Home / Quality Report of ST MARGARET MERCY HEALTHCARE CENTERS at HAMMOND, IN

ST MARGARET MERCY HEALTHCARE CENTERS Quality Report

ST MARGARET MERCY HEALTHCARE CENTERS
5454 HOHMAN AVENUE
HAMMOND, IN 46320

LAKE county
Phone: 219-932-2300
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)

ST MARGARET MERCY HEALTHCARE CENTERS
60%
Average for the State of Indiana
84%
National Average of Hospitals submitting data:
83%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 50 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

2. Heart Attack Patients Given Smoking Cessation Advice/Counseling

ST MARGARET MERCY HEALTHCARE CENTERS
86%
Average for the State of Indiana
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: 80 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

3. Heart Attack Patients Given PCI Within 90 Minutes Of Arrival

ST MARGARET MERCY HEALTHCARE CENTERS
28%
Average for the State of Indiana
57%
National Average of Hospitals submitting data:
55%
Top 10%' of Hospitals submitting data scored equal to or higher than:
88%
Notes:
  1. Sample size: 18 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.

4. Heart Attack Patients Given Beta Blocker at Discharge

ST MARGARET MERCY HEALTHCARE CENTERS
91%
Average for the State of Indiana
93%
National Average of Hospitals submitting data:
90%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 241 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

5. Heart Attack Patients Given Beta Blocker at Arrival

ST MARGARET MERCY HEALTHCARE CENTERS
95%
Average for the State of Indiana
87%
National Average of Hospitals submitting data:
87%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 154 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

6. Heart Attack Patients Given Aspirin at Discharge

ST MARGARET MERCY HEALTHCARE CENTERS
95%
Average for the State of Indiana
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: 215 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

7. Heart Attack Patients Given Aspirin at Arrival

ST MARGARET MERCY HEALTHCARE CENTERS
96%
Average for the State of Indiana
92%
National Average of Hospitals submitting data:
93%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 209 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

Heart Failure

1. Heart Failure Patients Given Smoking Cessation Advice/Counseling

ST MARGARET MERCY HEALTHCARE CENTERS
87%
Average for the State of Indiana
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: 77 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

2. Heart Failure Patients Given Discharge Instructions

ST MARGARET MERCY HEALTHCARE CENTERS
71%
Average for the State of Indiana
72%
National Average of Hospitals submitting data:
63%
Top 10%' of Hospitals submitting data scored equal to or higher than:
94%
Notes:
  1. Sample size: 250 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

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

ST MARGARET MERCY HEALTHCARE CENTERS
76%
Average for the State of Indiana
89%
National Average of Hospitals submitting data:
84%
Top 10%' of Hospitals submitting data scored equal to or higher than:
99%
Notes:
  1. Sample size: 292 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

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

ST MARGARET MERCY HEALTHCARE CENTERS
77%
Average for the State of Indiana
83%
National Average of Hospitals submitting data:
82%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 103 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

Pneumonia

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

ST MARGARET MERCY HEALTHCARE CENTERS
93%
Average for the State of Indiana
90%
National Average of Hospitals submitting data:
90%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 163 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

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

ST MARGARET MERCY HEALTHCARE CENTERS
90%
Average for the State of Indiana
84%
National Average of Hospitals submitting data:
84%
Top 10%' of Hospitals submitting data scored equal to or higher than:
95%
Notes:
  1. Sample size: 121 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

3. Pneumonia Patients Given Smoking Cessation Advice/Counseling

ST MARGARET MERCY HEALTHCARE CENTERS
79%
Average for the State of Indiana
85%
National Average of Hospitals submitting data:
81%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 62 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

4. Pneumonia Patients Given Oxygenation Assessment

ST MARGARET MERCY HEALTHCARE CENTERS
100%
Average for the State of Indiana
99%
National Average of Hospitals submitting data:
99%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 195 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

ST MARGARET MERCY HEALTHCARE CENTERS
71%
Average for the State of Indiana
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: 169 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

ST MARGARET MERCY HEALTHCARE CENTERS
82%
Average for the State of Indiana
79%
National Average of Hospitals submitting data:
71%
Top 10%' of Hospitals submitting data scored equal to or higher than:
94%
Notes:
  1. Sample size: 118 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

7. Pneumonia Patients Assessed and Given Influenza Vaccination

ST MARGARET MERCY HEALTHCARE CENTERS
97%
Average for the State of Indiana
74%
National Average of Hospitals submitting data:
70%
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.

Surgical Infection Prevention

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

ST MARGARET MERCY HEALTHCARE CENTERS
92%
Average for the State of Indiana
79%
National Average of Hospitals submitting data:
78%
Top 10%' of Hospitals submitting data scored equal to or higher than:
95%
Notes:
  1. Sample size: 280 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

2. Surgery Patients who Received the Appropriate Preventative Antibiotic(s) for Their Surgery

ST MARGARET MERCY HEALTHCARE CENTERS
98%
Average for the State of Indiana
93%
National Average of Hospitals submitting data:
90%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 126 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

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

ST MARGARET MERCY HEALTHCARE CENTERS
75%
Average for the State of Indiana
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: 272 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.


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...