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VA hospital in Tomah, Wisconsin

Tomah VA Medical Center

Not rated by CMS

Overall Hospital Quality Star Rating,

Not rated in either

CMS stars by year

  1. : not rated
  2. : not rated
  3. : not rated
  4. : not rated

CMS's stated reason, in its own words: "There are too few measures or measure groups reported to calculate a star rating or measure group score."

CMS overall star rating by year

A chart of the figures in the table that follows.

CMS overall star rating for Tomah VA Medical Center, by year
YearCMS stars
Not rated
Not rated
Not rated
Not rated

Source: CMS Hospital General Information (dataset xubh-q36u), released ; CMS archived hospital files released , and .

VA hospitals with 5 stars, each year: : 36: 39: 55: 50

Key measures

Four measures CMS reports for most hospitals, beside the state and national figures CMS publishes for them.

Would definitely recommend the hospital
76%
Wisconsin 75%National 71%
VA patient survey, to (footnotes 10, 21)

CMS categories for this hospital's measures

See this hospital on Medicare Care Compare

Patient survey

Answers from patients surveyed after a hospital stay; higher percentages are better. How to read VA patient survey scores.

Period for all rows: to . Wisconsin and national figures: CMS footnote 21. Bars run from 0 to 100%: this hospital, with a short tick for Wisconsin and a tall one for the nation.

Tomah VA Medical Center: Patient survey measures
MeasureThis hospitalWisconsinNational
Patient survey summary star ratingNot available (footnote 15)Not comparedNot compared
Would definitely recommend the hospital76% (footnote 10)75%71%
Rated the hospital 9 or 10 out of 1079% (footnote 10)76%72%
Nurses always communicated well89% (footnote 10)83%80%
Doctors always communicated well81% (footnote 10)82%80%
Staff always explained medicines before giving them70% (footnote 10)66%62%
Were given information about recovery at home81% (footnote 10)89%86%
Room and bathroom were always clean86% (footnote 10)78%74%
Area around the room was always quiet at night73% (footnote 10)65%60%

Deaths

Risk-standardized death rates within 30 days of admission, by condition; lower is better, and CMS's current release does not say whether a difference from the national rate is meaningful. How to read death and readmission rates.

Period for all rows unless a row says otherwise: to . CMS publishes no Wisconsin figure for these measures.

Tomah VA Medical Center: Deaths measures
MeasureThis hospitalNational
Deaths within 30 days, heart attack patientsNot available (footnote 1)11.9%
Deaths within 30 days, heart failure patientsNot available (footnote 1)11.1%
Deaths within 30 days, pneumonia patients15%15.2%
Deaths within 30 days, COPD patientsNot available (footnote 1)8.6%
Deaths within 30 days, all conditions (hospital-wide)Period: to 3.6%3.9%

Complications

Serious complications measured by the Patient Safety Indicators CMS reports, and the complication rate after hip or knee replacement; lower is better. How the star rating works.

Period for all rows unless a row says otherwise: to . CMS publishes no Wisconsin figure for these measures.

Tomah VA Medical Center: Complications measures
MeasureThis hospitalNationalCMS comparison
Serious complications composite (PSI 90)Not available (footnote 1)1.00No CMS comparison in this release
Pressure ulcers0.60.63No Different Than the National Rate
Deaths after a serious treatable surgical complicationNot available (footnote 7)173.3No CMS comparison in this release
Collapsed lung caused by a procedure0.210.21No Different Than the National Rate
Falls in the hospital that caused a fracture0.270.27No Different Than the National Rate
Bleeding or hematoma after surgeryNot available (footnote 7)2.34No CMS comparison in this release
Kidney injury needing dialysis after surgeryNot available (footnote 7)1.67No CMS comparison in this release
Breathing failure after surgeryNot available (footnote 7)9.42No CMS comparison in this release
Blood clots in the lungs or legs after surgeryNot available (footnote 7)3.52No CMS comparison in this release
Sepsis after surgeryNot available (footnote 7)5.27No CMS comparison in this release
Surgical wound reopeningNot available (footnote 7)1.77No CMS comparison in this release
Accidental cut or tear during an abdominal or pelvic procedureNot available (footnote 7)1.06No CMS comparison in this release
Complications after hip or knee replacementPeriod: to Not available (footnote 5)4.1%No CMS comparison in this release

Readmissions

Unplanned returns within 30 days of discharge, and hospital return days; lower is better, and CMS's current release does not publish a comparison for these rates. How to read death and readmission rates.

Period for all rows unless a row says otherwise: to . CMS publishes no Wisconsin figure for these measures.

Tomah VA Medical Center: Readmissions measures
MeasureThis hospitalNational
Readmitted within 30 days, heart attack patientsNot available (footnote 7)14.4%
Readmitted within 30 days, heart failure patientsNot available (footnote 1)21.3%
Readmitted within 30 days, pneumonia patientsNot available (footnote 1)17.3%
Readmitted within 30 days, COPD patientsNot available (footnote 1)20%
Readmitted within 30 days after hip or knee replacementNot available (footnote 5)5.8%
Days back in the hospital within 30 days, heart attack patientsPeriod: to Not available (footnote 7)Not compared
Days back in the hospital within 30 days, heart failure patientsPeriod: to Not available (footnote 1)Not compared
Days back in the hospital within 30 days, pneumonia patientsPeriod: to -57.5 days per 100 dischargesNot compared

Emergency department

Median minutes in the emergency department and the share of patients who left before being seen; lower is better, and the national median shown is for emergency departments in the same CMS volume group. How to read emergency department times.

Period for all rows unless a row says otherwise: to . Wisconsin and national figures: CMS footnote 25.

Tomah VA Medical Center: Emergency department measures
MeasureThis hospitalWisconsinNational
Median time in the emergency department before leaving, excluding transferred and mental health patientsNot available (footnote 5)137 minutes (footnote 26)123 minutes (footnote 26) low-volume EDs
Median emergency department time for mental health patientsNot available (footnote 5)203 minutes195 minutes low-volume EDs
Left the emergency department before being seenPeriod: to 0%2% (footnote 26)2% (footnote 26)

Timely and effective care

How often patients received recommended care, and the share of health care workers given a flu shot; higher is better. How the star rating works.

Period for all rows unless a row says otherwise: to . Bars run from 0 to 100%: this hospital, with a short tick for Wisconsin and a tall one for the nation.

Tomah VA Medical Center: Timely and effective care measures
MeasureThis hospitalWisconsinNational
Severe sepsis and septic shock care that met every stepPeriod: to Not available (footnote 5)72% (footnotes 25, 26)65% (footnotes 25, 26)
Health care workers given a flu vaccinationPeriod: to 79%85%78%
Appropriate follow-up interval after a normal screening colonoscopy, average risk patientsNot available (footnote 5)97% (footnotes 25, 26)93% (footnotes 25, 26)
Emergency department patients with stroke symptoms given brain scan results within 45 minutes of arrivalPeriod: to Not available (footnote 5)74% (footnote 25)69% (footnote 25)
Ischemic stroke patients discharged on an antithromboticNot available (footnote 5)Not comparedNot compared
Patients given blood clot prevention58%Not comparedNot compared
Intensive care patients given blood clot preventionNot available (footnote 5)Not comparedNot compared

Behavioral health

Treatment offered for alcohol, drug and tobacco use, and hours of physical restraint and seclusion; CMS leaves VA hospitals out of the state and national averages for these measures, so none is shown. How this site reads these measures.

Period for all rows: to . CMS publishes no Wisconsin or national figure for these measures.

Tomah VA Medical Center: Behavioral health measures
MeasureThis hospital
Alcohol use brief intervention provided or offered88% (footnotes 2, 20)
Alcohol or drug use disorder treatment provided or offered at discharge87% (footnotes 2, 20)
Tobacco use treatment provided or offered at discharge85% (footnotes 2, 20)
Hours of physical restraint use0 hours per 1,000 patient hours (footnote 20)
Hours of seclusion0 hours per 1,000 patient hours (footnote 20)

What CMS does not report here

CMS's current files have no values for this hospital in: infections. CMS gives its reason for a missing value in the footnotes below.

CMS notes for this facility

CMS attaches footnotes to a hospital's star rating or to its measures, whether or not it reports a value. Each is CMS's own sentence, quoted once; the markers beside figures on this page link here.

  • CMS footnote 1: The number of cases/patients is too few to report. CMS attached it to measures in: deaths, complications, readmissions.
  • CMS footnote 2: Data submitted were based on a sample of cases/patients. CMS attached it to measures in: behavioral health.
  • CMS footnote 5: Results are not available for this reporting period. CMS attached it to measures in: complications, readmissions, emergency department, timely and effective care.
  • CMS footnote 7: No cases met the criteria for this measure. CMS attached it to measures in: complications, readmissions.
  • CMS footnote 10: Very few patients were eligible for the CAHPS survey. The scores shown reflect fewer than 50 completed surveys. Use these scores with caution, as the number of surveys may be too low to reliably assess facility performance. CMS attached it to measures in: patient survey.
  • CMS footnote 13: Results cannot be calculated for this reporting period. CMS attached it to measures in: infections.
  • CMS footnote 15: The number of cases/patients is too few to report a star rating. CMS attached it to measures in: patient survey.
  • CMS footnote 16: the reason CMS gives for not rating this hospital, quoted in full in the answer at the top of this page. CMS attached it to the overall star rating.
  • CMS footnote 20: State and national averages do not include Veterans Health Administration (VHA) hospital data. CMS attached it to measures in: behavioral health.
  • CMS footnote 21: Patient survey results for Veterans Health Administration (VHA) hospitals do not represent official HCAHPS results and are not included in state and national averages. This page prints it beside the figures it describes.
  • CMS footnote 25: State and national averages include Veterans Health Administration (VHA) hospital data. CMS attached it to the state and national figures for measures in: emergency department, timely and effective care.
  • CMS footnote 26: State and national averages include Department of Defense (DoD) hospital data. CMS attached it to the state and national figures for measures in: emergency department, timely and effective care.

Other VA hospitals in Wisconsin

CMS's star rating for each of the other VA hospitals in Wisconsin, and the three years before, by name. All VA hospitals in Wisconsin.

Sources

Every figure on this page comes from the CMS Provider Data Catalog. Released by CMS on : Hospital General Information; Patient survey (HCAHPS) - Hospital; Patient survey (HCAHPS) - State; Patient survey (HCAHPS) - National; Veterans Health Administration Timely and Effective Care Data; Veterans Health Administration Behavioral Health Data; Timely and Effective Care - National; Timely and Effective Care - State; Footnote Crosswalk. Released by CMS on : Complications and Deaths - Hospital; Complications and Deaths - National; Unplanned Hospital Visits - Hospital; Unplanned Hospital Visits - National. Earlier star ratings come from CMS's archived hospital files, released , and . The dataset ids and how this site reads each file are on the methodology page. CMS's own page for this hospital is on Care Compare.

These ratings describe measured past performance. They are not medical advice. For questions about your own care, talk with your VA care team or the hospital's patient advocate.

Name in CMS files
TOMAH VA MEDICAL CENTER
Emergency department volume group (CMS)
Low
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