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.
The Leapfrog Group
In 2015, The Leapfrog Group named CTCA at Midwestern to its annual list of Top Hospitals. This recognition showcases the hospital’s commitment to providing safe, efficient and high-quality patient care. Out of the 1,600 hospitals that reported information to The Leapfrog Group, CTCA at Midwestern was one of only 98 to receive the honor of being named a Top Hospital.
Only 6 percent of hospitals eligible receive the Top Hospital award, which is given to urban, rural and children's hospitals that publicly report their performance through the annual Leapfrog Hospital Survey and meet the high standards defined in each year's Top Hospitals Methodology. The selection is based on the results of the survey, which measures hospitals’ performance on patient safety and quality, focusing on three critical areas of hospital care: how patients fare, resource use and management structures established to prevent errors. Performance across many areas of hospital care is considered in establishing the qualifications for the award, including survival rates for high-risk procedures and a hospital’s ability to prevent medication errors.
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.
Breast program accreditation
In 2010 and 2013, 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.
Breast program certification
Certified Quality Breast Center of Excellence™
In 2015, for the second consecutive term, 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 50 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
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 hematology-oncology practices that meet the benchmarks.
QOPI is a voluntary, self-assessment and improvement program launched by ASCO in 2006 to help hematology-oncology and medical oncology practices assess the quality of the care they provide to patients. Oncologists can achieve certification by meeting the highest standards of care.
American College of Radiology imaging accreditation
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.
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.
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
- College of American Pathologists
- Clinical Laboratory Improvement Act
- National Marrow Donor Program
- Center for Medicare and Medicaid Services
- Intersocietal Accreditation Commission - Echocardiography & Vascular Testing
- American College of Radiology’s Radiation Oncology Accreditation