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Quality Report
Summary of Accreditation Quality Information |
 Mercy Hospital of Defiance,LLC
Org ID: 420146 1404 East Second Street Defiance, OH 43512(419)785-3951 Mercyweb.org
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Accreditation
Programs
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Accreditation
Decision
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Effective
Date
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Last Full Survey Date |
Last On-Site Survey Date |
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Accredited
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12/2/2011 |
12/1/2011
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12/1/2011
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Accreditation programs recognized by the Centers for Medicare and Medicaid Services (CMS)
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| Hospital |
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Symbol Key |
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This organization
achieved the best possible results
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This organization’s performance is above the target range/value. |
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This organization’s performance is similar to the target range/value. |
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This organization’s performance is below the target range/value. |
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This measure is not applicable for this organization.
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Not displayed |
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Footnote Key |
| 1. |
The measure or measure set was not reported. |
| 2. |
The measure set does not have
an overall result.
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| 3. |
The number is not
enough for comparison
purposes.
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| 4. |
The measure meets the Privacy Disclosure Threshold
rule.
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| 5. |
The organization scored above
90% but was below most other
organizations.
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| 6. |
The measure results are not
statistically valid.
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| 7. |
The measure results are based
on a sample of patients.
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| 8. |
The number of months with
measure data is below the reporting requirement.
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| 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. |
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| National Patient Safety Goals and National Quality Improvement Goals |
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Compared to
other Joint Commission Accredited Organizations
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Nationwide
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Statewide
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| Hospital |
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*
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National Quality Improvement Goals: |
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Reporting Period:
Oct
2011
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Sep
2012 |
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3
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3
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3
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3
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| Surgical Care Improvement Project (SCIP) |
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| SCIP - Infection Prevention For All Reported Procedures:
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See Detail
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3
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3
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3
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3
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Survey of Patients' Hospital Experiences (see details)
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Hospitals voluntarily participate in the Survey of Patients' Hospital Experiences(HCAHPS).
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Pediatric and psychiatric hospitals are not eligible to participate in the HCAHPS survey based on their patient population.
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The Joint Commission only reports measures endorsed by the National Quality Forum.
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State results are not calculated for the National Patient Safety Goals. |
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* Primary Location
An organization may provide services not listed here. For more information refer to the
Quality Report User Guide
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| Locations of Care |
Available Services |
Mercy Hospital of Defiance *
1404 E. Second St
Defiance, OH 43512
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Services:
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- CT Scanner (Inpatient)
- EEG/EKG/EMG Lab (Inpatient)
- Emergency Room (Outpatient)
- General Medical Services (Inpatient)
- General Surgery (Inpatient, Outpatient)
- GI or Endoscopy Lab (Inpatient, Outpatient)
- Imaging/Radiology (Inpatient)
- Infusion Therapy (Inpatient)
- Intensive Care Unit (Inpatient)
- Internal Medicine (Inpatient)
- Magnetic Resonance Imaging (Inpatient)
- Nuclear Medicine (Inpatient)
- Operating Room (Inpatient, Outpatient)
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- Ophthalmology/Eye Surgery (Inpatient)
- Orthopedic Surgery (Inpatient)
- Otolaryngology/Ear, Nose, and Throat (Inpatient)
- Outpatient Surgery (Outpatient)
- Pain Management (Inpatient, Outpatient)
- Pediatric Care (Inpatient)
- Podiatry (Inpatient)
- Post Anesthesia Care Unit (PACU) (Inpatient, Outpatient)
- Respiratory Care (Ventilator) (Inpatient)
- Sleep Center (Outpatient)
- Telemetry (Inpatient)
- Ultrasound (Inpatient)
- Urology (Inpatient)
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Mercy Hospital of Defiance Surgery Suite
1400 E. Second Street
Defiance, OH 43512
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Services:
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- CT Scanner (Inpatient, Outpatient)
- Emergency Room (Outpatient)
- Family Practice (Inpatient, Outpatient)
- General Medical Services (Inpatient, Outpatient)
- General Surgery (Inpatient, Outpatient)
- GI or Endoscopy Lab (Inpatient, Outpatient)
- Gynecology (Inpatient, Outpatient)
- Hematology/Blood Treatment (Inpatient)
- Imaging/Radiology (Inpatient, Outpatient)
- Infusion Therapy (Inpatient, Outpatient)
- Intensive Care Unit (Inpatient)
- Internal Medicine (Inpatient, Outpatient)
- Lithotripsy/Kidney Stone Treatment (Inpatient, Outpatient)
- Magnetic Resonance Imaging (Inpatient, Outpatient)
- Medical Detoxification (Inpatient)
- Nephrology (Inpatient)
- Neurology (Inpatient)
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- Nuclear Medicine (Outpatient)
- Operating Room (Inpatient, Outpatient)
- Ophthalmology/Eye Surgery (Inpatient, Outpatient)
- Orthopedic Surgery (Inpatient, Outpatient)
- Otolaryngology/Ear, Nose, and Throat (Inpatient, Outpatient)
- Outpatient Surgery (Outpatient)
- Pediatric Care (Inpatient, Outpatient)
- Plastic Surgery (Outpatient)
- Podiatry (Outpatient)
- Post Anesthesia Care Unit (PACU) (Inpatient, Outpatient)
- Rehabilitation and Physical Medicine (Inpatient)
- Respiratory Care (Ventilator) (Inpatient)
- Sleep Center (Outpatient)
- Telemetry (Inpatient)
- Ultrasound (Inpatient, Outpatient)
- Urology (Inpatient, Outpatient)
- Wound Care (Inpatient, Outpatient)
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Mercy Hospital of Defiance, Sleep Center
1404 E. Second Street
Defiance, OH 43512
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Services:
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- General Outpatient Services (Outpatient)
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