Mercy St. Francis Hospital

100 West Highway 60 | Mountain View, MO 65548-8542
phone: 417/934-7000
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The quality measures were selected based on agreement from Missouri providers and national organizations and experts. The measures chosen represent the primary goal of quality care — do no harm. Infections, falls and unnecessary hospitalization or unplanned readmission are areas hospitals strive to improve.

The data used for the quality data measures is patient hospital discharge data. This source was used to ensure consistent data sources from all providers. However, this data source is not perfect. It is recognized that other data sources and calculations could provide more accurate rates, at the hospital level. In particular, this source and method of calculation for infection rates may result in higher rates when calculated with more exact and sensitive data sources. These measures do not fully explain the level of quality care provided in a hospital. If you have questions, please talk to your care provider.

Please note some hospitals do not treat patients with these conditions and therefore may not have information displayed in some categories. Similarly, if there are not enough cases for a particular measure, the data can be misleading. Therefore, harm and infection information will only be shown if there are at least 25 cases per 12-month reporting period. Readmission information will be displayed if a hospital has at least 25 cases in the three-year reporting period. If a hospital does not have the minimum amount of cases required, their data will not be displayed. In addition, only acute care hospitals are required to submit infection data to the National Healthcare Surveillance Network. Hospitals that are not required to submit will not have data displayed.

Because different patient populations have different health outcomes, simply comparing the number or percentage of some quality measures will not provide an accurate comparison. To make a more accurate comparison, some measures are “adjusted.” This is a common statistical step so that comparison may be similar. However, even adjusting the data cannot guarantee an identical comparison of “apples to apples.” Read the methodology report for risk adjustment for sociodemographic status in 30-day hospital readmissions.

Measures calculated from time periods including data on or after October 1, 2015 display rates using provisional methodology. This methodology has been tested at the state level, however, has not been nationally tested or approved.

Understanding the Data

Hospital data can be complex. We hope these resources will assist you in navigating the data on Focus on Hospitals.

FAQs Resources Glossary

Have questions about the data? Feel free to contact us, we’ll do our best to answer your questions promptly.


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Hospital Data
Mercy St. Francis Hospital
Critical Access Hospitals' State Average
Reducing Harm
Lower is better
Major bedsores obtained during hospital stay People who get a serious bedsore while in the hospital

Reporting Date:
7/1/2021-06/30/2024
0.0 per 1,000 discharges
Age, gender and medical condition adjusted
0.5 per 1,000 discharges
Age, gender and medical condition adjusted
Unexpected patient deaths during hospital stay People who die unexpectedly while in the hospital

Reporting Date:
7/1/2021-06/30/2024
Not Enough Cases
0.0 per 1,000 discharges
Age, gender and medical condition adjusted
Falls with injury during hospital stay People who fall and become injured while in the hospital

Reporting Date:
7/1/2021-06/30/2024
0.0 per 1,000 discharges
Unadjusted rate
0.2 per 1,000 discharges
Unadjusted rate
Blood clots following surgery People who get a blood clot after surgery

Reporting Date:
7/1/2021-06/30/2024
Data Not Available
0.8 per 1,000 discharges
Age, gender and medical condition adjusted
Preventing Infection
Lower is better
Serious complications from infection following surgery People who have serious complications from an infection following surgery

Reporting Date:
7/1/2021-06/30/2024
Data Not Available
0.0 per 1,000 discharges
Age, gender and medical condition adjusted
Urinary tract infections among patients with a urine tube placed during hospital stay People who get a urinary tract infection from a urine tube, which is used to drain the bladder, while in the hospital

Reporting Date:
7/1/2021-06/30/2024
0.0 per 1,000 urinary catheter days
Unadjusted rate
1.2 per 1,000 urinary catheter days
Unadjusted rate
Bloodstream infections among patients with a tube placed in a vein during hospital stay People who get an infection from a tube placed in a vein while in the hospital

Reporting Date:
7/1/2021-06/30/2024
0.0 per 1,000 central line days
Unadjusted rate
0.4 per 1,000 central line days
Unadjusted rate
Clostridium Difficile (C.Diff) infections obtained during hospital stay People who get sick from a germ obtained while in the hospital, which causes severe diarrhea, stomach pain and fever

Reporting Date:
7/1/2021-06/30/2024
3.2 per 10,000 patient days
Unadjusted rate
0.2 per 10,000 patient days
Unadjusted rate
Antibiotic resistant forms of staph infection obtained during hospital stay People who get an infection while in the hospital caused by a type of bacteria that has become resistant to many of the antibiotics used to treat ordinary staph infections

Reporting Date:
7/1/2021-06/30/2024
Data Not Available
Not enough cases / does not provide services patient days
Unadjusted rate
Managing Readmissions
Lower is better
Readmissions to the hospital within 30 days of leaving the hospital for any reason People readmitted to the hospital within 30 days of when they were last in the hospital

Reporting Date:
6/1/2021-05/31/2024
Most Recent Quarter Reporting Date:
3/1/2024-05/31/2024
11.2% (of 355 cases during the last 36 months)
Age, medical condition and poverty adjusted rate
10.5%
Most recent 36-months unadjusted rate
Readmissions to the hospital within 30 days of leaving the hospital for a serious lung infection People readmitted to the hospital within 30 days of when they were last in the hospital for a serious lung infection (pneumonia)

Reporting Date:
6/1/2021-05/31/2024
Most Recent Quarter Reporting Date:
3/1/2024-05/31/2024
14.2% (of 58 cases during the last 36 months)
Age, gender, medical condition and poverty adjusted rate
11.0%
Most recent 36-months unadjusted rate
Readmissions to the hospital within 30 days of leaving the hospital for chronic obstructive pulmonary disease People readmitted to the hospital within 30 days of when they were last in the hospital for long-term lung disease

Reporting Date:
6/1/2021-05/31/2024
Most Recent Quarter Reporting Date:
3/1/2024-05/31/2024
16.8% (of 27 cases during the last 36 months)
Age, medical condition and poverty adjusted rate
13.5%
Most recent 36-months unadjusted rate
Readmissions to the hospital within 30 days of leaving the hospital for congestive heart failure People readmitted to the hospital within 30 days of when they were last in the hospital for a weak heart muscle

Reporting Date:
6/1/2021-05/31/2024
Most Recent Quarter Reporting Date:
3/1/2024-05/31/2024
Not Enough Cases
16.2%
Most recent 36-months unadjusted rate

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Please note that you are viewing quality data for a critical access hospital. Because of this, you can only compare quality data to other critical access hospitals. For a definition of a critical access hospital, please visit our FAQ page.
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