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Accreditations

Public Notice

The Joint Commission conducts accreditation surveys of Murray-Calloway County Hospital, including the Laboratory, Long Term Care, Home Care, and Hospice Departments.

The purpose of the survey will be to evaluate the organization’s compliance with nationally established Joint Commission standards. The survey results will be used to determine the conditions under which accreditation should be awarded to the organization.

Joint Commission standards deal with organizational quality of care issues and the safety of the environment in which care is provided. Anyone believing that he or she has pertinent and valid information about such matters may request a public information interview with the Joint Commission’s field representatives at the time of the survey. Information presented at the interview will be carefully evaluated for relevance to the accreditation process. Requests for a public information interview must be made in writing and should be sent to the Joint Commission. The request must indicate the nature of the information to be provided at the interview.

Such requests should be addressed to:

Division Of Accreditation Operations

Joint Commission on Accreditation of Healthcare Organizations
One Renaissance Boulevard
Oakbrook Terrace, IL 60181

The Joint Commission can also be reached at the following phone number: (630) 792-5900.

The Joint Commission will acknowledge such requests in writing or by telephone and will inform the organization of the request for any interview. The organization will, in turn, notify the interviewee of the date, time, and place of the meeting.

 

 

The Joint Commission

The Joint Commission is an independent, not-for-profit organization. The Joint Commission accredits and certifies more than 15,000 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.

Joint Commission’s Mission: To continuously improve the safety and quality of care provided to the public through the provision of health care accreditation and related services that support performance improvement in health care organizations.

Any individual who provides care, treatment, and services can report concerns about safety or the quality of care to the Joint Commission without retaliatory action from the hospital.

The hospital takes no disciplinary or punitive action against employees, physicians or other individuals who provide care, treatment and services when they report safety or quality of care concerns to the Joint Commission.

The customer service telephone number for the Joint Commission is:(630) 792-5800.

Written correspondence should be sent to:

The Joint Commission
One Renaissance Blvd.
Oakbrook Terrace, IL 60181

Commission on Cancer Accreditation

The Cancer Program at Murray-Calloway County Hospital recently was granted a three-year accreditation by the Commission on Cancer (CoC) of the American College of Surgeons (ACoS).

A facility receives the accreditation following an on-site evaluation by a physician surveyor. During the visit, staff demonstrate compliance with standards, which include: cancer committee leadership, cancer data management, clinical services, research, community outreach and quality improvement.

Receiving care at a CoC-accredited cancer program ensures the patient will have access to comprehensive care, a multi-specialty team approach to coordinate best treatment options, information about ongoing clinic trials, access to cancer-related information and support, a cancer registry that collects data on type and stage of cancers and treatment results with lifelong patient follow-up, ongoing monitoring and improvement of care and, most importantly, quality care close to home.

 

   

 

MBSAQIP Accreditation for Metabolic and Bariatric Surgery

Murray Calloway County Hospital achieved a Comprehensive Center MBSAQIP Accreditation.  A MBSAQIP-Accredited Center meets national quality standards established to deliver safe, high quality metabolic and bariatric patient care

The MBSAQIP Standards, Optimal Resources for Metabolic and Bariatric Surgery, ensure that metabolic and bariatric patients receive multidisciplinary medical care, which improves patient outcomes and long-term success. MBSAQIP-Accredited centers offer preoperative and postoperative care designed specifically for patients with obesity.

To earn MBSAQIP Accreditation, Bariatric Solutions met essential criteria for staffing, training, facility infrastructure and patient care pathways, ensuring its ability to support patients with obesity. The center also participates in a national data registry that yields semiannual reports on the quality of its surgical outcomes and identifying opportunities for quality improvement. The MBSAQIP Standards, Optimal Resources for Metabolic and Bariatric Surgery, are published by the ACS and the ASMBS. Brian Tau Swain, MD, FACS was officially recognized as a MBSAQIP Verified Surgeon for Murray Calloway County Hospital.

 After applying for MBSAQIP Accreditation, centers undergo an extensive site visit by an experienced bariatric surgeon who reviews the center’s structure, processes, and clinical outcomes data. Centers that earn accreditation are awarded a specific designation level, depending on how many patients it serves annually, critical care capabilities, the types of procedures provided, and whether it provides care to patients under the age of 18.