Accreditation & Licensure

Accreditation

Hospitals that achieve accreditation and licensure are required to submit to formalized, comprehensive evaluations by on-site surveyors who assess compliance with health, quality and safety standards and regulations. These surveys are conducted regularly and involve participation from the entire hospital organization.

Joint Commission Accreditation

Joint CommissionThe Joint Commission conducts on-site surveys to review the hospital's medical and nursing care, physical condition, life safety program, special care units, pharmacy services, infection control practices, and other areas that effect patient care.


We understand how important reliable information is to you and your family when making healthcare decisions. Visit the Joint Commission web site to learn more about quality and safety in healthcare.

Complaints or Concerns

Our hospitals are accredited by the Joint Commission and have been awarded its Gold Seal of Approval™. The Joint Commission serves to help ensure and monitor the quality outcomes and patient safety of patient care in hospitals, clinics and home care agencies. Our organization is committed to providing safe and quality care to all patients served. If you feel the care provided has in any way compromised patient safety or failed to meet accepted quality of care standards, please do not hesitate to contact our customer service representatives. We will endeavor to address your concerns as promptly as possible.

If after contacting us, you feel we still have not adequately addressed your concerns, please feel free to contact Joint Commission by either calling them at (630) 792-5000 or writing to The Joint Commission at:

E-mail:
complaint@jointcommission.org

Fax:
Office of Quality Monitoring
(630) 792-5636

Mail:
Office of Quality Monitoring
The Joint Commission
One Renaissance Boulevard
Oakbrook Terrace, IL 60181

If you have questions about how to file your complaint, you may contact the Joint Commission toll free (800) 994-6610, weekdays from 8:30 AM - 5:00 PM CST.


Licensure

California Department of Health Services

Every facility located in California within the St. Joseph Health is licensed by the State of California Department of Health Services. The State of California requires hospitals to be licensed by the California Department of Health Services. An on-site survey is conducted to assess compliance with state and federal regulations. The survey includes physical plant evaluation, kitchen and dietary services, patient care, pharmacy services, and other areas that effect patient care.

We understand how important reliable information is to you and your family when making healthcare decisions. Visit the Public Health web site to learn more about quality and safety in healthcare.

Texas Department of State Health Services
Every facility located in Texas within the St. Joseph Health is licensed by the Texas Department of State Health Services. The Health Facility Program surveys health care facilities that participate in the federal certification program and/or are regulated under state licensing statutes. The Health Facility Program's overall goal is to monitor health care delivery by regulated health care facilities to assure high quality care to the people of Texas.
http://www.dshs.state.tx.us/

CMS Standards

All facilities within the St. Joseph Health are recognized by the Centers for Medicare and Medicaid Services (CMS) as meeting the Medicare standards.

CMS has developed Conditions of Participation (CoPs) that health care organizations must meet to participate in the Medicare and Medicaid programs. These standards are used to improve quality and protect the health and safety of beneficiaries. CMS also ensures that the standards of accrediting organizations recognized by CMS meet or exceed Medicare standards.