CHI Health Bergan Mercy

Hospital in Omaha, NE, Medicare certification number 280060. CMS publishes 63 quality measures for it.

Medicare certification

Provider of Services

CCN: 280060The 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 - Private
Control type: Private (not for profit)
Participating since: Jul 1, 1966
Last certification: Mar 17, 2009
Beds: 400
Overall star rating: 4 of 5Care Compare
Address: 7500 Mercy Rd
Omaha, NE 68124
(402) 398-6020

NPI records for this facility 2

Alegent Health Bergan Mercy Health System
- Psychiatric Hospital Unit
- Omaha, NE
- NPI 1396969499
Medicare enrollment
Alegent Health Bergan Mercy Health System
- General Acute Care Hospital
- Omaha, NE
- NPI 1508941097
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse2 of 5
- State average 3.75 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Worse2 of 5
- State average 3.25 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Better4 of 5
- State average 3.97 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating Worse2 of 5
- State average 3.75 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse3 of 5
- State average 3.92 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Worse2 of 5
- State average 3.92 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse3 of 5
- State average 4.11 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Worse3 of 5
- State average 4.14 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse3 of 5
- State average 3.89 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Affiliated providers 1,091

Page 1 of 44Medicare Care Compare

Clinicians who list this facility as a hospital or facility affiliation in Care Compare.

Enyonam Abalekpor
- Family Nurse Practitioner
- Omaha, NE
- NPI 1972227288
Abdul Kabir Abdussalam, MD
- Hospitalist Physician
- Council Bluffs, IA
- NPI 1730773367
Gabrielle P Abissi, MD
- Physical Medicine & Rehabilitation Physician
- Omaha, NE
- NPI 1922502400
Ahmed Salah Ahmed Aboeata
- Cardiovascular Disease Physician
- Omaha, NE
- NPI 1376709808
Hussam Salaheddin Abuissa, M.D.
- Clinical Cardiac Electrophysiology Physician
- Omaha, NE
- NPI 1679500862
Ala Waleed Bakheet Abushattal, MD
- Family Medicine Physician
- Omaha, NE
- NPI 1508590233
Sweety Aeilias, MD
- Hospitalist Physician
- Omaha, NE
- NPI 1902217946
Himanshu Agarwal, MD
- Interventional Cardiology Physician
- Omaha, NE
- NPI 1942280672
Faran Ahmad, MD
- Infectious Disease Physician
- Omaha, NE
- NPI 1801204979
Omar Saleh Akbik, M.D.
- Neurological Surgery Physician
- Omaha, NE
- NPI 1811330285
Marie E Akerson, CRNA
- Certified Registered Nurse Anesthetist
- Omaha, NE
- NPI 1477890895
Khan Owais Akmal, M.D.
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Omaha, NE
- NPI 1376804054
Richard Akromis, PA-C
- Physician Assistant
- Oberlin, KS
- NPI 1649700295
Ahmed Al-Chalabi, MBCHB
- Gastroenterology Physician
- Omaha, NE
- NPI 1801286711
Waddah Badir Al-Refaie, MD
- Surgical Oncology Physician
- Washington, DC
- NPI 1801825237
Sharif Al-Ruzzeh, MD
- Anesthesiology Physician
- Daytona Beach, FL
- NPI 1104093160
Sara Ali Salem Albagoush, MD
- Hospitalist Physician
- Fargo, ND
- NPI 1265957021
Jared Thomas Alberts, M.D.
- Pulmonary Disease Physician
- Omaha, NE
- NPI 1295172286
Amanda Alexander, PA-C
- Physician Assistant
- Omaha, NE
- NPI 1689293144
Mohamad Ali Alhajhusain
- Nephrology Physician
- Omaha, NE
- NPI 1770713257
Rubab Ali, MBBS
- Family Medicine Physician
- Omaha, NE
- NPI 1093385023
Venkata Mahesh Babu Alla, M.D
- Cardiovascular Disease Physician
- Omaha, NE
- NPI 1598984965
David R Allen, DO
- Internal Medicine Physician
- Omaha, NE
- NPI 1295884021
Genevieve Akouba Allou, APRN
- Nurse Practitioner
- Omaha, NE
- NPI 1942836960
Nuha Alsaidy, CRNA
- Certified Registered Nurse Anesthetist
- Omaha, NE
- NPI 1942932561

Complications and deaths 19

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected0.94
- State average 1.07 (computed here)
- National average 1.06
- No different than the national rate
- 1,299 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.99
- State average 0.96 (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 expected196.99
- State average 182.69 (computed here)
- National average 173.3
- No different than the national rate
- 131 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected3.4
- State average 2.64 (computed here)
- National average 2.4
- No different than the national rate
- 76 patients
- Period from 07/01/2022
Death rate for COPD patients As expected8.4
- State average 8.98 (computed here)
- National average 8.6
- No different than the national rate
- 51 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected11.4
- State average 11.83 (computed here)
- National average 11.9
- No different than the national rate
- 136 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected9.6
- State average 12.39 (computed here)
- National average 11.1
- No different than the national rate
- 311 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected15.5
- State average 16.76 (computed here)
- National average 15.2
- No different than the national rate
- 196 patients
- Period from 07/01/2022
Death rate for stroke patients As expected11.8
- State average 11.91 (computed here)
- National average 11.9
- No different than the national rate
- 290 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.5
- State average 4.26 (computed here)
- National average 3.9
- No different than the national rate
- 2,703 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.35
- State average 0.22 (computed here)
- National average 0.21
- No different than the national rate
- 5,971 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.25
- State average 0.28 (computed here)
- National average 0.27
- No different than the national rate
- 6,065 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected4.23
- State average 3.44 (computed here)
- National average 3.52
- No different than the national rate
- 1,826 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected2.38
- State average 1.68 (computed here)
- National average 1.67
- No different than the national rate
- 730 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected1.88
- State average 2.47 (computed here)
- National average 2.34
- No different than the national rate
- 1,773 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected10.56
- State average 8.76 (computed here)
- National average 9.42
- No different than the national rate
- 775 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected5.15
- State average 5.26 (computed here)
- National average 5.27
- No different than the national rate
- 746 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.56
- State average 1.76 (computed here)
- National average 1.77
- No different than the national rate
- 298 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.27
- State average 0.54 (computed here)
- National average 0.63
- No different than the national rate
- 5,151 patients
- Period from 07/01/2022

Measures CMS does not publish for this facility (1)

Rate of complications for hip/knee replacement patients — 7

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) Better0.14
- State average 0.36
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0.46
- State average 0.47
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.21
- State average 0.31
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected1.01
- State average 0.48
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery Better0
- State average 0.69
- National average 1
- Better than the 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 3.3
- State average 7.9 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 9.2
- State average 8.16 (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) 1.02
- State average 0.95
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 15

Medicare Care Compare

Appropriate care for severe sepsis and septic shock 63
- State average 64
- National average 65
- 143 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 159
- State average 119
- National average 168
- 373 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 156
- State average 113
- National average 162
- 345 patients
- Period from 10/01/2024
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better 256
- State average 161
- National average 257
- 24 patients
- Period from 10/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 89
- State average 95
- National average 93
- 84 patients
- Period from 01/01/2024
Healthcare workers given influenza vaccination 84
- State average 74
- National average 78
- 2,986 patients
- Period from 10/01/2024
Hospital Harm - Severe Hypoglycemia 0
- State average 0.32 (computed here)
- National average 1.09 (computed here)
- 4,076 patients
- Period from 01/01/2024
Intensive Care Unit Venous Thromboembolism Prophylaxis 100
- State average 96.46 (computed here)
- National average 93.49 (computed here)
- 3,108 patients
- Period from 01/01/2024
Left before being seen 4
- State average 1
- National average 2
- 63,152 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 14
- State average 17
- National average 15
- 4,031 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 60
- State average 77
- National average 73
- 30 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 86
- State average 88
- National average 87
- 14 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 78
- State average 79
- National average 81
- 143 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 90
- State average 91
- National average 93
- 52 patients
- Period from 10/01/2024
Venous Thromboembolism Prophylaxis 97
- State average 79.98 (computed here)
- National average 82.23 (computed here)
- 5,829 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (15)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Antithrombotic Therapy by End of Hospital Day 2 — 5
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better — 1
Discharged on Antithrombotic Therapy — 5
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
Head CT results — 1
Hospital Harm - Opioid Related Adverse Events — 5
Hospital Harm - Severe Hyperglycemia — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
ST-Segment Elevation Myocardial Infarction (STEMI) — 1

Unplanned visits 12

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected16.2
- State average 14.31 (computed here)
- National average 14.4
- No different than the national rate
- 232 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected21.2
- State average 21.19 (computed here)
- National average 21.3
- No different than the national rate
- 508 patients
- Period from 07/01/2023
Hospital return days for heart attack patients -16.8
- State average -2.73 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 196 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 9.6
- State average -7.02 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 384 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 7.5
- State average -2.28 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 201 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected17.6
- State average 17.31 (computed here)
- National average 17.3
- No different than the national rate
- 320 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5
- State average 5.56 (computed here)
- National average 5.4
- No different than the national rate
- 96 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected10.7
- State average 11.2 (computed here)
- National average 10.7
- No different than the national rate
- 96 patients
- Period from 01/01/2024
Rate of readmission for CABG As expected10.4
- State average 10.94 (computed here)
- National average 11
- No different than the national rate
- 69 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected19.7
- State average 19.8 (computed here)
- National average 20
- No different than the national rate
- 98 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected11.2
- State average 12.92 (computed here)
- National average 13
- No different than the national rate
- 616 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1
- State average 1 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 403 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (2)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of readmission after hip/knee replacement — 7

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, and the clinicians who list this facility as an affiliation.
NPPES NPI Registry: the NPI records connected to this certification and the names of the providers listed above.

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.