The PHCQA Performance & Progress Report on hosptial quality
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Mercy Fitzgerald Hospital

1500 Lansdowne Avenue

Darby, PA 19023-1291

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Performance for this hospital includes performance data from the following affiliated hospital campuses:

Mercy Hospital Of Philadelphia

501 South 54th Street

Philadelphia, PA 19143-1996


Key

Green indicates that the hospital's result was better than or equal to the selected benchmark.

Black indicates that the hospital's result was below the selected benchmark.

Rollover the Questionmark for more information on the measure.

Rollover the Calendar to see the corresponding measurement period and number of patients included in the results.

Appropriate Care

Appropriate Care Measures Indicates how often patients received all recommended treatments for their clinical condition. Goal is 100%.
The column highlighted in yellow is the benchmark to which the hospital is compared. Click other column headers to change the comparison.

  Mercy Fitzgerald Hospital PA Rate * US Rate *+ Top 10% Nationally +
Overall Appropriate Care    91% 88% 86% 97%
   Heart Attack Care    92% 94% 93% 100%
   Heart Failure Care    97% 87% 85% 99%
   Pneumonia Care    88% 84% 84% 97%
   Surgical Care    84% 89% 86% 97%

Heart Attack

Process Measures Measures how often hospitals are performing recommended tasks. Goal is 100%.
The column highlighted in yellow is the benchmark to which the hospital is compared. Click other column headers to change the comparison.

  Mercy Fitzgerald Hospital PA Rate * US Rate * Top 10% Nationally
Aspirin on Arrival    100% 98% 98% 100%
Aspirin Prescribed at Discharge    97% 99% 98% 100%
ACEI or ARB for LVSD    95% 95% 95% 100%
Beta Blocker Prescribed at Discharge    98% 99% 98% 100%
PCI within 90 Minutes    84% 85% 86% 100%

Outcome Measures Measures hospital results in specific areas. Goal is 0%.

  Mercy Fitzgerald Hospital PA Average    
Heart Attack Mortality   No different than U.S. National Rate
CABG Mortality    3.3 % 1.7 % Not significantly different than the expected rate

Heart Failure

Process Measures Measures how often hospitals are performing recommended tasks. Goal is 100%.
The column highlighted in yellow is the benchmark to which the hospital is compared. Click other column headers to change the comparison.

  Mercy Fitzgerald Hospital PA Rate * US Rate * Top 10% Nationally
Discharge Instructions    99% 87% 86% 100%
ACEI or ARB for LVSD    98% 94% 93% 100%

Outcome Measures Measures hospital results in specific areas. Goal is 0%.

  Mercy Fitzgerald Hospital PA Average    
Heart Failure Mortality   No different than U.S. National Rate
Readmission Rate for Heart Failure (Complication / Infection)    6.6 % 7.3 % Not significantly different than the expected rate
Mercy Hospital Of Philadelphia   5.7 % 7.3 % Not significantly different than the expected rate

Pneumonia

Process Measures Measures how often hospitals are performing recommended tasks. Goal is 100%.
The column highlighted in yellow is the benchmark to which the hospital is compared. Click other column headers to change the comparison.

  Mercy Fitzgerald Hospital PA Rate * US Rate * Top 10% Nationally
Pneumococcal Screen/Vaccination    94% 93% 91% 100%
Blood Culture within First 24 hours (ICU)    96% 96% 95% 100%
Blood Culture prior to First Antibiotic    95% 95% 94% 100%
Initial Antibiotic within 6 Hours    97% 95% 94% 100%
Initial Antibiotic Selection    94% 92% 91% 99%
Initial Antibiotic Selection for ICU Patients    78% 67% 66% 100%
Initial Antibiotic Selection for Non-ICU Patients    98% 95% 94% 100%
Influenza Screen/Vaccination    94% 89% 88% 100%

Surgical Care and Infection Prevention

Process Measures Measures how often hospitals are performing recommended tasks. Goal is 100%.
The column highlighted in yellow is the benchmark to which the hospital is compared. Click other column headers to change the comparison.

  Mercy Fitzgerald Hospital PA Rate * US Rate * Top 10% Nationally
Beta Blocker during the Perioperative Period    92% 92% 91% 100%
Prophylactic Antibiotic within 1 hour of incision    [ + ] 96% 96% 95% 100%
Appropriate Antibiotic    [ + ] 98% 98% 98% 100%
Prophylactic Antibiotic Discontinued within 24 hours    [ + ] 86% 94% 92% 99%
Cardiac Surgery Patients with Controlled 6 A.M. Postoperative Blood Glucose    95% 96% 92% 99%
VTE Ordered prior to Surgery    98% 96% 93% 100%
VTE Received within 24 Hours of Surgery    97% 94% 91% 100%

Outcome Measures Measures hospital results in specific areas. Goal is 0%.

  Mercy Fitzgerald Hospital PA Average    
Bloodstream Infections    4.4 1.6    
Mercy Hospital Of Philadelphia   3.1 1.6    

Consumer Assessment

Patient Experience Measures Measures various aspects of patients’ experiences during their hospital stay. Goal is 100%.
The column highlighted in yellow is the benchmark to which the hospital is compared. Click other column headers to change the comparison.

  Mercy Fitzgerald Hospital PA Avg US Avg Top 10% Nationally
Doctor Communication    74% 78% 80% 87%
Nurse Communication    69% 75% 75% 83%
Responsiveness of Hospital Staff    50% 62% 63% 75%
Pain Well Controlled    60% 68% 69% 75%
Medicine Explained by Staff    54% 58% 59% 67%
Room and Bathroom Kept Clean    60% 69% 70% 81%
Room Quiet at Night    52% 50% 57% 70%
Provided Discharge Information    81% 81% 81% 87%
Hospital Rating    56% 63% 66% 77%
Hospital Recommendation    53% 65% 68% 81%

*The PA and US rates are case-weighted averages. The rates are calculated by dividing the total number of patients who had the recommended care by the total number of patients who met the criteria for that measure across all hospitals.

**The hospital quality measures reported on this website come from a variety of sources using several data collection processes and update schedules. While the PHCQA website contains the most recent publicly available information, the time periods represented by these data range from 6 to 24 months old. Caution should be used when drawing conclusions from these data as a hospital's performance may have changed significantly since the data was collected and reported. The PHCQA recommends you contact the hospital directly to obtain the most recent performance data.

+US rates and Top 10% Benchmarks for Overall and Pneumonia Care are calculated using PN-5c in place of PN-5b for all data from April 2007 forward. National benchmark data provided by the Oklahoma Foundation for Medical Quality.

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