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St Mary Mercy Hospital - Profile, Major Services, Health Measures, and Patient Experience

The following tables show the profile, major inpatient hospital services, 30-day mortality measures, and patient hospital experience survey at St Mary Mercy Hospital.

Basic Information

Address: 36475 Five Mile Road, Livonia, MI 48154         Phone: 734-655-4800
Hospital Type: Acute Care Hospitals         Emergency Services: Yes
Hospital Owner: Voluntary non-profit - Church

Major Inpatient Hospital Services

The information in this table reflects inpatient hospital services provided by St Mary Mercy Hospital to Medicare beneficiaries.

Service Name Number of Cases Treated i
Major joint replacement or reattachment of lower extremity without MCC199
Heart failure and shock with MCC184
Chest Pain164
Heart failure and shock with CC149
Simple pneumonia and pleurisy with MCC138
Chronic obstructive pulmonary disease with CC127
Chronic obstructive pulmonary disease with MCC124
Acute myocardial infarction, discharged alive with MCC78
Chronic obstructive pulmonary disease without CC/MCC72
Acute myocardial infarction, discharged alive with CC54
Heart failure and shock without CC/MCC48
Major small and large bowel procedures with MCC43
Major small and large bowel procedures with CC36
Acute myocardial infarction, discharged alive without CC/MCC33
Spinal fusion except cervical without MCC33
Permanent cardiac pacemaker implant with CC24
Diabetes with MCC20
Permanent cardiac pacemaker implant without CC/MCC17
Major joint replacement or reattachment of lower extremity with MCC17
Laparoscopic cholecystectomy without c.d.e. without CC/MCC14
Laparoscopic cholecystectomy without c.d.e. with CC14
Major small and large bowel procedures without CC/MCC12
Laparoscopic cholecystectomy without c.d.e. with MCC11
Hernia procedures except inguinal and femoral without CC/MCC11
Back and neck proc exc spinal fusion without CC/MCC11
Biopsies of musculoskeletal system and connective tissue without CC/MCC11
Biopsies of musculoskeletal system and connective tissue with CC11
Major cardiovasc procedures with MCC or thoracic aortic aneurysm repair<11 (*)
Cardiac defibrillator implant without cardiac cath without MCC<11 (*)
Cardiac defibrillator implant without cardiac cath with MCC<11 (*)
Extracranial procedures without CC/MCC<11 (*)
Extracranial procedures with CC<11 (*)
Perc cardiovasc proc with drug-eluting stent without MCC<11 (*)
Cholecystectomy except by laparoscope without c.d.e. with MCC<11 (*)
Hernia procedures except inguinal and femoral with MCC<11 (*)
Hernia procedures except inguinal and femoral with CC<11 (*)
Stomach, esophageal duodenal proc without CC/MCC<11 (*)
Cervical spinal fusion without CC/MCC<11 (*)
Cervical spinal fusion with CC<11 (*)
Spinal fusion except cervical with MCC<11 (*)
Back and neck proc exc spinal fusion with CC/MCC or disc device/neurostim<11 (*)
Revision of hip or knee replacement without CC/MCC<11 (*)
Revision of hip or knee replacement with MCC<11 (*)
Revision of hip or knee replacement with CC<11 (*)
Biopsies of musculoskeletal system and connective tissue with MCC<11 (*)
Other musculoskelet sys and conn tiss O.R. proc with MCC<11 (*)
Kidney and ureter procedures for neoplasm without CC/MCC<11 (*)
Kidney and ureter procedures for neoplasm with MCC<11 (*)
Kidney and ureter procedures for non-neoplasm with MCC<11 (*)
Transurethral procedures with MCC<11 (*)
Other kidney and urinary tract procedures without CC/MCC<11 (*)
Other kidney and urinary tract procedures with MCC<11 (*)
Other kidney and urinary tract procedures with CC<11 (*)
Transurethral prostatectomy with CC/MCC<11 (*)
Female reproductive system reconstructive procedures<11 (*)
Uterine and adnexa proc for non-malignancy without CC/MCC<11 (*)

Note: (*) indicates data cannot be disclosed to protect personal health information due to the small number of Medicare patients.
CC: Complicating or Comorbid condition; MCC: Major Complicating or Comorbid Condition.

30-Day Mortality Measures

The 30-day mortality rate at St Mary Mercy Hospital was calculated by CMS (Centers for Medicare & Medicaid Services) using Medicare claims and eligibility information as well as VA administrative information.

Measure Name Result
Hospital 30-Day Death (Mortality) Rates from Heart Attack 15
Comparison to U S Rate - Hospital 30-Day Death (Mortality) Rates from Heart Attack No Different than U.S. National Rate
Lower Mortality Estimate - Hospital 30-Day Death (Mortality) Rates from Heart Attack 12.8
Upper Mortality Estimate - Hospital 30-Day Death (Mortality) Rates from Heart Attack 17.5
Number of Patients - Hospital 30-Day Death (Mortality) Rates from Heart Attack 449
Footnote - Hospital 30-Day Death (Mortality) Rates from Heart Attack
Hospital 30-Day Death (Mortality) Rates from Heart Failure 10.2
Comparison to U S Rate - Hospital 30-Day Death (Mortality) Rates from Heart Failure No Different than U.S. National Rate
Lower Mortality Estimate - Hospital 30-Day Death (Mortality) Rates from Heart Failure 8.7
Upper Mortality Estimate - Hospital 30-Day Death (Mortality) Rates from Heart Failure 11.9
Number of Patients - Hospital 30-Day Death (Mortality) Rates from Heart Failure 748
Footnote - Hospital 30-Day Death (Mortality) Rates from Heart Failure
Hospital 30-Day Death (Mortality) Rates from Pneumonia 10.2
Comparison to U S Rate - Hospital 30-Day Death (Mortality) Rates from Pneumonia No Different than U.S. National Rate
Lower Mortality Estimate - Hospital 30-Day Death (Mortality) Rates from Pneumonia 8.6
Upper Mortality Estimate - Hospital 30-Day Death (Mortality) Rates from Pneumonia 11.9
Number of Patients - Hospital 30-Day Death (Mortality) Rates from Pneumonia 771
Footnote - Hospital 30-Day Death (Mortality) Rates from Pneumonia

Patient Hospital Experience Survey

The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Patient Survey is a 32-item survey instrument and data collection methodology for measuring patients’ perceptions of their hospital experience. This survey at St Mary Mercy Hospital is administered to a random sample of adult inpatients between 48 hours and six weeks after discharge.

Survey Question Result
Percent of patients who reported that their nurses "Sometimes" or "Never" communicated well. 6%
Percent of patients who reported that their nurses "Usually" communicated well. 19%
Percent of patients who reported that their nurses "Always" communicated well. 75%
Percent of patients who reported that their doctors "Sometimes" or "Never" communicated well. 6%
Percent of patients who reported that their doctors "Usually" communicated well. 18%
Percent of patients who reported that their doctors "Always" communicated well. 76%
Percent of patients who reported that they "Sometimes" or "Never" received help as soon as they wanted. 12%
Percent of patients who reported that they "Usually" received help as soon as they wanted. 29%
Percent of patients who reported that they "Always" received help as soon as they wanted. 59%
Percent of patients who reported that their pain was "Sometimes" or "Never" well controlled. 8%
Percent of patients who reported that their pain was "Usually" well controlled. 24%
Percent of patients who reported that their pain was "Always" well controlled. 68%
Percent of patients who reported that staff "Sometimes" or "Never" explained about medicines before giving it to them. 25%
Percent of patients who reported that staff "Usually" explained about medicines before giving it to them. 18%
Percent of patients who reported that staff "Always" explained about medicines before giving it to them. 57%
Percent of patients who reported that their room and bathroom were "Sometimes" or "Never" clean. 15%
Percent of patients who reported that their room and bathroom were "Usually" clean. 26%
Percent of patients who reported that their room and bathroom were "Always" clean. 59%
Percent of patients who reported that the area around their room was "Sometimes" or "Never" quiet at night. 25%
Percent of patients who reported that the area around their room was "Usually" quiet at night. 33%
Percent of patients who reported that the area around their room was "Always" quiet at night. 42%
Percent of patients who reported that YES,they were given information about what to do during their recovery at home. 83%
Percent of patients who reported that they were not given information about what to do during their recovery at home. 17%
Percent of patients who gave their hospital a rating of 6 or lower on a scale from 0 (lowest) to 10 (highest). 11%
Percent of patients who gave their hospital a rating of 7 or 8 on a scale from 0 (lowest) to 10 (highest). 26%
Percent of patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest). 63%
Percent of patients who reported NO,they would not recommend the hospital. 8%
Percent of patients who reported YES,they would probably recommend the hospital. 27%
Percent of patients who reported YES,they would definitely recommend the hospital. 65%
Number of Completed Surveys 300 or more
Survey Response Rate Percent 33%
Hospital Footnote