Quality and Patient Safety Improvement Recognitions
Joint Commission Certifications and Accreditation
An independent, not-for-profit organization, The Joint Commission accredits and certifies nearly 21,000 health care organizations and programs in the United States. Joint Commission accreditation and certification is recognized nationwide as a symbol of quality that reflects an organization’s commitment to meeting certain performance standards. St. Dominic’s currently holds certifications for both wound and stroke care.
The Joint Commission Certification for Wound Care
The Wound Healing Center at St. Dominic’s is the first center in the state to hold the coveted Joint Commission’s Gold Seal of Approval® for demonstrating excellence with The Joint Commission’s national standards for health care quality and safety in disease-specific care. St. Dominic’s is also home to the one of the leading hyperbaric oxygen therapy centers in Mississippi.
St. Dominic’s multi-disciplinary team of dedicated physicians, nurse practitioners and nurses are committed to providing patients comprehensive care with the most advanced technology and techniques available in the treatment of chronic wounds. St. Dominic’s goal is to help patients return to their normal lives as quickly as possible. As compared to a database of 758 other wound care facilities, St. Dominic’s patients heal significantly faster. (Source: Wound Expert database)
- WHAT OUR PATIENTS ARE SAYING ABOUT OUR WOUND HEALING CENTER:
- “beautiful staff and people…they made me feel comfortable”
- “anything I needed, they took care of me”
- “satisfied with the way they handled everything”
The Joint Commission Accreditation for Comprehensive Stroke Center
St. Dominic’s was the first hospital in Mississippi to receive the The Joint Commission’s Gold Seal of Approval® and the American Heart Association/American Stroke Association’s Heart-Check mark for Advanced Certification for Comprehensive Stroke Centers. This level of certification recognizes the significant resources in infrastructure, staff and training that comprehensive stroke centers must have to provide state-of-the-art complex stroke care.
Organizations seeking CSC certification must meet all of the general eligibility requirements for Disease-Specific Care and Primary Stroke Center certification. In addition, CSCs are required to:
- Have dedicated neuro-intensive care unit beds for complex stroke patients that provide neuro-critical care 24 hours a day, seven days a week
- Use advanced imaging capabilities
- Meet minimum requirements for providing care to patients with a diagnosis of subarachnoid hemorrhage; performing endovascular coiling or surgical clipping procedures for aneurysm; and administering IV tPA
- Coordinate post-hospital care for patients
- Use a peer review process to evaluate and monitor the care provided to patients with an ischemic or hemorrhagic strokes
- Participate in stroke research
The Joint Commission Certification for Inpatient Diabetes Care
St. Dominic’s has earned The Joint Commission’s Gold Seal of ApprovalTM for Advanced Certification in Inpatient Diabetes Care by demonstrating compliance with national standards for healthcare quality and safety in disease-specific care.
St. Dominic’s underwent a rigorous on-site review during which a team of Joint Commission expert reviewers evaluated compliance with national disease-specific care standards and inpatient diabetes-specific requirements. The team also reviewed and evaluated clinical practice guidelines and performance measures.
Established in 2006 and awarded for a two-year period, The Joint Commission’s Advanced Certification in Inpatient Diabetes Care is based on the American Diabetes Association’s Clinical Practice Recommendations and addresses standards related to:
- Staff education requirements
- Written blood glucose monitoring protocols
- Plans for the treatment of hypoglycemia and hyperglycemia
- Data collection of incidences of hypoglycemia
- Patient education on self-management of diabetes
- An identified program champion or program champion tea
Top Performing Hospitals for Treatment of Heart Attack Patients
St. Dominic Hospital is one of only 225 hospitals nationwide to receive the American College of Cardiology’s NCDR Chest Pain – MI Registry Platinum Performance Achievement Award for 2019.
The award recognizes St. Dominic’s commitment and success in implementing a higher standard of care for heart attack patients. The award signifies that St. Dominic’s reached an aggressive goal of treating these patients to standard levels of care as outlined by the American College of Cardiology/American Heart Association clinical guidelines and recommendations.
Mission: Lifeline NSTEMI Silver Quality Achievement Award
St. Dominic’s received the 2017 Mission: Lifeline NSTEMI Silver Quality Achievement Award for implementing specific quality improvement measures outlined by the American Heart Association for the treatment of severe heart attack patients.
St. Dominic’s earned the award by meeting specific criteria and standards of performance for the quick and appropriate treatment of NSTEMI patients by providing emergency procedures to re-establish blood flow to blocked arteries when needed. Eligible hospitals must have adhered to these measures at a set level for 12 consecutive months to receive the award.
American Heart Association/American Stroke Association’s Get with the Guidelines® Target: Stroke GOLD PLUS with Honor Roll Elite Quality Achievement Award
St. Dominic Hospital has received the American Heart Association/American Stroke Association’s Get with the Guidelines® Target: Stroke GOLD PLUS with Honor Roll Elite Quality Achievement Award.
The award recognizes the hospital’s commitment to ensuring stroke patients receive the most appropriate treatment according to nationally recognized, research-based guidelines based on the latest scientific evidence.
Outstanding Achievement Award for Cancer Care
St. Dominic Hospital was awarded the 2018 Outstanding Achievement Award by the Commission on Cancer (CoC) of the American College of Surgeons (ACS).
St. Dominic’s is one of a select group of 24 accredited cancer programs in the United States to receive this national honor for cancer surveys performed in 2018. St. Dominic’s also received the three-year accreditation for the 2009 and 2014 surveys.
To earn this voluntary accreditation, St. Dominic’s Cancer Services is required to meet or exceed quality care standards as outlined by the CoC, be evaluated every three years through a survey process and maintain levels of excellence in the delivery of comprehensive patient-centered care.
Knee and Hip Replacement
Blue Distinction Centers and Blue Distinction Centers+ for Knee and Hip Replacement have demonstrated expertise in total knee and total hip replacement surgeries. These Centers have lower complication rates and fewer hospital readmissions.
Blue Distinction Centers for Cardiac Care provide a full range of inpatient cardiac care services including coronary artery bypass graft surgery (CABG), heart valve surgery and angioplasty (percutaneous coronary intervention, or PCI). These Centers demonstrate better quality care and improved patient outcomes, including lower complication rates following certain cardiac procedures.
Comprehensive Center under the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program
St. Dominic’s bariatric surgical center is accredited as a Comprehensive Center under the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP®), a joint program of the American College of Surgeons (ACS) and the American Society for Metabolic and Bariatric Surgery (ASMBS).
The MBSAQIP Standards, outlined in the Resources for Optimal Care of the Metabolic and Bariatric Surgery Patient 2016, ensure surgical patients receive a multidisciplinary program, not just a surgical procedure, which improves patient outcomes and long-term success. The accredited center offers preoperative and postoperative care designed specifically for severely obese patients.
To earn the MBSAQIP designation, St. Dominic’s Weight Loss Solutions met essential criteria for staffing, training and facility infrastructure and protocols for care, ensuring its ability to support patients with severe obesity. The center also participates in a national data registry that yields semiannual reports on the quality of its processes and outcomes, identifying opportunities for continuous quality improvement. The standards are specified in the MBSAQIP Resources for Optimal Care of the Metabolic and Bariatric Surgery Patient 2016, published by the ACS and ASMBS.