Quality Report


Quality Report

Mayo Clinic Health System - Northwest Wisconsin Region, Inc

DBA: Mayo Clinic Health System - Red Cedar
HCO ID: 7663
2321 Stout Road
Menomonie, WI, 54751
(715) 235-5531
http://mayoclinichealthsystem.org/locations/menomonie
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Critical Access Hospital
Accreditation Decision
Effective Date
6/17/2023
Last Full Survey Date
6/16/2023
Last On-Site Survey Date
6/16/2023

Sites

Mayo Clinic Health System - Northwest Wisconsin Region, Inc
DBA: Red Cedar Behavioral Health - Outpatient
2403 Stout Rd
Menomonie, WI, 54751

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: Mayo Clinic Health System - Red Cedar Orthopedics and Rehab
2407 Stout Rd
Menomonie, WI, 54751

Available Services

  • Outpatient Clinics (Outpatient )

Mayo Clinic Health System-Northwest Wisconsin Region, Inc.
DBA: Mayo Clinic Health System - Red Cedar in Glenwood City
219 East Oak Street
Glenwood City, WI, 54013

Available Services

  • Outpatient Clinics (Outpatient )

Mayo Clinic Health System-Northwest Wisconsin Region, Inc.
DBA: Mayo Clinic Health System - Red Cedar Eye Care Center
2409 Stout Road
Menomonie, WI, 54751

Available Services

  • Outpatient Clinics (Outpatient )

Mayo Clinic Health System-Northwest Wisconsin Region, Inc.
DBA: Mayo Clinic Health System - Red Cedar
2321 Stout Road
Menomonie, WI, 54751

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 )
  • GI or Endoscopy Lab (Imaging/Diagnostic Services )
  • Gynecological Surgery (Surgical Services )
  • Interventional Radiology (Imaging/Diagnostic Services )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Mammography (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Outpatient Clinics (Outpatient )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Sleep Laboratory (Sleep Laboratory )
  • Surgical Unit (Inpatient )
  • Swing Beds
  • Trauma Center (Trauma Center )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )

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.

Critical Access Hospital 2023 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na

New Changes to Quarterly Measure

Download Quarterly Measure Results

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