Quality Report


Quality Report

Upland Hills Health, Inc.
HCO ID: 3974
800 Compassion Way
Dodgeville, WI, 53533
(608) 930-8000
www.uplandhillshealth.org
Summary of Quality Information

Accreditation Programs

Gold Seal
Critical Access Hospital
Accreditation Decision
Effective Date
11/22/2023
Last Full Survey Date
3/18/2022
Last On-Site Survey Date
11/21/2023
Gold Seal
Home Care
Accreditation Decision
Effective Date
3/19/2022
Last Full Survey Date
3/18/2022
Last On-Site Survey Date
3/18/2022
Gold Seal
Laboratory
Accreditation Decision
Effective Date
6/17/2022
Last Full Survey Date
4/11/2024
Last On-Site Survey Date
4/11/2024

Sites

Upland Hills Health
DBA: Upland Hills Health, Inc
800 Compassion Way
Dodgeville, WI, 53533

Available Services

  • General Laboratory Tests
  • Home Health Aides
  • Home Health, Non-Hospice Services
  • Hospice Care
  • Medical Social Services
  • Occupational Therapy
  • Physical Therapy
  • Skilled Nursing Services
  • Speech Language Pathology

Upland Hills Health
DBA: Upland Hills Health Clinic - Mount Horeb
North Cape Suites, Suite 101, 1809 Springdale St.
Mount Horeb, WI, 53572

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

Upland Hills Health Clinic Barneveld
103 Quail Ridge Drive
Barneveld, WI, 53507

Available Services

  • General Laboratory Tests

Upland Hills Health Clinic Dodgeville
1204 Joseph Street
Dodgeville, WI, 53533

Available Services

  • General Laboratory Tests

Upland Hills Health Clinic Highland
723 Main Street
Highland, WI, 53543

Available Services

  • General Laboratory Tests

Upland HIlls Health Clinic Mineral Point
104 High Street
Mineral Point, WI, 53565

Available Services

  • General Laboratory Tests

Upland Hills Health Clinic Montfort
202 State Highway 18
Montfort, WI, 53569

Available Services

  • General Laboratory Tests

Upland Hills Health Clinic Spring Green
156 West Jefferson Street
Spring Green, WI, 53588

Available Services

  • General Laboratory Tests

Upland Hills Health, Inc
800 Compassion Way
Dodgeville, WI, 53533

Available Services

  • Acute Care
  • CT Scanner (Imaging/Diagnostic Services )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Gastroenterology (Surgical Services )
  • General Laboratory Tests
  • GI or Endoscopy Lab (Imaging/Diagnostic Services )
  • Gynecological Surgery (Surgical Services )
  • Interventional Radiology (Inpatient )
  • Interventional Radiology (Outpatient )
  • Interventional Radiology (Imaging/Diagnostic Services )
  • Labor & Delivery (Inpatient )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Mammography (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Medical ICU (Intensive Care Unit )
  • Normal Newborn Nursery (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Outpatient Clinics (Outpatient )
  • Pediatric Dermatology (Outpatient - Child/Youth )
  • Pediatric Emergency Medicine (Outpatient - Child/Youth )
  • Pediatric Endocrinology (Outpatient - Child/Youth )
  • Pediatric Otolaryngology (Outpatient - Child/Youth )
  • Positron Emission Tomography (PET) (Imaging/Diagnostic Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Sleep Laboratory (Sleep Laboratory )
  • Surgical ICU (Intensive Care Unit )
  • Swing Beds
  • Teleradiology (Imaging/Diagnostic Services )
  • Toxicology
  • Trauma Center (Trauma Center )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )

Upland Hills Health-Mineral Point Therapy Center
DBA: Upland Hills Health, Inc.
1050 Branger Drive
Mineral Point, WI, 53565

Available Services

  • Single Specialty Practitioner (Outpatient )

National Patient Safety Goals and National Quality Improvement Goals

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is better than the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is worse than the target range /value
  • naThis measure is not applicable for this organization
  • ndNot displayed

Measures Footnote Key

  1. The measure or measure set was not reported.
  2. The measure set does not have an overall result.
  3. The number is not enough for comparison purposes.
  4. The measure meets the Privacy Disclosure Threshold rule.
  5. The organization scored above 90% but was below most other organizations.
  6. The measure results are not statistically valid.
  7. The measure results are based on a sample of patients.
  8. The number of months with measure data is below the reporting requirement.
  9. The measure results are temporarily suppressed pending resubmission of updated data.
  10. Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement.
  11. There were no eligible patients that met the denominator criteria.
  12. The measure rate is within optimal range.

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is better than the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is worse than the target range/value
  • naThis measure is not applicable for this organization
  • ndNot displayed

Measures Footnote Key

  1. The measure or measure set was not reported.
  2. The measure set does not have an overall result.
  3. The number is not enough for comparison purposes.
  4. The measure meets the Privacy Disclosure Threshold rule.
  5. The organization scored above 90% but was below most other organizations.
  6. The measure results are not statistically valid.
  7. The measure results are based on a sample of patients.
  8. The number of months with measure data is below the reporting requirement.
  9. The measure results are temporarily suppressed pending resubmission of updated data.
  10. Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement.
  11. There were no eligible patients that met the denominator criteria.
  12. The measure rate is within optimal range.

* This information can also be viewed at Hospital Compare.

**      Indicates per 1000 hours of patient care.
***   The measure was not in effect for this quarter.
----   Null value or data not displayed.

Home Care 2022 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Laboratory 2022 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Critical Access Hospital 2023 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Reporting Period: January 2022 - December 2022
Perinatal Care National Comparison: nd 2 Statewide Comparison: nd 2

New Changes to Quarterly Measure

Download Quarterly Measure Results

* State results are not calculated for the National Patient Safety Goals.