PERFORMANCE AT MERCY TIFFIN HOSPITAL

Acute Care Hospital in Tiffin, OH 44883

Performance: Timely and Effective Care - Process of Care Measures

MERCY TIFFIN HOSPITAL
45 St Lawrence Drive Tiffin, OH 44883
Phone: (419) 455-7000

The measures of timely and effective care at Mercy Tiffin Hospital show how rapidly patients received recommended treatments known to get the best results for certain medical conditions. The timely and effective care measures (also known as “process of care” measures) indicate the percentage of patients who received timely treatments for common conditions, serious medical conditions or surgical procedures. These quality measures only apply to patients for whom the recommended treatment would be appropriate.

The data and graphs below compare applicable quality measures with state and national averages. Notice that small differences between different hospitals wont necessary indicate a material difference in the real world.

Emergency Department Care

The emergency department quality measures comprise sample data of all hospitalized inpatients, regardless of diagnosis or clinical condition. The waiting times at different hospitals varies depending on the number of factors including: number of patients seen, staffing levels, hospital efficiency, admitting procedures and the availability of beds for admitted patients.

MeasureHospital AverageHow this Hospital Compares
ER Waiting Time21 minutes Measure: ER Waiting Time
This emergency department measure is based on a sample size of 407. Sample data was collected between 04/01/2014 and 03/31/2015

Average wait time patients spent in the emergency room before being seen by a doctor.

A lower waiting time is better.

Discharge Time2 hours 18 minutes Measure: Discharge Time
This emergency department measure is based on a sample size of 368. Sample data was collected between 04/01/2014 and 03/31/2015

Average time discharged patients spent in the emergency room before being sent home.

A lower discharge time is better.

Time Before Admission3 hours 49 minutes Measure: Time Before Admission
This emergency department measure is based on a sample size of 299. Sample data was collected between 04/01/2014 and 03/31/2015

Average time spent in the emergency room before patients were admitted to the hospital. [2]

A lower time before admission is better.

Transfer Time41 minutes Measure: Transfer Time
This emergency department measure is based on a sample size of 298. Sample data was collected between 04/01/2014 and 03/31/2015

Average time patients spent in the emergency room, after the doctor admitted them as an inpatient before being taken to their room. [2]

A lower transfer time is better.

Broken Bones52 minutes Measure: Broken Bones
This emergency department measure is based on a sample size of 101. Sample data was collected between 04/01/2014 and 03/31/2015

Average time patients spent in the emergency room with broken bones before they received pain medication.

CT Scan29% Measure: CT Scan
This emergency department measure is based on a sample size of 14. Sample data was collected between 04/01/2014 and 03/31/2015

Percentage of patients who arrived to the emergency room with stroke symptoms and received brain scan results within 45 minutes of arrival.

A higher percentage of timely delivered scan results is better.

Heart Attack Care

The heart attack quality measures show how often or how quickly hospitals follow the best practices for the treatment of heart attacks which scientific evidence suggests might get the best results for people with certain common heart conditions.

MeasureHospital AverageHow this Hospital Compares
Time to ECG7 minutes Measure: Time to ECG
This heart attack or chest pain measure is based on a sample size of 51. Sample data was collected between 04/01/2014 and 03/31/2015

Average time from ER arrival to ECG for patients with chest pain or possible heart attack.

A lower time to ECG is better.

Transfer Time for Acute Coronary Intervention 1 hour 21 minutes Measure: Transfer Time for Acute Coronary Intervention
This heart attack or chest pain measure is based on a sample size of 13. Sample data was collected between 04/01/2014 and 03/31/2015

Average time before patients with chest pain or possible heart attack who needed specialized care were transferred to another hospital.

A lower transfer time is better.

Aspirin at Arrival74% Measure: Aspirin at Arrival
This heart attack or chest pain measure is based on a sample size of 47. Sample data was collected between 04/01/2014 and 03/31/2015

Percentage of patients with chest pain or possible heart attack who received aspirin within 24 hours of arrival or before being transferred out of the emergency department.

A higher percentage is better.

Heart Failure Care

The adequate treatment for heart failure patients depends on the area of heart affected. The "evaluation of the left ventricular systolic function" is a test that helps health providers determine whether the left side of the heart is pumping properly.

MeasureHospital AverageHow this Hospital Compares
Evaluation of Left Ventricular Function100% Measure: Evaluation of Left Ventricular Function
This heart failure measure is based on a sample size of 39. Sample data was collected between 04/01/2014 and 03/31/2015

Heart failure patients given an evaluation of Left Ventricular Systolic (LVS) function. This evaluation can tell your doctor whether the left side of your heart is pumping properly. [3]

A higher percentage of LVS evaluation is better.

Pneumonia Care

Pneumonia is a lung infection that might be by caused by a bacteria or a virus. If the cause of pneumonia is bacterial, hospitals will treat the infection with the appropriate antibiotics.

MeasureHospital AverageHow this Hospital Compares
Pneumonia Patients given Antibiotic(s)95% Measure: Pneumonia Patients given Antibiotic(s)
This pneumonia measure is based on a sample size of 40. Sample data was collected between 04/01/2014 and 03/31/2015

Percentage of patients with pneumonia who received an initial antibiotic regimen during the first 24 hours consistent with current guidelines. [3]

A higher percentage is better.

Preventive Care

Hospitals play a key role in promoting and educating patients about preventive services like immunizations, screenings, treatment, and lifestyle changes the preventive care measures shows how well hospitals are providing preventive services in their communities.

MeasureHospital AverageHow this Hospital Compares
Patients Flu Immunization91% Measure: Patients Flu Immunization
This preventive care measure is based on a sample size of 269. Sample data was collected between 10/01/2014 and 03/31/2015

Percentage of patients assessed and given influenza vaccination. [2]

A higher percentage of vaccinated patients is better.

Healthcare Workers Flu Immunization86% Measure: Healthcare Workers Flu Immunization
This preventive care measure is based on a sample size of 748. Sample data was collected between 10/01/2014 and 03/31/2015

Healthcare workers given influenza vaccination.

A higher percentage of vaccinated workers is better.

Stroke Care

The stroke care quality measures show well hospitals follow the standards of stroke care for adults who have had a stroke.

MeasureHospital AverageHow this Hospital Compares
Venous Thromboembolism (VTE) Prophylaxis100% Measure: Venous Thromboembolism (VTE) Prophylaxis
This stroke care measure is based on a sample size of 12. Sample data was collected between 04/01/2014 and 03/31/2015

Percentage of ischemic or hemorrhagic stroke patients who received treatment to keep blood clots from forming anywhere in the body within 2 days of hospital admission.

A higher percentage is better.

Discharged on Antithrombotic Therapy100% Measure: Discharged on Antithrombotic Therapy
This stroke care measure is based on a sample size of 11. Sample data was collected between 04/01/2014 and 03/31/2015

Percentage of ischemic stroke patients who received a prescription for medicine known to prevent complications caused by blood clots at discharge. [3]

A higher percentage is better.

Assessed for Rehabilitation100% Measure: Assessed for Rehabilitation
This stroke care measure is based on a sample size of 11. Sample data was collected between 04/01/2014 and 03/31/2015

Percentage of ischemic or hemorrhagic stroke patients who were evaluated for rehabilitation services. [3]

A higher percentage is better.

Surgical Care

The surgical care measures show how well hospitals follow the best practices of surgical care that help prevent complications after certain surgeries like colon surgery, hip replacement, knee replacement, hysterectomy, cardiac surgery and vascular surgery.

MeasureHospital AverageHow this Hospital Compares
Antibiotic within 1 Hour98% Measure: Antibiotic within 1 Hour
This surgical care improvement project measure is based on a sample size of 106. Sample data was collected between 04/01/2014 and 03/31/2015

Percentage of surgery patients who were given an antibiotic within one hour before surgery to help prevent infection. [3]

A higher percentage is better.

Antibiotic Discontinued After 24 Hours97% Measure: Antibiotic Discontinued After 24 Hours
This surgical care improvement project measure is based on a sample size of 106. Sample data was collected between 04/01/2014 and 03/31/2015

Percentage of surgery patients whose preventive antibiotics were stopped within 24 hours after surgery. [3]

A higher percentage is better.

VTE Prophylaxis99% Measure: VTE Prophylaxis
This surgical care improvement project measure is based on a sample size of 110. Sample data was collected between 04/01/2014 and 03/31/2015

Percentage of patients who got treatment within 24 hours before or after their surgery to help prevent blood clots after certain types of surgery. [3]

A higher percentage is better.

Beta-Blocker Prior to Admission100% Measure: Beta-Blocker Prior to Admission
This surgical care improvement project measure is based on a sample size of 39. Sample data was collected between 04/01/2014 and 03/31/2015

Percentage of surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery. [3]

A higher percentage is better.

Antibiotic Selection99% Measure: Antibiotic Selection
This surgical care improvement project measure is based on a sample size of 106. Sample data was collected between 04/01/2014 and 03/31/2015

Percentage of surgery patients who were given the right kind of antibiotic to help prevent infection. [3]

A higher percentage is better.

Catheter Removal88% Measure: Catheter Removal
This surgical care improvement project measure is based on a sample size of 26. Sample data was collected between 04/01/2014 and 03/31/2015

Percentage of surgery patients whose urinary catheters were removed on the first or second day after surgery. [3]

A higher percentage is better.

Blood Clot Care

The blood clot care quality measures show how well hospitals provide the recommended treatments that might prevent or treat blood clots.

MeasureHospital AverageHow this Hospital Compares
Treatment to Prevent Blood Clots98% Measure: Treatment to Prevent Blood Clots
This blood clot prevention and treatment measure is based on a sample size of 160. Sample data was collected between 04/01/2014 and 03/31/2015

Percentage of patients who got treatment to prevent blood clots on the day of or day after hospital admission or surgery. [2]

A higher percentage is better.

ICU Treatment to Prevent Blood Clots94% Measure: ICU Treatment to Prevent Blood Clots
This blood clot prevention and treatment measure is based on a sample size of 33. Sample data was collected between 04/01/2014 and 03/31/2015

Percentage of patients who got treatment to prevent blood clots on the day of or day after being admitted to the intensive care unit (ICU). [2]

A higher percentage is better.

Pregnancy and Delivery Care

The pregnancy guidelines indicate it is best to wait until the 39th completed week of pregnancy before delivering a baby. Researchers suggest that important fetal development takes place in the brain and lungs during the last weeks of pregnancy.

MeasureHospital AverageHow this Hospital Compares
Delivery Scheduled Too Early 0% Measure: Delivery Scheduled Too Early
This pregnancy and delivery care measure is based on a sample size of 50. Sample data was collected between 04/01/2014 and 03/31/2015

Percentage of mothers whose deliveries were scheduled too early (1-2 weeks early), when a scheduled delivery was not medically necessary. [2]

A lower percentage of early deliveries is better.

Footnotes:
  • [2] Data submitted were based on a sample of cases/patients.
  • [3] Results are based on a shorter time period than required.