General Totals
Number of Dialysis Providers
| 6,236 | Nation |
|---|---|
| 114 | Wisconsin |
| 1 | Tomah, Wisconsin |
| N/A | Gundersen Lutheran Renal Dialysis - Tomah |
Total Number of Dialysis Stations
| 110,108 | Nation |
|---|---|
| 1,611 | Wisconsin |
| 6 | Tomah, Wisconsin |
| 6 | Gundersen Lutheran Renal Dialysis - Tomah |
Average Number of Dialysis Stations
| 17.66 | Nation |
|---|---|
| 14.13 | Wisconsin |
| 6.00 | Tomah, Wisconsin |
| N/A | Gundersen Lutheran Renal Dialysis - Tomah |
Services Totals
Total Number Offering Hemodialysis
| 6,236 | Nation |
|---|---|
| 114 | Wisconsin |
| 1 | Tomah, Wisconsin |
| 1 | Gundersen Lutheran Renal Dialysis - Tomah |
Total Number Offering Peritoneal Dialysis
| 3,114 | Nation |
|---|---|
| 59 | Wisconsin |
| N/A | Tomah, Wisconsin |
| 0 | Gundersen Lutheran Renal Dialysis - Tomah |
Total Number Offering Home Training
| 1,705 | Nation |
|---|---|
| 21 | Wisconsin |
| N/A | Tomah, Wisconsin |
| 0 | Gundersen Lutheran Renal Dialysis - Tomah |
Have Shifts after 5pm
| 1,124 | Nation |
|---|---|
| 19 | Wisconsin |
| N/A | Tomah, Wisconsin |
| 0 | Gundersen Lutheran Renal Dialysis - Tomah |
Total Number of For Profit Facilities
| 5,346 | Nation |
|---|---|
| 80 | Wisconsin |
| N/A | Tomah, Wisconsin |
| 0 | Gundersen Lutheran Renal Dialysis - Tomah |
Total Number of Non Profit Facilities
| 890 | Nation |
|---|---|
| 34 | Wisconsin |
| 1 | Tomah, Wisconsin |
| 0 | Gundersen Lutheran Renal Dialysis - Tomah |
Total Number of Chain Owned
| 5,347 | Nation |
|---|---|
| 80 | Wisconsin |
| N/A | Tomah, Wisconsin |
| 0 | Gundersen Lutheran Renal Dialysis - Tomah |
Total Number of Not Chain Owned
| 889 | Nation |
|---|---|
| 34 | Wisconsin |
| 1 | Tomah, Wisconsin |
| 0 | Gundersen Lutheran Renal Dialysis - Tomah |
Performance Scores
Total Performance Score
| 81.97 | Average |
|---|---|
| 0.00 | Least |
| 100.00 | Most |
| 83.31 | Average |
|---|---|
| 40.00 | Least |
| 100.00 | Most |
| 85.00 | Average |
|---|---|
| 85.00 | Least |
| 85.00 | Most |
| 85.00 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
ICH CAHPS Admin Score
| 9.60 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 9.91 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 10.00 | Average |
|---|---|
| 10.00 | Least |
| 10.00 | Most |
| 10.00 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
NHSN Event Reporting Score
| 9.80 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 9.95 | Average |
|---|---|
| 5.00 | Least |
| 10.00 | Most |
| 10.00 | Average |
|---|---|
| 10.00 | Least |
| 10.00 | Most |
| 10.00 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Measure Scores
Patient(s) who had an average hemoglobin value greater than 12.0 g/dL
| 9.52 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 9.38 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 5.00 | Average |
|---|---|
| 5.00 | Least |
| 5.00 | Most |
| 5.00 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Hemoglobin Score Applied
| 5,241 | Achievement |
|---|---|
| 59 | Improvement |
| 936 | Not Available |
| 101 | Achievement |
|---|---|
| 1 | Improvement |
| 12 | Not Available |
| 1 | Achievement |
|---|
| Improvement |
|---|
Hemodialysis patients who had enough wastes removed from their blood during dialysis: Urea Reduction Ratio greater than or equal to 65%
| 8.35 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 8.78 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 10.00 | Average |
|---|---|
| 10.00 | Least |
| 10.00 | Most |
| 10.00 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
URR Score Applied
| 5,034 | Achievement |
|---|---|
| 173 | Improvement |
| 1,029 | Not Available |
| 100 | Achievement |
|---|---|
| 3 | Improvement |
| 11 | Not Available |
| 1 | Achievement |
|---|
| Improvement |
|---|
Vascular Catheter Measure Score
| 6.26 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 5.04 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 10.00 | Average |
|---|---|
| 10.00 | Least |
| 10.00 | Most |
| 10.00 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Vascular Catheter Score Applied
| 4,992 | Achievement |
|---|---|
| 337 | Improvement |
| 907 | Not Available |
| 86 | Achievement |
|---|---|
| 17 | Improvement |
| 11 | Not Available |
| 1 | Achievement |
|---|
| Improvement |
|---|
Fistula Measure Score
| 5.69 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 6.76 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 10.00 | Average |
|---|---|
| 10.00 | Least |
| 10.00 | Most |
| 10.00 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Fistula Score Applied
| 5,011 | Achievement |
|---|---|
| 297 | Improvement |
| 928 | Not Available |
| 98 | Achievement |
|---|---|
| 5 | Improvement |
| 11 | Not Available |
| 1 | Achievement |
|---|
| Improvement |
|---|
Vascular Access Combined Measure Score
| 6.22 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 6.12 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 10.00 | Average |
|---|---|
| 10.00 | Least |
| 10.00 | Most |
| 10.00 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Mineral Metabolism Reporting Score
| 9.08 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 9.27 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 10.00 | Average |
|---|---|
| 10.00 | Least |
| 10.00 | Most |
| 10.00 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Hospitalization Rate
Hospitalization Rate
| 5,435 | As Expected |
|---|---|
| 54 | Better than Expected |
| 282 | Worse than Expected |
| 465 | Not Available |
| 105 | As Expected |
|---|---|
| 1 | Better than Expected |
| 2 | Worse than Expected |
| 6 | Not Available |
| 1 | As Expected |
|---|
| Better than Expected |
|---|
Data Availablilty
| 5,771 | Data Available |
| 232 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 66 | Data not reported – Call the facility to discuss this quality measure. |
| 1 | CMS determined that the percentage was not accurate. |
| 166 | The facility was not open for the entire reporting period. |
| 108 | Data Available |
| 4 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 2 | The facility was not open for the entire reporting period. |
| 1 | Data Available |
| 1 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
Number of Patients Included in Hospitalization Summary
| 440,405 | Total |
|---|---|
| 72.23 | Average |
| 0 | Least |
| 467 | Most |
| 6,042 | Total |
|---|---|
| 53.47 | Average |
| 0 | Least |
| 194 | Most |
| 25 | Total |
|---|---|
| 25.00 | Average |
| 25 | Least |
| 25 | Most |
| 25 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Standardized Hospitalization Ratio
| 1.00 | Average |
|---|---|
| 0.07 | Least |
| 3.48 | Most |
| 0.89 | Average |
|---|---|
| 0.34 | Least |
| 1.80 | Most |
| 0.95 | Average |
|---|---|
| 0.95 | Least |
| 0.95 | Most |
| 0.95 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Survivability Rate
Survival Rate
| 4,741 | As Expected |
|---|---|
| 462 | Better than Expected |
| 520 | Worse than Expected |
| 513 | Not Available |
| 87 | As Expected |
|---|---|
| 14 | Better than Expected |
| 7 | Worse than Expected |
| 6 | Not Available |
| 1 | As Expected |
|---|
| Better than Expected |
|---|
Data Availablilty
| 5,723 | Data Available |
| 294 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 38 | Data not reported – Call the facility to discuss this quality measure. |
| 15 | CMS determined that the percentage was not accurate. |
| 166 | The facility was not open for the entire reporting period. |
| 108 | Data Available |
| 4 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 2 | The facility was not open for the entire reporting period. |
| 1 | Data Available |
| 1 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
Number of Patients Included in Survival Summary
| 2,100,956 | Total |
|---|---|
| 344.53 | Average |
| 0 | Least |
| 2,461 | Most |
| 28,006 | Total |
|---|---|
| 247.84 | Average |
| 0 | Least |
| 869 | Most |
| 113 | Total |
|---|---|
| 113.00 | Average |
| 113 | Least |
| 113 | Most |
| 113 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Standardized Mortality Ratio
| 1.02 | Average |
|---|---|
| 0.00 | Least |
| 3.29 | Most |
| 0.95 | Average |
|---|---|
| 0.45 | Least |
| 2.07 | Most |
| 0.81 | Average |
|---|---|
| 0.81 | Least |
| 0.81 | Most |
| 0.81 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Anemia Management
Patient Transfusions Rate
| 4,983 | As Expected |
|---|---|
| 27 | Better than Expected |
| 358 | Worse than Expected |
| 868 | Not Available |
| 93 | As Expected |
|---|---|
| 8 | Worse than Expected |
| 13 | Not Available |
| 1 | As Expected |
|---|
| Better than Expected |
|---|
Data Availablilty
| 5,468 | Data Available |
| 654 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 65 | Data not reported – Call the facility to discuss this quality measure. |
| 3 | CMS determined that the percentage was not accurate. |
| 46 | The facility was not open for the entire reporting period. |
| 102 | Data Available |
| 11 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 1 | The facility was not open for the entire reporting period. |
| 1 | Data Available |
| 1 | The 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
| 0.56 | Average |
|---|---|
| 0.00 | Least |
| 64.00 | Most |
| 1.00 | Average |
|---|---|
| 0.00 | Least |
| 25.00 | Most |
| 5.00 | Average |
|---|---|
| 5.00 | Least |
| 5.00 | Most |
| 5.00 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Performance Rate 2 - Average hemoglobin value greater than 12.0 g/dL
| 4.99 | Average |
|---|---|
| 0.00 | Least |
| 62.00 | Most |
| 3.64 | Average |
|---|---|
| 0.00 | Least |
| 20.00 | Most |
| 0.00 | Average |
|---|---|
| 0.00 | Least |
| 0.00 | Most |
| 0.00 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Standarized Transfusion Ratio
| 1.01 | Average |
|---|---|
| 0.00 | Least |
| 7.15 | Most |
| 0.99 | Average |
|---|---|
| 0.00 | Least |
| 2.81 | Most |
| 0.81 | Average |
|---|---|
| 0.81 | Least |
| 0.81 | Most |
| 0.81 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Number of Patients in Summary
| 378,886 | Total |
|---|---|
| 62.56 | Average |
| 0 | Least |
| 349 | Most |
| 5,202 | Total |
|---|---|
| 46.45 | Average |
| 1 | Least |
| 160 | Most |
| 22 | Total |
|---|---|
| 22.00 | Average |
| 22 | Least |
| 22 | Most |
| 22 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Patient(s) who had an average hemoglobin value greater than 12.0 g/dL
| 1,604 | Total |
|---|---|
| 0.29 | Average |
| 0 | Least |
| 21 | Most |
| 61 | Total |
|---|---|
| 0.60 | Average |
| 0 | Least |
| 15 | Most |
| 0 | Total |
|---|---|
| 0.00 | Average |
| 0 | Least |
| 0 | Most |
| 0 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Data Availablilty
| 5,486 | Data Available |
| 401 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 181 | Data not reported – Call the facility to discuss this quality measure. |
| 2 | CMS determined that the percentage was not accurate. |
| 166 | The facility was not open for the entire reporting period. |
| 101 | Data Available |
| 9 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 2 | Data not reported – Call the facility to discuss this quality measure. |
| 2 | The facility was not open for the entire reporting period. |
| 1 | Data Available |
| 1 | The 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
| 70,587 | Total |
|---|---|
| 12.87 | Average |
| 0 | Least |
| 91 | Most |
| 1,720 | Total |
|---|---|
| 17.03 | Average |
| 0 | Least |
| 66 | Most |
| 0 | Total |
|---|---|
| 0.00 | Average |
| 0 | Least |
| 0 | Most |
| 0 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Data Availablilty
| 5,486 | Data Available |
| 401 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 181 | Data not reported – Call the facility to discuss this quality measure. |
| 2 | CMS determined that the percentage was not accurate. |
| 166 | The facility was not open for the entire reporting period. |
| 101 | Data Available |
| 9 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 2 | Data not reported – Call the facility to discuss this quality measure. |
| 2 | The facility was not open for the entire reporting period. |
| 1 | Data Available |
| 1 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
Number of Dialysis Patients with Hemoglobin Data
| 275,176 | Total |
|---|---|
| 45.44 | Average |
| 0 | Least |
| 283 | Most |
| 3,580 | Total |
|---|---|
| 31.96 | Average |
| 0 | Least |
| 117 | Most |
| 14 | Total |
|---|---|
| 14.00 | Average |
| 14 | Least |
| 14 | Most |
| 14 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Number of Hemoglobin Eligible Patients - Performance Period
| 274,010 | Total |
|---|---|
| 47.04 | Average |
| 0 | Least |
| 274 | Most |
| 3,668 | Total |
|---|---|
| 33.65 | Average |
| 0 | Least |
| 117 | Most |
| 19 | Total |
|---|---|
| 19.00 | Average |
| 19 | Least |
| 19 | Most |
| 19 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Number of Hemoglobin Eligible Patients - Baseline Period
| 279,098 | Total |
|---|---|
| 47.91 | Average |
| 0 | Least |
| 317 | Most |
| 3,477 | Total |
|---|---|
| 31.90 | Average |
| 0 | Least |
| 123 | Most |
| 17 | Total |
|---|---|
| 17.00 | Average |
| 17 | Least |
| 17 | Most |
| 17 | Gundersen 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%
| 98.77 | Average |
|---|---|
| 0.00 | Least |
| 100.00 | Most |
| 98.79 | Average |
|---|---|
| 86.00 | Least |
| 100.00 | Most |
| 100.00 | Average |
|---|---|
| 100.00 | Least |
| 100.00 | Most |
| 100.00 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Data Availablilty
| 5,394 | Data Available |
| 346 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 237 | Data not reported – Call the facility to discuss this quality measure. |
| 1 | CMS determined that the percentage was not accurate. |
| 92 | The facility does not provide hemodialysis. |
| 166 | The facility was not open for the entire reporting period. |
| 103 | Data Available |
| 4 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 2 | Data not reported – Call the facility to discuss this quality measure. |
| 3 | The facility does not provide hemodialysis. |
| 2 | The facility was not open for the entire reporting period. |
| 1 | Data Available |
| 1 | The 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%
| 98.79 | Average |
|---|---|
| 57.00 | Least |
| 100.00 | Most |
| 99.05 | Average |
|---|---|
| 82.00 | Least |
| 100.00 | Most |
| 100.00 | Average |
|---|---|
| 100.00 | Least |
| 100.00 | Most |
| 100.00 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Performance Rate #2 - Urea Reduction Ratio greater than or equal to 65%
| 97.27 | Average |
|---|---|
| 34.00 | Least |
| 100.00 | Most |
| 96.13 | Average |
|---|---|
| 82.00 | Least |
| 100.00 | Most |
| 100.00 | Average |
|---|---|
| 100.00 | Least |
| 100.00 | Most |
| 100.00 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Number of Hemodialysis Patients with URR Data
| 269,264 | Total |
|---|---|
| 44.46 | Average |
| 0 | Least |
| 297 | Most |
| 3,715 | Total |
|---|---|
| 33.17 | Average |
| 0 | Least |
| 120 | Most |
| 16 | Total |
|---|---|
| 16.00 | Average |
| 16 | Least |
| 16 | Most |
| 16 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Number of URR Eligible Patients - Performance Period
| 265,552 | Total |
|---|---|
| 45.59 | Average |
| 0 | Least |
| 273 | Most |
| 3,784 | Total |
|---|---|
| 34.72 | Average |
| 0 | Least |
| 118 | Most |
| 18 | Total |
|---|---|
| 18.00 | Average |
| 18 | Least |
| 18 | Most |
| 18 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Number of URR Eligible Patients - Baseline Period
| 256,555 | Total |
|---|---|
| 44.04 | Average |
| 0 | Least |
| 283 | Most |
| 3,353 | Total |
|---|---|
| 30.76 | Average |
| 0 | Least |
| 118 | Most |
| 18 | Total |
|---|---|
| 18.00 | Average |
| 18 | Least |
| 18 | Most |
| 18 | Gundersen 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
| 88.05 | Average |
|---|---|
| 0.00 | Least |
| 100.00 | Most |
| 85.43 | Average |
|---|---|
| 45.00 | Least |
| 99.00 | Most |
| 97.00 | Average |
|---|---|
| 97.00 | Least |
| 97.00 | Most |
| 97.00 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Data Availablilty
| 5,616 | Data Available |
| 188 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 160 | Data not reported – Call the facility to discuss this quality measure. |
| 22 | CMS determined that the percentage was not accurate. |
| 84 | The facility does not provide hemodialysis. |
| 166 | The facility was not open for the entire reporting period. |
| 106 | Data Available |
| 2 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 1 | Data not reported – Call the facility to discuss this quality measure. |
| 3 | The facility does not provide hemodialysis. |
| 2 | The facility was not open for the entire reporting period. |
| 1 | Data Available |
| 1 | The 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
| 69.74 | Average |
|---|---|
| 0.00 | Least |
| 641.00 | Most |
| 52.34 | Average |
|---|---|
| 0.00 | Least |
| 162.00 | Most |
| 22.00 | Average |
|---|---|
| 22.00 | Least |
| 22.00 | Most |
| 22.00 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Number of Adult HD Patient-Months with Kt/V Data
| 507.90 | Average |
|---|---|
| 0.00 | Least |
| 3,182.00 | Most |
| 376.23 | Average |
|---|---|
| 0.00 | Least |
| 1,318.00 | Most |
| 118.00 | Average |
|---|---|
| 118.00 | Least |
| 118.00 | Most |
| 118.00 | Gundersen 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
| 80.98 | Average |
|---|---|
| 0.00 | Least |
| 99.00 | Most |
| 78.79 | Average |
|---|---|
| 44.00 | Least |
| 92.00 | Most |
| N/A | Average |
|---|---|
| N/A | Least |
| N/A | Most |
| N/A | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Data Availablilty
| 1,189 | Data Available |
| 1,272 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 598 | Data not reported – Call the facility to discuss this quality measure. |
| 18 | CMS determined that the percentage was not accurate. |
| 2,993 | The facility does not provide peritoneal dialysis. |
| 166 | The facility was not open for the entire reporting period. |
| 14 | Data Available |
| 22 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 23 | Data not reported – Call the facility to discuss this quality measure. |
| 53 | The facility does not provide peritoneal dialysis. |
| 2 | The facility was not open for the entire reporting period. |
| 1 | The facility does not provide peritoneal dialysis. |
| 7 | The facility was not open for the entire reporting period. |
Number of Adult PD Patients with Kt/V Data
| 6.12 | Average |
|---|---|
| 0.00 | Least |
| 172.00 | Most |
| 4.42 | Average |
|---|---|
| 0.00 | Least |
| 86.00 | Most |
| 0.00 | Average |
|---|---|
| 0.00 | Least |
| 0.00 | Most |
| 0.00 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Number of Adult PD Patient-Months with Kt/V Data
| 46.35 | Average |
|---|---|
| 0.00 | Least |
| 1,533.00 | Most |
| 31.46 | Average |
|---|---|
| 0.00 | Least |
| 654.00 | Most |
| 0.00 | Average |
|---|---|
| 0.00 | Least |
| 0.00 | Most |
| 0.00 | Gundersen 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
| 84.15 | Average |
|---|---|
| 63.00 | Least |
| 94.00 | Most |
| N/A | Average |
|---|---|
| N/A | Least |
| N/A | Most |
| N/A | Average |
|---|---|
| N/A | Least |
| N/A | Most |
| N/A | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Data Availablilty
| 13 | Data Available |
| 207 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 313 | Data not reported – Call the facility to discuss this quality measure. |
| 5,535 | The facility does not provide hemodialysis to pediatric patients. |
| 2 | CMS determined that the percentage was not accurate. |
| 166 | The facility was not open for the entire reporting period. |
| 4 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 16 | Data not reported – Call the facility to discuss this quality measure. |
| 92 | The facility does not provide hemodialysis to pediatric patients. |
| 2 | The facility was not open for the entire reporting period. |
| 1 | The facility does not provide hemodialysis to pediatric patients. |
| 4 | CMS determined that the percentage was not accurate. |
Number of Pediatric HD Patients with Kt/V Data
| 0.10 | Average |
|---|---|
| 0.00 | Least |
| 15.00 | Most |
| 0.04 | Average |
|---|---|
| 0.00 | Least |
| 2.00 | Most |
| 0.00 | Average |
|---|---|
| 0.00 | Least |
| 0.00 | Most |
| 0.00 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Number of Pediatric HD Patient-Months with Kt/V Data
| 0.54 | Average |
|---|---|
| 0.00 | Least |
| 112.00 | Most |
| 0.22 | Average |
|---|---|
| 0.00 | Least |
| 12.00 | Most |
| 0.00 | Average |
|---|---|
| 0.00 | Least |
| 0.00 | Most |
| 0.00 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Vascular Catheters
Percentage of Patients with Vascular Catheter in Use for 90 Days or Longer
| 10.76 | Average |
|---|---|
| 0.00 | Least |
| 58.00 | Most |
| 12.98 | Average |
|---|---|
| 0.00 | Least |
| 37.00 | Most |
| 4.00 | Average |
|---|---|
| 4.00 | Least |
| 4.00 | Most |
| 4.00 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Data Availablilty
| 5,671 | Data Available |
| 184 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 127 | Data not reported – Call the facility to discuss this quality measure. |
| 1 | CMS determined that the percentage was not accurate. |
| 87 | The facility does not provide hemodialysis. |
| 166 | The facility was not open for the entire reporting period. |
| 106 | Data Available |
| 3 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 3 | The facility does not provide hemodialysis. |
| 2 | The facility was not open for the entire reporting period. |
| 1 | Data Available |
| 1 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
Performance Period - Catheter Rate
| 12.54 | Average |
|---|---|
| 0.00 | Least |
| 63.00 | Most |
| 16.68 | Average |
|---|---|
| 0.00 | Least |
| 46.00 | Most |
| 1.00 | Average |
|---|---|
| 1.00 | Least |
| 1.00 | Most |
| 1.00 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Performance Period - Number of Catheter Patient Months
| 2,822,013 | Total |
|---|---|
| 484.47 | Average |
| 0 | Least |
| 2,871 | Most |
| 40,110 | Total |
|---|---|
| 367.98 | Average |
| 0 | Least |
| 1,375 | Most |
| 164 | Total |
|---|---|
| 164.00 | Average |
| 164 | Least |
| 164 | Most |
| 164 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Baseline Period - Catheter Rate
| 15.13 | Average |
|---|---|
| 0.00 | Least |
| 82.00 | Most |
| 20.46 | Average |
|---|---|
| 0.00 | Least |
| 63.00 | Most |
| 8.00 | Average |
|---|---|
| 8.00 | Least |
| 8.00 | Most |
| 8.00 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Baseline Period - Number of Catheter Patient Months
| 2,011,527 | Total |
|---|---|
| 345.33 | Average |
| 0 | Least |
| 2,281 | Most |
| 25,738 | Total |
|---|---|
| 236.13 | Average |
| 0 | Least |
| 1,032 | Most |
| 130 | Total |
|---|---|
| 130.00 | Average |
| 130 | Least |
| 130 | Most |
| 130 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Arteriovenous Fistulae
Percentage of Patients with Arteriovenous Fistulae in Place
| 63.16 | Average |
|---|---|
| 0.00 | Least |
| 100.00 | Most |
| 67.99 | Average |
|---|---|
| 33.00 | Least |
| 95.00 | Most |
| 82.00 | Average |
|---|---|
| 82.00 | Least |
| 82.00 | Most |
| 82.00 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Data Availablilty
| 5,671 | Data Available |
| 184 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 127 | Data not reported – Call the facility to discuss this quality measure. |
| 1 | CMS determined that the percentage was not accurate. |
| 87 | The facility does not provide hemodialysis. |
| 166 | The facility was not open for the entire reporting period. |
| 106 | Data Available |
| 3 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 3 | The facility does not provide hemodialysis. |
| 2 | The facility was not open for the entire reporting period. |
| 1 | Data Available |
| 1 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
Performance Period - Fistula Rate
| 62.10 | Average |
|---|---|
| 0.00 | Least |
| 98.00 | Most |
| 65.94 | Average |
|---|---|
| 35.00 | Least |
| 94.00 | Most |
| 85.00 | Average |
|---|---|
| 85.00 | Least |
| 85.00 | Most |
| 85.00 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Performance Period - Number of Fistula Patient Months
| 3,060,336 | Total |
|---|---|
| 525.38 | Average |
| 0 | Least |
| 3,083 | Most |
| 43,764 | Total |
|---|---|
| 401.50 | Average |
| 0 | Least |
| 1,459 | Most |
| 197 | Total |
|---|---|
| 197.00 | Average |
| 197 | Least |
| 197 | Most |
| 197 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Baseline Period - Fistula Rate
| 57.98 | Average |
|---|---|
| 3.00 | Least |
| 100.00 | Most |
| 60.26 | Average |
|---|---|
| 25.00 | Least |
| 93.00 | Most |
| 78.00 | Average |
|---|---|
| 78.00 | Least |
| 78.00 | Most |
| 78.00 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Baseline Period - Number of Fistula Patient Months
| 2,906,552 | Total |
|---|---|
| 498.98 | Average |
| 0 | Least |
| 3,197 | Most |
| 37,806 | Total |
|---|---|
| 346.84 | Average |
| 0 | Least |
| 1,475 | Most |
| 208 | Total |
|---|---|
| 208.00 | Average |
| 208 | Least |
| 208 | Most |
| 208 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Hypercalcemia
Percentage Of Adult Patients With Hypercalcemia Serum Calcium Greater Than 10.2 mg/dL
| 2.36 | Average |
|---|---|
| 0.00 | Least |
| 96.00 | Most |
| 1.43 | Average |
|---|---|
| 0.00 | Least |
| 12.00 | Most |
| 2.00 | Average |
|---|---|
| 2.00 | Least |
| 2.00 | Most |
| 2.00 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Data Availablilty
| 5,707 | Data Available |
| 221 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 141 | Data not reported – Call the facility to discuss this quality measure. |
| 1 | CMS determined that the percentage was not accurate. |
| 166 | The facility was not open for the entire reporting period. |
| 107 | Data Available |
| 5 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 2 | The facility was not open for the entire reporting period. |
| 1 | Data Available |
| 1 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
Number of Patients in Summary
| 487,975 | Total |
|---|---|
| 80.58 | Average |
| 0 | Least |
| 494 | Most |
| 6,510 | Total |
|---|---|
| 58.13 | Average |
| 1 | Least |
| 219 | Most |
| 26 | Total |
|---|---|
| 26.00 | Average |
| 26 | Least |
| 26 | Most |
| 26 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Number of Patient Months in Summary
| 4,102,316 | Total |
|---|---|
| 677.40 | Average |
| 0 | Least |
| 4,454 | Most |
| 52,935 | Total |
|---|---|
| 472.63 | Average |
| 1 | Least |
| 1,847 | Most |
| 239 | Total |
|---|---|
| 239.00 | Average |
| 239 | Least |
| 239 | Most |
| 239 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Serum Phosphorus
Number of Patients in Serum Phosphorus Summary
| 514,568 | Total |
|---|---|
| 84.97 | Average |
| 0 | Least |
| 524 | Most |
| 6,881 | Total |
|---|---|
| 61.44 | Average |
| 0 | Least |
| 236 | Most |
| 29 | Total |
|---|---|
| 29.00 | Average |
| 29 | Least |
| 29 | Most |
| 29 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Data Availablilty
| 5,727 | Data Available |
| 211 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 131 | Data not reported – Call the facility to discuss this quality measure. |
| 1 | CMS determined that the percentage was not accurate. |
| 166 | The facility was not open for the entire reporting period. |
| 107 | Data Available |
| 4 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 1 | Data not reported – Call the facility to discuss this quality measure. |
| 2 | The facility was not open for the entire reporting period. |
| 1 | Data Available |
| 1 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
Number of Patient Months in Summary
| 4,294,671 | Total |
|---|---|
| 709.16 | Average |
| 0 | Least |
| 4,692 | Most |
| 55,025 | Total |
|---|---|
| 491.29 | Average |
| 0 | Least |
| 1,862 | Most |
| 251 | Total |
|---|---|
| 251.00 | Average |
| 251 | Least |
| 251 | Most |
| 251 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Percentage of Adult Patients with SP Less Than 3.5 mg/dL
| 10.46 | Average |
|---|---|
| 0.00 | Least |
| 44.00 | Most |
| 10.95 | Average |
|---|---|
| 2.00 | Least |
| 28.00 | Most |
| 14.00 | Average |
|---|---|
| 14.00 | Least |
| 14.00 | Most |
| 14.00 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Percentage of Adult Patients with SP Between 3.5 – 4.5 mg/dl
| 28.52 | Average |
|---|---|
| 0.00 | Least |
| 54.00 | Most |
| 31.10 | Average |
|---|---|
| 18.00 | Least |
| 48.00 | Most |
| 43.00 | Average |
|---|---|
| 43.00 | Least |
| 43.00 | Most |
| 43.00 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Percentage of Adult Patients with SP Between 4.6 – 5.5 mg/dl
| 31.56 | Average |
|---|---|
| 3.00 | Least |
| 57.00 | Most |
| 31.79 | Average |
|---|---|
| 14.00 | Least |
| 49.00 | Most |
| 26.00 | Average |
|---|---|
| 26.00 | Least |
| 26.00 | Most |
| 26.00 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Percentage of Adult Patients with SP Between 5.6 – 7.0 mg/dl
| 19.11 | Average |
|---|---|
| 0.00 | Least |
| 48.00 | Most |
| 17.42 | Average |
|---|---|
| 2.00 | Least |
| 36.00 | Most |
| 13.00 | Average |
|---|---|
| 13.00 | Least |
| 13.00 | Most |
| 13.00 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|
Percentage of Adult Patients with SP Greater Than 7.0 mg/dl
| 10.36 | Average |
|---|---|
| 0.00 | Least |
| 70.00 | Most |
| 8.75 | Average |
|---|---|
| 3.00 | Least |
| 28.00 | Most |
| 3.00 | Average |
|---|---|
| 3.00 | Least |
| 3.00 | Most |
| 3.00 | Gundersen Lutheran Renal Dialysis - Tomah |
|---|