MMH Awarded Joint Commission Gold Seal of Approval

Massena Memorial Hospital today announced that it has earned The Joint Commission’s Gold Seal of Approval® for Hospital Accreditation by demonstrating continuous compliance with its performance standards. The Gold Seal of Approval® is a symbol of quality that reflects an organization’s commitment to providing safe and effective patient care.  
Massena Memorial Hospital underwent a rigorous, four-day unannounced on-site survey in March 2015. During the review, a team of Joint Commission expert surveyors evaluated compliance with hospital standards related to several areas, including emergency management, environment of care, infection prevention and control, leadership, and medication management. Surveyors also conducted on-site observations and interviews. 
The Joint Commission has accredited hospitals for more than 60 years. More than 4,000 general, children’s, long-term acute, psychiatric, rehabilitation and specialty hospitals currently maintain accreditation from The Joint Commission, awarded for a three-year period. In addition, approximately 360 critical access hospitals maintain accreditation through a separate program. 
"We are very pleased to receive the Joint Commission accreditation after a rigorous four-day visit. This accreditation is a reflection of the continued commitment of our talented physicians and staff,” said Bob Wolleben, FACHE, Chief Executive Officer.  “Achieving Joint Commission accreditation, for our organization, is a major step toward maintaining excellence and continually improving the care we provide. My personal thanks go out to all the members of our healthcare team who make a difference every day in the care we provide.”
 “Our staff should be proud of successfully achieving accreditation for the fourth consecutive survey, recognized nationally as the Joint Commission Gold Seal of Approval in healthcare,” added Wolleben. “This accreditation/survey shows we are committed to meeting rigorous national standards every day. Every part of the organization has to be focused daily on exceeding the  Joint Commission’s national standards for MMH to achieve accreditation. MMH is a great place for patients to receive care.”
The Joint Commission’s hospital standards address important functions relating to the care of patients and the management of hospitals. The standards are developed in consultation with health care experts, providers, measurement experts and patients. The Joint Commission Accreditation Massena Memorial Hospital received also covers the Outreach Clinics to include: Brasher Falls Family Health Center, Louisville Family Health Center, MMH Outpatient Center/Physical Therapy and the Norfolk Family Health Center, explained Jackie Matthie, RN, Director of Performance Improvement.
“The surveyors not only did patient tracers within the hospital, but visited all of the outreach facilities and clinics. The staff found the survey was very educational and the surveyors were here to help us,” Matthie added. 
“The accreditation is proof of an organizational-wide commitment to provide quality care on a continual basis. Our staff once again demonstrated what makes MMH unique—great staff providing the best care. It is truly a team effort from the Board of Managers, Medical Staff, Directors, and every employee. In two words…excellent work!” added Wolleben.
“Joint Commission accreditation provides hospitals with the processes needed to improve in a variety of areas from the enhancement of staff education to the improvement of daily business operations,” said Mark G. Pelletier, RN, M.S., chief operating officer, Division of Accreditation and Certification Operations, The Joint Commission. “In addition, our accreditation helps hospitals enhance their risk management and risk reduction strategies. We commend Massena Memorial Hospital for its efforts to become a quality improvement organization.”
“Massena Memorial Hospital is pleased to receive accreditation from The Joint Commission, the premier health care quality improvement and accrediting body in the nation,” added Wolleben. “Staff from across the organization continue to work together to develop and implement approaches that have the potential to improve care for the patients in our community.” 
The Joint Commission’s hospital standards are developed in consultation with health care experts and providers, measurement experts, and patients. The standards are informed by scientific literature and expert consensus to help hospitals measure, assess and improve performance. 
The Joint Commission
Founded in 1951, The Joint Commission seeks to continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value. The Joint Commission accredits and certifies nearly 21,000 health care organizations and programs in the United States. An independent, nonprofit organization, The Joint Commission is the nation’s oldest and largest standards-setting and accrediting body in health care. Learn more about The Joint Commission at


February 2017

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