|The Joint Commission (TJC) is an independent, not-for-profit organization which accredits and certifies more than 17,000 health care organizations and disease-specific programs across our nation. Accreditation by The Joint Commission is recognized as the gold standard with respect to patient safety and quality.
Calvert Memorial Hospital is proud to join The Joint Commission in its vision to always provide our community with the safest, highest quality, and best-value health care possible. Our commitment to continuous improvement is key to success in our ever-changing environment.
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. 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. The requests must also indicate the nature of the information to be provided at the interview. Such requests should be addressed to:
Division of Accreditation Operations
Office of Quality Monitoring
The Joint Commission
One Renaissance Boulevard
Oakbrook Terrace, IL 60181
Or call 1-800-994-6610
The Joint Commission Top Performer
Calvert Memorial Hospital was named a 2012 Top Performer on Key Quality Measures® by The Joint Commission, the leading accreditor of health care organizations in America. The Joint Commission, in their newest report, recognized exemplary performance in using evidence-based clinical processes that are shown to improve care for certain medical conditions. Calvert Memorial Hospital represents the only hospital in the Southern Maryland region to receive this distinguished honor for all four measure sets: heart attack, heart failure, pneumonia, and surgery. The ratings are based on an aggregation of accountability measure data reported to The Joint Commission during the 2012 calendar year. Each of the hospitals that were named as a Top Performer on Key Quality Measures must 1) achieve cumulative performance of 95% or above across all reported accountability measures; 2) achieve performance of 95% or above on each reported accountability measure where there are at least 30 denominator cases; and 3) have at least one core measure set that has a composite rate of 95% or above, and within that measure set all applicable individual accountability measures have a performance rate of 95% or above. A 95% score means a hospital provided an evidence-based practice 95 times out of 100 opportunities. Each accountability measure represents an evidence-based practice – examples include giving aspirin at arrival for heart attack patients, or giving antibiotics one hour before surgery. In addition to being included in the release of The Joint Commission’s “Improving America’s Hospitals” annual report, Calvert Memorial Hospital will be recognized on The Joint Commissions’ Quality Check website (www.qualitycheck.org).
CMH Receives GOLD PLUS AWARD for Excellence in Stroke Care
September 2013, Calvert Memorial Hospital was awarded the GOLD PLUS Performance Achievement Award by Get with the Guidelines and the American Heart Association for the third consecutive year. A Gold designation indicates that a hospital has a compliance rate of 85% or greater in seven areas of stroke management for a consecutive 12 months. In addition to the Gold status, Calvert Memorial Hospital was recognized for surpassing targets in 5 of 9 challenging quality measures. CMH is committed to the promotion of patient safety and providing the highest quality care possible for our patients. This award demonstrates that very commitment to our stroke patients and their families.
Calvert Memorial Hospital received the American Heart Association/American Stroke Association’s Get With The Guidelines® Stroke Gold Plus Performance Achievement Award. The award recognizes Calvert Memorial Hospital’s excellent care for stroke patients, according to evidence-based guidelines.
These measures include aggressive use of medications, such as tPA, antithrombotics, anticoagulation therapy, DVT prophylaxis, cholesterol-reducing drugs, education, rehabilitation and smoking cessation, all aimed at reducing death and disability and improving the lives of stroke patients.
Calvert Memorial Hospital uses Get With The Guidelines–Stroke “teachable moments,” the time soon after a patient has had a stroke, when they are most likely to listen to and follow their health care professionals’ guidance. Studies demonstrate that patients who are taught how to manage their risk factors while still in the hospital reduce their risk of a second heart attack or stroke.
Symptoms of stroke may be sudden and include:
• Weakness or numbness of the face, arm, or leg, especially on one side of the body
• Confusion or difficulty speaking or understanding
• Problems with vision such as dimness or loss of vision in one or both eyes
• Dizziness or problems with balance or coordination
• If you experience any of these symptoms call 911 immediately
• Treatment is most effective when started immediately
Delmarva Excellence Award
The Delmarva Foundation is Calvert Memorial Hospital’s quality improvement organization (QIO). For the third year in a row and for the fifth time overall our organization has received the distinguished Delmarva Excellence Award.The criteria for this amazing award is there must be an annual aggregate performance measure rate of > 96% in core measures.
Number One Safest Hospital
Consumer Reports names Calvert Memorial Hospital Number One Safest Hospital in the greater metropolitan region. The outstanding ranking is based on our publically reported data from 2012 through early 2013. The ranking is out of a score of 100. The score of 100 is divided among five different categories that each has a maximum score of 20. Those categories are: safety score, patient outcomes, patient experience, hospital practices, and heart surgery. Calvert Memorial Hospital had the highest ranking out of five local hospitals with a score of 68. The top top-ranking hospital had a score of 72. Calvert Memorial Hospital has worked diligently to reduce readmission, surgical site infections, and to always provide the best patient experience.