JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

St Vincent Hospital

4 / 5

At a glance

St Vincent Hospital 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 Limit0.004Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.410Better than national
Central Line Associated Bloodstream Infection: Number of Device Days11264Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases12.034Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.083Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.263Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.189Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days9073Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases11.642Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases7Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.601Same as national
SSI - Colon Surgery: Lower Confidence Limit0.010Better than national
SSI - Colon Surgery: Upper Confidence Limit0.977Better than national
SSI - Colon Surgery: Number of Procedures197Better than national
SSI - Colon Surgery: Predicted Cases5.047Better than national
SSI - Colon Surgery: Observed Cases1Better than national
SSI - Colon Surgery0.198Better than national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures51Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.416Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.011Same as national
MRSA Bacteremia: Upper Confidence Limit1.036Same as national
MRSA Bacteremia: Patient Days58283Same as national
MRSA Bacteremia: Predicted Cases4.760Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.210Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.377Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.045Same as national
Clostridium Difficile (C.Diff): Patient Days50765Same as national
Clostridium Difficile (C.Diff): Predicted Cases23.150Same as national
Clostridium Difficile (C.Diff): Observed Cases15Same as national
Clostridium Difficile (C.Diff)0.648Same as 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.4Same as national721
Death rate for heart attack patients12.5Same as national70
Death rate for CABG surgery patients1.7Same as national61
Death rate for COPD patients9.8Same as national33
Death rate for heart failure patients14.6Same as national109
Death rate for pneumonia patients17.9Same as national131
Death rate for stroke patients14Same as national231
Pressure ulcer rate1.26Same as national2315
Death rate among surgical inpatients with serious treatable complications166.84Same as national81
Iatrogenic pneumothorax rate0.24Same as national2790
In-hospital fall-associated fracture rate0.28Same as national2867
Postoperative hemorrhage or hematoma rate2.67Same as national973
Postoperative acute kidney injury requiring dialysis rate2.02Same as national423
Postoperative respiratory failure rate6.77Same as national433
Perioperative pulmonary embolism or deep vein thrombosis rate3.99Same as national1048
Postoperative sepsis rate7.21Same as national398
Postoperative wound dehiscence rate1.91Same as national186
Abdominopelvic accidental puncture or laceration rate1.53Same as national673
CMS Medicare PSI 90: Patient safety and adverse events composite1.24Same 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 patients3.4Not available102
Hospital return days for heart failure patients-37.5Not available120
Hospital return days for pneumonia patients-15.3Not available138
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14Same as national1157
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.5Same as national225
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.8Same as national207
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6.3Same as national207
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national204
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.1Same as national102
Rate of readmission for CABG9.2Same as national60
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.2Same as national41
Heart failure (HF) 30-Day Readmission Rate17.8Same as national120
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate14.6Same as national138

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 rating3366
Doctor communication - star rating3366
Communication about medicines - star rating2366
Discharge information - star rating3366
Cleanliness - star rating3366
Quietness - star rating3366
Overall hospital rating - star rating3366
Recommend hospital - star rating4366
Summary star rating3366

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 volumemedium
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 Hyperglycemia913281
Hospital Harm - Severe Hypoglycemia22492
Hospital Harm - Opioid Related Adverse Events05822
Healthcare workers given influenza vaccination873203
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 better131378
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 better128362
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better14013
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 seen031213
Head CT results8715
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)033
Safe Use of Opioids - Concurrent Prescribing152269
Appropriate care for severe sepsis and septic shock74200
Septic Shock 3-Hour Bundle8169
Septic Shock 6-Hour Bundle9345
Severe Sepsis 3-Hour Bundle86201
Severe Sepsis 6-Hour Bundle95118
Discharged on Antithrombotic Therapy99386
Anticoagulation Therapy for Atrial Fibrillation/Flutter6099
Antithrombotic Therapy by End of Hospital Day 294319
Venous Thromboembolism Prophylaxis903767
Intensive Care Unit Venous Thromboembolism Prophylaxis942136

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 St Vincent Hospital rated?
St Vincent Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does St Vincent Hospital have emergency services?
Yes. St Vincent Hospital operates a 24/7 emergency department.
Where is St Vincent Hospital located?
St Vincent Hospital is located at 835 S Van Buren St, Green Bay, WI 54301.
What type of hospital is St Vincent Hospital?
St Vincent 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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