Quality Report


Quality Report

Mayo Clinic Health System - Southwest Minnesota Region

DBA: Mayo Clinic Health System - Waseca
HCO ID: 8208
501 N. State St.
Waseca, MN, 56093
(507) 835-1210
www.mayoclinichealthsystem.org
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Critical Access Hospital
Accreditation Decision
Effective Date
8/24/2022
Last Full Survey Date
8/23/2022
Last On-Site Survey Date
8/23/2022

Sites

Mayo Clinic Health System - Southwest Minnesota Region
DBA: Mayo Clinic Health System Waseca - Waterville Clinic
212 East Lake Street
Waterville, MN, 56096

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Waterville Clinic

Mayo Clinic Health System - Southwest Minnesota Region
DBA: Mayo Clinic Health System - Waseca
501 N. State Street
Waseca, MN, 56093

Available Services

  • Acute Care
  • CT Scanner (Imaging/Diagnostic Services )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Mammography (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Outpatient Clinics (Outpatient )
  • Swing Beds
  • Teleradiology (Imaging/Diagnostic Services )
  • Trauma Center (Trauma Center )
  • Ultrasound (Imaging/Diagnostic 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 2022 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.