Quality Report


Quality Report

Meriter Hospital, Inc.

DBA: UnityPoint Health - Meriter
HCO ID: 7653
202 South Park Street
Madison, WI, 53715-1596
(608) 417-6000
www.unitypoint.org
Summary of Quality Information

Accreditation Programs

Gold Seal
Hospital
Accreditation Decision
Effective Date
10/11/2018
Last Full Survey Date
9/17/2021
Last On-Site Survey Date
9/17/2021

Advanced Certification Programs

Gold Seal
Certification Decision
Effective Date
9/11/2021
Last Full Survey Date
9/10/2021
Last On-Site Survey Date
9/10/2021

Sites

Meriter Hospital, Inc.
DBA: UnityPoint Health - Meriter
202 S. Park Street
Madison, WI, 53715-1596

Available Services

  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
  • Cardiac Catheterization Lab (Surgical Services )
  • Cardiovascular Unit (Inpatient )
  • Coronary Care Unit (Inpatient )
  • 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 )
  • 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 Unit (Inpatient )
  • Neurosurgery (Surgical Services )
  • Non-Sterile Medication Compounding (Inpatient )
  • Normal Newborn Nursery (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Orthopedic Surgery (Surgical Services )
  • Orthopedic/Spine Unit (Inpatient )
  • Outpatient Clinics (Outpatient )
  • Plastic Surgery (Surgical Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Sterile Medication Compounding (Inpatient )
  • Surgical ICU (Intensive Care Unit )
  • Surgical Unit (Inpatient )
  • Thoracic Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Primary Stroke Center

Meriter Hospital, Inc. Child & Adolescent Psychiatry Program
DBA: UnityPoint Health - Meriter - Child & Adolescent Psychiatry
8102 Wellness Way
Madison, WI, 53719

Available Services

  • Behavioral Health (Day Programs - Child/Youth )
  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Child/Youth )
  • Behavioral Health (Partial Hospitalization - Child/Youth )

Meriter Medical Group: Meriter DeForest-Windsor
DBA: UnityPoint Health – Meriter – DeForest-Windsor Clinic
4200 Savannah Drive
Deforest, WI, 53532

Available Services

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

Meriter Medical Group: Meriter McKee
DBA: UnityPoint Health – Meriter – McKee Clinic
3102 Meriter Way
Madison, WI, 53719

Available Services

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

Meriter Medical Group: Meriter Middleton
DBA: UnityPoint Health – Meriter – Middleton Clinic
7780 Elmwood Avenue, Suite 201
Middleton, WI, 53562

Available Services

  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Meriter Medical Group: Meriter Monona
DBA: UnityPoint Health – Meriter – Monona Clinic
6408 Copps Avenue
Monona, WI, 53716

Available Services

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

Meriter Medical Group: Meriter Stoughton
DBA: UnityPoint Health – Meriter – Stoughton Clinic
100 Silverado Drive
Stoughton, WI, 53589

Available Services

  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Meriter Medical Group: Meriter West Washington
DBA: UnityPoint Health – Meriter – West Washington Clinic
345 West Washington Avenue
Madison, WI, 53703

Available Services

  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Meriter NewStart Outpatient Clinic
DBA: UnityPoint Health – Meriter – NewStart
1015 Gammon Lane
Madison, WI, 53719

Available Services

  • Chemical Dependency (Day Programs - Adult )
  • Chemical Dependency (Non 24 Hour Care - Adult )
  • Chemical Dependency (Non 24 Hour Care - Child/Youth )
  • Chemical Dependency (Partial Hospitalization - Adult )
  • Chemical Dependency (Non-detox - Adult )

Meriter Therapy Central
DBA: UnityPoint Health – Meriter – Therapy-Central
1414 S. Park Street
Madison, WI, 53715

Available Services

  • Outpatient Clinics (Outpatient )

Meriter Therapy West
DBA: UnityPoint Health – Meriter – Therapy-West
2237 Deming Way
Middleton, WI, 53562

Available Services

  • Outpatient Clinics (Outpatient )

Meriter Wellness Center
DBA: UnityPoint Health – Meriter – Wellness Center
2501 W. Beltline Hwy, Suite 207
Madison, WI, 53713

Available Services

  • Outpatient Clinics (Outpatient )

UnityPoint Health -Meriter
DBA: UnityPoint Health – Meriter – Fitchburg Clinic
202 S. Park St.
Madison, WI, 53711

Available Services

  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

National Patient Safety Goals and National Quality Improvement Goals

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is above the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is below 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.

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is above the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is below 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.

The Joint Commission only reports measures endorsed by the National Quality Forum.
* 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 2018 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Reporting Period: January 2019 - December 2019
Emergency Department National Comparison: nd 2 Statewide Comparison: nd 2
Perinatal Care National Comparison: nd 2 Statewide Comparison: nd 2

New Changes to Quarterly Measure

Download Quarterly Measure Results

The Joint Commission only reports measures endorsed by the National Quality Forum.
* State results are not calculated for the National Patient Safety Goals.