Quality Healthcare at Saint Clare’s
At Saint Clare’s Health System, providing extraordinary family-centered care is at the core of everything we do. We are committed to offering our patients the highest quality health care possible, and to ensure that our patients are always satisfied with the care they receive throughout our health system. One of the ways this commitment to quality and continuous focus on quality improvement is evident is through the achievement awards, accreditations, and performance scores that Saint Clare’s has received.
Quality Score Measures
The Hospital Performance Report – 2012, published by the New Jersey Department of Health and Senior Services, shows that Saint Clare’s quality of care rates are among the top performing hospitals in the state.
2012 New Jersey Hospital Performance Report , released June 28, 2013
Saint Clare’s Hospitals in Denville and Dover, the acute care hospitals of Saint Clare’s Health System, ranked among the top hospitals in the state for the treatment of heart attack, pneumonia, heart failure and surgical care improvement in the State’s ninth annual Hospital Performance Report released June 28, 2013 by the New Jersey Department of Health and Senior Services. Saint Clare’s Hospitals ranked highest in Morris County in all categories for heart attack, pneumonia, heart failure and surgical care improvement.
Joint Commission Accreditation and Certification
Saint Clare's hospitals are accredited by The Joint Commission, including our Behavioral Health Services, Home Care, and multiple Ambulatory Services. Our Denville and Dover campuses are Advanced Disease Certified for Primary Stroke by The Joint Commission. In addition, the Denville campus is also Disease Certified for Hip and Knee. The Joint Commission is the nation’s leading health care evaluation and accreditation organization.
Joint Commission Top Performers of Key Quality Measures
Saint Clare’s Hospitals in Denville and Dover, the acute care hospitals of Saint Clare’s Health System, ranked among the top hospitals in the nation in the Joint Commission’s Top Performers of Key Quality Measures ™ in a report by The Joint Commission. Saint Clare’s Hospitals in Denville and Dover were recognized for the treatment of Heart Attack, Heart Failure, Pneumonia and Surgical Care. For more information, click here.
Joint Commission Gold Seal of Approval and Disease Specific Certification for Hip and Knee Replacement
Saint Clare’s has earned the Gold Seal of Approval and Disease-Specific Certification from The Joint Commission for Hip and Knee Replacement. The quality certification was awarded by demonstrating compliance with The Joint Commission’s national standards for health care quality and safety in disease-specific care, including program management, delivering or facilitating clinical care, supporting self management, clinical information management, and performance measurement. For more information, click here.
Hospital Safety Score - A Grade
Saint Clare’s Hospitals in Denville and Dover were honored with an “A” grade in the Fall 2013 update to the Hospital Safety Score, which rates how well hospitals protect patients from accidents, errors, injuries and infections. The Hospital Safety Score is compiled under the guidance of the nation’s leading experts on patient safety and is administered by The Leapfrog Group (Leapfrog), an independent industry watchdog. The first and only hospital safety rating to be analyzed in the peer-reviewed Journal of Patient Safety, the Score is designed to give the public information they can use to protect themselves and their families. Saint Clare’s Hospitals in Denville and Dover were the only hospitals in Morris County to be recognized with an A grade.
Get with the Guidelines Gold Plus Performance Achievement Award
Saint Clare’s is a recipient of the American Heart Association/American Stroke Association’s Get With The Guidelines® Stroke Gold Plus Performance Achievement Award, recognizing commitment and success in implementing excellent care for stroke patients, according to evidence-based practices and the highest standard of care nationally.
Three-Year Term of Accreditation in Radiation Oncology
Cancer Care at Saint Clare’s has been awarded a three-year term of accreditation in radiation oncology as the result of a recent review by the American College of Radiology (ACR). The ACR seal of accreditation represents the highest level of quality and patient safety. It is awarded only to facilities meeting specific Practice Guidelines and Technical Standards developed by ACR after a peer-review evaluation by board-certified radiation oncologists and medical physicists who are experts in the field.
Breast Imaging Center of Excellence
Saint Clare’s Women’s Health Center in Dover has been designated a Breast Imaging Center of Excellence by the American College of Radiology (ACR). This designation is awarded to breast imaging centers that achieve excellence by seeking and earning accreditation in all of the ACR’s voluntary breast-imaging accreditation programs and modules, in addition to the mandatory Mammography Accreditation Program. Saint Clare’s Women's Health Center is fully accredited in mammography, stereotactic breast biopsy, breast ultrasound, and ultrasound-guided breast biopsy.
American College of Surgeons Approval with Commendation
In 2012, Cancer Care at Saint Clare's was awarded a three-year approval with commendation by the American College of Surgeons (ACOS) Commission on Cancer (CoC). This type of approval is given to programs that comply with all standards and receive a commendation rating for one or more standards. The American College of Surgeons is a scientific and educational association of surgeons that was founded in 1913 to improve quality of care for surgical patients by setting high standards for surgical education and practice.
American College of Radiology Accreditation
In 2013, Saint Clare’s was awarded a three-year term of accreditation by the American College of Radiology (ACR) for each of its Radiation Oncology facilities in Dover and Denville. The ACR awards accreditation to facilities for the achievement of high-practice standards after a peer review evaluation.
American Academy of Sleep Medicine Accreditation
In 2009, Saint Clare’s Center for Sleep Medicine received a five-year accreditation from the American Academy of Sleep Medicine (AASM), recognizing a commitment to the provision of quality diagnostic services and the longitudinal management of sleep patients. AASM center accreditation reflects a commitment to ensure that sleep disorder patients receive the highest quality of care.
American Association of Cardiovascular and Pulmonary Rehabilitation Certification
In September 2011, Saint Clare’s Pulmonary Rehabilitation received its second consecutive three-year certification from the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR), recognizing commitment to improving quality of life by enhancing standards of care. The AACVPR Program Certification is the only peer-reviewed accreditation process designed to review individual programs for adherence to standards and guidelines developed and published by the AACVPR and other professional societies.
Intersocietal Commission for the Accreditation of Echocardiography Laboratories Accreditation
In 2013, Saint Clare’s Echocardiography Laboratories in Denville and Dover received a three-year accreditation from the Intersocietal Commission for the Accreditation of Echocardiography Laboratories (ICAEL). ICAEL accreditation recognizes labs for commitment to high quality patient care and provision of quality diagnostic testing.
Intersocietal Commission for the Accreditation of Vascular Laboratories Accreditation
In 2013, Saint Clare’s Vascular Laboratories in Denville, Dover, and Sussex received a three-year accreditation from the Intersocietal Commission for the Accreditation of Vascular Laboratories (ICAVL). This nationally recognized accreditation assures accuracy, quality and patient safety.
Saint Clare’s success in infection control initiatives, aimed at the prevention of healthcare associated infections, include:
Winner of the IHI Innovation Challenge: Reducing Methicillin-Resistant Staphylococcus Aureus (MRSA) Infection
In 2008, Saint Clare’s won the Institute for Healthcare Improvement (IHI) Innovation Challenge: Reducing Methicillin-Resistant Staphylococcus Aureus (MRSA) Infection. To achieve this accolade, Saint Clare’s implemented multiple initiatives including a hand hygiene campaign, development of infection liaisons, screenings and many other infection control practices – and was able to demonstrate reducing MRSA infections.
IHI Methicillin Resistant Staphylococcus Aureus (MRSA) Mentor Hospital Designation:
Saint Clare’s continued as a designated Institute for Healthcare Improvement (IHI) Methicillin Resistant Staphylococcus Aureus (MRSA) Mentor Hospital since 2008. As a mentor hospital, Saint Clare’s has a national leadership role in guiding healthcare workers, including the public sector, in the prevention and control of MRSA infections. Saint Clare’s Infection Preventionists (IPs) are called on to share best practices, providing webinars in multiple states, including New Jersey. Healthcare practitioners across the nation can also call individually on Saint Clare’s IPs for advice, policy examples, or best practices information.
HRET: Hospitals In Pursuit of Excellence in Eliminating CAUTI:
Saint Clare’s was one of the three hospitals nationwide that was recognized by Health Research & Educational Trust (HRET) in partnership with American Hospital Association (AHA) – HPOE (Hospitals in Pursuit of Excellence). Saint Clare’s “Case Example” is featured in the HRET Signature Leadership Series: Eliminating Catheter-Associated Urinary Tract Infections.