General Surgery at St. Luke’s Cornwall Hospital (SLCH) is among the top 10% in the nation—as measured by volume-weighted performance—according to this year’s evaluation from Healthgrades, the leading online resource for comprehensive information about physicians and hospitals. Every year, Healthgrades evaluates hospital performance at nearly 4,500 hospitals nationwide for 34 of the most common inpatient procedures and conditions.
As a direct result of the hospital’s relationship with the Montefiore Health System, SLCH recently re-introduced a thoracic surgery program, expanding the number of procedures and conditions able to be treated in the local community.
This achievement is part of findings released by Healthgrades and is featured in their 2018 Report to the Nation, which includes detailed study methodology and can be found at www.healthgrades.com/quality.The new report demonstrates how clinical performance continues to differ dramatically between hospitals regionally and nationally.
This variation in care has a significant impact on health outcomes. For example, from 2014-2016, patients treated at hospitals receiving the General Surgery Specialty Excellence Award have, on average, had a 25.0% lower risk of experiencing a complication or dying while in the hospital than if they were treated in hospitals that did not receive the award.
Healthgrades® Five Star Recipient
Healthgrades® has recognized St. Luke’s Cornwall Hospital for its high quality patient care. We have receieved this recognition in Natural Childbirth for three consecutive years (2015-2017). This 5-star rating indicates that the hospital’s clinical outcomes are statistically significantly better than expected when treating the condition or performing the procedure being evaluated. Providing quality care to our patients is our number one priority.
St. Luke's Cornwall Hospital Newburgh campus is designated as a Blue Distinction Center for Knee and Hip Replacement by Empire Blue Cross Blue Shield, an independent licensee of Blue Cross Blue Shield Association.
Empire BlueCross BlueShield has selected St. Luke's Cornwall Hospital as a Blue Distinction Center for Knee and Hip Replacement, part of the Blue Distinction Specialty Care program. The SLCH Center for Joint Replacement is led by Medical Director, John McLaughlin, MD, and offers the full gamut of joint replacement including the knee, hip, and shoulder; performed by a highly trained, qualified team of orthopedic surgeons on the staff of SLCH.
As a Blue Distinction Center for Knee and Hip Replacement, SLCH demonstrates expertise in total knee and total hip replacement surgeries, resulting in fewer patient complications and hospital readmissions.
With this designation, SLCH's Center for Joint Replacement is a nationally designated healthcare facility shown to deliver improved patient safety and better health outcomes, based on objective measures that were developed by Blue Cross and Blue Shield companies with input from the medical community.
St. Luke's Cornwall Hospital's Newburgh campus is designated as a Blue Distinction Center for Maternity Care by Empire Blue Cross Blue Shield, an independent licensee of Blue Cross Blue Shield Association.
Empire Blue Cross Blue Shield has selected St. Luke's Cornwall Hospital as a Blue Distinction Center for Maternity Care. With this designation, SLCH is nationally recognized for providing maternity services that are family centered, promote successful breastfeeding and culturally competent care. Additionally, we work with each patient to connect mother and baby to all appropriate community resources. Our team provides compassionate care to the community we serve. We are with you for life from the very beginning.
St. Luke’s Cornwall Hospital's Institute for Metabolic and Bariatric Surgery has been accredited as a Comprehensive Center under the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP®), a joint program of the American College of Surgeons (ACS) and the American Society for Metabolic and Bariatric Surgery (ASMBS).
SLCH officially launched the service in January 2015, treating patients throughout the Hudson Valley at the hospital’s Newburgh and Cornwall campuses. With this accreditation, patients seeking surgical treatment for severe obesity and its related conditions have a high-quality choice for receiving care at a nationally accredited program that meets the highest standards for patient safety and quality of care in the greater Hudson Valley Region area.
The MBSAQIP Standards, outlined in the Resources for Optimal Care of the Metabolic and Bariatric Surgery Patient 2016 ensure that bariatric surgical patients receive a multidisciplinary program, not just a surgical procedure, which improves patient outcomes and long-term success. SLCH’s accredited center offers preoperative and postoperative care designed specifically for their bariatrics patients.
To earn the MBSAQIP designation, SLCH met essential criteria for staffing, training, facility, infrastructure and protocols for care, ensuring its ability to support patients with severe obesity. SLCH’s Institute for Metabolic and Bariatric Surgery also participates in a national data registry that yields semiannual reports on the quality of its processes and outcomes, identifying opportunities for continuous quality improvement. The standards are specified in the MBSAQIP Resources for Optimal Care of the Metabolic and Bariatric Surgery Patient 2016, published by the ACS and ASMBS.
After submitting an application, centers seeking MBSAQIP Accreditation undergo an extensive site visit by an experienced bariatric surgeon, who reviews the center's structure, process, and clinical outcomes data. Centers are awarded a specific designation depending on how many patients it serves annually, the type of procedures it provides, and whether it provides care for patients under age 18. SLCH received outstanding remarks from its survey earlier this year, which included acknowledgement of the team’s leadership and excellent clinical outcomes.
Level III Trauma Center
The trauma center at St. Luke's Cornwall Hospital has been verified as a Level III Trauma Center through 2019 by the Verification Review Committee (VRC), an ad hoc committee of the Committee on Trauma (COT) of the American College of Surgeons (ACS). This achievement recognizes the trauma center's dedication to providing optimal care for injured patients.
The SLCH Trauma Program officially began in May 2014, allowing the hospital to operate provisionally as an Area Trauma Center. Since that time, the SLCH trauma team has treated more than 1,000 patients, implementing policies and procedures designed to enhance the care provided to patients in need of trauma services.
In November 2016, SLCH had its trauma verification survey conducted by the American College of Surgeons Committee on Trauma. SLCH is the first hospital in New York State to receive a Level III trauma designation as a first time trauma center and is the only verified Level III Trauma Center in the Hudson Valley.
SLCH is proud to partner with Surgical Affiliates Management Group (SAMGI) in the management of SLCH's Trauma surgeons, Nurse Practitioners and Physician Assistants. This dynamic team assists in the management of trauma patients in all areas of the hospital during a patients stay. The Trauma Program has bolstered the Kaplan Family Center for Emergency Medicine and the Emergency Department team as it continues to provide comprehensive, high-quality emergent care to patients and their families throughout the community.
Verified trauma centers must meet the essential criteria that ensure trauma care capability and institutional performance, as outlined by the American College of Surgeons' Committee on Trauma.
The SLCH Level III Trauma Center provides a multitude of services both within the walls of the hospital and in the community including community education to prevent trauma injuries such as "Not One More"-Teen Traffic Safety Program and a Falls Prevention Program.
The Consultation/Verification Program for Hospitals promotes the development of trauma centers in which participants provide not only the hospital resources necessary for trauma care, but also the entire spectrum of care to address the needs of all injured patients. This spectrum encompasses the prehospital phase through the rehabilitation process.
To date, the program has seen close to 900 trauma patients who were able to receive excellent care faster and closer to home, undoubtedly leading to better outcomes. The Trauma Program has bolstered the Kaplan Family Center for Emergency Medicine as it continues to provide comprehensive, high-quality emergent care to our patients and their families.
2017 Pioneer in Quality Expert Contributor
by The Joint Commission
The Joint Commission has recognized St. Luke's Cornwall Hospital as a 2017 Pioneers in Quality™ Expert Contributor for its contributions to electronic clinical quality measure (eCQM) data for quality improvement in health care.
SLCH is one of just nine hospitals recognized by The Joint Commission in 2017 for contributing eCQM knowledge and utilization practices for sharing with other accredited hospitals.
Until recently, most hospitals collected information to measure health care quality by manually abstracting data from patient records. Today, through eCQMs—which rely on structured, encoded data present in the electronic health record—hospitals can electronically collect and transmit data on the quality of care that patients receive. The electronic data can be analyzed to measure and improve care processes, performance and outcomes.
The Joint Commission, the United States’ leading accreditor of health care organizations, established the Pioneers in Quality™ program to assist and recognize hospitals that report eCQM data, as well as share best practices for all hospitals in gathering, analyzing and leveraging eCQM data for quality improvement.
St. Luke's Cornwall Hospital Earns 'Top Performer' Recognition from The Joint Commission
We are pleased to announce that in November 2014, The Joint Commission recognized St. Luke’s Cornwall Hospital as a 2013 Top Performer on Key Quality Measures®. St. Luke’s Cornwall Hospital has been recognized for its excellence in management of Heart Attack, Heart Failure, Stroke and Surgical Care. This distinction is provided to hospitals that have achieved 95% compliance or more for all reported accountability measures to the Joint Commission, demonstrating evidenced based care in these patient populations. St. Luke’s Cornwall Hospital is one of only 1,224 hospitals in the United States to achieve the distinction as a 2013 Top Performer.
“The quality of care provided to our patients as well as their safety are extremely important to our entire healthcare team at St. Luke’s Cornwall Hospital,” said Robert S. Ross, SLCH President and CEO. “Consistent use of evidence based care is a key element to improving patient outcomes. We are proud to be named a Top Performer as it recognizes the knowledge, teamwork and dedication of our entire staff.”
For more information about the Top Performer program, including eligibility criteria, visit http://www.jointcommission.org/accreditation/top_performers.aspx.
SLCH earned the award by meeting specific quality achievement measures for the diagnosis and treatment of stroke patients at a set level for a designated period. These measures include evaluation of the proper use of medications and other stroke treatments aligned with the most up-to-date, evidence-based guidelines with the goal of speeding recovery and reducing death and disability for stroke patients. Before discharge, patients should also receive education on managing their health, get a follow-up visit scheduled, as well as other care transition interventions.
Additionally, SLCH received the Target: StrokeSM Honor Roll Elite Plus award. To qualify for this recognition, hospitals must meet quality measures developed to reduce the time between the patient’s arrival at the hospital and treatment with the clot-buster tissue plasminogen activator, or tPA, the only drug approved by the U.S. Food and Drug Administration to treat ischemic stroke.
The St. Luke’s Cornwall Hospital Cardiovascular Service Line provides an individualized and comprehensive approach to identification of cardiac risk factors and quick assessment of symptoms. State-of-the-art cardiac diagnostic equipment allows the staff to quickly obtain the necessary information to diagnose heart problems and determine the best possible plan of care.
According to the American Heart Association/American Stroke Association, stroke is the No. 5 cause of death and a leading cause of adult disability in the United States. On average, someone in the U.S. suffers a stroke every 40 seconds and nearly 795,000 people suffer a new or recurrent stroke each year.