Quality Performance

Preventive Care

Hospitals and healthcare providers play a crucial role in promoting, providing and educating patients about preventive services and screenings and maintaining the health of their communities. Many diseases are preventable through immunizations, screenings, treatment, and lifestyle changes. The information below shows how well the CHI Mercy Health – Mercy Medical Center are providing preventive services.  This information is for data gathered from 10/01/2014-03/31/2015.

 

Patients Assessed and Given Influenza Vaccination

Influenza, or the "flu," is a respiratory illness that is caused by flu viruses and easily spread from person to person.

• There are over 200,000 hospitalizations from the flu on average every year. An average of 36,000 Americans die annually due to the flu and its complications.

• The best way to prevent the flu is to get a flu shot each year during the fall season. Because flu viruses change from year to year, it is important to get a flu shot each year.

Pregnancy & Delivery Care

By providing care to pregnant women that follows best practices, hospitals and doctors can improve chances for a safe delivery and a healthy baby.

Percent of Mothers whose deliveries were scheduled too early (1-2 weeks early), when a scheduled delivery was not medically necessary

The information below shows the percentage of pregnant women at CHI Mercy Health – Mercy Medical Center who had elective deliveries 1-3 weeks early (either vaginally or by C-section) whose early deliveries weren't medically necessary. Higher numbers may indicate that hospitals aren’t doing enough to discourage this unsafe practice.  This information is for data gathered from 04/01/2014-03/31/2015.

Emergency Department Care

Timely and effective care in hospital emergency departments is essential for good patient outcomes.  Delays before getting care in the Emergency Department can reduce the quality of care and increase risks and discomfort for patients with serious illnesses or injuries.

Average Time Patients Spent in the Emergence Department Before They Were Seen by a Healthcare Professional

The information below shows how quickly CHI Mercy Health – Mercy Medical Center treats patients who come here as compared to the average for the State of Oregon and the rest of the U.S.  This information is for data gathered from 04/01/2014-03/31/2015.

Stroke Care

People who suffer from strokes need to get treatment immediately to lessen the amount of brain damage that occurs with any stroke. A scan of the brain must be taken to determine the type and severity of the stroke before treatment can be provided.

Long waits may be a sign that the emergency department is understaffed or overcrowded. Delaying the diagnosis and treatment of strokes may lead to further brain damage.

 

Percentage of Patients Who Came to the ED with Stroke Symptoms Who Received Brain Scan Results within 45 minutes

Standards of care say that patients with stroke symptoms should get brain scan results (to diagnose whether and how severely a stroke occurred) within 45 minutes of arriving at the emergency department. This measure shows the percentage of emergency department patients with stroke symptoms who got brain scan results within that time period.

This information is for data gathered from 04/01/2014-03/31/2015.

Surgical Site Infections (SSI) From Knee Prosthesis Procedure

A surgical site infection is an infection that occurs after surgery in the area where the surgery occurred.

Patients who are admitted to the hospital for treatment of medical problems sometimes get other serious injuries, complications, or conditions, and may even die. Some patients may experience problems soon after they are discharged and need to be admitted to the hospital again. These events can often be prevented if hospitals follow best practices for treating patients.

The hip/knee complication rate is an estimate of complications within an applicable time period, for patients electively admitted for primary total hip and/or knee replacement. CMS chose to measure these complications within the specified times because complications over a longer period may be impacted by factors outside the hospitals’ control like other complicating illnesses, patients’ own behavior, or care provided to patients after discharge.

 

The Centers for Disease Control and Prevention (CDC) mandates that hospitals monitor patients who have certain types of surgeries for infection.  For some surgeries, like patients who have had knee replacement surgery, they are monitored for one year.  This information is for data gathered from 04/01/2011-03/31/2014.

Medicare Spending Per Beneficiary

The Medicare Spending Per Beneficiary (MSPB or “Medicare hospital spending per patient”) measure shows whether Medicare spends more, less, or about the same on an episode of care for a Medicare patient treated in a specific inpatient hospital compared to how much Medicare spends on an episode of care across all inpatient hospitals nationally.

This result is a ratio calculated by dividing the amount Medicare spent per patient for an episode of care initiated at this hospital by the median (or middle) amount Medicare spent per episode of care nationally. A lower ratio means that Medicare spent less per patient.  This information is for data gathered from 01/01/2014-12/31/2014.

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A ratio equal to the national average means that Medicare spends ABOUT THE SAME per patient for an episode of care initiated at this hospital as it does per episode of care across all inpatient hospitals nationally.

A ratio that is more than the national average means that Medicare spends MORE per patient for an episode of care initiated at this hospital than it does per episode of care across all inpatient hospitals nationally.

A ratio that is less than the national average means that Medicare spends LESS per patient for an episode of care initiated at this hospital than it does per episode of care across all inpatient hospitals nationally.

For more information about these measures and others like them please visit

https://www.medicare.gov/hospitalcompare/search.html

 

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