Accreditations and Recognitions
Cancer Treatment Centers of America® (CTCA) at Midwestern Regional Medical Center (Midwestern) is accredited and recognized by several renowned professional health care organizations that supervise the quality of cancer care.
The Joint Commission
Midwestern is currently accredited by The Joint Commission with Full Standards Compliance. This accreditation decision is awarded to a health care organization that demonstrates satisfactory compliance with applicable Joint Commission standards in all performance areas.
Established in 1951, The Joint Commission (formerly Joint Commission on Accreditation of Healthcare Organizations, or JCAHO) provides the “gold standard” seal of hospital approval in health care. Joint Commission-accredited hospitals must pass a rigorous on-site evaluation. Joint Commission surveys address the hospital’s performance in key areas, such as patient rights and patient treatment.
Top Performer on Key Quality Measures®
In 2014, Midwestern was named Top Performer on Key Quality Measures® for the second year in a row by The Joint Commission, the leading accreditor of health care organizations in America. Midwestern was recognized by The Joint Commission for exemplary performance in using evidence-based clinical processes that are shown to improve care for certain conditions.
Midwestern is one of only 56 hospitals in Illinois to earn the distinction of Top Performer on Key Quality Measures for 2013 and one of 712 hospitals to achieve the Top Performer distinction for the past two consecutive years. CTCA® at Midwestern was recognized for attaining and sustaining excellence in accountability measure performance in surgical services.
Breast program accreditation
In 2010, 2013 and 2016, Midwestern was awarded three-year accreditations for our breast program from the National Accreditation Program for Breast Centers (NAPBC).
The NAPBC has established 27 standards that breast centers must meet to assure all patients with breast disease receive the highest quality of care. The 27 standards include breast center leadership, clinical management, research, community outreach, professional education and quality improvement.
Quality Oncology Practice Initiative
In 2014, Midwestern was recognized by the Quality Oncology Practice Initiative (QOPI®) Certification Program, an affiliate of the American Society of Clinical Oncology (ASCO), for meeting the highest standards for quality cancer care. The QOPI® Certification Program (QCP™) provides a three-year certification for outpatient practices that meet the benchmarks for breast, colorectal, non-small cell lung, non-Hodgkin lymphoma, gynecologic and prostate cancers.
QOPI is a voluntary, self-assessment and improvement program launched by ASCO in 2006 to help medical oncology practices assess the quality of the care they provide to patients. Oncologists can achieve certification by meeting the highest standards of care.
Breast program certification
Certified Quality Breast Center of Excellence™
In 2017, for the fifth consecutive year, Midwestern achieved the certification level as a Certified Quality Breast Center of Excellence™.
The CTCA at Midwestern breast center is the only center in Illinois, and one of only 44 centers nationally, to be recognized as a Certified Quality Breast Center of Excellence™ by the National Quality Measures for Breast Centers Program™ (NQMBC®), reinforcing the hospital's position as a national leader in breast cancer care.
The National Consortium of Breast Centers uses 36 National Quality Indicators to evaluate breast programs in the areas of imaging, surgery, cancer registry, pathology, radiation and patient satisfaction. The Certified Quality Breast Center of Excellence is the highest certification level. The centers chosen for this designation have met the highest quality standards in breast cancer care.
In order to achieve this certification, Midwestern had to prove, with three-year’s worth of data, that our patients were:
- Provided with the opportunity to report on their satisfaction regarding the care they received
- Provided with follow-up and care in a timely manner
- Provided with care that is individualized to their unique situation
- Provided with accurate care and diagnosis
- Provided with comprehensive treatment options
Press Ganey Guardian of Excellence Award
In 2016, CTCA at Midwestern was named as a 2016 Guardian of Excellence Award® winner by Press Ganey for inpatient services. The Guardian of Excellence Award recognizes top-performing health care organizations that have consistently achieved the 95th percentile or above of performance in patient experience. The Press Ganey Guardian of Excellence Award is a nationally recognized symbol of achievement in health care. Presented annually, the award honors clients who consistently sustained performance in the top 5 percent of all Press Ganey clients for each reporting period during the course of one year.
In December 2013, Midwestern earned Magnet Recognition® for excellence in nursing. Awarded by the American Nurses Credentialing Center (ANCC), Magnet status is considered the highest honor a hospital can achieve for its nursing. Of the nearly 6,000 hospitals in the United States, less than seven percent have Magnet Recognition.
The ANCC honors organizations that demonstrate excellence in nursing practice and adherence to national standards and best practices. A hospital that has been recognized by the Magnet Recognition Program® is one that has met the specific standards set forth by ANCC. These standards define the highest quality of nursing practice and patient care.
Research shows there are clear benefits to hospitals that achieve Magnet status, and to the communities they serve. Magnet Recognition increases consumer confidence, serves to attract and retain top talent, advances nursing standards and practices, and fosters a more collaborative culture. The designation is granted for four years, during which time the ANCC monitors Magnet facilities to ensure high standards of care remain intact.
Stem Cell Transplant and Cell Therapy Program accreditation
In 2014, Midwestern was recognized by the Foundation for the Accreditation of Cellular Therapy (FACT) at the University of Nebraska Medical Center for demonstrating compliance with the FACT-JACIE International Standards for Cellular Therapy Product Collection, Processing and Administration.
FACT, an internationally recognized accrediting body for hospitals and medical institutions offering stem cell transplant, awarded Midwestern with the prestigious accreditation for meeting rigorous standards in a variety of stem cell therapies, including clinical care, donor management, cell collection, processing, storage, transportation, administration and cell release. As a member of the National Marrow Donor Program®, Midwestern offers a Stem Cell Transplant and Cell Therapy Program that provides transplantation services and advanced treatment options for hematologic cancers.
American College of Radiology
CTCA at Midwestern is accredited by the American College of Radiology (ACR). The hospital has earned full accreditation in radiation oncology and multiple imaging modalities, including mammography, CT, PET, ultrasound, nuclear medicine and MRI.
This accreditation is awarded to facilities who meet specific practice guidelines and technical standards in radiation oncology developed by the ACR. The categories for assessment include patient care and treatment, patient safety, personnel qualifications, adequacy of facility equipment, quality control procedures and quality assurance programs.
Intersocietal Accreditation Commission - Echocardiography
In January 2016, the Cardiovascular Laboratory at CTCA at Midwestern was granted an additional three-year term of accreditation by the Intersocietal Accreditation Commission (IAC) in Echocardiography in the area of Adult Transthoracic. Echocardiography is used to assess different areas of the heart and can detect heart disease or signs of serious cardiovascular conditions. This latest accreditation is awarded to facilities that demonstrate an ongoing commitment to providing quality patient care in echocardiography.
Accreditation by the IAC means that the Cardiovascular Laboratory at Midwestern has undergone an intensive application and review process and is found to be compliance with the published Standards, demonstrating a commitment to quality patient care in echocardiography. IAC accreditation is a “seal of approval” that demonstrates consistent quality care and a dedication to continuous improvement.
Intersocietal Accreditation Commission - Vascular Testing
In November 2016, the Cardiovascular Laboratory at CTCA at Midwestern was granted an additional three-year term of accreditation by the Intersocietal Accreditation Commission (IAC) in Vascular Testing in the area of Peripheral Venous Testing. This latest accreditation is awarded to facilities that demonstrate an ongoing commitment to providing quality patient care in vascular testing. Accreditation by the IAC indicates that the Cardiovascular Laboratory at Midwestern has undergone an intensive application and a thorough review by a panel of medical experts and is found to be in compliance with the published Standards, demonstrating a commitment to quality patient care in vascular testing.
There are many factors that contribute to an accurate diagnosis based on vascular testing. The training and experience of the technologist performing the procedure, the type of equipment used and the quality assessment metrics each facility is required to measure all contribute to a positive patient outcome. IAC accreditation is a “seal of approval” that demonstrates consistent quality care and a dedication to continuous improvement.
College of American Pathologists
The laboratory at CTCA Midwestern is fully accredited by the College of American Pathologists (CAP). The CAP accreditation process is designed to ensure that laboratories are delivering the highest standard of care to the patients they serve. Inspectors examine the laboratory’s records and quality control of procedures, laboratory staff qualifications, equipment, facilities, safety program and record, and overall management.
The Department of Laboratory Services at Midwestern plays an important role in patient care. Our pathologists analyze laboratory tests for helping to diagnose cancer type, staging and treatment planning and monitoring. These tests include those of blood, urine or other bodily fluids. The goal is to ensure that patients receive the appropriate cancer treatment plan designed for their needs. The team is committed to providing accurate, reliable and rapid turnaround times for in-house tests and delivering test results in a timely fashion, so patients can receive targeted treatment with fewer delays or interruptions.
The laboratory at CTCA at Midwestern is one of 52 CAP-accredited biorepository programs in the United States, which collect, process and store biospecimens to support future scientific investigation. Biorepositories are essential resources for personalized medicine research, as they enable the study of both health and disease over long periods of time. CTCA at Midwestern biorepository services include tissue collection, preparation of fresh tissue, tissue sampling and tissue processing.
Accreditation with Commendation Award
In 2014, Midwestern received the Accreditation with Commendation Award. The American College of Surgeons Commission on Cancer conducts this survey every three years. The survey of our cancer program took place in June 2014.
The accreditation is a voluntary commitment by a cancer program. In order to receive accreditation, a cancer program needs to show that:
Its patients have access to the full scope of services required to diagnose, treat, rehabilitate and support patients with cancer and their families.
The cancer program continually evaluates its performance and takes proactive corrective action when necessary, reaffirming its commitment to provide the highest quality cancer care.
Midwestern is also accredited by the following professional health care organizations:
- American Association of Blood Banks
- Clinical Laboratory Improvement Act
- National Marrow Donor Program
- Center for Medicare and Medicaid Services