# Ssm Health St Mary'S Hospital - Madison (WI): no HAC cut, 1 readmission measure above expected

**Score:** 30/100

| Field | Value |
|---|---|
| Hospital | Ssm Health St Mary'S Hospital - Madison |
| CCN | 520083 |
| State | WI |
| HAC payment cut | No |
| Total HAC score | -0.3199 |
| CLABSI / CAUTI / MRSA / C. diff SIR | 0.400 / 0.377 / 0.516 / 0.181 |
| PSI-90 | 0.9063 |
| Excess readmission measures | 1 |
| Readmission ratios | pneumonia 1.0033; hip/knee replacement 0.9365; heart failure 0.8541; COPD 0.9818; bypass surgery 0.9856; heart attack 0.9919 |

## Why this score
- One readmission measure above expected.

Source: CMS Provider Data Catalog: HAC Reduction Program and Hospital Readmissions Reduction Program hospital files (https://www.medicare.gov/care-compare/details/hospital/520083). Last refreshed: 2026-11-04T21:49:17.143Z.
From CMS Provider Data Catalog files for the HAC Reduction and Hospital Readmissions Reduction Programs. Measures cover multi-year periods shown by CMS. A penalty reflects CMS program methodology, not a finding about any patient's care.