The Joint Commission
Quality Check
Quality Report

Summary of Quality Information
Mercy Health- St. Vincent Medical Center LLC
DBA: Mercy Health -St. Vincent Medical Center
Org ID: 7110
2213 Cherry Street
Toledo, OH  43608
(419)251-3232
www.mercyweb.org


Accreditation
Programs
Accreditation
Decision
Effective
Date
Last Full Survey Date Last On-Site Survey Date
Hospital
Accredited 6/14/2014 6/13/2014   7/28/2014  


Accreditation programs recognized by the Centers for Medicare and Medicaid Services (CMS)
Hospital


Advanced Certification
Programs
Certification
Decision
Effective
Date
Last Full
Review Date
Last On-Site
Review Date
Primary Stroke Center
Certification 6/10/2014  6/9/2014  6/9/2014 





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  Symbol Key
This organization achieved the best possible results
This organization’s performance is above the target range/value.
This organization’s performance is similar to the target range/value.
This organization’s performance is below the target range/value.
This measure is not applicable for this organization.
Not displayed
  Footnote Key
1. The measure or measure set was not reported.
2. The measure set does not have an overall result.
3. The number is not enough for comparison purposes.
4. The measure meets the Privacy Disclosure Threshold rule.
5. The organization scored above 90% but was below most other organizations.
6. The measure results are not statistically valid.
7. The measure results are based on a sample of patients.
8. The number of months with measure data is below the reporting requirement.
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.
11. There were no eligible patients that met the denominator criteria.
National Patient Safety Goals and National Quality Improvement Goals
    Compared to other Joint Commission Accredited Organizations
    Nationwide Statewide
Hospital
2014 National Patient Safety Goals See Detail
This organization’s performance is similar to the target range/value.
This Goal is not applicable for this organization.
*
National Quality Improvement Goals:    
Reporting Period:
Oct  2014 -
Sep  2015
Children's Asthma Care See Detail
Not displayed.
2
Not displayed.
2
Emergency Department See Detail
Not displayed.
2
Not displayed.
2
Perinatal Care See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
Stroke Care See Detail
Not displayed.
8
Not displayed.
8
 
National Quality Forum The Joint Commission only reports measures endorsed by the National Quality Forum.
 
* State results are not calculated for the National Patient Safety Goals.

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Sites and Services
* Primary Location

An organization may provide services not listed here. For more information refer to the Quality Report User Guide .

Locations of Care Available Services
Mercy Health - St Vincent Mercy Medical Center LLC  *
DBA:  Mercy Health - St Vincent Medical Center
2213 Cherry Street
Toledo, OH  43608
Joint Commission Advanced Certification Programs:
  • Primary Stroke Center
    Services:
    • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult)
    • Burn Unit (Inpatient)
    • Cardiac Catheterization Lab (Surgical Services)
    • Cardiac Surgery (Surgical Services)
    • Cardiothoracic Surgery (Surgical Services)
    • Cardiovascular Unit (Inpatient)
    • Coronary Care Unit (Inpatient)
    • CT Scanner (Imaging/Diagnostic Services)
    • Dialysis Unit (Inpatient)
    • 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)
    • Hematology/Oncology Unit (Inpatient)
    • Inpatient Unit (Inpatient)
    • Interventional Radiology (Imaging/Diagnostic Services)
    • Labor & Delivery (Inpatient)
    • Magnetic Resonance Imaging (Imaging/Diagnostic Services)
    • Medical /Surgical Unit (Inpatient)
    • Medical ICU (Intensive Care Unit)
    • Neuro/Spine ICU (Intensive Care Unit)
    • Neuro/Spine Unit (Inpatient)
    • Neurosurgery (Surgical Services)
    • Normal Newborn Nursery (Inpatient)
    • Nuclear Medicine (Imaging/Diagnostic Services)
    • Ophthalmology (Surgical Services)
    • Orthopedic Surgery (Surgical Services)
    • Orthopedic/Spine Unit (Inpatient)
    • Outpatient Clinics (Outpatient)
    • Pediatric Unit (Inpatient)
    • Peer Support (Non 24 Hour Care)
    • Plastic Surgery (Surgical Services)
    • Post Anesthesia Care Unit (PACU) (Inpatient)
    • Radiation Oncology (Imaging/Diagnostic Services)
    • Surgical ICU (Intensive Care Unit)
    • Surgical Unit (Inpatient)
    • Teleradiology (Imaging/Diagnostic Services)
    • Thoracic Surgery (Surgical Services)
    • Ultrasound (Imaging/Diagnostic Services)
    • Urology (Surgical Services)
    • Vascular Surgery (Surgical Services)
    Mercy Imaging Services - Arrowhead
    500 The Boulevard
    Maumee, OH  43537
      Services:
      • Outpatient Clinics (Outpatient)
      Mercy Medical Center - Perrysburg
      12621 Ecklel Junction Road
      Perrysburg, OH  43551
        Services:
        • Administration of High Risk Medications (Outpatient)
        • Anesthesia (Outpatient)
        • Perform Invasive Procedure (Outpatient)
        Mercy St Vincent Medical Center
        DBA:  Mercy St Vincent Medical Center
        2222 Cherry St
        Toledo, OH  43608
        Other Clinics/Practices located at this site:
        • NWOH Congenital Heart CTR
        • Pediatric Surgery
        • Peds Endocriniology
        • Peds Gastroenterology
        • Peds Hematology Oncology
        • Peds Nephrology
        • Peds Neurology
        • Peds Pulmonary
        • Peds Specialty
        • Peds Urology
        Services:
        • Administration of High Risk Medications (Outpatient)
        • Outpatient Clinics (Outpatient)
        Mercy St. Vincent Medical Center
        DBA:  Mercy Cancer Center Oregon
        2600 Navarre Avenue
        Oregon, OH  43616
          Services:
          • Administration of Blood Product (Outpatient)
          • Administration of High Risk Medications (Outpatient)
          • Outpatient Clinics (Outpatient)
          St VIncent Mercy Medical Center
          DBA:  Mercy St Vincent Medical Cetner: Mercy Autism Services
          3521 Briarfield
          Maumee, OH  43537
            Services:
            • Outpatient Clinics (Outpatient)
            St Vincent Mercy Medical Center
            DBA:  MercySt.Vincent Medical Center: Mercy Arrowhead Surgical Ctr
            1360 Arrowhead Road
            Maumee, OH  43537
            Other Clinics/Practices located at this site:
            • Mercy Arrowhead Surgery Center
            Services:
            • Ambulatory Surgery Center (Outpatient)
            • Anesthesia (Outpatient)
            • Perform Invasive Procedure (Outpatient)
            St Vincent Mercy Medical Center
            DBA:  Mercy St VIncent Medical Center Ft. Meigs Center for Health
            13415 Eckel Junction Road
            Perrysburg, OH  43551
              Services:
              • Outpatient Clinics (Outpatient)
              St Vincent Mercy Medical Center
              DBA:  Mercy St Vincent Medical Center Pediatric Therapy Services
              3930 Sunforest Court Suite 200
              Toledo, OH  43623
                Services:
                • Outpatient Clinics (Outpatient)
                St Vincent Mercy Medical Center
                DBA:  Mercy St Vincent Medical Center Mercy FP at Gandy Center
                2200 Jefferson Avenue
                Toledo, OH  43604
                  Services:
                  • Administration of Blood Product (Outpatient)
                  • Administration of High Risk Medications (Outpatient)
                  • Perform Invasive Procedure (Outpatient)
                  • Single Specialty Practitioner (Outpatient)
                  St Vincent Mercy Medical Center
                  DBA:  Mercy St Vincent Medical Center Regional Heart and Vascular
                  2400 Cherry Street
                  Toledo, OH  43608
                    Services:
                    • Cardiac Catheterization Lab (Surgical Services)
                    • Cardiac Surgery (Surgical Services)
                    • Cardiothoracic Surgery (Surgical Services)
                    • Cardiovascular Unit (Inpatient)
                    • Coronary Care Unit (Inpatient)
                    • EEG/EKG/EMG Lab (Imaging/Diagnostic Services)
                    • Inpatient Unit (Inpatient)
                    • Medical /Surgical Unit (Inpatient)
                    • Outpatient Clinics (Outpatient)
                    St Vincent Mercy Medical Center
                    DBA:  Mercy Cancer Center at St. Anne-A Dept.of St. Vincent Mercy
                    3404 W. Sylvania Avenue
                    Toledo, OH  43623
                      Services:
                      • Administration of Blood Product (Outpatient)
                      • Administration of High Risk Medications (Outpatient)
                      • Outpatient Clinics (Outpatient)
                      St. VIncent Mercy Medical Center
                      DBA:  Mercy St Vincent Medical Center:Mercy Family Care Center
                      2213 Franklin Avenue
                      Toledo, OH  43620
                        Services:
                        • Outpatient Clinics (Outpatient)
                        St. Vincent Mercy Medical Center
                        DBA:  Physical Therapy/Sports Medicine Clinic at OCC
                        30335 Oregon Road
                        Perrysburg, OH  43551
                          Services:
                          • Outpatient Clinics (Outpatient)
                          St.Vincent Mercy Medical Center
                          DBA:  Mercy St. Vincent Medical Center:Center for Health Promotion
                          3930 Sunforest Court
                          Toledo, OH  43623
                            Services:
                            • Outpatient Clinics (Outpatient)

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