JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Ascension Ne Wisconsin - St Elizabeth Campus

4 / 5

At a glance

Ascension Ne Wisconsin - St Elizabeth Campus carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 12 and worse on 0.

Healthcare-Associated Infections

lower is better · 36 measures reported

Rates of infections patients can acquire while receiving care, such as central-line and catheter-associated infections, MRSA, and C. difficile.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence LimitBetter than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.915Better than national
Central Line Associated Bloodstream Infection: Number of Device Days3758Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.274Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.016Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.623Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3810Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.039Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.329Same as national
SSI - Colon Surgery: Lower Confidence Limit0.111Same as national
SSI - Colon Surgery: Upper Confidence Limit2.184Same as national
SSI - Colon Surgery: Number of Procedures108Same as national
SSI - Colon Surgery: Predicted Cases3.025Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery0.661Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures9Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.076Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit1.876Same as national
MRSA Bacteremia: Patient Days43694Same as national
MRSA Bacteremia: Predicted Cases1.597Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.162Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.832Better than national
Clostridium Difficile (C.Diff): Patient Days40133Better than national
Clostridium Difficile (C.Diff): Predicted Cases14.991Better than national
Clostridium Difficile (C.Diff): Observed Cases6Better than national
Clostridium Difficile (C.Diff)0.400Better than national

Complications & Deaths

lower is better · 20 measures reported

Rates of serious complications (like hip/knee replacement problems or accidental cuts during surgery) and 30-day mortality rates for common conditions.

MeasureScoreCompared to nationalSample
Rate of complications for hip/knee replacement patients3.6Same as national139
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.3Same as national330
Death rate for heart attack patients13.6Same as national69
Death rate for CABG surgery patients2.8Same as national30
Death rate for COPD patients9.4Same as national34
Death rate for heart failure patients13.2Same as national151
Death rate for pneumonia patients17.5Same as national119
Death rate for stroke patients12.4Same as national75
Pressure ulcer rate1.13Same as national1428
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.19Same as national2094
In-hospital fall-associated fracture rate0.29Same as national2128
Postoperative hemorrhage or hematoma rate2.33Same as national534
Postoperative acute kidney injury requiring dialysis rate2.35Same as national278
Postoperative respiratory failure rate11.89Same as national278
Perioperative pulmonary embolism or deep vein thrombosis rate3.26Same as national539
Postoperative sepsis rate4.54Same as national267
Postoperative wound dehiscence rate1.71Same as national79
Abdominopelvic accidental puncture or laceration rate0.99Same as national295
CMS Medicare PSI 90: Patient safety and adverse events composite1.20Same as national

Unplanned Hospital Visits & Readmissions

lower is better · 14 measures reported

How often patients return to the hospital unexpectedly within 30 days of discharge — a marker of care quality and discharge planning.

MeasureScoreCompared to nationalSample
Hospital return days for heart attack patients26.4Not available72
Hospital return days for heart failure patients-59.3Not available173
Hospital return days for pneumonia patients-13.6Not available115
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.8Same as national455
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.2Same as national766
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.2Same as national54
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5Same as national54
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national68
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.2Same as national72
Rate of readmission for CABG10.3Same as national29
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.7Same as national37
Heart failure (HF) 30-Day Readmission Rate17Same as national173
Rate of readmission after hip/knee replacement3.9Same as national125
Pneumonia (PN) 30-Day Readmission Rate15.1Same as national115

Patient Experience (HCAHPS)

higher is better · 9 measures reported

What patients say about their hospital stay — communication with nurses and doctors, responsiveness, cleanliness, pain management, and whether they would recommend the hospital.

MeasureScoreSample
Nurse communication - star rating3405
Doctor communication - star rating4405
Communication about medicines - star rating3405
Discharge information - star rating5405
Cleanliness - star rating3405
Quietness - star rating4405
Overall hospital rating - star rating4405
Recommend hospital - star rating4405
Summary star rating4405

Timely & Effective Care

higher is better (unless a wait time) · 30 measures reported

How consistently hospitals follow recommended care processes — for example, giving heart-attack patients aspirin on arrival, or the average time spent in the emergency department.

MeasureScoreSample
Emergency department volume
Global Malnutrition Composite Score
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented
Global Malnutrition Composite Score: Malnutrition Risk Screening
Global Malnutrition Composite Score: Nutrition Assessment
Global Malnutrition Composite Score: Nutritional Care Plan
Hospital Harm - Severe Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination834005
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better151305
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better148282
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better22615
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better
Left before being seen
Head CT results6015
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing
Appropriate care for severe sepsis and septic shock64137
Septic Shock 3-Hour Bundle8148
Septic Shock 6-Hour Bundle8534
Severe Sepsis 3-Hour Bundle83137
Severe Sepsis 6-Hour Bundle8893
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis

Maternal Health

lower is better · 4 measures reported

Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.

MeasureScoreSample
Cesarean Birth
Risk Adjusted Severe Obstetric Complications (All)
Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases)
Maternal Morbidity Structural MeasureYes

Frequently asked questions

How is Ascension Ne Wisconsin - St Elizabeth Campus rated?
Ascension Ne Wisconsin - St Elizabeth Campus has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Ascension Ne Wisconsin - St Elizabeth Campus have emergency services?
Yes. Ascension Ne Wisconsin - St Elizabeth Campus operates a 24/7 emergency department.
Where is Ascension Ne Wisconsin - St Elizabeth Campus located?
Ascension Ne Wisconsin - St Elizabeth Campus is located at 1506 S Oneida St, Appleton, WI 54915.
What type of hospital is Ascension Ne Wisconsin - St Elizabeth Campus?
Ascension Ne Wisconsin - St Elizabeth Campus is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).

Data as of 2026-06-14. Source: CMS Provider Data Catalog. This is public data provided for informational purposes only and is not medical advice. See our methodology and editorial policy.

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