Quality Report


Quality Report

Mercy Health - Tiffin Hospital LLC

DBA: Mercy Health - Tiffin Hospital
HCO ID: 7104
45 Saint Lawrence Drive
Tiffin, OH, 44883-0727
(419) 455-7000
www.mercyweb.org
Summary of Quality Information

Accreditation Programs

Gold Seal
Home Care
Accreditation Decision
Effective Date
12/20/2023
Last Full Survey Date
12/19/2023
Last On-Site Survey Date
12/19/2023
Gold Seal
Hospital
Accreditation Decision
Effective Date
12/21/2023
Last Full Survey Date
12/20/2023
Last On-Site Survey Date
2/1/2024

Sites

Mercy Health - Tiffin Hospital LLC
DBA: Mercy Health - Tiffin Hospital -TIffin OB/GYN
27 Saint Lawrence Drive Suite 202
Tiffin, OH, 44883

Available Services

  • Single Specialty Practitioner (Outpatient )

Mercy Health - Tiffin Hospital LLC
DBA: Mercy Health- Tiffin Home Care
45 St Lawrence Drive
Tiffin, OH, 44883

Available Services

  • Home Health Aides
  • Home Health, Non-Hospice Services
  • Medical Social Services
  • Occupational Therapy
  • Personal Care/Support Non-Hospice
  • Physical Therapy
  • Skilled Nursing Services
  • Speech Language Pathology

Mercy Health - Tiffin Hospital LLC
DBA: Mercy Health - Tiffin Hospital
45 Saint Lawrence Drive
Tiffin, OH, 44883-0727

Available 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 )
  • GI or Endoscopy Lab (Imaging/Diagnostic Services )
  • Gynecological Surgery (Surgical Services )
  • Gynecology (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 )
  • Normal Newborn Nursery (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Outpatient Clinics (Outpatient )
  • Pediatric Dentistry (Outpatient - Child/Youth )
  • Plastic Surgery (Surgical Services )
  • Positron Emission Tomography (PET) (Imaging/Diagnostic Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Sleep Laboratory (Sleep Laboratory )
  • Surgical ICU (Intensive Care Unit )
  • Teleradiology (Imaging/Diagnostic Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )

Other Clinics/Practices Located at This Site:

  • TIffin Cardiology

Mercy Health - Tiffin Hospital LLC
DBA: Mercy Health - Tiffin Hospital TIffin Urology
27 Saint Lawrence Drive Suite 204
Tiffin, OH, 44883

Available Services

  • Perform Invasive Procedure (Outpatient )
  • Single Specialty Practitioner (Outpatient )

Mercy Health - Tiffin Hospital LLC
DBA: Mercy Health - Tiffin Hospital General Surgeons
27 Saint Lawrence Drive Suite 203
Tiffin, OH, 44883

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Mercy Health - Tiffin Hospital ENT
  • Mercy Health - Tiffin Hospital Gastroenterology
  • Mercy Health - Tiffin Hospital Physical Medicine and Rehabil

Mercy Health Tiffin Hospital LLC
DBA: Mercy Health-Tiffin Cancer Center
27 St Lawrence Drive Suite 200
Tiffin, OH, 44883

Available Services

  • Administration of Blood Product (Outpatient )
  • Administration of High Risk Medications (Outpatient )
  • Single Specialty Practitioner (Outpatient )

Other Clinics/Practices Located at This Site:

  • TIffin Oncology Specialists

Mercy Health Tiffin Hospital LLC
DBA: Mercy Health Tiffin Hospital Primary Care New Washington
202 E Mansfield St
New Washington, OH, 44854

Available Services

  • Single Specialty Practitioner (Outpatient )

Mercy Health-Mercy TIffin Hospital LLC
DBA: Mercy Health - Tiffin Hospital Specialty Clinic
27 Saint Lawrence Drive Suite 201
Tiffin, OH, 44883

Available Services

  • Administration of Blood Product (Outpatient )
  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Bariatrics
  • Infusion
  • Kidney & Hypertension
  • Neurology
  • Pain
  • Podiatry
  • Pulmonology
  • Vascular
  • Wound Clinic

Mercy Health-Mercy TIffin Hospital LLC
DBA: Mercy Health-Tiffin Outpatient Rehabilitation and Therapy
27 St. Lawrence Dr.-Suite 104 & 107
Tiffin, OH, 44883

Available Services

  • Outpatient Clinics (Outpatient )

Mercy Health-Tiffin Hospital LLC
DBA: Mercy Health Tiffin Hospital Primary Care
27 St. Lawrence Dr Suite 103
Tiffin, OH, 44883

Available Services

  • Single Specialty Practitioner (Outpatient )

Cooperative Agreements

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 2023 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Home Care 2023 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.