Accreditation & Quality Assurance
Government agencies, national sanctioning bodies, state associations, and private independent survey firms regularly evaluate Martha’s Vineyard Hospital’s quality of care performance across a wide range of criteria. Some of these criteria go beyond just facts and figures to measure how well a hospital manages the interpersonal aspects of patient care.
In some instances, these evaluations are compared with performance data from other hospitals across the state or across the country. In other cases, sanctioning bodies establish quality and safety benchmarks, which hospitals are required to meet or exceed in order to earn and maintain an accredited status.
Finally, Martha's Vineyard Hospital has an extensive internal network of processes and mechanisms that act as checkpoints and yardsticks for monitoring and measuring quality standards.
The Joint Commission
The Joint Commission is an independent, not-for-profit body that established standards for quality and standards. The Joint Commission conducts regular, on-site surveys of hospitals, evaluating a wide range of criteria. The results of these surveys determine whether a hospital earns accreditation from the Joint Commission. This accreditation process includes unannounced surveys of hospitals which ensures that the hospital is always striving to be its best in terms of safety and quality of care.
The Joint Commission granted Martha’s Vineyard Hospital full accreditation for a 36-month cycle beginning in September 2015 and is due to be surveyed again sometime in 2018.
Hospitals are required to post an announcement that an accreditation survey may be imminent and to give the public an opportunity to provide input.
Visit the Joint Commission website
Windemere Receives 5-Stars
In 2015, Windemere Nursing & Rehabilitation Center received the highest 5-star rating handed out by the federal government’s Medicare program, which is based on detailed health inspections, ratings of staff and measures of quality of care. Then the Department of Health and Human Services inspected Windemere in November, the nursing home received a perfect score: “no deficiencies found.” Also for the second year in a row, Windemere was listed among the best nursing homes in the nation by U.S. News and World Report Magazine.
Supporting the Martha’s Vineyard Hospital culture of quality and the people behind it, is a carefully designed system of processes that reinforce, cross check and monitor the status of quality care initiatives. These processes represent checklists and benchmarks that analyze the progress of maintaining and raising quality throughout every aspect of care.
In much the same way, you as a patient will have expectations and want reassurances about the quality of care you receive, our quality processes are among the many ways to ensure we deliver both.
In our continuing effort to improve the quality of care we provide, we ask our patients to complete a survey about their experience at Martha's Vineyard Hospital. This form is given or mailed to all patients.
If you have not received a survey, and/or wish to contact us with your comments or suggestions click here.
Martha’s Vineyard Hospital Intensive Care Unit Nurse to Patient Staffing Ratio
Average RN to Patient Ratio
1st Quarter January – March
1 RN to 0.6 Patients
2nd Quarter April – June
1 RN to 0.5 Patients
At Martha’s Vineyard Hospital, our goal is to provide the best healthcare and medical service possible. Sometimes we exceed expectations. Every now and then, however, we might not meet our patients’ or families’ expectations. We want to learn from your experience, good or not so good. The Quality Improvement Office welcomes your compliments or concerns. We are also here to help you resolve a problem.Patient Advocacy
For more about Patient Advocacy click here.
Quality Improvement Office: 508-957-9551