Quality Report


Quality Report

Mayo Clinic Health System - Northwest Wisconsin Region, Inc

DBA: Mayo Clinic Health System in Eau Claire
HCO ID: 7632
1221 Whipple Street
Eau Claire, WI, 54702-4105
(715) 838-3311
www.mayoclinichealthsystem.org
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Behavioral Health Care and Human Services
Accreditation Decision
Effective Date
12/7/2022
Last Full Survey Date
12/6/2022
Last On-Site Survey Date
12/6/2022
Gold Seal
Home Care
Accreditation Decision
Effective Date
12/10/2022
Last Full Survey Date
12/9/2022
Last On-Site Survey Date
2/10/2023
Gold Seal
Hospital
Accreditation Decision
Effective Date
12/10/2022
Last Full Survey Date
12/9/2022
Last On-Site Survey Date
1/17/2023

Advanced Certification Programs

View Certification History
Gold Seal
Primary Stroke Center
Certification Decision
Effective Date
7/25/2023
Last Full Survey Date
7/24/2023
Last On-Site Survey Date
7/24/2023

Sites

Mayo Clinic Health System - Northwest Wisconsin Region, Inc
DBA: Mayo Clinic Health System in Eau Claire

Eau Claire, WI, 54702-4105

Available Services

  • Allergen Extract (Inpatient )
  • Behavioral Health (Day Programs - Adult )
  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
  • Behavioral Health (Partial Hospitalization - Adult )
  • Brachytherapy (Imaging/Diagnostic Services )
  • Cardiac Catheterization Lab (Surgical Services )
  • Cardiac Surgery (Surgical Services )
  • Cardiothoracic Surgery (Surgical Services )
  • CT Scanner (Imaging/Diagnostic Services )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Gastroenterology (Surgical Services )
  • GI or Endoscopy Lab (Imaging/Diagnostic Services )
  • Gynecological Surgery (Surgical Services )
  • Gynecology (Inpatient )
  • Hazardous Medication Compounding (Inpatient )
  • Inpatient Unit (Inpatient )
  • Interventional Radiology (Imaging/Diagnostic Services )
  • Labor & Delivery (Inpatient )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Medical ICU (Intensive Care Unit )
  • Neuro/Spine ICU (Intensive Care Unit )
  • Neuro/Spine Unit (Inpatient )
  • Neurosurgery (Surgical Services )
  • Non-Sterile Medication Compounding (Inpatient )
  • Normal Newborn Nursery (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Nuclear Pharmacy (Inpatient )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Outpatient Clinics (Outpatient )
  • Plastic Surgery (Surgical Services )
  • Positron Emission Tomography (PET) (Imaging/Diagnostic Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Sleep Laboratory (Sleep Laboratory )
  • Sterile Medication Compounding (Inpatient )
  • Surgical ICU (Intensive Care Unit )
  • Teleradiology (Imaging/Diagnostic Services )
  • Thoracic Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Primary Stroke Center

Mayo Clinic Health System - Northwest Wisconsin Region, Inc
DBA: Mayo Clinic Health System in Eau Claire

Eau Claire, WI, 54703

Available Services

  • Administration of Blood Product (Outpatient )
  • Administration of High Risk Medications (Outpatient )
  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (Non 24 Hour Care - Child/Youth )
  • Eating Disorders
  • Eating Disorders
  • Eating Disorders (Outpatient - Adult )
  • Eating Disorders (Outpatient - Child/Youth )
  • Eating Disorders (Non 24 Hour Care - Adult )
  • Eating Disorders (Non 24 Hour Care - Child/Youth )
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Mayo Clinic Health System - Northwest Wisconsin Region, Inc
DBA: Outpatient Behavioral Health Services

Rice Lake, WI, 54868-2239

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (Non 24 Hour Care - Child/Youth )

Mayo Clinic Health System - Northwest Wisconsin Region, Inc
DBA: Outpatient Behavioral Health Services

Chippewa Falls, WI, 54729

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )

Mayo Clinic Health System - Northwest Wisconsin Region, Inc
DBA: Mayo Clinic Health System in Eau Claire
733 W. Clairemont Avenue
Eau Claire, WI, 54701

Available Services

  • Outpatient Clinics (Outpatient )

Mayo Clinic Health System - Northwest Wisconsin Region, Inc
DBA: Dialysis Services
407 21st St. SE
Menomonie, WI, 54751

Available Services

  • Dialysis (Outpatient )
  • Outpatient Clinics (Outpatient )

Mayo Clinic Health System - Northwest Wisconsin Region, Inc
DBA: Dialysis Services
3845 London Road
Eau Claire, WI, 54701

Available Services

  • Dialysis (Outpatient )
  • Outpatient Clinics (Outpatient )

Mayo Clinic Health System - Northwest Wisconsin Region, Inc
DBA: Dialysis Services
1222 E.Woodland Ave.
Barron, WI, 54812-1798

Available Services

  • Dialysis (Outpatient )
  • Outpatient Clinics (Outpatient )

Mayo Clinic Health System- Northwest Wisconsin Region, Inc.
DBA: Mayo Clinic Health System in Eau Claire
200 Spring St
Eau Claire, WI, 54701

Available Services

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

Cooperative Agreements

Hospital - Accredited by American College of Surgeons-Commission on Cancer (ACoS-COC)

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.

Hospital 2022 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Behavioral Health Care and Human Services 2022 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Home Care 2022 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.