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Quality Report

Summary of Accreditation Quality Information
St. Vincent Mercy Medical Center
Org ID: 7110
2213 Cherry Street
Toledo, OH  43608
(419)251-3925
www.mercyweb.org

Accreditation
Programs		 Accreditation
Decision		 Effective
Date		 Last Full Survey Date Last On-Site Survey Date  
Home Care
Accredited 7/19/2008 7/18/2008 7/18/2008  
Hospital
Accredited 7/19/2008 7/18/2008 9/16/2009  


Special Quality Awards


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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 of patients 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.
National Patient Safety Goals and National Quality Improvement Goals
    Compared to other Joint Commission Accredited Organizations
    Nationwide Statewide
Home Care
2008 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.
*
Hospital
2009 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:
Jan  2009 -
Dec  2009
Heart Attack Care See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
Heart Failure 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.
Pneumonia 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.
Surgical Care Improvement Project (SCIP)    
SCIP - Cardiac See Detail
   
SCIP - Infection Prevention
For All Reported Procedures:
 See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
  • Blood Vessel Surgery
 See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
  • Colon/Large Intestine Surgery
 See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
  • Coronary Artery Bypass Graft
 See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
  • Hip Joint Replacement
 See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
  • Hysterectomy
 See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
  • Knee Replacement
 See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
  • Open Heart Surgery
 See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
SCIP – Venous Thromboembolism (VTE) See Detail
   
  30 Day Risk Adjusted Mortality Rates (see details)
  30 Day Hospital Readmission Rates (see details)
  Survey of Patients' Hospital Experiences (see details)
 
Hospitals voluntarily participate in the Survey of Patients' Hospital Experiences(HCAHPS).
Pediatric and psychiatric hospitals are not eligible to participate in the HCAHPS survey based on their patient population.
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
Center for Health Promotions
3930 Sunforest Court
Toledo, OH  43623
  • General Outpatient Services (Outpatient)
Clinic Home Intensive Program
1049 S. McCord Road
Holland, OH  43528
    Family Care Center
    2213 Franklin Avenue
    Toledo, OH  43620
    • General Outpatient Services (Outpatient)
    Fort Meigs Center for Health Promotion
    13415 Eckel Junction Road
    Perrysburg, OH  43551
    • General Outpatient Services (Outpatient)
    Mercy Cancer Center at St. Anne-A Dept.of St. Vincent Mercy
    3404 W. Sylvania Avenue
    Toledo, OH  43623
    • General Outpatient Services (Outpatient)
    Mercy Healthcare Center
    2200 Jefferson Avenue
    Toledo, OH  43604
    • General Outpatient Services (Outpatient)
    Mercy Integrated Lab & Radiology
    3922 Woodley Road
    Toledo, OH  43606
      Navarre Family Medicine Associates
      2702 Navarre Suite 206
      Oregon, OH  43616
        NW Ohio OB/GYN Associates
        3840 Woodley Road, Suite B
        Toledo, OH  43606
        • General Outpatient Services (Outpatient)
        Pediatric Therapy Services
        3930 Sunforest Court Suite 200
        Toledo, OH  43623
        • General Outpatient Services (Outpatient)
        Regional Heart and Vascular Center
        2400 Cherry Street
        Toledo, OH  43608
        • Cardiac Catheterization Lab (Inpatient, Outpatient)
        • Cardiac Surgery (Inpatient)
        • Cardiac Unit/Cardiology (Inpatient, Outpatient)
        • EEG/EKG/EMG Lab (Inpatient, Outpatient)
        • Imaging/Radiology (Inpatient, Outpatient)
        • Intensive Care Unit (Inpatient)
        • Nuclear Medicine (Inpatient, Outpatient)
        • Telemetry (Inpatient)
        • Thoracic Surgery (Inpatient)
        Sleep Disorders Clinic
        3829 Woodley Road, #1
        Toledo, OH  43606
        • General Outpatient Services (Outpatient)
        St. Vincent Mercy Medical Center  *
        2213 Cherry Street
        Toledo, OH  43608
        • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult)
        • Cancer Center/Oncology (Inpatient)
        • Cardiac Catheterization Lab (Inpatient, Outpatient)
        • Cardiac Surgery (Inpatient)
        • Cardiac Unit/Cardiology (Inpatient, Outpatient)
        • CT Scanner (Inpatient, Outpatient)
        • Dentistry (Inpatient)
        • Dermatology (Inpatient)
        • Dialysis (Inpatient, Outpatient)
        • EEG/EKG/EMG Lab (Inpatient, Outpatient)
        • Emergency Room (Outpatient)
        • Endocrinology (Inpatient)
        • Family Practice (Inpatient, Outpatient)
        • Gastroenterology (Inpatient, Outpatient)
        • General Medical Services (Inpatient, Outpatient)
        • General Surgery (Inpatient, Outpatient)
        • GI or Endoscopy Lab (Inpatient, Outpatient)
        • Gynecology (Inpatient, Outpatient)
        • Hematology/Blood Treatment (Inpatient, Outpatient)
        • Home Health, Non-Hospice Services
        • Imaging/Radiology (Inpatient, Outpatient)
        • Infectious Diseases (Inpatient)
        • Infusion Therapy (Inpatient, Outpatient)
        • Intensive Care Unit (Inpatient)
        • Internal Medicine (Inpatient, Outpatient)
        • Labor & Delivery (Inpatient)
        • Magnetic Resonance Imaging (Inpatient, Outpatient)
        • Mental Health (Inpatient, 24-hour Acute Care/Crisis Stabilization)
        • Neonatal Intensive Care (Inpatient)
        • Nephrology (Inpatient)
        • Neurology (Inpatient)
        • Neurosurgery (Inpatient)
        • Nuclear Medicine (Inpatient, Outpatient)
        • Nursery (Inpatient)
        • Obstetrics (Inpatient, Outpatient)
        • Occupational Health (Inpatient, Outpatient)
        • Operating Room (Inpatient)
        • Ophthalmology/Eye Surgery (Inpatient)
        • Oral Maxillofacial Surgery (Inpatient)
        • Orthopedic Surgery (Inpatient, Outpatient)
        • Otolaryngology/Ear, Nose, and Throat (Inpatient, Outpatient)
        • Outpatient Surgery (Outpatient)
        • Pain Management (Inpatient, Outpatient)
        • Pediatric Care (Inpatient, Outpatient)
        • Personal Care/Support Non-Hospice
        • Plastic Surgery (Inpatient, Outpatient)
        • Podiatry (Inpatient, Outpatient)
        • Post Anesthesia Care Unit (PACU) (Inpatient, Outpatient)
        • Pulmonary Function Lab (Inpatient, Outpatient)
        • Radiation Oncology (Inpatient, Outpatient)
        • Rehabilitation and Physical Medicine (Inpatient)
        • Respiratory Care (Ventilator) (Inpatient)
        • Sleep Center (Outpatient)
        • Telemetry (Inpatient)
        • Thoracic Surgery (Inpatient, Outpatient)
        • Trauma/Burn Unit (Inpatient)
        • Ultrasound (Inpatient, Outpatient)
        • Urology (Inpatient, Outpatient)
        • Vascular Surgery (Inpatient)
        • Wound Care (Inpatient, Outpatient)
        Westfield Ob-Gyn
        4853 Monroe St
        Toledo, OH  43623

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