Quality Report


Quality Report

McLaren Greater Lansing
HCO ID: 583671
2900 Collins Road
Lansing, MI, 48910
(517) 975-6000
http://www.mclaren.org/Lansing
Summary of Quality Information

Accreditation Programs

Gold Seal
Hospital
Accreditation Decision
Effective Date
10/15/2022
Last Full Survey Date
10/14/2022
Last On-Site Survey Date
12/1/2022

Advanced Certification Programs

Gold Seal
Certification Decision
Effective Date
1/13/2024
Last Full Survey Date
1/12/2024
Last On-Site Survey Date
1/12/2024

Sites

McLaren Greater Lansing
DBA: Health & Wellness Pavilion (West)
3245 Discovery Drive, Suite 300
Lansing, MI, 48910

Available Services

  • Single Specialty Practitioner (Outpatient )

Other Clinics/Practices Located at This Site:

  • Blood Draw

McLaren Greater Lansing
DBA: McLaren Greater Lansing Grand Ledge Health Center
1035 Charlevoix Dr Grand Ledge
Grand Ledge, MI, 48837

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • MGL Grand Ledge Draw Station
  • MGL Grand Ledge Imaging Center

McLaren Greater Lansing
DBA: MGL MMG Okemos Community Medical Center and Women's Health
2104 Jolly Road
Okemos, MI, 48864

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • McLaren Greater Lansing Okemos Community Medical Center
  • McLaren Greater Lansing Okemos Women's Health
  • MGL Okemos Women's Health Draw Station

McLaren Greater Lansing
2900 Collins Rd.
Lansing, MI, 48910

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
  • Cardiac Catheterization Lab (Surgical Services )
  • Cardiac Surgery (Surgical Services )
  • Cardiothoracic Surgery (Surgical Services )
  • CT Scanner (Imaging/Diagnostic Services )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Family Support (Non 24 Hour Care )
  • 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 )
  • Non-Sterile Medication Compounding (Inpatient )
  • Normal Newborn Nursery (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Orthopedic/Spine Unit (Inpatient )
  • 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 )
  • Teleradiology (Imaging/Diagnostic Services )
  • Thoracic Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Other Clinics/Practices Located at This Site:

  • McLaren Greater Lansing Lab Draw
  • MGL Heart and Vascular Institute

McLaren Greater Lansing
DBA: Health & Wellness Pavilion (East)
3101 Discovery Drive
Lansing, MI, 48910

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • MGL Cardiac & Pulmonary Rehab/PT/OT/Speech
  • MGL Family Medicine Resident Clinic
  • MGL Pain Management/EMG/Diabetes Education
  • MGL Sleep Center
  • MGL Wound Care

McLaren Greater Lansing
DBA: MGL MMP Portland Family Medicine
406 Kent Street
Portland, MI, 48875

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • MGL MMP Portland Draw Station

McLaren Greater Lansing
DBA: McLaren Greater Lansing Dewitt Health Center
12805 Escanaba Drive
Dewitt, MI, 48820

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • MGL Dewitt Lab Draw

McLaren Greater Lansing
DBA: McLaren Greater Lansing Internal Medicine
6465 Millennium Drive Suite 100
Lansing, MI, 48917

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • MGL Internal Medicine Draw Station

McLaren Greater Lansing
DBA: Outpatient Care Center / Karmanos Cancer Center
3520 Forest Road
Lansing, MI, 48910

Available Services

  • Administration of Blood Product (Outpatient )
  • Administration of High Risk Medications (Outpatient )
  • Anesthesia (Outpatient )
  • Dialysis (Outpatient )
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • Cardiovascular and Thoracic
  • Cardiovascular Associates
  • MGL Breast Care Center
  • MGL Endoscopy -Outpatient
  • MGL Karmanos Cancer Institute and Infusion Center
  • MGL Karmanos Radiation Oncology & Extended Hours Care
  • MGL Oncology Lab Draw

McLaren Greater Lansing
DBA: McLaren Greater Lansing Izzo Family Medical Center
3220 Discovery Drive
Lansing, MI, 48910

Available Services

  • Outpatient Clinics (Outpatient )

Certification Programs

  • Primary Stroke Center

Other Clinics/Practices Located at This Site:

  • MGL Multi-Specialty Clinic
  • MSU at MGL Outpatient Imaging Center

McLaren Greater Lansing
DBA: McLaren Cardiovascular Group
2134 Hampton Place
Okemos, MI, 48864

Available Services

  • Outpatient Clinics (Outpatient )

McLaren Greater Lansing
DBA: McLaren Greater Lansing Mid Michigan Physicians
1540 Lake Lansing Road
Lansing, MI, 48912

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Hazardous Medication Compounding (Outpatient )
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • MGL MMP Cardiology
  • MGL MMP Family Medicine and Lipidology
  • MGL MMP Healthcare Associates
  • MGL MMP Imaging Center
  • MGL MMP Internal Medicine Associates
  • MGL MMP Lab Processing Center & Draw Station
  • MGL MMP Minimally Invasive Surgical Associates

National Patient Safety Goals and National Quality Improvement Goals

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is better than the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is worse than the target range /value
  • naThis measure is not applicable for this organization
  • ndNot displayed

Measures 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.
  12. The measure rate is within optimal range.

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is better than the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is worse than the target range/value
  • naThis measure is not applicable for this organization
  • ndNot displayed

Measures 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.
  12. 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.

Hospital 2022 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Reporting Period: January 2022 - December 2022
Perinatal Care National Comparison: nd 2 Statewide Comparison: nd 2

New Changes to Quarterly Measure

Download Quarterly Measure Results

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