​​​​

Accreditations/Recognition
St. Luke's Cornwall Hospital is committed to quality, and is accredited by several organizations that set health care standards and monitor performance.
 
Quality Recognitions:
 Healthgrades_All Awards.jpg
 




 

bcbs logo cropped smaller.jpg
 
 

 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Maternity Care_BCBS.jpg

 
 

 

 

 

 

 COT verified logo.png

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


TP_Key_2013.jpg






















 
St  Lukes Cornwall Hosp_Stroke Gold Plus_Certificate2016.jpg 

 

 

Healthgrades® Five Star Recipient

Healthgrades® has recognized St. Luke’s Cornwall Hospital for its high quality patient care. We are the only hospital in the Poughkeepsie-Newburgh-Middletown region to receive 5 Stars from Healthgrades® for both Natural Childbirth and C-Section Delivery in 2015, and for the Treatment of Sepsis for three consecutive years (2014-2016). 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.

 

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.

 

 

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.

 

American Stroke Association Recognition:

SLCH recently received its sixth straight Get With the Guidelines Gold Plus Achievement Award from the American Stroke Association (The ASA is a division of the American Heart Association.). The goal of the program is to improve the overall quality of care for stroke patients by improving acute stroke treatment and preventing future strokes and other cardiovascular events. Hospitals that receive the Get With The Guidelines Gold Plus Achievement Award have reached an aggressive goal of treating stroke patients with 85 percent or higher compliance to core standard levels of care as outlined by the American Stroke Association for 12 consecutive months. In addition, SLCH received the recognition, demonstrating 75 percent compliance to seven out of 10 stroke quality measures during the 12-month period. St. Luke's Cornwall Hospital was also named to the Target: Stroke Honor Roll for achieving Time to Intravenous Thrombolytic Therapy less than or equal to 60 minutes in 50 percent or more of applicable acute ischemic stroke patients to improve quality of patient care and outcomes.St. Luke's Cornwall Hospital is also a New York State Designated Stroke Center.


 


2016 Health Care's Most Wired
MW_Winner2016_RGB_72dpi.jpg


 

For the third straight year, St. Luke’s Cornwall Hospital (SLCH) has been included on the list of Health Care’s Most Wired® hospitals, ranking among the nation’s best in using information technology to improve patient care.  

 

The survey, recently released by the American Hospital Association’s (AHA) Health Forum, is a leading industry barometer measuring information technology use and adoption among hospitals nationwide. Conducted between Jan. 15 and March 15, 2016, the survey of 680 participants representing an estimated 2,146 hospitals—more than 34 percent of all hospitals in the U.S.—examines how organizations are leveraging IT to improve performance for value-based health care in the areas of infrastructure, business and administrative management, quality and safety, and clinical integration. 

 

This year’s survey focused on the use of telehealth to fill gaps in care, provide 24-hour, 7-day-per-week care, and increase access to medical specialists. In redefining the way that they provide care in their communities, Most Wired hospitals are using technology to build patient engagement with the individual’s lifestyle in mind, which includes electronic access to their care team.


 

Aetna Institute of Quality® For Cardiac Care  
Aetna Institute of Quality® (IOQ) for Cardiac Care:
St. Luke's Cornwall Hospital has been designated as an Institute of Quality® for Cardiac Medical Intervention by Aetna. SLCH was chosen as an Aetna Designated IOQ facility because we demonstrate excellence in care, a commitment to continuous improvement and represent an exceptional value to our patients.                                        
 Wound Care.jpg

 










Accreditations:
Undersea and Hyperbaric Medical Society:

The St. Luke's Cornwall Center for Wound Healing and Hyperbaric Medicine has been named an accredited facility by the Undersea and Hyperbaric Medical Society. The UHMS investigates twenty two separate and detailed topics in the operations hyperbaric medicine center.  Our facility has met the standard for Administration, Facility, Governance, Patient Care, Quality and Safety. 

Since 2001, the UHMS has a clinical hyperbaric medicine facility accreditation program. Clinical hyperbaric facilities can demonstrate their commitment to patient care and facility safety by voluntarily participating in this program. When invited to perform an accreditation survey, the UHMS will send a team of experts to the facility to examine staffing and training, equipment installation, operation, and maintenance, facility and patient safety, and standards of care.

 

The Joint Commission 

                                   
The Joint Commission:
SLCH is committed to providing quality care, and has earned a gold seal from The Joint Commission. This includes both hospital campuses, as well as our outpatient satellite services. The Commission sets the standards by which health care quality is measured in the U.S
 
 
Commison on Cancer Accrediation by the American College of Surgeons  
Commission on Cancer Accreditation by the American College of Surgeons (CoC):
The oncology program at SLCH is accredited by the American College of Surgeons’ Commission on Cancer. Fewer than one in four hospitals that treat cancer receive this coveted approval, which is granted only to those facilities that have voluntarily committed to providing "the highest level of quality cancer care" and that undergo a rigorous evaluation process and review of their performance. The accreditation applies to both the Cornwall and Newburgh campuses.
 
According to the Commission, receiving care at an approved cancer program ensures patients will have access to "comprehensive care, including state-of-the-art services and equipment; a multi specialty team approach to coordinate the best treatment options; information about cancer clinical trials and new treatment options; access to cancer-related information, education, and support; a cancer registry that offers lifelong patient follow-up; ongoing monitoring and improvement of care; and most importantly, quality care close to home."
 
The Joint Commission                                    








American Diabetes Association:
The diabetes self-management program at St. Luke’s Cornwall Hospital (SLCH) has been awarded recognition by the American Diabetes Association (ADA). Education recognition is presented to health care sites that meet national standards for Diabetes Self-Management Education (DSME). For more information about this accreditation,
click here.

cap-logo.png
                                       


  AASMLogo.jpg


College of American Pathology (CAP):
The College of American Pathology’s Laboratory Accreditation is widely recognized as setting the “gold standard” for laboratory services. The laboratories at both the Cornwall and Newburgh campuses are accredited by CAP, with recertification required every two years.


 


American Academy of Sleep Medicine:

The St. Luke's Cornwall Center for Sleep Medicine (Cornwall Campus) has earned accreditation from the American Academy of Sleep Medicine (AASM).  The AASM is the leader in setting standards and promoting excellence in sleep medicine health care, education and research. The AASM sets the clinical standards for sleep medicine.  They advocate for the recognition, diagnosis and treatment of sleep disorders as well as educate professionals dedicated to providing optimal sleep health care. 

 

The AASM acknowledges facilities across the nation that provides only the highest quality of care. The SLC Center for Sleep Medicine is a facility that not only provides quality diagnostic services but also effective treatment methods for its patients.

 

1
American College of Radiology (ACR):
SLCH has earned accreditation from The American College of Radiology. With more than 32,000 members, the ACR is a professional society whose primary purpose is to improve services to patients, advance the science of radiology, and encourage continuing education for radiologists, radiation oncologists, medical physicists and persons practicing in the allied professional fields. Areas of accreditation include: CT scan at the Cornwall and Newburgh campus, as well as ultrasound, nuclear medicine and mammography at the Newburgh campus.
 
 
American Association of Cardiovascular and Pulmonary Rehabilitation  
American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR):
The AACVPR has awarded SLCH's Cardiac Rehabilitation Program recertification with the distinction of excellence. Certification recognizes those programs reviewed by a national board and found to uphold rigorous standards of care designed to limit the physiological and psychological effects of cardiac illness; reduce the risk for sudden death or relapse; control cardiac symptoms; stabilize and/or improve health; and enhance the patient's quality of life.
 
  
Other:
In addition to voluntary accreditation, our services are also monitored by state and regulatory agencies, including:
  • New York State Department of Health
  • New York State Department of Health-Bureau of Environmental Radiation Protection
  • Livanta is the Beneficiary and Family Centered Care Quality Improvement Organization that manages case review activities (i.e., all beneficiary complaints/quality of care reviews, higher weighted DRG validation and non-coverage appeals) for the Centers for Medicare and Medicare Services (CMS). Their toll free number is (866) 815-5440. 
 
Should you have a concern about patient care or safety at SLCH, please contact a member of our management team in order to discuss your concern. If it cannot be resolved by the hospital staff or management team, you may call the Joint Commission's Office of Quality Monitoring at (800) 994-6610, or e-mail complaint@jointcommission.org.

You may contact the New York State Department of Health by mail or by phone.The toll free number is (800) 804-5447 or you may file a complaint in writing and send it to:

New York State Department of Health
Centralized Hospital Intake Program
Mailstop: CA/DCS
Empire State Plaza
Albany, NY 12237
For questions or comments, you can e-mail the Department of Health at hospinfo@health.state.ny.us