Quality & Accreditation
Quality care at Hillcrest Hospital
Cleveland Clinic believes in providing quality of care information to patients and the public. As a non-profit hospital and responsible member of the community, you should know how we are performing. These Quality Performance Reports show how Hillcrest Hospital has been doing at providing the right care for specific common conditions. Information about surgery and how patients view their experiences at Hillcrest Hospital is also included. Click below for data and details:
Hillcrest Hospital's Quality Report
Cleveland Clinic reports data on outcomes, volumes, and surgical and medical trends as well as a review of new medical technologies and innovations. This popular series of books is used by consumers and referring physicians to make informed decisions when choosing or recommending a specialist for medical or surgical care.
How were these quality indicators selected?
The Joint Commission, the Centers for Medicare and Medicaid Services and National Quality Forum have defined and endorsed certain quality indicators and safe practices to allow hospitals to be compared “apples to apples.” The Quality Report is “open,” meaning anyone can see how the results were obtained.
Does this quality report include data about individual physicians?
No. We are publishing hospital data only.
Why is Cleveland Clinic publishing its quality data?
- We like what open reporting does for you. We believe that you should know how we are performing. We want patients and families to have better information about the quality of healthcare in Cleveland.
- We also like what open reporting does for us. We have found that public reporting has helped us document our care more carefully, obtain more valid data and continually improve patient care.
- We like what open reporting does for hospital care. We hope that our quality report will contribute to a better understanding of how to assess, report and improve hospital quality.
What does “risk adjusted” mean?
Risk adjustment takes into account differences in patient and procedure risk factors, so that comparisons are more meaningful. Risk adjustment allows for comparison of actual performance with predicted performance, based on the average U.S. hospital.
The risk of a complication or death varies by patient and by procedure. For example, an older surgical patient who has other illnesses such as kidney failure and diabetes is at greater risk of developing complications than is a young, otherwise healthy patient.
How often will the data on this report be updated?
This report will be updated quarterly or as new data become available.
Award-winning recognition
- Cleveland Clinic Hillcrest Hospital is recognized regionally and within Ohio for its expertise and care.
- Hillcrest Hospital has been nationally recognized 11 times as one of America's 100 Top Hospitals®, a designation based on extensive research of U.S. hospitals, as conducted by Thomson Reuters.
- In Consumer Guide to Ohio Hospital Quality, Hillcrest received the highest possible ranking in five cardiac categories, including angioplasty, cardiac catheterization, carotid (neck) artery surgery, congestive heart failure and coronary artery bypass graft.
Accreditations & awards
Hillcrest Hospital currently holds the following accreditations and awards:
- Joint Commission on Accreditation of Healthcare Organizations.
- Full Accreditation with PCI from the Society of Chest Pain Centers.
- American Nurses Credentialing Center Magnet® designation for quality patient care, nursing excellence and innovations in professional nursing practice.
- The American Heart Association recognizes Hillcrest Hospital for its continued success in using the Get With The Guidelines® program.
- Hillcrest Hospital has earned accreditation from the National Accreditation Program for Rectal Cancer (NAPRC), a quality program of the American College of Surgeons.
Nursing Recognition
The nurses at Cleveland Clinic Hillcrest Hospital and Cleveland Clinic Mentor Hospital are proud to have received the nursing profession’s highest honor, the American Credentialing Center’s (ANCC) Magnet Recognition Program®. This designation validates our commitment to creating a sustained culture of nursing excellence. Our hospital first achieved this highest credential in 2014; we continue to maintain this designation, recognized nationally as a gold standard of patient care.
Nursing at Hillcrest Hospital and Mentor Hospital
Nurses at Hillcrest Hospital and Mentor Hospital exemplify the mission of Cleveland Clinic and the Magnet vision. Our team of patients, families and each other remain at the forefront of our practice. Our nurses are grounded in proven principles and continually strive for discovery and innovation through evidence-based practice and nursing research. Nurses at Hillcrest Hospital and Mentor Hospital are invested in their commitment to safe patient care and have contributed through shared governance to the achievement of numerous nursing and hospital-wide recognitions.
Who We Are
Cleveland Clinic Hillcrest Hospital is a 500-bed, non-profit hospital which is part of Cleveland Clinic’s Enterprise. The hospital was founded as Doctors’ Hospital in 1946 to serve the needs of the east side Cleveland community, and in 1968 the hospital was relocated to Mayfield Heights and became known as Hillcrest Hospital. In 1984, Hillcrest Hospital merged with other neighboring hospitals to form the Meridia Health System; Meridia then merged with Cleveland Clinic in 1997 with Hillcrest Hospital becoming the flagship hospital for the eastern region.
In 2023, Mentor Hospital opened as a location of Hillcrest Hospital providing the residents of Lake County an additional access point to the quality, evidence-based nursing care that is standard at Hillcrest Hospital.
Our nurses take pride in servicing their hospital and clinic-based patients as well as their local and international communities. The nursing staff at each location reflects the communities they serve and positions them to provide comprehensive, culturally sensitive care to meet their patient’s individualized needs.
Professional Practice Model
The Zielony Institute Nursing Professional Practice Model is a visual representation of the values, organizational structures and processes that provide a unifying framework for the practice of nursing at Cleveland Clinic. Our nurses use the model to guide their nursing practice, ensuring the highest quality compassionate care. The model’s concepts of Professional Governance, Team of Teams, Strategic Leadership and Engagement are overarching themes that support the daily work of nurses. Nurses work within the components of quality & safety, relationship-based culture, professional practice & development and research, EBP & innovation to deliver world-class care.
Shared Governance
Shared governance is an empowering organizational model that creates a structure for shared decision-making in the clinical care of patients. Shared Governance gives nurses across all care settings a voice to affect their practice, and the care provided for patients. It supports a culture of partnership, equity, accountability and ownership, which enhances nursing satisfaction, retention, patient satisfaction and quality outcomes.
When granting Magnet® recognition and Pathway to Excellence® program designations, the American Nurses Credentialing Center considers how well the principles of shared governance are implemented throughout an organization.
