The Joint Commission
Quality Check
Quality Report

Summary of Quality Information
Catholic Health Initiatives - Iowa Corp.
DBA: Mercy Medical Center - Des Moines
Org ID: 8248
1111 6th Avenue
Des Moines, IA  50314
(515)247-3121
www.mercydesmoines.org


Accreditation
Programs
Accreditation
Decision
Effective
Date
Last Full Survey Date Last On-Site Survey Date
Behavioral Health Care
Accredited 3/19/2014 3/18/2014   3/18/2014  
Hospital
Accredited 3/22/2014 3/21/2014   3/21/2014  


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 9/18/2013  9/17/2013  9/17/2013 
Ventricular Assist Device
Certification 1/7/2015  1/6/2015  1/6/2015 




Other Accredited Programs / Services
Hospital  -  Accredited by American College of Surgeons-Commission on Cancer (ACoS-COC)


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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
Behavioral Health Care
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.
*
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:
Jul  2014 -
Jun  2015
Emergency Department See Detail
Not displayed.
2
Not displayed.
2
Immunization See Detail
Not displayed.
2
Not displayed.
2
Perinatal Care See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
Stroke 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.
 
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
Catholic Health Initiatives - Iowa Corp.
DBA:  Mercy West
1601 NW 114th Street
Clive, IA  50325
Other Clinics/Practices located at this site:
  • MCL West Suite #134
  • Mercy West Endoscopy Suite # 244
  • Mercy West Pharmacy Suite # 234
  • Mercy West Radiology Suite # 149
Services:
  • Ambulatory Surgery Center (Outpatient)
  • Anesthesia (Outpatient)
  • Outpatient Clinics (Outpatient)
  • Perform Invasive Procedure (Outpatient)
Catholic Health Initiatives - Iowa Corp.
DBA:  Mercy First Step Recovery Center
1750 - 48th Street Suite 2
Des Moines, IA  50310
    Services:
    • Addiction Care/Adult/Child/Youth)
    • Behavioral Health (Day Programs - Adult)
      (Partial - Adult)
    • Chemical Dependency (Day Programs - Adult/Child/Youth)
      (Partial - Adult/Child/Youth)
    • Peer Support (Non 24 Hour Care)
    Catholic Health Initiatives - Iowa Corp.  *
    DBA:  Mercy Medical Center - Des Moines
    1111 6th Avenue
    Des Moines, IA  50314-2611
    Joint Commission Advanced Certification Programs:
    • Primary Stroke Center
    • Ventricular Assist Device
      Services:
      • Behavioral Health (Day Programs - Child/Youth)
        (24-hour Acute Care/Crisis Stabilization - Adult/Child/Youth)
        (Partial - Child/Youth)
      • 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)
      • Plastic Surgery (Surgical Services)
      • Positron Emission Tomography (PET) (Imaging/Diagnostic Services)
      • Post Anesthesia Care Unit (PACU) (Inpatient)
      • Radiation Oncology (Imaging/Diagnostic Services)
      • Rehabilitation Unit (Inpatient, 24-hour Acute Care/Crisis Stabilization)
      • Surgical ICU (Intensive Care Unit)
      • Surgical Unit (Inpatient)
      • Thoracic Surgery (Surgical Services)
      • Transplant Surgery (Surgical Services)
      • Ultrasound (Imaging/Diagnostic Services)
      • Urology (Surgical Services)
      • Vascular Surgery (Surgical Services)
      Catholic Health Initiatives - Iowa Corp.
      DBA:  Mercy Riverside Rehabilitation Center
      501 Southwest Seventh Street, Suite Q
      Des Moines, IA  50309
        Services:
        • Outpatient Clinics (Outpatient)
        Catholic Health Initiatives - Iowa Corp.
        DBA:  Mercy Sleep Center
        1449 NW 128th St., Suite 100
        Clive, IA  50325
          Services:
          • Outpatient Clinics (Outpatient)
          Catholic Health Initiatives - Iowa Corp.
          DBA:  Radiology Center
          12495 University Avenue, Suite 210
          Clive, IA  50325
            Services:
            • Outpatient Clinics (Outpatient)
            Catholic Health Initiatives - Iowa Corp.
            DBA:  Mercy Medical Center - West Lakes
            1755 59th Place
            West Des Moines, IA  50266
              Services:
              • Cardiac Catheterization Lab (Surgical Services)
              • CT Scanner (Imaging/Diagnostic Services)
              • Ear/Nose/Throat Surgery (Surgical Services)
              • EEG/EKG/EMG Lab (Imaging/Diagnostic Services)
              • Gastroenterology (Surgical Services)
              • Gynecological Surgery (Surgical Services)
              • 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)
              • Normal Newborn Nursery (Inpatient)
              • Nuclear Medicine (Imaging/Diagnostic Services)
              • Ophthalmology (Surgical Services)
              • Orthopedic Surgery (Surgical Services)
              • Outpatient Clinics (Outpatient)
              • Plastic Surgery (Surgical Services)
              • Post Anesthesia Care Unit (PACU) (Inpatient)
              • Surgical ICU (Intensive Care Unit)
              • Ultrasound (Imaging/Diagnostic Services)
              • Urology (Surgical Services)
              Catholic Health Initiatives - Iowa Corp.
              DBA:  Mercy Outpatient Cardiac Testing
              5880 University Avenue, Suite 211
              West Des Moines, IA  50266
                Services:
                • Outpatient Clinics (Outpatient)
                Catholic Health Initiatives - Iowa Corp.
                DBA:  Mercy Weight Loss & Nutrition Center
                12493 University Avenue, Suite 110
                Clive, IA  50325
                  Services:
                  • Outpatient Clinics (Outpatient)
                  Catholic Health Initiatives - Iowa Corp.
                  DBA:  Mercy East Imaging
                  5900 E. University, Suite 200
                  Pleasant Hill, IA  50327
                    Services:
                    • Outpatient Clinics (Outpatient)
                    Catholic Health Initiatives - Iowa Corp.
                    DBA:  Mercy Sleep Center - Ames
                    1816 Philadelphia Street
                    Ames, IA  50010
                      Services:
                      • Outpatient Clinics (Outpatient)
                      Catholic Health Initiatives - Iowa Corp.
                      DBA:  Mercy North Ambulatory Surgery Center
                      800 E. First Street, Suite 1000
                      Ankeny, IA  50021
                      Other Clinics/Practices located at this site:
                      • MCL North - Suite 1400
                      • Mercy North Pharmacy - Suite 1800
                      Services:
                      • Ambulatory Surgery Center (Outpatient)
                      • Anesthesia (Outpatient)
                      • Perform Invasive Procedure (Outpatient)
                      Catholic Health Initiatives - Iowa Corp.
                      DBA:  Mercy West Imaging
                      1601 NW 114th Street, Suite 128
                      Clive, IA  50325
                        Services:
                        • Outpatient Clinics (Outpatient)
                        Catholic Health Initiatives - Iowa Corp.
                        DBA:  MCL Westown Parkway Patient Service Center
                        5901 Westown Parkway, Suite 236
                        West Des Moines, IA  50266
                          Services:
                          • Laboratory Draw Station (Outpatient)
                          Catholic Health Initiatives - Iowa Corp.
                          DBA:  Mercy North Imaging
                          800 E. First Street Suite 1100
                          Ankeny, IA  50021
                            Services:
                            • Outpatient Clinics (Outpatient)
                            Catholic Health Initiatives - Iowa Corp.
                            DBA:  Mercy Cancer Center Radiation Oncology
                            12495 University Avenue, First Floor; Clive, Iowa 50325
                            Clive, IA  50325
                              Services:
                              • Administration of High Risk Medications (Outpatient)
                              • Outpatient Clinics (Outpatient)
                              Catholic Health Initiatives - Iowa Corp.
                              DBA:  MCL Indianola Patient Service Center
                              2006 N 4th St Suite 202A
                              Indianola, IA  50125
                                Services:
                                • Laboratory Draw Station (Outpatient)
                                Catholic Health Initiatives - Iowa Corp.
                                DBA:  Iowa Heart Center-Indianola
                                2006 N. 4th Street, Suite 200
                                Indianola, IA  50125
                                  Services:
                                  • Outpatient Clinics (Outpatient)
                                  Catholic Health Initiatives - Iowa Corp.
                                  DBA:  Iowa Heart Center-Ankeny
                                  800 East 1st Street, Suite East 220
                                  Ankeny, IA  50021
                                    Services:
                                    • Outpatient Clinics (Outpatient)

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