Home / Quality Report of MARYMOUNT HOSPITAL at GARFIELD HEIGHTS, OH

MARYMOUNT HOSPITAL Quality Report

MARYMOUNT HOSPITAL
12300 MCCRACKEN ROAD
GARFIELD HEIGHTS, OH 44125

CUYAHOGA county
Phone: 216-581-0500
Acute Care Hospitals
Ownership: Voluntary non-profit - Church
Accreditation: Yes
Emergency Service: Yes

Please use the following conditions to evaluate the quality of this hospital.

Heart Attack

1. Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

MARYMOUNT HOSPITAL
69%
Average for the State of Ohio
86%
National Average of Hospitals submitting data:
83%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 13 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.

2. Heart Attack Patients Given Smoking Cessation Advice/Counseling

MARYMOUNT HOSPITAL
100%
Average for the State of Ohio
91%
National Average of Hospitals submitting data:
89%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 5 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.
  3. Rate reflects fewer than the maximum possible quarters of data for the measure.

3. Heart Attack Patients Given Beta Blocker at Discharge

MARYMOUNT HOSPITAL
86%
Average for the State of Ohio
93%
National Average of Hospitals submitting data:
90%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%

4. Heart Attack Patients Given Beta Blocker at Arrival

MARYMOUNT HOSPITAL
96%
Average for the State of Ohio
90%
National Average of Hospitals submitting data:
87%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%

5. Heart Attack Patients Given Aspirin at Discharge

MARYMOUNT HOSPITAL
82%
Average for the State of Ohio
93%
National Average of Hospitals submitting data:
90%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%

6. Heart Attack Patients Given Aspirin at Arrival

MARYMOUNT HOSPITAL
98%
Average for the State of Ohio
94%
National Average of Hospitals submitting data:
93%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%

Heart Failure

1. Heart Failure Patients Given Smoking Cessation Advice/Counseling

MARYMOUNT HOSPITAL
100%
Average for the State of Ohio
89%
National Average of Hospitals submitting data:
83%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 46 patients
  2. Rate reflects fewer than the maximum possible quarters of data for the measure.

2. Heart Failure Patients Given Discharge Instructions

MARYMOUNT HOSPITAL
76%
Average for the State of Ohio
77%
National Average of Hospitals submitting data:
63%
Top 10%' of Hospitals submitting data scored equal to or higher than:
94%
Notes:
  1. Sample size: 221 patients
  2. Rate reflects fewer than the maximum possible quarters of data for the measure.

3. Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function

MARYMOUNT HOSPITAL
95%
Average for the State of Ohio
91%
National Average of Hospitals submitting data:
84%
Top 10%' of Hospitals submitting data scored equal to or higher than:
99%

4. Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

MARYMOUNT HOSPITAL
84%
Average for the State of Ohio
85%
National Average of Hospitals submitting data:
82%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%

Pneumonia

1. Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics

MARYMOUNT HOSPITAL
84%
Average for the State of Ohio
91%
National Average of Hospitals submitting data:
90%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 73 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.
  3. Rate reflects fewer than the maximum possible quarters of data for the measure.

2. Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)

MARYMOUNT HOSPITAL
93%
Average for the State of Ohio
86%
National Average of Hospitals submitting data:
84%
Top 10%' of Hospitals submitting data scored equal to or higher than:
95%
Notes:
  1. Sample size: 68 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.
  3. Rate reflects fewer than the maximum possible quarters of data for the measure.

3. Pneumonia Patients Given Smoking Cessation Advice/Counseling

MARYMOUNT HOSPITAL
100%
Average for the State of Ohio
89%
National Average of Hospitals submitting data:
81%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 31 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.
  3. Rate reflects fewer than the maximum possible quarters of data for the measure.

4. Pneumonia Patients Given Oxygenation Assessment

MARYMOUNT HOSPITAL
100%
Average for the State of Ohio
100%
National Average of Hospitals submitting data:
99%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 264 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

5. Pneumonia Patients Given Initial Antibiotic(s) within 4 Hours After Arrival

MARYMOUNT HOSPITAL
72%
Average for the State of Ohio
84%
National Average of Hospitals submitting data:
80%
Top 10%' of Hospitals submitting data scored equal to or higher than:
93%
Notes:
  1. Sample size: 201 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

6. Pneumonia Patients Assessed and Given Pneumococcal Vaccination

MARYMOUNT HOSPITAL
68%
Average for the State of Ohio
78%
National Average of Hospitals submitting data:
71%
Top 10%' of Hospitals submitting data scored equal to or higher than:
94%
Notes:
  1. Sample size: 221 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

Surgical Infection Prevention

1. Surgery Patients Who Received Preventative Antibiotic(s) One Hour Before Incision

MARYMOUNT HOSPITAL
86%
Average for the State of Ohio
81%
National Average of Hospitals submitting data:
78%
Top 10%' of Hospitals submitting data scored equal to or higher than:
95%
Notes:
  1. Sample size: 110 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.
  3. Rate reflects fewer than the maximum possible quarters of data for the measure.

2. Surgery Patients Whose Preventative Antibiotic(s) are Stopped Within 24 hours After Surgery

MARYMOUNT HOSPITAL
98%
Average for the State of Ohio
72%
National Average of Hospitals submitting data:
74%
Top 10%' of Hospitals submitting data scored equal to or higher than:
95%
Notes:
  1. Sample size: 107 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.
  3. Rate reflects fewer than the maximum possible quarters of data for the measure.


Note: The data on this site only reflect the aspects of "Heart Attack", "Heart Failure", "Pneumonia", and "Surgical Infection Prevention". These are important indicators of the hospital quality. However, they are not the comprehensive evaluation. learn more...