JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Aurora St Lukes Medical Center

4 / 5

At a glance

Aurora St Lukes Medical Center carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 and worse on 6. For 30-day readmissions, it beats the national rate on 0 measures and trails on 2.

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 Limit0.541Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.032Same as national
Central Line Associated Bloodstream Infection: Number of Device Days46464Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases48.877Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases37Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.757Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.528Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.071Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days27565Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases40.567Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases31Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.764Same as national
SSI - Colon Surgery: Lower Confidence Limit1.029Worse than national
SSI - Colon Surgery: Upper Confidence Limit2.487Worse than national
SSI - Colon Surgery: Number of Procedures445Worse than national
SSI - Colon Surgery: Predicted Cases12.201Worse than national
SSI - Colon Surgery: Observed Cases20Worse than national
SSI - Colon Surgery1.639Worse than national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.543Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit3.284Same as national
SSI - Abdominal Hysterectomy: Number of Procedures371Same as national
SSI - Abdominal Hysterectomy: Predicted Cases3.375Same as national
SSI - Abdominal Hysterectomy: Observed Cases5Same as national
SSI - Abdominal Hysterectomy1.481Same as national
MRSA Bacteremia: Lower Confidence Limit0.313Same as national
MRSA Bacteremia: Upper Confidence Limit1.033Same as national
MRSA Bacteremia: Patient Days275120Same as national
MRSA Bacteremia: Predicted Cases18.503Same as national
MRSA Bacteremia: Observed Cases11Same as national
MRSA Bacteremia0.594Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.412Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.666Better than national
Clostridium Difficile (C.Diff): Patient Days262066Better than national
Clostridium Difficile (C.Diff): Predicted Cases126.956Better than national
Clostridium Difficile (C.Diff): Observed Cases67Better than national
Clostridium Difficile (C.Diff)0.528Better 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 patients3Same as national115
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.3Better than national2933
Death rate for heart attack patients10Same as national380
Death rate for CABG surgery patients2Same as national322
Death rate for COPD patients7.3Same as national215
Death rate for heart failure patients9.5Better than national1018
Death rate for pneumonia patients11.8Better than national441
Death rate for stroke patients10.9Better than national369
Pressure ulcer rate0.92Same as national10651
Death rate among surgical inpatients with serious treatable complications153.75Same as national198
Iatrogenic pneumothorax rate0.32Same as national13927
In-hospital fall-associated fracture rate0.19Same as national15041
Postoperative hemorrhage or hematoma rate3.45Worse than national3997
Postoperative acute kidney injury requiring dialysis rate2.77Worse than national2180
Postoperative respiratory failure rate9.97Same as national2139
Perioperative pulmonary embolism or deep vein thrombosis rate3.84Same as national4520
Postoperative sepsis rate2.81Better than national2204
Postoperative wound dehiscence rate2.37Same as national793
Abdominopelvic accidental puncture or laceration rate0.91Same as national3154
CMS Medicare PSI 90: Patient safety and adverse events composite1.09Same 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 patients2Not available517
Hospital return days for heart failure patients14.6Not available1360
Hospital return days for pneumonia patients37.6Not available504
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.4Same as national5490
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)15.3Same as national1219
Rate of inpatient admissions for patients receiving outpatient chemotherapy13.8Worse than national1034
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.3Same as national1034
Ratio of unplanned hospital visits after hospital outpatient surgery1.3Worse than national978
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.1Same as national517
Rate of readmission for CABG10.3Same as national316
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.4Same as national248
Heart failure (HF) 30-Day Readmission Rate19.5Same as national1360
Rate of readmission after hip/knee replacement4.9Same as national121
Pneumonia (PN) 30-Day Readmission Rate18.1Same as national504

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 rating41971
Doctor communication - star rating31971
Communication about medicines - star rating31971
Discharge information - star rating41971
Cleanliness - star rating31971
Quietness - star rating21971
Overall hospital rating - star rating31971
Recommend hospital - star rating41971
Summary star rating31971

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 volumevery high
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 vaccination9411140
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 better1791170
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 better1741106
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better31256
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 seen6160163
Head CT results10011
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients97288
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)6635
Safe Use of Opioids - Concurrent Prescribing179190
Appropriate care for severe sepsis and septic shock761123
Septic Shock 3-Hour Bundle77358
Septic Shock 6-Hour Bundle91230
Severe Sepsis 3-Hour Bundle891126
Severe Sepsis 6-Hour Bundle96670
Discharged on Antithrombotic Therapy99709
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis8818868
Intensive Care Unit Venous Thromboembolism Prophylaxis977298

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 Aurora St Lukes Medical Center rated?
Aurora St Lukes Medical Center has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Aurora St Lukes Medical Center have emergency services?
Yes. Aurora St Lukes Medical Center operates a 24/7 emergency department.
Where is Aurora St Lukes Medical Center located?
Aurora St Lukes Medical Center is located at 2900 W Oklahoma Ave, Milwaukee, WI 53215.
What type of hospital is Aurora St Lukes Medical Center?
Aurora St Lukes Medical Center 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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