Accreditation & Quality Assurance

Government agencies, national sanctioning bodies, state associations, and private independent survey firms regularly evaluate MV 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, MV 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 39-month cycle beginning in December 2009.

Hospitals are required to post an announcement that an accreditation survey may be imminent and to give the public an opportunity to provide input.

Partners in Excellence Award

In January 2011, Martha’s Vineyard Hospital was honored by Partners Healthcare “Partners in Excellence” (PIE) awards program. Partners members include Massachusetts General Hospital, Brigham and Women’s Hospital, Newton-Wellesley Hospital and Faulkner Hospital among others. The awards recognize individuals and teams at all levels who have contributed to the success of the partnership and its member institutions.

Individual awards were presented to Edna Koch of the dietary services department for leadership and innovation and Dr. John Lamb, primary care physician, for outstanding community contributions. Pauline Anderson, a member of the Windemere staff received a PIE teamwork award for her dedication to her co-workers and residents. Betsy Burmeister, director of the Windemere recreation department and Mary Holmes of her staff were honored with the PIE award for quality service, treatment and outstanding community contributions.

Windemere Receives Top Award for Leadership & Quality

Windemere Nursing & Rehabilitation Center is pleased to announce that the American College of Health Care Administrators has identified Windemere as a top performing long-term care organization. The Windemere team was recognized with a Facility Leadership Award by the American College of Health Care Administrators at the 45th Annual Convocation and Exposition held in New Orleans in May 2011. The award recognizes achievement for a level of performance related to selected measurements of organizational quality.

Quality Assurance

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 MVH. 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.

Patient Advocacy

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.

  • Quality Improvement Office: 508-957-9551