JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

Mercy Hospital Pittsburg, Inc

3 / 5

At a glance

Mercy Hospital Pittsburg, Inc carries a 3-star CMS overall rating — in line with the national norm.

Healthcare-Associated Infections

lower is better · 36 measures reported

Rates of infections patients can acquire while receiving care, such as central-line and catheter-associated infections, MRSA, and C. difficile.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days753Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.614Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.422Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1492Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.237Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures11Not available
SSI - Colon Surgery: Predicted Cases0.246Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures4Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.033Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days6152Not available
MRSA Bacteremia: Predicted Cases0.219Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence LimitSame as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.162Same as national
Clostridium Difficile (C.Diff): Patient Days5497Same as national
Clostridium Difficile (C.Diff): Predicted Cases2.579Same as national
Clostridium Difficile (C.Diff): Observed Cases0Same as national
Clostridium Difficile (C.Diff)0.000Same as national

Complications & Deaths

lower is better · 20 measures reported

Rates of serious complications (like hip/knee replacement problems or accidental cuts during surgery) and 30-day mortality rates for common conditions.

MeasureScoreCompared to nationalSample
Rate of complications for hip/knee replacement patients3.5Same as national42
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.2Same as national193
Death rate for heart attack patients12.3Same as national49
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9Same as national33
Death rate for heart failure patients12.8Same as national82
Death rate for pneumonia patients22.8Worse than national132
Death rate for stroke patients13.2Same as national27
Pressure ulcer rate0.46Same as national691
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.39Same as national1027
In-hospital fall-associated fracture rate0.26Same as national1009
Postoperative hemorrhage or hematoma rate2.27Same as national179
Postoperative acute kidney injury requiring dialysis rate1.66Same as national45
Postoperative respiratory failure rate8.67Same as national47
Perioperative pulmonary embolism or deep vein thrombosis rate3.24Same as national188
Postoperative sepsis rate6.07Same as national41
Postoperative wound dehiscence rate1.73Same as national44
Abdominopelvic accidental puncture or laceration rate1.02Same as national106
CMS Medicare PSI 90: Patient safety and adverse events composite0.97Same as national

Unplanned Hospital Visits & Readmissions

lower is better · 14 measures reported

How often patients return to the hospital unexpectedly within 30 days of discharge — a marker of care quality and discharge planning.

MeasureScoreCompared to nationalSample
Hospital return days for heart attack patients-26.5Not available52
Hospital return days for heart failure patients-18.1Not available84
Hospital return days for pneumonia patients-13.2Not available129
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.8Same as national258
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.2Same as national404
Rate of inpatient admissions for patients receiving outpatient chemotherapy10Same as national36
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.9Same as national36
Ratio of unplanned hospital visits after hospital outpatient surgeryNot available
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.9Same as national52
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.1Same as national32
Heart failure (HF) 30-Day Readmission Rate19.6Same as national84
Rate of readmission after hip/knee replacement5Same as national41
Pneumonia (PN) 30-Day Readmission Rate15.1Same as national129

Patient Experience (HCAHPS)

higher is better · 9 measures reported

What patients say about their hospital stay — communication with nurses and doctors, responsiveness, cleanliness, pain management, and whether they would recommend the hospital.

MeasureScoreSample
Nurse communication - star rating4243
Doctor communication - star rating4243
Communication about medicines - star rating3243
Discharge information - star rating4243
Cleanliness - star rating5243
Quietness - star rating4243
Overall hospital rating - star rating4243
Recommend hospital - star rating4243
Summary star rating4243

Timely & Effective Care

higher is better (unless a wait time) · 30 measures reported

How consistently hospitals follow recommended care processes — for example, giving heart-attack patients aspirin on arrival, or the average time spent in the emergency department.

MeasureScoreSample
Emergency department volume
Global Malnutrition Composite Score
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented
Global Malnutrition Composite Score: Malnutrition Risk Screening
Global Malnutrition Composite Score: Nutrition Assessment
Global Malnutrition Composite Score: Nutritional Care Plan
Hospital Harm - Severe Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination94554
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 better142282
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 better133255
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better24811
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better26418
Left before being seen
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing14109
Appropriate care for severe sepsis and septic shock64137
Septic Shock 3-Hour Bundle4342
Septic Shock 6-Hour Bundle6414
Severe Sepsis 3-Hour Bundle87137
Severe Sepsis 6-Hour Bundle9776
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis99169
Intensive Care Unit Venous Thromboembolism Prophylaxis99121

Maternal Health

lower is better · 4 measures reported

Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.

MeasureScoreSample
Cesarean Birth
Risk Adjusted Severe Obstetric Complications (All)
Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases)
Maternal Morbidity Structural MeasureYes

Frequently asked questions

How is Mercy Hospital Pittsburg, Inc rated?
Mercy Hospital Pittsburg, Inc has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Mercy Hospital Pittsburg, Inc have emergency services?
Yes. Mercy Hospital Pittsburg, Inc operates a 24/7 emergency department.
Where is Mercy Hospital Pittsburg, Inc located?
Mercy Hospital Pittsburg, Inc is located at 1 Mt Carmel Way, Pittsburg, KS 66762.
What type of hospital is Mercy Hospital Pittsburg, Inc?
Mercy Hospital Pittsburg, Inc is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Church).

Data as of 2026-06-14. Source: CMS Provider Data Catalog. This is public data provided for informational purposes only and is not medical advice. See our methodology and editorial policy.

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