MERCY MEMORIAL HOSPITAL SYSTEM - MONROE, MI

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MERCY MEMORIAL HOSPITAL SYSTEM
718 N MACOMB ST
MONROE, MI, 48162

Phone (make sure to verify first before calling): (734) 240-8400

Hospital Type: Acute Care Hospitals
Hospital Owner: Voluntary non-profit - Other
Emergency Services: Yes
Type: Psychiatric Units

Provided Services

Nuclear Medicine Services
Anatomical Laboratory Services
Anesthesia Services
Blood Bank Services
Clinical Laboratory Services
Dental Services
Diagnostic Radiology Services
Dietary Services
Emergency Services
Home Health Services
ICU - Cardiac (Non-Surgical)Services
ICU - Medical/Surgical Services
Inpatient Surgical Services
Neonatal Nursery Services
Obstetric Services
Occupational Therapy Services
Operating Room Services
Outpatient Services
Outpatient Surgery Unit Services
Pediatric Services
Pharmacy Services
Physical Therapy Services
Postoperative Recovery Room Services
Psychiatric Services
Respiratory Care Services
Social Services
Speech Pathology Services

Employment Full-Time Equivalent

Licensed Practical Or Vocational Nurses : 57.50
Registered Professional Nurses : 136.75
Other Salaried Personnel : 451.75
Dieticians : 1.75
Occupational Therapists : 5.00
Physical Therapists : 8.00
Registered Pharmacists : 5.75
Respiratory Therapists : 5.00
Speech Pathologists Or Audiologists : 1.00
Physicians : 0.75
Medical Social Workers : 2.00

Number Of Beds

Total: 217
Total Certified: 217
Psychiatric Unit Beds: 22

Hospital Acquired Conditions

Pressure Ulcer Stages III And IV

This Hospital:	0.140%
Michigan:	0.096%

Falls And Trauma

This Hospital:	0.280%
Michigan:	0.519%

Catheter-Associated UTI

This Hospital:	0.559%
State:	0.250%

Average Medicare Payment

Acute myocardial infarction, discharged alive w/o CC/MCC: $5,144

Acute myocardial infarction, discharged alive w MCC: $11,477

Acute myocardial infarction, discharged alive w CC: $7,224

Heart failure and shock w/o CC/MCC: $4,291

Heart failure and shock w MCC: $8,678

Heart failure and shock w CC: $5,985

Chronic obstructive pulmonary disease w/o CC/MCC: $4,312

Chronic obstructive pulmonary disease w MCC: $7,745

Chronic obstructive pulmonary disease w CC: $5,799

Simple pneumonia and pleurisy w MCC: $8,474

Diabetes w MCC: $8,081

Chest Pain: $3,159

Major cardiovasc procedures w MCC or thoracic aortic aneurysm repair: $36,180

Extracranial procedures w/o CC/MCC: $5,947

Extracranial procedures w CC: $9,228

Permanent cardiac pacemaker implant w/o CC/MCC: $11,923

Permanent cardiac pacemaker implant w CC: $15,350

Laparoscopic cholecystectomy w/o c.d.e. w/o CC/MCC: $6,695

Laparoscopic cholecystectomy w/o c.d.e. w MCC: $14,720

Laparoscopic cholecystectomy w/o c.d.e. w CC: $9,811

Cholecystectomy except by laparoscope w/o c.d.e. w MCC: $29,592

Hernia procedures except inguinal and femoral w/o CC/MCC: $5,707

Hernia procedures except inguinal and femoral w MCC: $14,776

Hernia procedures except inguinal and femoral w CC: $8,350

Major small and large bowel procedures w/o CC/MCC: $9,643

Major small and large bowel procedures w CC: $15,136

Major small and large bowel procedures w MCC: $30,709

Cervical spinal fusion w/o CC/MCC: $11,376

Spinal fusion except cervical w/o MCC: $21,247

Back and neck proc exc spinal fusion w/o CC/MCC: $5,564

Back and neck proc exc spinal fusion w CC/MCC or disc device/neurostim: $10,224

Bilateral or multiple major joint procs of lower extremity w/o MCC: $42,044

Major joint replacement or reattachment of lower extremity w/o MCC: $11,933

Major joint replacement or reattachment of lower extremity w MCC: $19,461

Revision of hip or knee replacement w/o CC/MCC: $14,492

Biopsies of musculoskeletal system and connective tissue w MCC: $17,320

Biopsies of musculoskeletal system and connective tissue w CC: $12,616

Transurethral procedures w MCC: $13,360

Other kidney and urinary tract procedures w MCC: $16,427

Other kidney and urinary tract procedures w CC: $12,831

Transurethral prostatectomy w/o CC/MCC: $3,759

Transurethral prostatectomy w CC/MCC: $6,631

Female reproductive system reconstructive procedures: $4,851

Uterine and adnexa proc for non-malignancy w/o CC/MCC: $4,990

Use of Medical Imaging

Outpatients with low back pain who had an MRI without trying recommended treatments first, such as physical therapy.

This Hospital:	25.600%
Michigan:	31.839%

Outpatients who had a follow-up mammogram or ultrasound within 45 days after a screening mammogram.

This Hospital:	6.900%
Michigan:	7.306%

Outpatient CT scans of the abdomen that were combination (double) scans.

This Hospital:	0.057%
State:	0.133%

Outpatient CT scans of the chest that were combination (double) scans.

Here:	0.006%
Michigan:	0.070%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys: 300 or more
Survey Response Rate: 29%

How often did nurses communicate well with patients?

Sometimes or never

Here:	6%
Michigan:	4%

Usually

This Hospital:	21%
Michigan:	19%

Always

This Hospital:	73%
Michigan:	77%

How often did doctors communicate well with patients?

Sometimes or never

Here:	5%
Michigan:	4%

Usually

This Hospital:	19%
Michigan:	17%

Always

This Hospital:	76%
Michigan:	79%

How often did patients receive help quickly from hospital staff?

Sometimes or never

Here:	11%
Michigan:	8%

Usually

Here:	29%
Michigan:	26%

Always

This Hospital:	60%
Michigan:	66%

How often was patients' pain well controlled?

Sometimes or never

Here:	9%
State:	6%

Usually

This Hospital:	26%
State:	24%

Always

Here:	65%
State:	70%

How often did staff explain about medicines before giving them to patients?

Sometimes or never

This Hospital:	25%
State:	21%

Usually

This Hospital:	19%
State:	19%

Always

This Hospital:	56%
Michigan:	60%

How often were the patients' rooms and bathrooms kept clean?

Sometimes or never

Here:	13%
Michigan:	9%

Usually

Here:	24%
Michigan:	20%

Always

This Hospital:	63%
Michigan:	71%

How often was the area around patients' rooms kept quiet at night?

Sometimes or never

Here:	17%
Michigan:	12%

Usually

This Hospital:	36%
Michigan:	33%

Always

Here:	47%
Michigan:	55%

Were patients given information about what to do during their recovery at home?

Yes

This Hospital:	75%
Michigan:	84%

This Hospital:	25%
State:	16%

How do patients rate the hospital overall on a scale from 0 (lowest) to 10 (highest)?

6 or lower

This Hospital:	16%
State:	8%

7 or 8

This Hospital:	30%
State:	23%

9 or 10

This Hospital:	54%
State:	69%

Would patients recommend the hospital to friends and family?

This Hospital:	11%
State:	5%

Yes, probably

This Hospital:	43%
State:	25%

Yes, definitely

Here:	46%
State:	70%

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival

Here:	98.0%
Michigan:	99.1%

Percent of Patients Given Aspirin at Discharge

Here:	98.0%
State:	98.7%

Percent of Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

This Hospital:	100.0%
Michigan:	96.1%

Percent of Patients Given Beta Blocker at Discharge

This Hospital:	100.0%
State:	98.7%

Percent of Patients Given Smoking Cessation Advice/Counseling

Here:	100.0%
State:	99.6%

Percent of Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival

Here:	67.0%
Michigan:	59.2%

Average number of minutes before outpatients with chest pain or possible heart attack got an ECG

Here:	6
State:	10

Average number of minutes before outpatients with chest pain or possible heart attack were transferred to another hospital

This Hospital:	68
State:	61

Median Time to Fibrinolysis

This Hospital:	26
Michigan:	28

Outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival

Here:	97.0%
Michigan:	93.8%

Outpatients with chest pain or possible heart attack who got drugs to break up blood clots within 30 minutes of arrival

Here:	62
State:	61

Heart Failure

Percent of patients who were given an evaluation of Left Ventricular Systolic Dysfunction (LVSD)

This Hospital:	100.0%
State:	98.7%

Percent of Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

This Hospital:	100.0%
Michigan:	94.7%

Percent of Patients Given Discharge Instructions

Here:	94.0%
Michigan:	89.2%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
Michigan:	98.6%

Pneumonia

Percent of Patients Given Initial Antibiotic(s) within 6 Hours After Arrival

This Hospital:	98.0%
Michigan:	95.6%

Percent of Patients Whose Initial ER Blood Culture Was Performed Prior To Administration Of First Dose Of Antibiotics

This Hospital:	99.0%
Michigan:	95.6%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Hospital:	100.0%
State:	97.9%

Percent of Patients Given the Most Appropriate Initial Antibiotic(s)

This Hospital:	95.0%
State:	93.7%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:	98.0%
State:	91.2%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	99.0%
State:	93.0%

Surgery

Percent of Surgery Patients given an antibiotic at the right time (within one hour before surgery) to help prevent infection

This Hospital:	98.0%
Michigan:	96.9%

Percent of Surgery Patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)

Here:	96.0%
Michigan:	95.2%

Percent of Surgery Patients who were given the right kind of antibiotic to help prevent infection

Here:	99.0%
Michigan:	97.6%

Percent of Surgery Patients who got treatment at right time (within 24 hours before or after surgery) to help prevent blood clot

This Hospital:	94.0%
Michigan:	93.9%

Percent of Surgery Patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries

This Hospital:	95.0%
Michigan:	95.4%

Percent of Surgery Patients needing hair removed from the surgical area before surgery who had hair removed using a safer method

This Hospital:	100.0%
Michigan:	99.4%

Percent of Surgery Patients whose urinary catheters were removed on the first or second day after surgery

This Hospital:	100.0%
State:	90.4%

Surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on them

Here:	99.0%
State:	92.1%

Outpatients having surgery who got an antibiotic at the right time - within one hour before surgery (higher numbers are better)

This Hospital:	85.0%
Michigan:	87.7%

Outpatients having surgery who got the right kind of antibiotic (higher numbers are better)

This Hospital:	98.0%
Michigan:	92.6%

Outcome of Care

30-Day Mortality Rates from Heart Attack

Here:	16.2%
State:	15.3%

30-Day Mortality Rates from Heart Failure

Here:	12.2%
State:	10.5%

30-Day Mortality Rates from Pneumonia

Here:	11.8%
Michigan:	10.9%

30-Day Readmission Rates from Heart Attack

Here:	19.6%
Michigan:	19.9%

30-Day Readmission Rates from Heart Failure

This Hospital:	25.4%
Michigan:	24.8%

30-Day Readmission Rates from Pneumonia

Here:	17.1%
State:	18.4%

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