Gold Seal of Approval for Total Shoulder Certification

December 8, 2014 5:59 pm

Mercy Health Saint Mary’s Has Been Awarded The Joint Commission’s Gold Seal of Approval® for its Total Shoulder Certification

 First Hospital in State, 20th in Nation to Earn Elite Accreditation

Mercy Health Saint Mary’s has earned The Joint Commission’s Gold Seal of Approval® for its Total Shoulder Certification by demonstrating compliance with The Joint Commission’s national standards for health care quality and safety. The certification award recognizes Mercy Health Saint Mary’s dedication to continuous compliance with The Joint Commission’s state-of-the-art standards. Mercy Health Saint Mary’s is the first in the state of Michigan and only the 20th Total Shoulder Certification in the country to earn this accreditation.

Mercy Health Saint Mary’s underwent and passed a rigorous onsite review on September 23 and 24, 2014, where an expert from The Joint Commission evaluated the hospital for compliance with standards of care specific to the needs of patients and families, including infection prevention and control, leadership and medication management.

Total shoulder replacements have been performed by Orthopedic Surgeon Tim Lenters, MD, at Mercy Health Saint Mary’s since the procedure was FDA-approved in 2004. “I currently perform anywhere from 150 to 200 shoulder replacements every year at Mercy Health Saint Mary’s, half of which are reverse shoulder replacements,” said Lenters.

“In achieving Joint Commission certification, Mercy Health has demonstrated its commitment to the highest level of care for its patients requiring total shoulder replacement,” says Michele Sacco, M.S., interim executive director, Certification Programs.

“With Joint Commission certification, we are making a significant investment in quality on a day-to-day basis. Joint Commission accreditation provides us a framework to take our organization to the next level and helps create a culture of excellence,” said Julie Lundvick, Clinical Service Director, Orthopedics at Mercy Health Saint Mary’s. “Achieving Joint Commission certification in Total Shoulder Replacement is a major step toward maintaining excellence and continually improving the care we provide.”

The Joint Commission’s Disease-Specific Care Certification Program, launched in 2002, is designed to evaluate clinical programs across the continuum of care. Certification requirements address three core areas: compliance with consensus-based national standards; effective use of evidence-based clinical


practice guidelines to manage and optimize care; and an organized approach to performance measurement and improvement activities.

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