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Quality Report
Summary of Accreditation Quality Information |
 Mercy Hospital of Tiffin, Inc
Org ID: 7104 45 Saint Lawrence Drive Tiffin, OH 44883-0727(419)455-7000 www.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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9/23/2011 |
9/22/2011
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9/22/2011
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Accredited
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9/24/2011 |
9/23/2011
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9/23/2011
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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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| Home Care |
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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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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 Cancer Center
40 Fair Lane
Tiffin, OH 44883
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Services:
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- Administration of Blood Product (Outpatient)
- Administration of High Risk Medications (Outpatient)
- Outpatient Clinics (Outpatient)
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Mercy Cardiology Specialists
45 St. Lawrence Dr.
Tiffin, OH 44883
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Services:
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- Single Specialty Practitioner (Outpatient)
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Mercy Community Lab
437 West Market Street
Tiffin, OH 44883
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Services:
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- Laboratory Draw Station (Outpatient)
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Mercy Family Care McAuley Center
486 West Perry Street
Tiffin, OH 44883
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Services:
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- Single Specialty Practitioner (Outpatient)
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Mercy GI Associates
27 St. Lawrence Dr.
Tiffin, OH 44883
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Services:
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- Single Specialty Practitioner (Outpatient)
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Mercy Home Care
435 West Market St
Tiffin, OH 44883
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Services:
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- Home Health Aides
- Home Health, Non-Hospice Services
- Medical Social Services
- Occupational Therapy
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- Personal Care/Support Non-Hospice
- Physical Therapy
- Skilled Nursing Services
- Speech Language Pathology
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Mercy Hospital of Tiffin, Inc *
45 Saint Lawrence Drive
Tiffin, OH 44883-0727
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Services:
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- Brachytherapy (Imaging/Diagnostic Services)
- CT Scanner (Imaging/Diagnostic Services)
- Ear/Nose/Throat Surgery (Surgical Services)
- EEG/EKG/EMG Lab (Imaging/Diagnostic Services)
- Gastroenterology (Surgical Services)
- GI or Endoscopy Lab (Imaging/Diagnostic Services)
- Gynecological Surgery (Surgical Services)
- Gynecology (Inpatient)
- Labor & Delivery (Inpatient)
- Magnetic Resonance Imaging (Imaging/Diagnostic Services)
- Medical /Surgical Unit (Inpatient)
- Medical ICU (Intensive Care Unit)
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- Normal Newborn Nursery (Inpatient)
- Nuclear Medicine (Imaging/Diagnostic Services)
- Orthopedic Surgery (Surgical Services)
- Pediatric Dentistry (Outpatient - Child/Youth)
- Plastic Surgery (Surgical Services)
- Positron Emission Tomography (PET) (Imaging/Diagnostic Services)
- Post Anesthesia Care Unit (PACU) (Inpatient)
- Sleep Laboratory (Sleep Laboratory)
- Surgical ICU (Intensive Care Unit)
- Teleradiology (Imaging/Diagnostic Services)
- Ultrasound (Imaging/Diagnostic Services)
- Urology (Surgical Services)
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Mercy OBGYN Associates
2495 West Market St.
Tiffin, OH 44883
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Services:
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- Single Specialty Practitioner (Outpatient)
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Mercy Pediatric Specialists
433 W. Market St
Tiffin, OH 44883
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Services:
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- Single Specialty Practitioner (Outpatient)
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Mercy Surgical Specialists
27 St. Lawrence Dr.
Tiffin, OH 44883
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Services:
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- Single Specialty Practitioner (Outpatient)
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Mercy Urological Specialists
27 St. Lawrence Dr.
Tiffin, OH 44883
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Services:
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- Single Specialty Practitioner (Outpatient)
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