Quality Healthcare at Saint Clare’s
At Saint Clare’s Health System, providing extraordinary family-centered
care is at the core of everything we do. We are committed to offering
our patients the highest quality health care possible, and to ensure that
our patients are always satisfied with the care they receive throughout
our health system. One of the ways this commitment to quality and continuous
focus on quality improvement is evident is through the achievement awards,
accreditations, and performance scores that Saint Clare’s has received.
The Hospital Performance Report – 2012, published by the New Jersey
Department of Health and Senior Services, shows that Saint Clare’s
quality of care rates are among the top performing hospitals in the state.
Click the link to view the 2012 New Jersey Hospital Performance Report
, released June 28, 2013. Saint Clare’s Hospitals in Denville and
Dover, the acute care hospitals of Saint Clare’s Health System,
ranked among the top hospitals in the state for the treatment of heart
attack, pneumonia, heart failure and surgical care improvement in the
State’s ninth annual Hospital Performance Report released June 28,
2013 by the New Jersey Department of Health and Senior Services. Saint
Clare’s Hospitals ranked highest in Morris County in all categories
for heart attack, pneumonia, heart failure and surgical care improvement.
Joint Commission Accreditation and Certification
Saint Clare's hospitals are accredited by The Joint Commission, including
our Behavioral Health center, home care, and multiple ambulatory services.
Our Denville and Dover hospitals are Advanced Disease Certified for Primary
Stroke by The Joint Commission. In addition, Denville Hospital is also
Disease Certified for Hip and Knee. The Joint Commission is the nation’s
leading health care evaluation and accreditation organization.
Joint Commission Top Performers of Key Quality Measures
Denville and Dover Hospital are ranked among the top hospitals in the nation
in the Joint Commission’s Top Performers of Key Quality Measures
™ in a report by The Joint Commission. Saint Clare’s Hospitals
in Denville and Dover were recognized for the treatment of Heart Attack,
Heart Failure, Pneumonia and Surgical Care.
Joint Commission Gold Seal of Approval and Disease Specific Certification
for Hip and Knee Replacement
Saint Clare’s has earned the Gold Seal of Approval and Disease-Specific
Certification from The Joint Commission for Hip and Knee Replacement.
The quality certification was awarded by demonstrating compliance with
The Joint Commission’s national standards for health care quality
and safety in disease-specific care, including program management, delivering
or facilitating clinical care, supporting self management, clinical information
management, and performance measurement.
Healthgrades Patient Safety Excellence Award
Hospitals were evaluated based on the occurrence of observed incidents
and expected performance for 14 Patient Safety Indicators as defined by
the Agency for Healthcare Research and Quality. This Healthgrades designation
recognizes superior performance in hospitals that have prevented the occurrence
of serious, potentially avoidable complications for patients during hospital stays.
According to Healthgrades, during this study period, patients treated in
hospitals receiving the Healthgrades Patient Safety Excellence Award were,
- 40.2% less likely to experience an accidental puncture or laceration during
a procedure, than patients treated at non-recipient hospitals.
- 44.2% less likely to experience a collapsed lung due to a procedure or
surgery in or around the chest, than patients treated at non-recipient
- 54.4% less likely to experience catheter-related blood stream infections,
than patients treated at non-recipient hospitals.
- 50.4% less likely to experience pressure sores or bed sores acquired in
the hospital, than patients treated at non-recipient hospitals.
Hospital Safety Score - A Grade
Dover and Denville Hospitals were honored with an “A” grade
in the Fall 2015 update to the Hospital Safety Score, which rates how
well hospitals protect patients from accidents, errors, injuries and infections.
The Hospital Safety Score is compiled under the guidance of the nation’s
leading experts on patient safety and is administered by The Leapfrog
Group (Leapfrog), an independent industry watchdog. The first and only
hospital safety rating to be analyzed in the peer-reviewed Journal of
Patient Safety, the Score is designed to give the public information they
can use to protect themselves and their families. Saint Clare’s
Hospitals in Denville and Dover were the only hospitals in Morris County
to be recognized with an A grade. Saint Clare'sDover and Denville
Hospitals are among just 182 hospitals nationwide to achieve an "A"
grade in all seven score releases, and among only 9 hospitals in New Jersey.
Get with the Guidelines Gold Plus Performance Achievement Award
Saint Clare’s is a recipient of the American Heart Association/American
Stroke Association’s Get With The Guidelines® Stroke Gold Plus
Performance Achievement Award, recognizing commitment and success in implementing
excellent care for stroke patients, according to evidence-based practices
and the highest standard of care nationally.
Three-Year Term of Accreditation in Radiation Oncology
The Center for Cancer Care at Saint Clare's Denville Hospital has been
awarded a three-year term of accreditation in radiation oncology as the
result of a recent review by the American College of Radiology (ACR).
The ACR seal of accreditation represents the highest level of quality
and patient safety. It is awarded only to facilities meeting specific
Practice Guidelines and Technical Standards developed by ACR after a peer-review
evaluation by board-certified radiation oncologists and medical physicists
who are experts in the field.
Breast Imaging Center of Excellence
Dover Hospital's Women's Health Center has been designated a Breast
Imaging Center of Excellence by the American College of Radiology (ACR).
This designation is awarded to breast imaging centers that achieve excellence
by seeking and earning accreditation in all of the ACR’s voluntary
breast-imaging accreditation programs and modules, in addition to the
mandatory Mammography Accreditation Program. The Women's Health Center
is fully accredited in mammography, stereotactic breast biopsy, breast
ultrasound, and ultrasound-guided breast biopsy.
American College of Surgeons Approval with Commendation
In 2015, the Center for Cancer Care at Saint Clare's Denville Hospital
was awarded a three-year approval with commendations by the American College
of Surgeons (ACOS) Commission on Cancer (CoC). This type of approval is
given to programs that comply with all standards and receive a commendation
rating for one or more standards. The American College of Surgeons is
a scientific and educational association of surgeons that was founded
in 1913 to improve quality of care for surgical patients by setting high
standards for surgical education and practice.
American Academy of Sleep Medicine Accreditation
In 2014, Dover Hospital's Center for Sleep Medicine received a five-year
accreditation from the American Academy of Sleep Medicine (AASM), recognizing
a commitment to the provision of quality diagnostic services and the longitudinal
management of sleep patients. AASM center accreditation reflects a commitment
to ensure that sleep disorder patients receive the highest quality of care.
American Association of Cardiovascular and Pulmonary Rehabilitation Certification
In September 2011, Saint Clare’s Pulmonary Rehabilitation received
its second consecutive three-year certification from the American Association
of Cardiovascular and Pulmonary Rehabilitation (AACVPR), recognizing commitment
to improving quality of life by enhancing standards of care. The AACVPR
Program Certification is the only peer-reviewed accreditation process
designed to review individual programs for adherence to standards and
guidelines developed and published by the AACVPR and other professional
Intersocietal Commission for the Accreditation of Echocardiography Laboratories
In 2013, Saint Clare’s Echocardiography Laboratories in Denville
and Dover received a three-year accreditation from the Intersocietal Commission
for the Accreditation of Echocardiography Laboratories (ICAEL). ICAEL
accreditation recognizes labs for commitment to high quality patient care
and provision of quality diagnostic testing.
Intersocietal Commission for the Accreditation of Vascular Laboratories
In 2013, Saint Clare’s Vascular Laboratories in Denville, Dover,
and Sussex received a three-year accreditation from the Intersocietal
Commission for the Accreditation of Vascular Laboratories (ICAVL). This
nationally recognized accreditation assures accuracy, quality and patient safety.
Saint Clare’s success in infection control initiatives, aimed at
the prevention of healthcare associated infections, include:
Winner of the IHI Innovation Challenge:Reducing Methicillin-Resistant Staphylococcus Aureus (MRSA) Infection
In 2008, Saint Clare’s won the Institute for Healthcare Improvement
(IHI) Innovation Challenge: Reducing Methicillin-Resistant Staphylococcus
Aureus (MRSA) Infection. To achieve this accolade, Saint Clare’s
implemented multiple initiatives including a hand hygiene campaign, development
of infection liaisons, screenings and many other infection control practices
– and was able to demonstrate reducing MRSA infections.
IHI Methicillin Resistant Staphylococcus Aureus (MRSA) Mentor Hospital
Saint Clare’s continued as a designated Institute for Healthcare
Improvement (IHI) Methicillin Resistant Staphylococcus Aureus (MRSA) Mentor
Hospital since 2008. As a mentor hospital, Saint Clare’s has a national
leadership role in guiding healthcare workers, including the public sector,
in the prevention and control of MRSA infections. Saint Clare’s
Infection Preventionists (IPs) are called on to share best practices,
providing webinars in multiple states, including New Jersey. Healthcare
practitioners across the nation can also call individually on Saint Clare’s
IPs for advice, policy examples, or best practices information.
HRET: Hospitals In Pursuit of Excellence in Eliminating CAUTI:
Saint Clare’s was one of the three hospitals nationwide that was
recognized by Health Research & Educational Trust (HRET) in partnership
with American Hospital Association (AHA) – HPOE (Hospitals in Pursuit
of Excellence). Saint Clare’s “Case Example” is featured
in the HRET Signature Leadership Series: Eliminating Catheter-Associated
Urinary Tract Infections.