 270 | 2.44 |
| Street Address |
611 SHERMAN AVE E |
| City | FORT ATKINSON |
| State | WI |
| Zip Code | 53538 |
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