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Acute Care Hospitals · Voluntary non-profit - Church

Ascension Se Wisconsin Hospital

5 / 5

At a glance

Ascension Se Wisconsin Hospital carries a 5-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 18 and worse on 0. For 30-day readmissions, it beats the national rate on 1 measure and trails 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 Limit0.013Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.282Same as national
Central Line Associated Bloodstream Infection: Number of Device Days4575Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.848Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.260Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitBetter than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.849Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4006Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.528Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Better than national
SSI - Colon Surgery: Lower Confidence LimitBetter than national
SSI - Colon Surgery: Upper Confidence Limit0.717Better than national
SSI - Colon Surgery: Number of Procedures149Better than national
SSI - Colon Surgery: Predicted Cases4.177Better than national
SSI - Colon Surgery: Observed Cases0Better than national
SSI - Colon Surgery0.000Better than national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures46Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.414Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit1.573Same as national
MRSA Bacteremia: Patient Days41668Same as national
MRSA Bacteremia: Predicted Cases1.905Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.127Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.771Better than national
Clostridium Difficile (C.Diff): Patient Days36511Better than national
Clostridium Difficile (C.Diff): Predicted Cases14.369Better than national
Clostridium Difficile (C.Diff): Observed Cases5Better than national
Clostridium Difficile (C.Diff)0.348Better 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 patients2.9Same as national135
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.9Same as national452
Death rate for heart attack patients12.5Same as national66
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.4Same as national52
Death rate for heart failure patients9.7Same as national248
Death rate for pneumonia patients15.1Same as national188
Death rate for stroke patients11.5Same as national78
Pressure ulcer rate0.27Same as national2068
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.18Same as national2882
In-hospital fall-associated fracture rate0.24Same as national2878
Postoperative hemorrhage or hematoma rate2.60Same as national590
Postoperative acute kidney injury requiring dialysis rate1.58Same as national241
Postoperative respiratory failure rate10.37Same as national250
Perioperative pulmonary embolism or deep vein thrombosis rate4.25Same as national632
Postoperative sepsis rate5.13Same as national227
Postoperative wound dehiscence rate1.67Same as national165
Abdominopelvic accidental puncture or laceration rate0.89Same as national611
CMS Medicare PSI 90: Patient safety and adverse events composite0.93Same 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 patients19.9Not available74
Hospital return days for heart failure patients-29.2Not available298
Hospital return days for pneumonia patients20.9Not available192
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)13.6Better than national702
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.3Same as national1059
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.4Same as national46
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.8Same as national46
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national85
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.7Same as national74
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18Same as national53
Heart failure (HF) 30-Day Readmission Rate17.7Same as national298
Rate of readmission after hip/knee replacement4.8Same as national116
Pneumonia (PN) 30-Day Readmission Rate16Same as national192

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 rating3367
Doctor communication - star rating3367
Communication about medicines - star rating2367
Discharge information - star rating3367
Cleanliness - star rating3367
Quietness - star rating4367
Overall hospital rating - star rating3367
Recommend hospital - star rating4367
Summary star rating3367

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 vaccination874617
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 better125277
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 better119258
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better22315
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 results6213
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 shock6978
Septic Shock 3-Hour Bundle7928
Septic Shock 6-Hour Bundle9519
Severe Sepsis 3-Hour Bundle8679
Severe Sepsis 6-Hour Bundle9354
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 Se Wisconsin Hospital rated?
Ascension Se Wisconsin Hospital has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Ascension Se Wisconsin Hospital have emergency services?
Yes. Ascension Se Wisconsin Hospital operates a 24/7 emergency department.
Where is Ascension Se Wisconsin Hospital located?
Ascension Se Wisconsin Hospital is located at 5000 W Chambers St, Milwaukee, WI 53210.
What type of hospital is Ascension Se Wisconsin Hospital?
Ascension Se Wisconsin Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Church).

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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