Massena Memorial Hospital Earns ‘Top Performer on Key Quality Measures®’ Recognition from the Joint Commission
Massena Memorial Hospital today announced it has been recognized as a 2013 Top Performer on Key Quality Measures® by The Joint Commission, the leading accreditor of health care organizations in the United States. Massena Memorial Hospital was recognized as part of The Joint Commission’s 2014 annual report “America’s Hospitals: Improving Quality and Safety,” for attaining and sustaining excellence in accountability measure performance for Pneumonia and Surgical Care. Massena Memorial Hospital is one of 1,224 hospitals in the United States to achieve the 2013 Top Performer distinction.
The Top Performer program recognizes hospitals for improving performance on evidence-based interventions that increase the chances of healthy outcomes for patients with certain conditions, including heart attack, heart failure, pneumonia, surgical care, children’s asthma, stroke, venous thromboembolism and perinatal care, as well as for inpatient psychiatric services and immunizations.
“This recognition is an organizational effort, not just one department. We always strive to continually improve quality and it takes a team approach,” said Sue Beaulieu, RN, BSN, FACHE, Chief Nurse Executive. “Massena Memorial Hospital is dedicated to offering the best patient care, because we have the best staff.”
MMH Director of Performance Improvement Jackie Matthie, RN, explained “This award recognizes MMH in achieving Top performance, not only achieving and but exceeding our goals in both Surgical and Pneumonia. However, drivers of top performance can be defined in many ways; Dedication, Teamwork, and the knowledge of the entire hospital staff! This program is a way to provide transparency to the public in reporting performance at Massena Memorial.”
In 2011, The Joint Commission created the Top Performer Program to provide both incentives and recognition to accredited hospitals that demonstrate the ability to achieve and sustain excellence in accountability measure performance.
The Joint Commission uses measures that have passed a series of strict tests that give us the highest confidence that when hospitals improve on the measures, outcomes for patients get better.
To be a 2013 Top Performer, hospitals had to meet three performance criteria based on 2013 accountability measure data, including:
• Achieving cumulative performance of 95 percent or above across all reported accountability measures;
• Achieving performance of 95 percent or above on each and every reported accountability measure where there were at least 30 denominator cases; and
• Having at least one core measure set that had a composite rate of 95 percent or above, and (within that measure set) all applicable individual accountability measures had a performance rate of 95 percent or above.
“Delivering the right treatment in the right way at the right time is a cornerstone of high-quality health care. I commend the efforts of Massena Memorial Hospital for their excellent performance on the use of evidence-based interventions,” said Mark R. Chassin, M.D., FACP, M.P.P., M.P.H., president and Chief Executive Officer, The Joint Commission.
“We understand what matters most to patients at Massena Memorial Hospital is the quality and safety of the care they receive. That is why we have made it a top priority to improve positive patient outcomes through evidence-based care processes,” said Charles F. Fahd, II, FACHE, Chief Executive Officer.
“Massena Memorial is proud to be named a Top Performer as it recognizes the knowledge, teamwork, dedication and knowledge of our entire hospital staff,” said Fahd.
For more information about the Top Performer program, visit http://www.jointcommission.org/accreditation/top_performers.aspx
MMH MEDICAL TEAM RECOGNIZED AS TOP PERFORMER -- Massena Memorial Hospital has been recognized as a 2013 Top Performer on Key Quality Measures® by The Joint Commission, the leading accreditor of health care organizations in the United States. Massena Memorial Hospital was recognized as part of The Joint Commission’s 2014 annual report “America’s Hospitals: Improving Quality and Safety,” for attaining and sustaining excellence in accountability measure performance for Pneumonia and Surgical Care. Pictured are members of the medical team (from left to right) Dr. Kejian Tang, Neurologist, Dr. Ammar Kafa, Family Medicine, Dr. Joseph Gardella, Cardiologist, Dr. Janki Shah, Internal Medicine, Dr. Ronak Desai, Internal Medicine, Bob Elsner, Medical Imaging Administrative Director, Charles F. Fahd, II, FACHE, Chief Executive Officer, Jackie Matthie, Performance Improvement Director, Julie Zyzik, Health Information Director, Tammy Mitchell, RN, Emergency/Perinatal Services Director, Dr. Priti Mandalaywala, Internal Medicine/Hematology, Kevin Ward, Laboratory Director, Dr. Jayant Jhaveri, Internal Medicine, Dr. David McCall, Family Medicine, Joyce Smith, RN, Medical/Surgical/Pediatric/ICU Director, Dr. Luis Canales, Gastroenterologist and Dr. Khurram Mumtaz, Nephrologist.