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Quality Report Card

Quality Measurement and Reporting
  • Service, Satisfaction, Results
  • Delivering on the Promise

Here at Mercy Medical Center our chief concern is providing the highest quality care to our patients. We are pleased to be able to provide you with easy to access information about our quality of care through these online resources. By looking at our performance in a number of areas including surgery, heart failure, and pneumonia, you can see that Mercy has some of the highest quality care in not only our region, but in the nation.

If you have questions regarding the Quality Report Card page, please feel free to send an e-mail to

Scott A. Wolf, DO, MPH,
Senior Vice President of Medical Affairs, Chief Medical Officer and Chief Operating Officer, Mercy Medical Center and SPHS
Acute Care - Mercy Medical Center
  • Medical and Surgical Care Quality Profiles

Hospital Compare -

A website tool developed to publicly report credible and user-friendly information about the quality of care delivered in the nation's hospitals, debuted on April 1, 2005 at This website was created through the efforts of the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services (DHHS) along with the Hospital Quality Alliance (HQA). The HQA is a public-private collaboration established to promote reporting on hospital quality of care. The HQA consists of organizations that represent consumers, hospitals, doctors, employers, accrediting organizations, and Federal agencies. The information on this website can be used by anyone needing hospital care.

Mercy Medical Center's scores:

Surgical Care Improvement/Surgical Infections Prevention Process of Care Measures
Hospitals can reduce the risk of wound infection after surgery by making sure patients get the right medicines at the right time on the day of their surgery. These measures show some of the standards of care.

Heart Attack Process of Care Measures
A heart attack (also called AMI or acute myocardial infarction) happens when the arteries leading to the heart become blocked and the blood supply is slowed or stopped. These measures show some of the standards of care provided, if appropriate for most adults who have had a heart attack.

Pneumonia Process of Care Measures
Pneumonia is a serious lung infection that causes difficulty breathing, fever, cough and fatigue. These measures show some of the recommended treatments for pneumonia.

Heart Failure Process of Care Measures
Heart Failure is a weakening of the heart's pumping power. With heart failure, your body doesn't get enough oxygen and nutrients to meet its needs. These measures show some of the standards of care provided for most adults with heart failure.

Hospital Outcome of Care Measures
Measures designed to reflect the results of care, rather than how frequently a specific treatment or intervention was performed.

Hospital Readmission Rates Outcome of Care Measures
"30-Day Readmission" is when patients who have had a recent hospital stay need to go back into a hospital again within 30 days of their discharge. Below, the rates of readmission for each hospital are compared to the U.S. National Rate. The rates take into account how sick patients were before they were admitted to the hospital.

Survey of Patients’ Hospital Experiences
A national, standardized survey of hospital patients about their experiences during a recent inpatient hospital stay. This is also referred to as HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems).

Patients First: Continuing the Commitment to Safe Care -

The Patients First website ensures that you will have access to information needed to make the best health care choices for you and your family.

By using the Patients First website, patients can see how each hospital in Massachusetts meets agreed-upon national guidelines for 26 different measures relating to:

  • pressure ulcer prevalence
  • falls
  • falls with injury
  • heart attack
  • heart failure
  • pneumonia
  • surgical infection

Patient safety and providing high quality care are among the highest priorities for Mercy Medical Center. This commitment to excellence is reflected in the Patients First and other publicly reported safety and quality indicators which demonstrate that Mercy exceeds the performance of both peer group and U.S hospital averages in all reporting categories and in almost every individual data point. Mercy remains vigilant in maintaining outstanding patient safety and quality of care.

In 2009 Mercy launched the Achieving Clinical Transformation Initiative (ACT), a person-centered care initiative designed to further reduce and essentially eliminate several hospital-acquired conditions. The ACT initiative sets the Mercy safety and quality goals at levels that are among the most stringent and demanding in the country. ACT benchmarks will serve as Mercy’s guidepost in assuring continued top performance and the best patient care possible.

To access Mercy Medical Center's scores on-line click here.

For more information please feel free to contact us.

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