Gundersen Lutheran Renal Dialysis - Tomah StatisticsSee how Gundersen Lutheran Renal Dialysis - Tomah rates for Anemia Managment, Dialysis Adequacy, and Vascular Access as compared to the averages in Tomah, Wisconsin, and Nationwide.

General Totals

Number of Dialysis Providers

6,236Nation
114Wisconsin
1Tomah, Wisconsin
N/AGundersen Lutheran Renal Dialysis - Tomah

Total Number of Dialysis Stations

110,108Nation
1,611Wisconsin
6Tomah, Wisconsin
6Gundersen Lutheran Renal Dialysis - Tomah

Average Number of Dialysis Stations

17.66Nation
14.13Wisconsin
6.00Tomah, Wisconsin
N/AGundersen Lutheran Renal Dialysis - Tomah

Services Totals

Total Number Offering Hemodialysis

6,236Nation
114Wisconsin
1Tomah, Wisconsin
1Gundersen Lutheran Renal Dialysis - Tomah

Total Number Offering Peritoneal Dialysis

3,114Nation
59Wisconsin
N/ATomah, Wisconsin
0Gundersen Lutheran Renal Dialysis - Tomah

Total Number Offering Home Training

1,705Nation
21Wisconsin
N/ATomah, Wisconsin
0Gundersen Lutheran Renal Dialysis - Tomah

Have Shifts after 5pm

1,124Nation
19Wisconsin
N/ATomah, Wisconsin
0Gundersen Lutheran Renal Dialysis - Tomah

Total Number of For Profit Facilities

5,346Nation
80Wisconsin
N/ATomah, Wisconsin
0Gundersen Lutheran Renal Dialysis - Tomah

Total Number of Non Profit Facilities

890Nation
34Wisconsin
1Tomah, Wisconsin
0Gundersen Lutheran Renal Dialysis - Tomah

Total Number of Chain Owned

5,347Nation
80Wisconsin
N/ATomah, Wisconsin
0Gundersen Lutheran Renal Dialysis - Tomah

Total Number of Not Chain Owned

889Nation
34Wisconsin
1Tomah, Wisconsin
0Gundersen Lutheran Renal Dialysis - Tomah

Performance Scores

Total Performance Score

Nation
81.97Average
0.00Least
100.00Most
Wisconsin
83.31Average
40.00Least
100.00Most
Tomah, Wisconsin
85.00Average
85.00Least
85.00Most
Gundersen Lutheran Renal Dialysis - Tomah
85.00Gundersen Lutheran Renal Dialysis - Tomah

ICH CAHPS Admin Score

Nation
9.60Average
0.00Least
10.00Most
Wisconsin
9.91Average
0.00Least
10.00Most
Tomah, Wisconsin
10.00Average
10.00Least
10.00Most
Gundersen Lutheran Renal Dialysis - Tomah
10.00Gundersen Lutheran Renal Dialysis - Tomah

NHSN Event Reporting Score

Nation
9.80Average
0.00Least
10.00Most
Wisconsin
9.95Average
5.00Least
10.00Most
Tomah, Wisconsin
10.00Average
10.00Least
10.00Most
Gundersen Lutheran Renal Dialysis - Tomah
10.00Gundersen Lutheran Renal Dialysis - Tomah

Measure Scores

Patient(s) who had an average hemoglobin value greater than 12.0 g/dL

Nation
9.52Average
0.00Least
10.00Most
Wisconsin
9.38Average
0.00Least
10.00Most
Tomah, Wisconsin
5.00Average
5.00Least
5.00Most
Gundersen Lutheran Renal Dialysis - Tomah
5.00Gundersen Lutheran Renal Dialysis - Tomah

Hemoglobin Score Applied

Nation
5,241Achievement
59Improvement
936Not Available
Wisconsin
101Achievement
1Improvement
12Not Available
Tomah, Wisconsin
1Achievement
Gundersen Lutheran Renal Dialysis - Tomah
Improvement

Hemodialysis patients who had enough wastes removed from their blood during dialysis: Urea Reduction Ratio greater than or equal to 65%

Nation
8.35Average
0.00Least
10.00Most
Wisconsin
8.78Average
0.00Least
10.00Most
Tomah, Wisconsin
10.00Average
10.00Least
10.00Most
Gundersen Lutheran Renal Dialysis - Tomah
10.00Gundersen Lutheran Renal Dialysis - Tomah

URR Score Applied

Nation
5,034Achievement
173Improvement
1,029Not Available
Wisconsin
100Achievement
3Improvement
11Not Available
Tomah, Wisconsin
1Achievement
Gundersen Lutheran Renal Dialysis - Tomah
Improvement

Vascular Catheter Measure Score

Nation
6.26Average
0.00Least
10.00Most
Wisconsin
5.04Average
0.00Least
10.00Most
Tomah, Wisconsin
10.00Average
10.00Least
10.00Most
Gundersen Lutheran Renal Dialysis - Tomah
10.00Gundersen Lutheran Renal Dialysis - Tomah

Vascular Catheter Score Applied

Nation
4,992Achievement
337Improvement
907Not Available
Wisconsin
86Achievement
17Improvement
11Not Available
Tomah, Wisconsin
1Achievement
Gundersen Lutheran Renal Dialysis - Tomah
Improvement

Fistula Measure Score

Nation
5.69Average
0.00Least
10.00Most
Wisconsin
6.76Average
0.00Least
10.00Most
Tomah, Wisconsin
10.00Average
10.00Least
10.00Most
Gundersen Lutheran Renal Dialysis - Tomah
10.00Gundersen Lutheran Renal Dialysis - Tomah

Fistula Score Applied

Nation
5,011Achievement
297Improvement
928Not Available
Wisconsin
98Achievement
5Improvement
11Not Available
Tomah, Wisconsin
1Achievement
Gundersen Lutheran Renal Dialysis - Tomah
Improvement

Vascular Access Combined Measure Score

Nation
6.22Average
0.00Least
10.00Most
Wisconsin
6.12Average
0.00Least
10.00Most
Tomah, Wisconsin
10.00Average
10.00Least
10.00Most
Gundersen Lutheran Renal Dialysis - Tomah
10.00Gundersen Lutheran Renal Dialysis - Tomah

Mineral Metabolism Reporting Score

Nation
9.08Average
0.00Least
10.00Most
Wisconsin
9.27Average
0.00Least
10.00Most
Tomah, Wisconsin
10.00Average
10.00Least
10.00Most
Gundersen Lutheran Renal Dialysis - Tomah
10.00Gundersen Lutheran Renal Dialysis - Tomah

Hospitalization Rate

Hospitalization Rate

Nation
5,435As Expected
54Better than Expected
282Worse than Expected
465Not Available
Wisconsin
105As Expected
1Better than Expected
2Worse than Expected
6Not Available
Tomah, Wisconsin
1As Expected
Gundersen Lutheran Renal Dialysis - Tomah
Better than Expected

Data Availablilty

Nation
5,771Data Available
232The number of patients is too small to report. Call the facility to discuss this quality measure.
66Data not reported – Call the facility to discuss this quality measure.
1CMS determined that the percentage was not accurate.
166The facility was not open for the entire reporting period.
Wisconsin
108Data Available
4The number of patients is too small to report. Call the facility to discuss this quality measure.
2The facility was not open for the entire reporting period.
Tomah, Wisconsin
1Data Available
Gundersen Lutheran Renal Dialysis - Tomah
1The number of patients is too small to report. Call the facility to discuss this quality measure.

Number of Patients Included in Hospitalization Summary

Nation
440,405Total
72.23Average
0Least
467Most
Wisconsin
6,042Total
53.47Average
0Least
194Most
Tomah, Wisconsin
25Total
25.00Average
25Least
25Most
Gundersen Lutheran Renal Dialysis - Tomah
25Gundersen Lutheran Renal Dialysis - Tomah

Standardized Hospitalization Ratio

Nation
1.00Average
0.07Least
3.48Most
Wisconsin
0.89Average
0.34Least
1.80Most
Tomah, Wisconsin
0.95Average
0.95Least
0.95Most
Gundersen Lutheran Renal Dialysis - Tomah
0.95Gundersen Lutheran Renal Dialysis - Tomah

Survivability Rate

Survival Rate

Nation
4,741As Expected
462Better than Expected
520Worse than Expected
513Not Available
Wisconsin
87As Expected
14Better than Expected
7Worse than Expected
6Not Available
Tomah, Wisconsin
1As Expected
Gundersen Lutheran Renal Dialysis - Tomah
Better than Expected

Data Availablilty

Nation
5,723Data Available
294The number of patients is too small to report. Call the facility to discuss this quality measure.
38Data not reported – Call the facility to discuss this quality measure.
15CMS determined that the percentage was not accurate.
166The facility was not open for the entire reporting period.
Wisconsin
108Data Available
4The number of patients is too small to report. Call the facility to discuss this quality measure.
2The facility was not open for the entire reporting period.
Tomah, Wisconsin
1Data Available
Gundersen Lutheran Renal Dialysis - Tomah
1The number of patients is too small to report. Call the facility to discuss this quality measure.

Number of Patients Included in Survival Summary

Nation
2,100,956Total
344.53Average
0Least
2,461Most
Wisconsin
28,006Total
247.84Average
0Least
869Most
Tomah, Wisconsin
113Total
113.00Average
113Least
113Most
Gundersen Lutheran Renal Dialysis - Tomah
113Gundersen Lutheran Renal Dialysis - Tomah

Standardized Mortality Ratio

Nation
1.02Average
0.00Least
3.29Most
Wisconsin
0.95Average
0.45Least
2.07Most
Tomah, Wisconsin
0.81Average
0.81Least
0.81Most
Gundersen Lutheran Renal Dialysis - Tomah
0.81Gundersen Lutheran Renal Dialysis - Tomah

Anemia Management

Patient Transfusions Rate

Nation
4,983As Expected
27Better than Expected
358Worse than Expected
868Not Available
Wisconsin
93As Expected
8Worse than Expected
13Not Available
Tomah, Wisconsin
1As Expected
Gundersen Lutheran Renal Dialysis - Tomah
Better than Expected

Data Availablilty

Nation
5,468Data Available
654The number of patients is too small to report. Call the facility to discuss this quality measure.
65Data not reported – Call the facility to discuss this quality measure.
3CMS determined that the percentage was not accurate.
46The facility was not open for the entire reporting period.
Wisconsin
102Data Available
11The number of patients is too small to report. Call the facility to discuss this quality measure.
1The facility was not open for the entire reporting period.
Tomah, Wisconsin
1Data Available
Gundersen Lutheran Renal Dialysis - Tomah
1The number of patients is too small to report. Call the facility to discuss this quality measure.

Performance Rate 1 - Average hemoglobin value greater than 12.0 g/dL

Nation
0.56Average
0.00Least
64.00Most
Wisconsin
1.00Average
0.00Least
25.00Most
Tomah, Wisconsin
5.00Average
5.00Least
5.00Most
Gundersen Lutheran Renal Dialysis - Tomah
5.00Gundersen Lutheran Renal Dialysis - Tomah

Performance Rate 2 - Average hemoglobin value greater than 12.0 g/dL

Nation
4.99Average
0.00Least
62.00Most
Wisconsin
3.64Average
0.00Least
20.00Most
Tomah, Wisconsin
0.00Average
0.00Least
0.00Most
Gundersen Lutheran Renal Dialysis - Tomah
0.00Gundersen Lutheran Renal Dialysis - Tomah

Standarized Transfusion Ratio

Nation
1.01Average
0.00Least
7.15Most
Wisconsin
0.99Average
0.00Least
2.81Most
Tomah, Wisconsin
0.81Average
0.81Least
0.81Most
Gundersen Lutheran Renal Dialysis - Tomah
0.81Gundersen Lutheran Renal Dialysis - Tomah

Number of Patients in Summary

Nation
378,886Total
62.56Average
0Least
349Most
Wisconsin
5,202Total
46.45Average
1Least
160Most
Tomah, Wisconsin
22Total
22.00Average
22Least
22Most
Gundersen Lutheran Renal Dialysis - Tomah
22Gundersen Lutheran Renal Dialysis - Tomah

Patient(s) who had an average hemoglobin value greater than 12.0 g/dL

Nation
1,604Total
0.29Average
0Least
21Most
Wisconsin
61Total
0.60Average
0Least
15Most
Tomah, Wisconsin
0Total
0.00Average
0Least
0Most
Gundersen Lutheran Renal Dialysis - Tomah
0Gundersen Lutheran Renal Dialysis - Tomah

Data Availablilty

Nation
5,486Data Available
401The number of patients is too small to report. Call the facility to discuss this quality measure.
181Data not reported – Call the facility to discuss this quality measure.
2CMS determined that the percentage was not accurate.
166The facility was not open for the entire reporting period.
Wisconsin
101Data Available
9The number of patients is too small to report. Call the facility to discuss this quality measure.
2Data not reported – Call the facility to discuss this quality measure.
2The facility was not open for the entire reporting period.
Tomah, Wisconsin
1Data Available
Gundersen Lutheran Renal Dialysis - Tomah
1The number of patients is too small to report. Call the facility to discuss this quality measure.

Patient(s) who had an average hemoglobin value less than 10.0 g/dL

Nation
70,587Total
12.87Average
0Least
91Most
Wisconsin
1,720Total
17.03Average
0Least
66Most
Tomah, Wisconsin
0Total
0.00Average
0Least
0Most
Gundersen Lutheran Renal Dialysis - Tomah
0Gundersen Lutheran Renal Dialysis - Tomah

Data Availablilty

Nation
5,486Data Available
401The number of patients is too small to report. Call the facility to discuss this quality measure.
181Data not reported – Call the facility to discuss this quality measure.
2CMS determined that the percentage was not accurate.
166The facility was not open for the entire reporting period.
Wisconsin
101Data Available
9The number of patients is too small to report. Call the facility to discuss this quality measure.
2Data not reported – Call the facility to discuss this quality measure.
2The facility was not open for the entire reporting period.
Tomah, Wisconsin
1Data Available
Gundersen Lutheran Renal Dialysis - Tomah
1The number of patients is too small to report. Call the facility to discuss this quality measure.

Number of Dialysis Patients with Hemoglobin Data

Nation
275,176Total
45.44Average
0Least
283Most
Wisconsin
3,580Total
31.96Average
0Least
117Most
Tomah, Wisconsin
14Total
14.00Average
14Least
14Most
Gundersen Lutheran Renal Dialysis - Tomah
14Gundersen Lutheran Renal Dialysis - Tomah

Number of Hemoglobin Eligible Patients - Performance Period

Nation
274,010Total
47.04Average
0Least
274Most
Wisconsin
3,668Total
33.65Average
0Least
117Most
Tomah, Wisconsin
19Total
19.00Average
19Least
19Most
Gundersen Lutheran Renal Dialysis - Tomah
19Gundersen Lutheran Renal Dialysis - Tomah

Number of Hemoglobin Eligible Patients - Baseline Period

Nation
279,098Total
47.91Average
0Least
317Most
Wisconsin
3,477Total
31.90Average
0Least
123Most
Tomah, Wisconsin
17Total
17.00Average
17Least
17Most
Gundersen Lutheran Renal Dialysis - Tomah
17Gundersen Lutheran Renal Dialysis - Tomah

Dialysis Adequacy - URR

Hemodialysis patients who had enough wastes removed from their blood during dialysis: Urea Reduction Ratio greater than or equal to 65%

Nation
98.77Average
0.00Least
100.00Most
Wisconsin
98.79Average
86.00Least
100.00Most
Tomah, Wisconsin
100.00Average
100.00Least
100.00Most
Gundersen Lutheran Renal Dialysis - Tomah
100.00Gundersen Lutheran Renal Dialysis - Tomah

Data Availablilty

Nation
5,394Data Available
346The number of patients is too small to report. Call the facility to discuss this quality measure.
237Data not reported – Call the facility to discuss this quality measure.
1CMS determined that the percentage was not accurate.
92The facility does not provide hemodialysis.
166The facility was not open for the entire reporting period.
Wisconsin
103Data Available
4The number of patients is too small to report. Call the facility to discuss this quality measure.
2Data not reported – Call the facility to discuss this quality measure.
3The facility does not provide hemodialysis.
2The facility was not open for the entire reporting period.
Tomah, Wisconsin
1Data Available
Gundersen Lutheran Renal Dialysis - Tomah
1The number of patients is too small to report. Call the facility to discuss this quality measure.

Performance Rate #1 - Urea Reduction Ratio greater than or equal to 65%

Nation
98.79Average
57.00Least
100.00Most
Wisconsin
99.05Average
82.00Least
100.00Most
Tomah, Wisconsin
100.00Average
100.00Least
100.00Most
Gundersen Lutheran Renal Dialysis - Tomah
100.00Gundersen Lutheran Renal Dialysis - Tomah

Performance Rate #2 - Urea Reduction Ratio greater than or equal to 65%

Nation
97.27Average
34.00Least
100.00Most
Wisconsin
96.13Average
82.00Least
100.00Most
Tomah, Wisconsin
100.00Average
100.00Least
100.00Most
Gundersen Lutheran Renal Dialysis - Tomah
100.00Gundersen Lutheran Renal Dialysis - Tomah

Number of Hemodialysis Patients with URR Data

Nation
269,264Total
44.46Average
0Least
297Most
Wisconsin
3,715Total
33.17Average
0Least
120Most
Tomah, Wisconsin
16Total
16.00Average
16Least
16Most
Gundersen Lutheran Renal Dialysis - Tomah
16Gundersen Lutheran Renal Dialysis - Tomah

Number of URR Eligible Patients - Performance Period

Nation
265,552Total
45.59Average
0Least
273Most
Wisconsin
3,784Total
34.72Average
0Least
118Most
Tomah, Wisconsin
18Total
18.00Average
18Least
18Most
Gundersen Lutheran Renal Dialysis - Tomah
18Gundersen Lutheran Renal Dialysis - Tomah

Number of URR Eligible Patients - Baseline Period

Nation
256,555Total
44.04Average
0Least
283Most
Wisconsin
3,353Total
30.76Average
0Least
118Most
Tomah, Wisconsin
18Total
18.00Average
18Least
18Most
Gundersen Lutheran Renal Dialysis - Tomah
18Gundersen Lutheran Renal Dialysis - Tomah

Dialysis Adequacy - Adult HD

Adult hemodialysis patients who had enough wastes removed from their blood during dialysis: Kt/V greater than or equal to 1.2

Nation
88.05Average
0.00Least
100.00Most
Wisconsin
85.43Average
45.00Least
99.00Most
Tomah, Wisconsin
97.00Average
97.00Least
97.00Most
Gundersen Lutheran Renal Dialysis - Tomah
97.00Gundersen Lutheran Renal Dialysis - Tomah

Data Availablilty

Nation
5,616Data Available
188The number of patients is too small to report. Call the facility to discuss this quality measure.
160Data not reported – Call the facility to discuss this quality measure.
22CMS determined that the percentage was not accurate.
84The facility does not provide hemodialysis.
166The facility was not open for the entire reporting period.
Wisconsin
106Data Available
2The number of patients is too small to report. Call the facility to discuss this quality measure.
1Data not reported – Call the facility to discuss this quality measure.
3The facility does not provide hemodialysis.
2The facility was not open for the entire reporting period.
Tomah, Wisconsin
1Data Available
Gundersen Lutheran Renal Dialysis - Tomah
1The number of patients is too small to report. Call the facility to discuss this quality measure.

Number of Adult HD Patients with Kt/V Data

Nation
69.74Average
0.00Least
641.00Most
Wisconsin
52.34Average
0.00Least
162.00Most
Tomah, Wisconsin
22.00Average
22.00Least
22.00Most
Gundersen Lutheran Renal Dialysis - Tomah
22.00Gundersen Lutheran Renal Dialysis - Tomah

Number of Adult HD Patient-Months with Kt/V Data

Nation
507.90Average
0.00Least
3,182.00Most
Wisconsin
376.23Average
0.00Least
1,318.00Most
Tomah, Wisconsin
118.00Average
118.00Least
118.00Most
Gundersen Lutheran Renal Dialysis - Tomah
118.00Gundersen Lutheran Renal Dialysis - Tomah

Dialysis Adequacy - Adult PD

Adult Peritoneal Dialysis patients who had enough wastes removed from their blood during dialysis: Kt/V greater than or equal to 1.7

Nation
80.98Average
0.00Least
99.00Most
Wisconsin
78.79Average
44.00Least
92.00Most
Tomah, Wisconsin
N/AAverage
N/ALeast
N/AMost
Gundersen Lutheran Renal Dialysis - Tomah
N/AGundersen Lutheran Renal Dialysis - Tomah

Data Availablilty

Nation
1,189Data Available
1,272The number of patients is too small to report. Call the facility to discuss this quality measure.
598Data not reported – Call the facility to discuss this quality measure.
18CMS determined that the percentage was not accurate.
2,993The facility does not provide peritoneal dialysis.
166The facility was not open for the entire reporting period.
Wisconsin
14Data Available
22The number of patients is too small to report. Call the facility to discuss this quality measure.
23Data not reported – Call the facility to discuss this quality measure.
53The facility does not provide peritoneal dialysis.
2The facility was not open for the entire reporting period.
Tomah, Wisconsin
1The facility does not provide peritoneal dialysis.
Gundersen Lutheran Renal Dialysis - Tomah
7The facility was not open for the entire reporting period.

Number of Adult PD Patients with Kt/V Data

Nation
6.12Average
0.00Least
172.00Most
Wisconsin
4.42Average
0.00Least
86.00Most
Tomah, Wisconsin
0.00Average
0.00Least
0.00Most
Gundersen Lutheran Renal Dialysis - Tomah
0.00Gundersen Lutheran Renal Dialysis - Tomah

Number of Adult PD Patient-Months with Kt/V Data

Nation
46.35Average
0.00Least
1,533.00Most
Wisconsin
31.46Average
0.00Least
654.00Most
Tomah, Wisconsin
0.00Average
0.00Least
0.00Most
Gundersen Lutheran Renal Dialysis - Tomah
0.00Gundersen Lutheran Renal Dialysis - Tomah

Dialysis Adequacy - Ped. HD

Pediatric hemodialysis patients who had enough wastes removed from their blood during dialysis: Kt/V greater than or equal to 1.2

Nation
84.15Average
63.00Least
94.00Most
Wisconsin
N/AAverage
N/ALeast
N/AMost
Tomah, Wisconsin
N/AAverage
N/ALeast
N/AMost
Gundersen Lutheran Renal Dialysis - Tomah
N/AGundersen Lutheran Renal Dialysis - Tomah

Data Availablilty

Nation
13Data Available
207The number of patients is too small to report. Call the facility to discuss this quality measure.
313Data not reported – Call the facility to discuss this quality measure.
5,535The facility does not provide hemodialysis to pediatric patients.
2CMS determined that the percentage was not accurate.
166The facility was not open for the entire reporting period.
Wisconsin
4The number of patients is too small to report. Call the facility to discuss this quality measure.
16Data not reported – Call the facility to discuss this quality measure.
92The facility does not provide hemodialysis to pediatric patients.
2The facility was not open for the entire reporting period.
Tomah, Wisconsin
1The facility does not provide hemodialysis to pediatric patients.
Gundersen Lutheran Renal Dialysis - Tomah
4CMS determined that the percentage was not accurate.

Number of Pediatric HD Patients with Kt/V Data

Nation
0.10Average
0.00Least
15.00Most
Wisconsin
0.04Average
0.00Least
2.00Most
Tomah, Wisconsin
0.00Average
0.00Least
0.00Most
Gundersen Lutheran Renal Dialysis - Tomah
0.00Gundersen Lutheran Renal Dialysis - Tomah

Number of Pediatric HD Patient-Months with Kt/V Data

Nation
0.54Average
0.00Least
112.00Most
Wisconsin
0.22Average
0.00Least
12.00Most
Tomah, Wisconsin
0.00Average
0.00Least
0.00Most
Gundersen Lutheran Renal Dialysis - Tomah
0.00Gundersen Lutheran Renal Dialysis - Tomah

Vascular Catheters

Percentage of Patients with Vascular Catheter in Use for 90 Days or Longer

Nation
10.76Average
0.00Least
58.00Most
Wisconsin
12.98Average
0.00Least
37.00Most
Tomah, Wisconsin
4.00Average
4.00Least
4.00Most
Gundersen Lutheran Renal Dialysis - Tomah
4.00Gundersen Lutheran Renal Dialysis - Tomah

Data Availablilty

Nation
5,671Data Available
184The number of patients is too small to report. Call the facility to discuss this quality measure.
127Data not reported – Call the facility to discuss this quality measure.
1CMS determined that the percentage was not accurate.
87The facility does not provide hemodialysis.
166The facility was not open for the entire reporting period.
Wisconsin
106Data Available
3The number of patients is too small to report. Call the facility to discuss this quality measure.
3The facility does not provide hemodialysis.
2The facility was not open for the entire reporting period.
Tomah, Wisconsin
1Data Available
Gundersen Lutheran Renal Dialysis - Tomah
1The number of patients is too small to report. Call the facility to discuss this quality measure.

Performance Period - Catheter Rate

Nation
12.54Average
0.00Least
63.00Most
Wisconsin
16.68Average
0.00Least
46.00Most
Tomah, Wisconsin
1.00Average
1.00Least
1.00Most
Gundersen Lutheran Renal Dialysis - Tomah
1.00Gundersen Lutheran Renal Dialysis - Tomah

Performance Period - Number of Catheter Patient Months

Nation
2,822,013Total
484.47Average
0Least
2,871Most
Wisconsin
40,110Total
367.98Average
0Least
1,375Most
Tomah, Wisconsin
164Total
164.00Average
164Least
164Most
Gundersen Lutheran Renal Dialysis - Tomah
164Gundersen Lutheran Renal Dialysis - Tomah

Baseline Period - Catheter Rate

Nation
15.13Average
0.00Least
82.00Most
Wisconsin
20.46Average
0.00Least
63.00Most
Tomah, Wisconsin
8.00Average
8.00Least
8.00Most
Gundersen Lutheran Renal Dialysis - Tomah
8.00Gundersen Lutheran Renal Dialysis - Tomah

Baseline Period - Number of Catheter Patient Months

Nation
2,011,527Total
345.33Average
0Least
2,281Most
Wisconsin
25,738Total
236.13Average
0Least
1,032Most
Tomah, Wisconsin
130Total
130.00Average
130Least
130Most
Gundersen Lutheran Renal Dialysis - Tomah
130Gundersen Lutheran Renal Dialysis - Tomah

Arteriovenous Fistulae

Percentage of Patients with Arteriovenous Fistulae in Place

Nation
63.16Average
0.00Least
100.00Most
Wisconsin
67.99Average
33.00Least
95.00Most
Tomah, Wisconsin
82.00Average
82.00Least
82.00Most
Gundersen Lutheran Renal Dialysis - Tomah
82.00Gundersen Lutheran Renal Dialysis - Tomah

Data Availablilty

Nation
5,671Data Available
184The number of patients is too small to report. Call the facility to discuss this quality measure.
127Data not reported – Call the facility to discuss this quality measure.
1CMS determined that the percentage was not accurate.
87The facility does not provide hemodialysis.
166The facility was not open for the entire reporting period.
Wisconsin
106Data Available
3The number of patients is too small to report. Call the facility to discuss this quality measure.
3The facility does not provide hemodialysis.
2The facility was not open for the entire reporting period.
Tomah, Wisconsin
1Data Available
Gundersen Lutheran Renal Dialysis - Tomah
1The number of patients is too small to report. Call the facility to discuss this quality measure.

Performance Period - Fistula Rate

Nation
62.10Average
0.00Least
98.00Most
Wisconsin
65.94Average
35.00Least
94.00Most
Tomah, Wisconsin
85.00Average
85.00Least
85.00Most
Gundersen Lutheran Renal Dialysis - Tomah
85.00Gundersen Lutheran Renal Dialysis - Tomah

Performance Period - Number of Fistula Patient Months

Nation
3,060,336Total
525.38Average
0Least
3,083Most
Wisconsin
43,764Total
401.50Average
0Least
1,459Most
Tomah, Wisconsin
197Total
197.00Average
197Least
197Most
Gundersen Lutheran Renal Dialysis - Tomah
197Gundersen Lutheran Renal Dialysis - Tomah

Baseline Period - Fistula Rate

Nation
57.98Average
3.00Least
100.00Most
Wisconsin
60.26Average
25.00Least
93.00Most
Tomah, Wisconsin
78.00Average
78.00Least
78.00Most
Gundersen Lutheran Renal Dialysis - Tomah
78.00Gundersen Lutheran Renal Dialysis - Tomah

Baseline Period - Number of Fistula Patient Months

Nation
2,906,552Total
498.98Average
0Least
3,197Most
Wisconsin
37,806Total
346.84Average
0Least
1,475Most
Tomah, Wisconsin
208Total
208.00Average
208Least
208Most
Gundersen Lutheran Renal Dialysis - Tomah
208Gundersen Lutheran Renal Dialysis - Tomah

Hypercalcemia

Percentage Of Adult Patients With Hypercalcemia Serum Calcium Greater Than 10.2 mg/dL

Nation
2.36Average
0.00Least
96.00Most
Wisconsin
1.43Average
0.00Least
12.00Most
Tomah, Wisconsin
2.00Average
2.00Least
2.00Most
Gundersen Lutheran Renal Dialysis - Tomah
2.00Gundersen Lutheran Renal Dialysis - Tomah

Data Availablilty

Nation
5,707Data Available
221The number of patients is too small to report. Call the facility to discuss this quality measure.
141Data not reported – Call the facility to discuss this quality measure.
1CMS determined that the percentage was not accurate.
166The facility was not open for the entire reporting period.
Wisconsin
107Data Available
5The number of patients is too small to report. Call the facility to discuss this quality measure.
2The facility was not open for the entire reporting period.
Tomah, Wisconsin
1Data Available
Gundersen Lutheran Renal Dialysis - Tomah
1The number of patients is too small to report. Call the facility to discuss this quality measure.

Number of Patients in Summary

Nation
487,975Total
80.58Average
0Least
494Most
Wisconsin
6,510Total
58.13Average
1Least
219Most
Tomah, Wisconsin
26Total
26.00Average
26Least
26Most
Gundersen Lutheran Renal Dialysis - Tomah
26Gundersen Lutheran Renal Dialysis - Tomah

Number of Patient Months in Summary

Nation
4,102,316Total
677.40Average
0Least
4,454Most
Wisconsin
52,935Total
472.63Average
1Least
1,847Most
Tomah, Wisconsin
239Total
239.00Average
239Least
239Most
Gundersen Lutheran Renal Dialysis - Tomah
239Gundersen Lutheran Renal Dialysis - Tomah

Serum Phosphorus

Number of Patients in Serum Phosphorus Summary

Nation
514,568Total
84.97Average
0Least
524Most
Wisconsin
6,881Total
61.44Average
0Least
236Most
Tomah, Wisconsin
29Total
29.00Average
29Least
29Most
Gundersen Lutheran Renal Dialysis - Tomah
29Gundersen Lutheran Renal Dialysis - Tomah

Data Availablilty

Nation
5,727Data Available
211The number of patients is too small to report. Call the facility to discuss this quality measure.
131Data not reported – Call the facility to discuss this quality measure.
1CMS determined that the percentage was not accurate.
166The facility was not open for the entire reporting period.
Wisconsin
107Data Available
4The number of patients is too small to report. Call the facility to discuss this quality measure.
1Data not reported – Call the facility to discuss this quality measure.
2The facility was not open for the entire reporting period.
Tomah, Wisconsin
1Data Available
Gundersen Lutheran Renal Dialysis - Tomah
1The number of patients is too small to report. Call the facility to discuss this quality measure.

Number of Patient Months in Summary

Nation
4,294,671Total
709.16Average
0Least
4,692Most
Wisconsin
55,025Total
491.29Average
0Least
1,862Most
Tomah, Wisconsin
251Total
251.00Average
251Least
251Most
Gundersen Lutheran Renal Dialysis - Tomah
251Gundersen Lutheran Renal Dialysis - Tomah

Percentage of Adult Patients with SP Less Than 3.5 mg/dL

Nation
10.46Average
0.00Least
44.00Most
Wisconsin
10.95Average
2.00Least
28.00Most
Tomah, Wisconsin
14.00Average
14.00Least
14.00Most
Gundersen Lutheran Renal Dialysis - Tomah
14.00Gundersen Lutheran Renal Dialysis - Tomah

Percentage of Adult Patients with SP Between 3.5 – 4.5 mg/dl

Nation
28.52Average
0.00Least
54.00Most
Wisconsin
31.10Average
18.00Least
48.00Most
Tomah, Wisconsin
43.00Average
43.00Least
43.00Most
Gundersen Lutheran Renal Dialysis - Tomah
43.00Gundersen Lutheran Renal Dialysis - Tomah

Percentage of Adult Patients with SP Between 4.6 – 5.5 mg/dl

Nation
31.56Average
3.00Least
57.00Most
Wisconsin
31.79Average
14.00Least
49.00Most
Tomah, Wisconsin
26.00Average
26.00Least
26.00Most
Gundersen Lutheran Renal Dialysis - Tomah
26.00Gundersen Lutheran Renal Dialysis - Tomah

Percentage of Adult Patients with SP Between 5.6 – 7.0 mg/dl

Nation
19.11Average
0.00Least
48.00Most
Wisconsin
17.42Average
2.00Least
36.00Most
Tomah, Wisconsin
13.00Average
13.00Least
13.00Most
Gundersen Lutheran Renal Dialysis - Tomah
13.00Gundersen Lutheran Renal Dialysis - Tomah

Percentage of Adult Patients with SP Greater Than 7.0 mg/dl

Nation
10.36Average
0.00Least
70.00Most
Wisconsin
8.75Average
3.00Least
28.00Most
Tomah, Wisconsin
3.00Average
3.00Least
3.00Most
Gundersen Lutheran Renal Dialysis - Tomah
3.00Gundersen Lutheran Renal Dialysis - Tomah