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Quality & Patient Safety

Quality and Patient Safety at Mercy Medical Center

Welcome to CHI Mercy Health Mercy Medical Center! We are pleased that you have chosen to learn more about our ongoing Quality and Safety efforts.  The Quality & Process Improvement Department at Mercy Medical Center is committed to ensuring that our patients receive the highest quality patient care in a safe environment at Mercy Medical Center.  For more information, please visit


Our Team

The Quality Improvement Department team focuses on uniting quality, team building and patient safety through clinical effectiveness, infection control, and process improvement.  Our Quality team includes an RN Assistant Director, Quality Medical Director, Core Measures RN, Meaningful Use RN, Quality Reviewer RN, Quality Analyst, Quality Coordinator, and two RN Infection Preventionists. Our team is led by our Assistant Director, Barbara Grotting. Barbara is passionate about quality, team building and process improvement . Barbara is a Certified Professional in Healthcare Quality (CPHQ) and is experienced in quality areas such as documentation improvement, peer review, regulatory process, risk management and process improvement. The team incorporates a culture of accountability and continuous assessment and improvement by integrating the latest quality evidence based strategies. We invite you to contact any of us if we may assist you:


Barbara Grotting RN, MSN, CPHQ

Director, Quality & Process Improvement

CHI Mercy Health, Mercy Medical Center



Chris Jannelli, M.D.

Quality Medical Director

CHI Mercy Health, Mercy Medical Center



Jason Gray, M.D.

Chief Medical Officer

CHI Mercy Health, Mercy Medical Center



Awards –

Mercy has been recognized by the following:

  • Mercy Laboratory Receives Accreditation from College of American Pathologists – 2013
  • Leapfrog Safety Score – 5th Consecutive ‘”A” for Safety – 2015 (Outcomes monitored include hospital acquired conditions, central line associated Infections, patient safety indicators, surgical care improvement project, and computerized physician order entry)
  • Mercy’s Shaw Heart and Vascular Team (SHVC) – Accredited for Cardiovascular Excellence (ACE) – 2015
  • Mercy Outpatient Imaging Received Three-Year Magnetic Resonance Imaging (MRI) Accreditation from the American  - 2015
  • Mercy’s Cardiac and Pulmonary Rehab Program – American Association of Cardiovascular and Pulmonary Rehabilitation Recertified and Accredited – 2015
  • Mercy Medical Center Reaccredited by the Joint Commission, Centers for Medicare and Medicaid Services and the State of Oregon for meeting performance and quality standards – 2015
  • Mercy Outpatient Imaging designated as Breast Imaging Center of Excellence - 2016



Mercy Medical Center supports sharing quality information to ensure patients have an enhanced ability to participate in their care.  We believe that providing access to our results encourages informed choices concerning healthcare decisions. Additional source of information may be obtained via the following links:


In conjunction with Catholic Health Initiatives, our corporate entity, Mercy Medical Center also participates in numerous evidence-based practice initiatives that improve quality and patient outcomes.  Although new initiatives are constantly being introduced our current initiatives include:

  • Acute Fall Prevention.
  • Catheter-associated Urinary Tract Infection Prevention.
  • Central Line-associated Blood Stream Infection Prevention.
  • Pressure Ulcer Prevention.
  • Treatment of Severe Blood Stream Infections (Sepsis).
  • Safety First Initiative.
  • Pain Management.
  • CARES Rounding.
  • Venous Thromboembolism (Blood Clot) Prevention.
  • Readmission Prevention.


Mercy Medical Center is committed to the delivery of high quality, safe medical care and believes sharing our performance outcomes fulfills our goal to become your provider of choice in the community.

On this website, you can review our performance measures and the programs designed to monitor and continuously improve the quality of the care we provide.  We invite you to view the following links to learn more about our efforts and our teams.

Quality Program


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CHI Mercy Health   Mercy Medical Center   2700 NW Stewart Parkway   Roseburg   Oregon  97471   541.673.0611




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