Quality Report

The MetroHealth System

HCO ID: 3771
2500 MetroHealth Drive
Cleveland, OH, 44109-1998
(216) 778-7800
www.metrohealth.org

Summary of Quality Information

Accreditation Programs

View Accreditation History

Behavioral Health Care and Human Services	Accreditation Decision Accredited	Effective Date 3/4/2022	Last Full Survey Date 3/3/2022	Last On-Site Survey Date 3/3/2022
Home Care	Accreditation Decision Accredited	Effective Date 3/5/2022	Last Full Survey Date 3/2/2022	Last On-Site Survey Date 3/2/2022
Hospital	Accreditation Decision Accredited	Effective Date 6/24/2023	Last Full Survey Date 3/4/2022	Last On-Site Survey Date 6/23/2023
Laboratory	Accreditation Decision Accredited	Effective Date 6/3/2023	Last Full Survey Date 6/2/2023	Last On-Site Survey Date 6/2/2023

Advanced Certification Programs

View Certification History

Advanced Comprehensive Stroke Center

Certification Decision

Certification

Effective Date

8/4/2022

Last Full Survey Date

8/3/2022

Last On-Site Survey Date

8/3/2022

Sites

Metrohealth Beachwood Health Center
3609 Park East North Bldg
Beachwood, OH, 44122

Available Services

Behavioral Health (Non 24 Hour Care - Adult )
Behavioral Health (Non 24 Hour Care - Child/Youth )
General Laboratory Tests
Outpatient Clinics (Outpatient )
Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

Behavioral Health
Cardiology
Cosmetic Services
Dermatology
Express Care
Heart Failure Care Center
Mammography
Neurology
noninvasive cardiology
OB/GYN
Pain and Healing Center
Pediatrics
Pharmacy
Phlebotomy
Physical Therapy
PM&R
Primary Care
Pulmonary Medicine
Radiology
Rheumatology
Urology
vascular surgery
Weight loss Surgery and Management

MetroHealth Bedford Medical Offices
19999 Rockside Road
Bedford, OH, 44146

Available Services

Behavioral Health (Non 24 Hour Care - Adult )
General Laboratory Tests
Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

Behavioral Health
Infectious Disease
Nutrition
OB/GYN
Opthalmology
Optometry
Pediatrics
Pharmacy
Phlebotomy
Primary Care
Pulmonary
WIC

MetroHealth Brecksville Health & Surgery Center
9200 Treeworth Blvd
Brecksville, OH, 44141

Available Services

Administration of Blood Product (Outpatient )
Administration of High Risk Medications (Outpatient )
Anesthesia (Outpatient )
Behavioral Health (Non 24 Hour Care - Adult )
General Laboratory Tests
Outpatient Clinics (Outpatient )
Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

Allergy
Ambulatory Surgery Center
Behavioral Health
Cardiology
Dermatology
Ear, Nose & Throat
Emergency Department
Eye Surgery
Gastroenterology
General Surgery
Geriatrics
Hand & Upper Extremity Center
Heart Failure Care Center
Infusion Services
Neurological Surgery
Neurology
OB/GYN
Oncology
Ophthalmology
Optometry
Oral Surgery
Orthopaedics
Pain and Healing Center
Pediatrics
Pharmacy
Phlebotomy
Physical Medicine and rehabilitation
Physical Therapy
Plastic Surgery
Podiatry
Primary Care
Pulmonary
Radiology
Rheumatology
Sleep Medicine
Spine Center
Urology
Vascular Surgery
Weight Loss Surgery and Managment
Wound Care

MetroHealth Broadway Health Center
6835 Broadway Avenue
Cleveland, OH, 44105

Available Services

Addiction Services
Addiction Services (Non-detox - Adult )
Behavioral Health (Non 24 Hour Care - Adult )
Behavioral Health (Non 24 Hour Care - Child/Youth )
Chemical Dependency (Day Programs - Adult )
Chemical Dependency (Non 24 Hour Care - Adult )
Chemical Dependency (Partial Hospitalization - Adult )
Chemical Dependency (Non-detox - Adult )
General Laboratory Tests
Outpatient Clinics (Outpatient )
Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

Behavioral Health
Cardiology
Dermatology
Endocrinology
Express Care
Gastroenterology
Geriatrics
Heart Failure
Neurology
Nurtition Counseling / Weight Management
OB/GYN
Optometry
Pediatrics
Pharmacy
Phlebotomy
Podiatry
Primary Care
Radiology
Weight Loss Surgery and Managment
WIC

MetroHealth Brooklyn Health Center
5208 Memphis Avenue
Cleveland, OH, 44144

Available Services

Behavioral Health (Non 24 Hour Care - Adult )
Behavioral Health (Non 24 Hour Care - Child/Youth )
General Laboratory Tests
Outpatient Clinics (Outpatient )
Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

Behavioral Health Services
Cardiology
Med/Peds
Neurology
Nutrition Servies
OB/GYN
Phlebotomy
Primary Care
Pulmonology

MetroHealth Brunswick Health Center
1299 Industrial Parkway, 2nd Floor, Ste.250
Brunswick, OH, 44212

Available Services

Behavioral Health (Non 24 Hour Care - Adult )
General Laboratory Tests
Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

Behavioral Health
Dermatology
Infusion
OB/GYN
Pediatrics
Primary Care
Rheumatology

MetroHealth Buckeye Health Center
2816 East 116 Street
Cleveland, OH, 44120

Available Services

Behavioral Health (Non 24 Hour Care - Adult )
Behavioral Health (Non 24 Hour Care - Child/Youth )
General Laboratory Tests
Outpatient Clinics (Outpatient )
Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

Behavioral Health Adult and Child
OB/GYN
Pediatrics
Pharmacy
Phlebotomy
Primary Care

Metrohealth Central Fill Pharmacy
9885 Rockside Road Suite 157
Cleveland, OH, 44125

Available Services

Pharmacy, Clinical Consulting Services
Pharmacy/Dispensary,General Services
Specialty Pharmacy

Other Clinics/Practices Located at This Site:

Dispensing of medications

MetroHealth Cleveland Heights Hospital
10 Severance Circle
Cleveland Heights, OH, 44118

Available Services

Behavioral Health (Day Programs - Adult )
Behavioral Health (Non 24 Hour Care - Adult )
Behavioral Health (Non 24 Hour Care - Child/Youth )
Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
Behavioral Health (Partial Hospitalization - Adult )
Community Integration (Non 24 Hour Care )
CT Scanner (Imaging/Diagnostic Services )
EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
General Laboratory Tests
GI or Endoscopy Lab (Imaging/Diagnostic Services )
Hazardous Medication Compounding (Inpatient )
Inpatient Unit (Inpatient )
Medical /Surgical Unit (Inpatient )
Non-Sterile Medication Compounding (Inpatient )
Nuclear Medicine (Imaging/Diagnostic Services )
Outpatient Clinics (Outpatient )
Sterile Medication Compounding (Inpatient )
Teleradiology (Imaging/Diagnostic Services )
Ultrasound (Imaging/Diagnostic Services )

Other Clinics/Practices Located at This Site:

Allergy
Behavioral Health
Cancer Infusion Services/Chemotherapy
Cardiology
Emergency Department
Endocrinology
Endoscopy
Gastroenterology
Hand and Upper Extremity Center
Heart Failure Clinic
Inpatient Behavioral Health
Inpatient Services
LGBTQ Pride Clinic
Nephrology
Neurology
Oncology
Ophthalmology
Orthopedic Surgery
Pain and Healing Center
Pediatrics
Pharmacy
Physical Medicine and Rehab
Physical Therapy
Podiatry
Primary Care
Pulmonology
Radiology
Rheumatology
Spine Center
Sports Medicine
Vascular

Metrohealth Gordon Square Pride Clinic
6705 Detroit Ave
Cleveland, OH, 44102

Available Services

Single Specialty Practitioner (Outpatient )

Other Clinics/Practices Located at This Site:

LGBTQ Pride Clinic
Primary Care

MetroHealth Lyndhurst Health Center
29001 Cedar Rd. Suite 518
Lyndhurst, OH, 44124

Available Services

General Laboratory Tests
Outpatient Clinics (Outpatient )
Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

ENT
General Surgery
Hand and Upper Extremity Care
Neurology
Neurosurgery
Orthopedics
Pain and Healing Center
Plastic Surgery
Podiatry
Radiology
Spine Center
Urology

MetroHealth Medical Center
2500 MetroHealth Drive
Cleveland, OH, 44109-1998

Available Services

Behavioral Health (Non 24 Hour Care - Adult )
Behavioral Health (Non 24 Hour Care - Child/Youth )
Brachytherapy (Imaging/Diagnostic Services )
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 )
General Laboratory Tests
GI or Endoscopy Lab (Imaging/Diagnostic Services )
Gynecological Surgery (Surgical Services )
Gynecology (Inpatient )
Hazardous Medication Compounding (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 )
Sterile Medication Compounding (Inpatient )
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 )

Certification Programs

Advanced Comprehensive Stroke Center

Other Clinics/Practices Located at This Site:

Allergy and immunology
Behavioral Health
Blood and Marrow Transplant
Cardiology
Cardiology
Dermatology
Emergency Department
ENT
Infusion Clinic
Inpatient Services
Neurology
OB/GYN
Oncology
Pain Management
Pediatrics
Pharmacy
Phlebotomy
Physical Therapy
Podiatry
Primary Care
Pulmonary Medicine
Radiology
Rheumatology
Spine Center
Surgery
Urology
Weight loss surgery and management

MetroHealth Middleburg November Family Health Center
7800 Pearl Road
Cleveland, OH, 44130-6552

Available Services

Behavioral Health (Non 24 Hour Care - Adult )
Behavioral Health (Non 24 Hour Care - Child/Youth )
General Laboratory Tests
Outpatient Clinics (Outpatient )
Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

Behavioral Health
Cardiology
Dermatology
Express Care
Gastroenterology
Hand and Upper Extremity
Heart Failure
Neurology
OB/GYN
Opthalmology
Pain and Healing
Pediatrics and Specialty Care
Pharmacy
Physical Medicine and Rehabilitation
Physical Therapy
Podiatry
Pride Clinic
Primary Care
Pulmonary Medicine
Radiology
Rheumatology
Spine Center
Urology
Vascular Surgery
Weight Management

Metrohealth Motivation & Engagement Clinic
4269 Pearl Road Suite 102
Cleveland, OH, 44109

Available Services

Chemical Dependency (Non 24 Hour Care - Adult )
Chemical Dependency (Non-detox - Adult )

Other Clinics/Practices Located at This Site:

Behavioral Health

MetroHealth Old Brooklyn Senior Health & Wellness Center
4229 Pearl Road
Cleveland, OH, 44109

Available Services

Allergen Extract (Inpatient )
Behavioral Health (Non 24 Hour Care - Adult )
General Laboratory Tests
Hazardous Medication Compounding (Inpatient )
Inpatient Unit (Inpatient )
Neuro/Spine Unit (Inpatient )
Orthopedic/Spine Unit (Inpatient )
Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

Behavioral Health
Cardiology
Coumadin Clinic
Eye Care
Hand and Upper Extremity Center
Heart Failure center
MetroHealth Rehabilitation Institute of Ohio
Neurology
Pain and Healing
Pharmacy
Physical Medicine
Podiatry
Primary Care/Geriatrics
Pulmonary
Radiology
Rheumatology
Spine Center
Uro/GYN
Wound Clinic

MetroHealth Parma Hospital
12301 Snow Road
Parma, OH, 44130

Available Services

Addiction Services
Addiction Services (Non-detox - Adult )
Behavioral Health (Non 24 Hour Care - Adult )
Behavioral Health (Non 24 Hour Care - Child/Youth )
Chemical Dependency (Day Programs - Adult )
Chemical Dependency (Non 24 Hour Care - Adult )
Chemical Dependency (Partial Hospitalization - Adult )
Chemical Dependency (Non-detox - Adult )
CT Scanner (Imaging/Diagnostic Services )
EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
General Laboratory Tests
GI or Endoscopy Lab (Imaging/Diagnostic Services )
Hazardous Medication Compounding (Inpatient )
Inpatient Unit (Inpatient )
Magnetic Resonance Imaging (Imaging/Diagnostic Services )
Medical /Surgical Unit (Inpatient )
Non-Sterile Medication Compounding (Inpatient )
Nuclear Medicine (Imaging/Diagnostic Services )
Orthopedic Surgery (Surgical Services )
Outpatient Clinics (Outpatient )
Positron Emission Tomography (PET) (Imaging/Diagnostic Services )
Sterile Medication Compounding (Inpatient )
Teleradiology (Imaging/Diagnostic Services )
Ultrasound (Imaging/Diagnostic Services )

Other Clinics/Practices Located at This Site:

Allergy
Anticoagulation Clinic
Audiology
Behavioral Health
Cardiology
Dermatology
Emergency Department
Endocrinology
Eye Care
Gastroenterology
General Surgery
Geriatric Medicine
Gynecology
Hands & Upper Extremity Center
Inpatient Services
Nephrology
Neurosurgery
OB/GYN
Occupational Therapy
Orthopaedic Surgery
Orthopedics
Otolaryngology/ENT
Pain and Healing Center
Pharmacy
Physical Therapy
Plastic Surgery
Podiatry
Primary Care for Adults & Children
Pulmonology
Radiology
Sleep Surgery
Spine Center
Sports Medicine
Urology
Weight loss surgery and Management
Wound Center

MetroHealth Physical Therapy at the Westshore YMCA
1575 Columbia Road
Westlake, OH, 44145

Available Services

Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

Physical Therapy
PM&R

MetroHealth Rocky River medical Offices
20575 Center Ridge Road
Rocky River, OH, 44116

Available Services

Behavioral Health (Non 24 Hour Care - Adult )
General Laboratory Tests
Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

Adult Primary Care
Behavioral Health
Geriatrics
Pediatrics
Phlebotomy

MetroHealth State Road Family Practice
12744 State Road
North Royalton, OH, 44133

Available Services

General Laboratory Tests
Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

Laboratory
Pediatrics
Physical Therapy
Primary Care
Pulmonary

MetroHealth W 150th Health and Surgery Center
4330 West 150th Street
Cleveland, OH, 44135

Available Services

Administration of High Risk Medications (Outpatient )
Anesthesia (Outpatient )
General Laboratory Tests
Outpatient Clinics (Outpatient )
Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

General Surgery
Gynecology
Hand and Upper Extremity Center
Heart Failure Center
Neurology
Optometry
Orthopedics
Physical Medicine and Rehabilitation
Radiology
Spine Center
Urogynecology
Urology

MetroHealth West Park Health Center

Cleveland, OH, 44111

Available Services

Behavioral Health (Non 24 Hour Care - Adult )
Behavioral Health (Non 24 Hour Care - Child/Youth )
General Laboratory Tests
Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

Behavioral Health
Express Care
Pediatrics
Phlebotomy
Primary Care
Radiology

MetroHealth Westlake Health Center
38 Main Streeet Suite 300
Westlake, OH, 44145

Available Services

Administration of High Risk Medications (Outpatient )
General Laboratory Tests
Outpatient Clinics (Outpatient )
Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

Allergy and Immunology
Cardiology
Dermatology
ENT
Hand and Upper Extremity Center
OB/GYN
Pain and Healing
Pediatrics
Pediatrics
Plastic Surgery
Plastic Surgery
Primary Care
Pulomonary / Sleep Medicine
Spine Center
Urology

MH Broadview Heights Sports Medicine and Physical Therapy
1 Eagle Valley Court
Broadview Heights, OH, 44147

Available Services

Single Specialty Practitioner (Outpatient )

Other Clinics/Practices Located at This Site:

Physical Therapy
Sports Medicine (PMR)

MH Medina Health Center
111 W Reagan Pkwy
Medina, OH, 44256

Available Services

General Laboratory Tests
Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

Primary Care

Ohio City Health Center
4757 Lorain Avenue
Cleveland, OH, 44102

Available Services

Behavioral Health (Non 24 Hour Care - Adult )
Behavioral Health (Non 24 Hour Care - Child/Youth )
General Laboratory Tests
Outpatient Clinics (Outpatient )
Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

Behavioral Health
Cardiology
Clinical Pharmacy
Express Care
OB/GYN
Pediatrics
Podiatry
Primary Care
Radiology
Radiology
Weight Management

Cooperative Agreements

Hospital - Accredited by American College of Surgeons-Commission on Cancer (ACoS-COC)

National Patient Safety Goals and National Quality Improvement Goals

Symbol Key

This organization achieved the best possible results
This organization's performance is better than the target range/value
This organization's performance is similar to the target range/value
This organization's performance is worse than the target range /value
This measure is not applicable for this organization
Not displayed

Measures Footnote Key

The measure or measure set was not reported.
The measure set does not have an overall result.
The number is not enough for comparison purposes.
The measure meets the Privacy Disclosure Threshold rule.
The organization scored above 90% but was below most other organizations.
The measure results are not statistically valid.
The measure results are based on a sample of patients.
The number of months with measure data is below the reporting requirement.
The measure results are temporarily suppressed pending resubmission of updated data.
Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement.
There were no eligible patients that met the denominator criteria.
The measure rate is within optimal range.

Symbol Key

This organization achieved the best possible results
This organization's performance is better than the target range/value
This organization's performance is similar to the target range/value
This organization's performance is worse than the target range/value
This measure is not applicable for this organization
Not displayed

Measures Footnote Key

The measure or measure set was not reported.
The measure set does not have an overall result.
The number is not enough for comparison purposes.
The measure meets the Privacy Disclosure Threshold rule.
The organization scored above 90% but was below most other organizations.
The measure results are not statistically valid.
The measure results are based on a sample of patients.
The number of months with measure data is below the reporting requirement.
The measure results are temporarily suppressed pending resubmission of updated data.
Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement.
There were no eligible patients that met the denominator criteria.
The measure rate is within optimal range.

* This information can also be viewed at Hospital Compare.

** Indicates per 1000 hours of patient care.
*** The measure was not in effect for this quarter.
---- Null value or data not displayed.

Behavioral Health Care and Human Services	2022 National Patient Safety Goals	Nationwide Comparison:	Statewide Comparison:
Home Care	2022 National Patient Safety Goals	Nationwide Comparison:	Statewide Comparison:
Hospital	2023 National Patient Safety Goals	Nationwide Comparison:	Statewide Comparison:
Laboratory	2023 National Patient Safety Goals	Nationwide Comparison:	Statewide Comparison:
	Reporting Period: January 2022 - December 2022 National Quality Improvement Goals:
	Perinatal Care	National Comparison: 2	Statewide Comparison: 2

New Changes to Quarterly Measure

Download Quarterly Measure Results

* State results are not calculated for the National Patient Safety Goals.