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)251-3925
www.mercyweb.org


Accreditation
Programs
Accreditation
Decision
Effective
Date
Last Full Survey Date Last On-Site Survey Date
Hospital
Accredited 7/2/2011 6/13/2014   6/13/2014  


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 7/26/2012  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:
Jan  2013 -
Dec  2013
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 above the target range/value.
This organization’s performance is above the target range/value.
Pneumonia Care See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above 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 above the target range/value.
This organization’s performance is above 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 above the target range/value.
This organization’s performance is above the target range/value.
  • Hysterectomy
See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
  • Knee Replacement
See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above 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
   
 
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)
    • 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)
    • 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 Occupational Health - Arrowhead
        502 The Boulevard
        Maumee, OH  43537
          Services:
          • Outpatient Clinics (Outpatient)
          Mercy St Vincent Medical Center
          DBA:  Mercy Cancer Center at St Charles-A Dept of Mercy St Vincent
          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 Healthcare 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)
                      • Medical /Surgical Unit (Inpatient)
                      • Outpatient Clinics (Outpatient)
                      St Vincent Mercy Medical Center
                      DBA:  Mercy St Vincent Medical Center Mercy Navarre Family Physici
                      2702 Navarre Suite 206
                      Oregon, OH  43616
                        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 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:  Mercy St. Vincent Medical Center:Center for Health Promotion
                            3930 Sunforest Court
                            Toledo, OH  43623
                              Services:
                              • Outpatient Clinics (Outpatient)

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