Mercy Medical Center - Cedar Rapids

Hospital in Cedar Rapids, IA, Medicare certification number 160079. CMS publishes 67 quality measures for it.

Medicare certification

Provider of Services

CCN: 160079The number CMS certifies the facility under, not a provider identifier
Status: Active
Provider type: Hospital – Short-term
Listed by Care Compare as: Acute Care Hospitals
Ownership: Voluntary non-profit - Church
Control type: Church
Participating since: Jul 1, 1966
Last certification: Dec 11, 2015
Beds: 347
Overall star rating: 4 of 5Care Compare
Address: 701 10TH Street SE
Cedar Rapids, IA 52403
(319) 398-6011

NPI records for this facility 1

Mercy Medical Center
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1720029333
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse3 of 5
- State average 3.69 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Better3 of 5
- State average 3 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Better4 of 5
- State average 3.88 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating As expected3 of 5
- State average 3.46 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Better4 of 5
- State average 3.69 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Better4 of 5
- State average 3.63 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Better4 of 5
- State average 3.67 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better5 of 5
- State average 4.02 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Better4 of 5
- State average 3.69 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Complications and deaths 20

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected0.85
- State average 1.04 (computed here)
- National average 1.06
- No different than the national rate
- 834 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected1.24
- State average 1.09 (computed here)
- National average 1
- No different than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected173.74
- State average 187.05 (computed here)
- National average 173.3
- No different than the national rate
- 60 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected3.7
- State average 2.67 (computed here)
- National average 2.4
- No different than the national rate
- 103 patients
- Period from 07/01/2022
Death rate for COPD patients As expected8.8
- State average 9.52 (computed here)
- National average 8.6
- No different than the national rate
- 141 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected13.3
- State average 12.16 (computed here)
- National average 11.9
- No different than the national rate
- 172 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected10.2
- State average 13.01 (computed here)
- National average 11.1
- No different than the national rate
- 347 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected14.5
- State average 16.4 (computed here)
- National average 15.2
- No different than the national rate
- 513 patients
- Period from 07/01/2022
Death rate for stroke patients As expected11.7
- State average 11.3 (computed here)
- National average 11.9
- No different than the national rate
- 244 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected4.1
- State average 4.35 (computed here)
- National average 3.9
- No different than the national rate
- 2,752 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.16
- State average 0.23 (computed here)
- National average 0.21
- No different than the national rate
- 5,445 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.26
- State average 0.29 (computed here)
- National average 0.27
- No different than the national rate
- 5,562 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected5
- State average 3.74 (computed here)
- National average 3.52
- No different than the national rate
- 1,371 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.92
- State average 1.7 (computed here)
- National average 1.67
- No different than the national rate
- 697 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.67
- State average 2.41 (computed here)
- National average 2.34
- No different than the national rate
- 1,319 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected9.11
- State average 9.79 (computed here)
- National average 9.42
- No different than the national rate
- 691 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected3.58
- State average 5.37 (computed here)
- National average 5.27
- No different than the national rate
- 687 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.63
- State average 1.73 (computed here)
- National average 1.77
- No different than the national rate
- 229 patients
- Period from 07/01/2022
Pressure ulcer rate Worse1.49
- State average 0.84 (computed here)
- National average 0.63
- Worse than the national rate
- 4,301 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected4.7
- State average 4.34 (computed here)
- National average 4.1
- No different than the national rate
- 107 patients
- Period from 04/01/2023

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) Better0.13
- State average 0.49
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected1.12
- State average 0.62
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.45
- State average 0.42
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected1.12
- State average 0.73
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0.72
- State average 0.77
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Measures CMS does not publish for this facility (1)

SSI - Abdominal Hysterectomy — 13

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 5.1
- State average 5.17 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 12.5
- State average 6.3 (computed here)
- National average 8.08 (computed here)
- Period from 07/01/2024

Spending per patient 1

Medicare Care Compare

Medicare hospital spending per patient (Medicare Spending per Beneficiary) 0.95
- State average 0.94
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 17

Medicare Care Compare

Anticoagulation Therapy for Atrial Fibrillation/Flutter 76
- State average 63.6 (computed here)
- National average 74.05 (computed here)
- 41 patients
- Period from 01/01/2024
Antithrombotic Therapy by End of Hospital Day 2 93
- State average 94.67 (computed here)
- National average 92.79 (computed here)
- 134 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 68
- State average 63
- National average 65
- 121 patients
- Period from 10/01/2024
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better 150
- State average 130
- National average 168
- 409 patients
- Period from 10/01/2024
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better 148
- State average 123
- National average 162
- 392 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 96
- State average 96.05 (computed here)
- National average 96.1 (computed here)
- 185 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 98
- State average 97
- National average 93
- 100 patients
- Period from 01/01/2024
Head CT results 77
- State average 64
- National average 69
- 31 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 77
- State average 75
- National average 78
- 5,053 patients
- Period from 10/01/2024
Intensive Care Unit Venous Thromboembolism Prophylaxis 43
- State average 92.06 (computed here)
- National average 93.49 (computed here)
- 1,095 patients
- Period from 01/01/2024
Left before being seen 1
- State average 3
- National average 2
- 67,889 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 18
- State average 15
- National average 15
- 2,409 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 89
- State average 74
- National average 73
- 55 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 95
- State average 82
- National average 87
- 38 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 78
- State average 79
- National average 81
- 121 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 94
- State average 92
- National average 93
- 66 patients
- Period from 10/01/2024
Venous Thromboembolism Prophylaxis 46
- State average 81.6 (computed here)
- National average 82.23 (computed here)
- 4,566 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (13)

Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better — 1
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better — 1
Emergency department volume — very high
Global Malnutrition Composite Score — 5
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented — 5
Global Malnutrition Composite Score: Malnutrition Risk Screening — 5
Global Malnutrition Composite Score: Nutrition Assessment — 5
Global Malnutrition Composite Score: Nutritional Care Plan — 5
Hospital Harm - Opioid Related Adverse Events — 5
Hospital Harm - Severe Hyperglycemia — 5
Hospital Harm - Severe Hypoglycemia — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
ST-Segment Elevation Myocardial Infarction (STEMI) — 1

Unplanned visits 13

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected14
- State average 14.3 (computed here)
- National average 14.4
- No different than the national rate
- 260 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected20.4
- State average 21.18 (computed here)
- National average 21.3
- No different than the national rate
- 576 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 3.6
- State average 0.92 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 188 patients
- Period from 07/01/2022
Hospital return days for heart failure patients -21
- State average -4.23 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 394 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 1
- State average -6.74 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 566 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected17.1
- State average 16.98 (computed here)
- National average 17.3
- No different than the national rate
- 744 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected6.1
- State average 5.88 (computed here)
- National average 5.4
- No different than the national rate
- 248 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected9.2
- State average 10.07 (computed here)
- National average 10.7
- No different than the national rate
- 248 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected5.8
- State average 5.7 (computed here)
- National average 5.8
- No different than the national rate
- 102 patients
- Period from 07/01/2023
Rate of readmission for CABG As expected8.3
- State average 10.58 (computed here)
- National average 11
- No different than the national rate
- 106 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected18.9
- State average 19.68 (computed here)
- National average 20
- No different than the national rate
- 327 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected12.9
- State average 12.89 (computed here)
- National average 13
- No different than the national rate
- 2,455 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1
- State average 1.02 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 967 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (1)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4

Sources for this page

Provider of Services: the certification, provider type, beds and status.
Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
NPPES NPI Registry: the NPI records connected to this certification.

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.