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Accreditations

Cancer Treatment Centers of America (CTCA) at Midwestern Regional Medical Center (Midwestern) is accredited by several renowned professional healthcare organizations that supervise the quality of cancer care.

The Joint Commission

joint commissionMidwestern is currently accredited by The Joint Commission with Full Standards Compliance. This accreditation decision is awarded to a healthcare 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 healthcare. 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.

Magnet Recognition®

american nurses magnet logoIn 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.

Breast program accreditation

NAPBC accreditation

NAPBCIn 2010, Midwestern was awarded a three-year full accreditation for our breast program from the National Accreditation Program for Breast Centers (NAPBC). Our hospital is one of only 232 accredited breast centers countrywide.

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.

Breast program certification

CTCA hospital in Illinois named Certified Quality Breast Center of Excellence

nqmbcIn September 2012, Midwestern achieved the certification level as a Certified Quality Breast Center of Excellence.

Our breast center is the only center in Illinois, and one of only 33 centers in the country, to achieve this level of certification by the National Quality Measures for Breast Centers Program® (NQMBC™), cementing 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

“Being a certified Quality Breast Center of Excellence means that we can offer our patients multiple defenses against cancer,” says Dr. Stephen P. Ray, Medical Director of the Breast Center and Oncoplastic and Reconstructive Surgery at Midwestern. “This certification demonstrates that we not only offer compassionate care and innovative treatments, but also that our patients can rest easy knowing that our medical staff is held to high standards of quality,” Dr. Ray adds. 

American College of Radiology imaging accreditation

ACR logo

In July 2013, Midwestern was awarded a three-year term of accreditation by the American College of Radiology (ACR). They have earned full accreditation in multiple imaging modalities, including radiation oncology, mammography, CT, PET, ultrasound, nuclear medicine, and MRI.

Nearly 500 facilities have this accreditation, which 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.

Accreditation with Commendation Award

In October 2011, 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 on June 2, 2011.

The accreditation is a voluntary commitment by a cancer program. In order to receive accreditation, a cancer program needs to show that:

  1. Its patients have access to the full scope of services required to diagnose, treat, rehabilitate and support patients with cancer and their families.
  2. The cancer program continually evaluates its performance and takes proactive corrective action when necessary, reaffirming its commitment to provide the highest quality cancer care.

Additional accreditations

Midwestern is also accredited by the following professional healthcare organizations:

  • American Association of Blood Banks
  • College of American Pathologists
  • American College of Radiology
  • American College of Surgeons Commission on Cancer
  • Clinical Laboratory Improvement Act
  • Quality Oncology Practice Initiative
  • National Marrow Donor Program
  • Center for Medicare and Medicaid Services
  • Intersocietal Accreditation Commission - Echocardiography & Vascular Testing

Recognitions and memberships

Midwestern has also earned membership from the Association of Community Cancer Centers.

The Joint Commission recognition

2012 key logo

Top Performer on Key Quality Measures®

In 2013, Midwestern was named Top Performer on Key Quality Measures® 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 35 hospitals in Illinois earning the distinction of Top Performer on Key Quality Measures for attaining and sustaining excellence in accountability measure performance. Our hospital was recognized for its achievement in surgical services.

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