Awards, Accreditation & Memberships
While our main focus has always been on the care, safety and satisfaction of our patients, at Middlesex Hospital we are proud to have received national recognition from esteemed healthcare reporting organizations as well.
In addition, we hold accreditations and membership in organizations committed to the highest levels of leadership in the healthcare field.
From our designations as a Top 100 hospital, to our Magnet nurses, we’re proud of the work we are doing and the team members who continue to cultivate an environment of excellence here.
The Joint Commission Accreditation – The Joint Commission is the most recognized accrediting agency for hospitals and healthcare organizations. Accreditation surveys are voluntary, but most hospitals do volunteer to participate. Medicare and Medicaid reimbursement are contingent upon The Joint Comission survey findings and accreditation by The Joint Commission is considered the “stamp of approval” for hospitals by healthcare consumers. Surveys are performed every three years and consist of evaluation of the hospital against hundreds of standards, including those relating to patient rights, assessment and care of patients, quality, leadership, management of information, medical staff, nursing and infection control.
Thomson Reuters 100 Top Hospitals® Benchmarks for Success Study — Middlesex Hospital continues to distinguish itself as one of the finest hospitals in the United States. Most notably, the Hospital has been designated four times as one of the Thomson Reuters 100 Top Hospitals®, currently as part of the 2011 Thomson Reuters study.
This prestigious national award evaluates hospital performance in nine different areas: mortality, medical complications, patient safety, average length of stay, expenses, profitability, cash-to-debt ratio, patient satisfaction, and adherence to clinical standards of care.
Unlike many other awards and designations, the 100 Top Hospitals® designation is based on an objective, statistical comparison of hospital-wide performance, using publicly available data from more than 3,000 hospitals across the country.
Magnet status – On June 1, 2001, Middlesex Hospital became Connecticut’s first and only Magnet hospital, a prestigious mark of nursing excellence awarded by the American Nurses Credentialing Center (ANCC), an arm of the American Nurses Association. The Hospital has been retained its Magnet designation since 2001.
Magnet hospitals must meet stringent quantitative and qualitative standards that define the highest quality nursing services and patient care. Middlesex Hospital’s three-year-long Magnet assessment process required more than 1,000 pages of documentation, months of intense scrutiny, plus random, face-to-face, on-the-job interviews and observation by an ANCC team.
Magnet status enhances a hospital’s ability to recruit and retain highly qualified nurses and other staff. This is especially important right now because of the worldwide nursing shortage. The evaluation process encompasses nurse-management style, nursing autonomy, quality of leadership, organizational structure, care practices and career development — all the things that go into attracting, keeping and motivating the best nursing and other healthcare professionals. Our nurse turnover rate is one of the lowest in the state, and our nurses average over 14 years with Middlesex Hospital.
There is evidence that indicates that patient outcomes are better at Magnet hospitals. Magnet status is important because it is the most stringent quality indicator available for nurses, who provide 95 percent of the care a patient receives while hospitalized.
Safest Hospitals in America — In its seventh annual study of quality and clinical excellence, HealthGrades, a leading health care ratings organization, has identified 270 hospitals out of 5,000 nationwide that collectively had a 28 percent lower mortality rate and 8 percent lower complication rate than the national average. The full list reflects the top five percent of hospitals nationwide.
Middlesex Hospital was one of only seven Connecticut hospitals on the HealthGrades list. According to the study’s coauthors, if all facilities performed at the level of the hospitals on the list, 152,600 lives might have been saved and 11,700 hospital complications prevented between 2005 and 2007.
For this study, HealthGrades used administrative coding from more than 41 million Medicare patient records, evaluating 26 common inpatient procedures and diagnoses and determining outcomes in each case. The results were controlled for increased risk among populations based on age, gender, and sicker patients.
According to a Forbes.com article about the HealthGrades study, improved safety rates clearly benefit patients, but they may also benefit the bottom line. Though the company did not make a link between lower complication and mortality rates and lower premiums for medical malpractice insurance, improved safety rates may persuade underwriters to view the hospital as low-risk. They may also decrease the number of medical malpractice claims, which cost insurers $7.1 billion in 2007, according to the National Association of Insurance Commissioners.
National Committee for Quality Assurance (NCQA)
In 2003, Integrated Resources for the Middlesex Area, LLC (IRMA), received full accreditation for its disease management programs from the National Committee for Quality Assurance (NCQA). IRMA is the first and only community-based health system in the country to receive this honor.
IRMA was one of only 18 organizations nationwide to voluntarily sign on for the NCQA accreditation program. The accreditation program involves a comprehensive review of the full range of disease management functions to assess the quality of the programs. Earning the voluntary NCQA disease management accreditation is an indication that an organization is dedicated to giving patients and practitioners the support systems, education and other help necessary to ensure good outcomes and good care.
The Middlesex Hospital Center for Chronic Care Management, the department that oversees all disease management programs, was most recently reaccredited by the NCQA in 2009.
State Department of Public Health Licensure – The State Department of Public Health inspects all hospitals at least every three years, utilizing the Public Health Codes as criteria for their review. Middlesex Hospital maintains uninterrupted state licensure.
American College of Surgeons – The Middlesex Hospital Cancer Center is approved by the Commission on Cancer of the American College of Surgeons (ACS). The ACS Commission's approval program sets standards for cancer programs and reviews the programs to make sure they conform to those standards.
Receiving care at a Commission on Cancer approved cancer program ensures that a patient will have access to:
- Quality care, close to home.
- Comprehensive care, offering a range of state-of-the-art services and equipment.
- A multispecialty team approach to coordinate the best treatment options available to cancer patients.
- Information about cancer clinical trials, education and support.
- Lifelong patient follow-up through a cancer registry that collects data on type and stage of cancers and treatment results.
- Ongoing monitoring and improvement of care.
Approval by the Commission on Cancer is given only to those facilities that have voluntarily committed to provide the best in diagnosis and treatment of cancer and to undergo a rigorous evaluation process and a review of its performance. In order to maintain approval, facilities with approved cancer programs must undergo an on-site review every three years.
College of American Pathologists (CAP) — CAP is a private, not-for-profit accrediting organization that has been approved by the Centers for Medicare and Medicaid Services (CMS) and its requirements deemed as equivalent to or more stringent than CMS’s regulatory requirements. The goal of the CAP Laboratory Accreditation Program is to improve the quality of clinical laboratory services through voluntary participation, professional peer review, education and compliance with established performance standards. Upon successful completion of the inspection process, the laboratory is awarded CAP accreditation, and becomes part of an exclusive group of more than 6,000 laboratories worldwide that have met the highest standards of excellence.
Nuclear Regulatory Commission (NRC) — Middlesex Hospital holds a license from the NRC for the radioactive materials it uses in certain imaging and radiation oncology procedures. The Hospital’s linear accelerator is registered with the State of Connecticut and its mammography center is certified by the U.S. Department of Health & Human Services Public Health Service of the Food and Drug Administration (FDA).
Accreditation Council for Graduate Medical Education (ACGME) – The Middlesex Hospital Family Practice Residency is accredited by the ACGME. The ACGME is a private, non-profit organization that accredits more than 7,800 residency programs in 119 specialties and subspecialties affecting nearly 100,000 residents. Its mission is to improve the quality of patient care through improving and maintaining the quality of graduate medical education for physicians training in the United States. Accreditation is voluntary, however, programs must be ACGME-accredited in order to receive graduate medical education funds from the federal Center for Medicare and Medicaid Services. Residents must graduate from ACGME-accredited programs to be eligible to take their board certification examinations. In addition, Connecticut requires two years of study in an ACGME-accredited residency program for physician licensure.
American College of Radiology (ACR) Accreditation — The ACR gold seal of accreditation represents the highest level of image quality and patient safety. It is awarded only to facilities meeting ACR Practice Guidelines and Technical Standards after a peer-review evaluation by board-certified physicians and medical physicists who are experts in the field. Middlesex Hospital received ACR accreditation for its breast imaging services, including mammography, stereotactic breast biopsy, and breast ultrasound (including ultrasound-guided breast biopsy) and for its CT service in 2011.
Amercian College of Surgeons (ACoS) National Accreditation Program for Breast Centers (NAPBC) — Middlesex Hospital is accredited by the American College of Surgeons National Accreditation Program for Breast Centers as a Comprehensive Breast Center. At the time of its accreditation, it was only the third such center in the State of Connecticut.
Immunization Action Coalition “Honor Roll for Safety” — Middlesex Hospital was named to this honor roll in 2011. The Coalition recognizes stellar examples of influenza vaccination mandates in healthcare settings. In 2011, Middlesex Hospital established a mandatory influenza vaccination program for its employees, physicians and volunteers.
Press Ganey Summit Award — Both the Emergency Departments at the Middlesex Hospital Shoreline Medical Center and the Middlesex Hospital Marlborough Medical Center have been recipients of this award for customer satisfaction multiple times. In fact, in 2011, the Middlesex Hospital Marlborough Medical Center received the Press Ganey Summit Award for an impressive sixth year in a row. The Summit Award recognizes top-performing facilities that have sustained the highest level (at least at the 95th percentile) of customer satisfaction for three or more consecutive years.
HealthGrades Distinguished Hospitals for Clinical Excellence — Middlesex Hospital was recognized in a study conducted by HealthGrades, an independent health care ratings organization in Colorado, which ranked 5,000 U.S. hospitals based on mortality and complication rates complied from Medicare data.
HealthGrades Top Hospitals for Emergency Care Designation — Middlesex Hospital has achieved the HealthGrades Emergency Medicine Excellence Award three years in a row. The puts Middlesex Hospital among the top five percent of hospitals in the country for clinical outcomes for patients admitted through the emergency room. Overall, HealthGrades found that these top hospitals on average had a 42% lower risk-adjusted mortality rate compared with other facilities. HealthGrades estimated that an additional 170,856 patients would have survived emergency hospitalization from 2008 to 2010 if all hospitals performed at the level of these top-performing facilities.
American Academy of Family Physicians Foundation Pfizer Immunization Award — The Middlesex Hospital Family Medicine Residency Program was honored with this award in 2011 for the most improved childhood immunization rates among the national’s 460 family medicine residency programs. These awards recognize family medicine residency programs that have achieved increased immunization rates in their communities through creative solutions.
Primary Stroke Center — Middlesex Hospital is certified as a Primary Stroke Center (PSC) by The Joint Commission and the Connecticut Department of Public Health (DPH). These designations recognize centers that make exceptional efforts to foster better outcomes for stroke care. Achievement of the certification signifies that the services provided have the critical elements to achieve long-term success in improving outcomes for stroke and that the center demonstrates the necessary infrastructure, staffing and services to stabilize and treat most acute stroke patients.
American Heart Association/American Stroke Association Silver and Gold “Get With the GuidelinesSM Achievement Awards — Middlesex Hospital has received both the Silver and Gold Plus achievement awards for using evidence-based guidelines to provide the best possible stroke care to patients.