Mercy Medical Center
				Reducing Readmissions Through Clinical Excellence, Palliative Care, and Collaboration
		Mercy Medical Center in Cedar Rapids, Iowa, had readmission rates in the lowest 3 percent among U.S. hospitals in all three clinical areas—heart attack, heart failure, and pneumonia—reported to the Centers for Medicare and Medicaid Services for the selection period.
			
		Performance Improvement Strategies
- Primary focus on clinical excellence and standardized care, including an investment in advanced practice nurses to implement best practices and guideline
 - Early discharge planning, targeting of high-risk patients, and scheduling of follow-up care
 - Strong end-of-life care that involves Palliative Care Teams, portable advance directives, and hospice care