JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

UPMC Mercy

4 / 5

At a glance

UPMC Mercy carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 12 and worse on 0.

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 Limit0.085Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.910Better than national
Central Line Associated Bloodstream Infection: Number of Device Days8314Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases8.970Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.334Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.261Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.065Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days10337Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases14.260Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases8Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.561Same as national
SSI - Colon Surgery: Lower Confidence Limit0.014Same as national
SSI - Colon Surgery: Upper Confidence Limit1.429Same as national
SSI - Colon Surgery: Number of Procedures111Same as national
SSI - Colon Surgery: Predicted Cases3.452Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.290Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures13Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.129Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.912Same as national
MRSA Bacteremia: Upper Confidence Limit2.863Same as national
MRSA Bacteremia: Patient Days77181Same as national
MRSA Bacteremia: Predicted Cases7.126Same as national
MRSA Bacteremia: Observed Cases12Same as national
MRSA Bacteremia1.684Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.139Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.415Better than national
Clostridium Difficile (C.Diff): Patient Days77181Better than national
Clostridium Difficile (C.Diff): Predicted Cases52.181Better than national
Clostridium Difficile (C.Diff): Observed Cases13Better than national
Clostridium Difficile (C.Diff)0.249Better than 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.8Same as national681
Death rate for heart attack patients13.3Same as national44
Death rate for CABG surgery patientsNot available
Death rate for COPD patients6.8Same as national33
Death rate for heart failure patients11.4Same as national105
Death rate for pneumonia patients12.6Same as national107
Death rate for stroke patients13.4Same as national223
Pressure ulcer rate1.12Same as national2795
Death rate among surgical inpatients with serious treatable complications233.96Worse than national54
Iatrogenic pneumothorax rate0.24Same as national3046
In-hospital fall-associated fracture rate0.28Same as national2970
Postoperative hemorrhage or hematoma rate1.79Same as national955
Postoperative acute kidney injury requiring dialysis rate2.00Same as national339
Postoperative respiratory failure rate5.52Same as national312
Perioperative pulmonary embolism or deep vein thrombosis rate3.43Same as national958
Postoperative sepsis rate3.90Same as national323
Postoperative wound dehiscence rate1.93Same as national234
Abdominopelvic accidental puncture or laceration rate0.83Same as national698
CMS Medicare PSI 90: Patient safety and adverse events composite0.99Same 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 patientsNot available
Hospital return days for heart failure patients-52.7Not available107
Hospital return days for pneumonia patients-10Not available104
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.5Same as national1227
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.1Same as national290
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.7Same as national53
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5Same as national53
Ratio of unplanned hospital visits after hospital outpatient surgery1.2Same as national238
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.9Same as national37
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.8Same as national38
Heart failure (HF) 30-Day Readmission Rate18.5Same as national107
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.8Same as national104

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 rating4439
Doctor communication - star rating3439
Communication about medicines - star rating2439
Discharge information - star rating4439
Cleanliness - star rating4439
Quietness - star rating3439
Overall hospital rating - star rating4439
Recommend hospital - star rating4439
Summary star rating3439

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 volumehigh
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 vaccination923458
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 better224613
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 better222531
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better22971
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better26611
Left before being seen154270
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients97243
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)5145
Safe Use of Opioids - Concurrent Prescribing193662
Appropriate care for severe sepsis and septic shock65238
Septic Shock 3-Hour Bundle75110
Septic Shock 6-Hour Bundle9462
Severe Sepsis 3-Hour Bundle87238
Severe Sepsis 6-Hour Bundle89152
Discharged on Antithrombotic Therapy98532
Anticoagulation Therapy for Atrial Fibrillation/Flutter73206
Antithrombotic Therapy by End of Hospital Day 291472
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis893579

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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is UPMC Mercy rated?
UPMC Mercy has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does UPMC Mercy have emergency services?
Yes. UPMC Mercy operates a 24/7 emergency department.
Where is UPMC Mercy located?
UPMC Mercy is located at 1400 Locust Street, Pittsburgh, PA 15219.
What type of hospital is UPMC Mercy?
UPMC Mercy is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).

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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