Quality Report


Quality Report

Catholic Health Initiatives - Iowa, Corp.

DBA: MercyOne Des Moines Medical Center
HCO ID: 8248
1111 6th Avenue
Des Moines, IA, 50314
(515) 247-3121
www.MercyOne.org/desmoines/
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Hospital
Accreditation Decision
Effective Date
4/22/2023
Last Full Survey Date
4/21/2023
Last On-Site Survey Date
7/7/2023

Advanced Certification Programs

View Certification History
Gold Seal
Thrombectomy-Capable Stroke Center
Certification Decision
Effective Date
1/24/2023
Last Full Survey Date
11/16/2022
Last On-Site Survey Date
11/16/2022
Gold Seal
Ventricular Assist Device
Certification Decision
Effective Date
6/3/2023
Last Full Survey Date
6/2/2023
Last On-Site Survey Date
6/2/2023

Sites

Catholic Health Initiatives - Iowa, Corp.
DBA: MercyOne Clive Endoscopy
1601 NW 114th Street Suite #244
Clive, IA, 50325

Available Services

  • Ambulatory Surgery Center (Outpatient )
  • Anesthesia (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • MCL MercyOne Clive Suite 134
  • MercyOne Clive Pharmacy - Suite #234

Catholic Health Initiatives - Iowa, Corp.
DBA: MercyOne West Des Moines Outpatient Cardiac Testing
5880 University Avenue, Suite 211
West Des Moines, IA, 50266

Available Services

  • Outpatient Clinics (Outpatient )

Catholic Health Initiatives - Iowa, Corp.
DBA: MercyOne Clive Imaging
1601 NW 114th Street, Suite 128
Clive, IA, 50325

Available Services

  • Outpatient Clinics (Outpatient )

Catholic Health Initiatives - Iowa, Corp.
DBA: MercyOne Des Moines Radiation Oncology
12495 University Avenue, First Floor; Clive, Iowa 50325
Clive, IA, 50325

Available Services

  • Outpatient Clinics (Outpatient )

Catholic Health Initiatives - Iowa, Corp.
DBA: MercyOne Iowa Heart Center West Des Moines
5880 University Ave, Ste 112
West Des Moines, IA, 50266-8209

Available Services

  • Outpatient Clinics (Outpatient )

Catholic Health Initiatives - Iowa, Corp.
DBA: MercyOne Ankeny Imaging
800 E. First Street Suite 1100
Ankeny, IA, 50021

Available Services

  • Outpatient Clinics (Outpatient )

Catholic Health Initiatives - Iowa, Corp.
DBA: MercyOne Ankeny Outpatient Cardiac Testing
800 East 1st Street - Suite 2600
Ankeny, IA, 50021

Available Services

  • Outpatient Clinics (Outpatient )

Catholic Health Initiatives - Iowa, Corp.
DBA: MercyOne West Des Moines Medical Center
1755 59th Place
West Des Moines, IA, 50266

Available Services

  • Cardiac Catheterization Lab (Surgical Services )
  • Cardiovascular 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 )
  • 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 )
  • Orthopedic Surgery (Surgical Services )
  • Orthopedic/Spine Unit (Inpatient )
  • Plastic Surgery (Surgical Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Sterile Medication Compounding (Inpatient )
  • Surgical ICU (Intensive Care Unit )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Catholic Health Initiatives - Iowa, Corp.
DBA: MercyOne Iowa Heart Center West Des Moines
5880 University Ave, Ste 103
West Des Moines, IA, 50266-8209

Available Services

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

Catholic Health Initiatives - Iowa, Corp.
DBA: MercyOne West Des Moines Bariatric Surgery
5901 Westown Pkwy, Suite 240
West Des Moines, IA, 50266

Available Services

  • Outpatient Clinics (Outpatient )

Catholic Health Initiatives - Iowa, Corp.
DBA: MercyOne Iowa Heart Center West Des Moines
5880 University Ave, Ste 102
West Des Moines, IA, 50266-8209

Available Services

  • Outpatient Clinics (Outpatient )

Catholic Health Initiatives - Iowa, Corp.
DBA: MercyOne Ankeny Ambulatory Surgery
800 E. First Street, Suite 1000
Ankeny, IA, 50021

Available Services

  • Ambulatory Surgery Center (Outpatient )
  • Anesthesia (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • MCL Mercy North PSC Suite 1400
  • MercyOne Ankeny Pharmacy - Suite 1800

Catholic Health Initiatives - Iowa, Corp.
DBA: MercyOne Des Moines Medical Center
1111 6th Avenue
Des Moines, IA, 50314-2611

Available Services

  • 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 )
  • 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 )
  • 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 )
  • 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 )
  • Thoracic Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Thrombectomy-Capable Stroke Center
  • Ventricular Assist Device

Other Clinics/Practices Located at This Site:

  • Center for Pain Management 3rd floor West Building
  • MCL Atrium PSC 411 Laurel, Suite A265
  • MercyOne Des Moines Ambulatory Surgery 411 Laurel St, STE 11
  • MercyOne Des Moines Cardiac & Pulmonary Prevention and Rehab
  • MercyOne Des Moines Diabetes and Endocrinology Care 411 Laur
  • MercyOne Des Moines Health Plaza Imaging 411 Laurel St., STE
  • MercyOne Des Moines Mammography 411 Laurel ST, STE 1265
  • MercyOne Des Moines Neurosurgery, Ste B1
  • MercyOne Des Moines Pulmonary & Infectious Disease Care 411
  • MercyOne Des Moines Radiation Oncology 411 Laurel St, Suite
  • MercyOne Des Moines Ruan Neurology Care, Suite A100
  • MercyOne Des Moines Surgical Group 411 Laurel St Suite 2100
  • MercyOne Infusion Care 1st floor West Building
  • MercyOne Iowa Heart Center Des Moines 411 Laurel St STE 1225
  • MercyOne Iowa Heart Center Des Moines 411 Laurel St STE A250
  • MercyOne Psychiatry Residency Clinic 3rd floor West Building
  • MercyOne Wound Care - West Building (Wound Care - 5th floor;
  • MercyOne- Des Moines Hyperbaric Medicine 1st floor West Building

Catholic Health Initiatives - Iowa, Corp.
DBA: MercyOne Riverside Rehabilitation
501 Southwest Seventh Street, Suite Q
Des Moines, IA, 50309

Available Services

  • Outpatient Clinics (Outpatient )

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

  • 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
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.