Based on our strong support of evidence-based medicine and quality in healthcare, Spectrum Health Ludington Hospital has created a Medical Directorship for the hospital's Clinical Quality Department. Dr. Mary O'Callaghan is the Medical Director of Clinical Quality. Dr. O'Callaghan provides leadership and oversight to the Clinical Quality Department and the nearly 300 indicators that are measured, tracked, analyzed and reported monthly.
Quality initiatives implemented by Spectrum Health Ludington Hospital include:
Spectrum Health Ludington Hospital is certified to the rigorous quality standards of the International Organization for Standardization. In October 2010, an independent third-party organization audited Spectrum Health Ludington Hospital and found the hospital in adherence to receive continued certification. ISO 9001:2008 is a rigorous set of procedures designed to ensure consistently repeatable quality in an organization’s operations, with the aim of enhancing customer satisfaction, and is used worldwide by both manufacturing and service organizations.
Spectrum Health Ludington Hospital has passed its audits and met all requirements for continued registration to the ISO quality standards since 1999. Spectrum Health Ludington Hospital pioneered the use of ISO quality standards among Michigan hospitals, and was just the fourth medical facility in the nation to adopt ISO standards.
Meeting the ISO standards provides real benefit to people who count on us for health care. Successful audit results mean we are meeting our most important quality goals, making quality procedures an ingrained part of our everyday work, reducing variation and continually improving our processes.
The effectiveness of our ISO Quality Management System demonstrates that the staff, at all levels of our organization, are committed to providing the highest quality services to our customers.
CareChex, a quality rating service of the Delta Group, has ranked Spectrum Health Ludington Hospital among the top hospitals in the nation for medical excellence in the following categories:
- General Surgery - ranked top 5 percent in the nation
- Orthopedic Care - ranked top 8 percent in the nation
- Women's Health - ranked top 10 percent in the nation
- Cancer Care - ranked top 10 percent in the nation
The rankings reflect Spectrum Health Ludington Hospital’s ongoing efforts to improve patient safety clinical quality.
The Keystone Center for Patient Safety and Quality is a clinical collaborative between the Michigan Health and Hospital Association and Johns Hopkins Medical Center. It brings together hospitals, national experts and evidence-based strategies to improve patient safety by addressing the quality of health care delivery. With Keystone OB, Spectrum Health Ludington Hospital's focus has been on interventions to eliminate preventable harm to mothers giving birth and their newborns. The goal of Keystone ER is to ensure that patients seeking care in the Spectrum Health Ludington Hospital Emergency Department will receive more efficient, high quality and safer care, while increasing patient and staff satisfaction.
Another quality initiative that receives prominent focus at Spectrum Health Ludington Hospital is the "Hospitals Consumer Assessment of Healthcare Providers and Systems" (HCAHPS) survey. This survey, completed by patients, measures experiences with care received from doctors, nurses, and support staff. Results are publicly reported on the Center for Medicare and Medicaid Services (CMS) website. The HCAHPS data is designed to help consumers make informed choices and create incentives for hospitals to improve performance. Spectrum Health Ludington Hospital is currently at or exceeding the national average in nearly all of the HCAHPS categories.
Home Health CAHPS
Spectrum Health Ludington Hospital participates in the Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey for Home Health services. As part of the survey, Spectrum Health Ludington Hospital measures, monitors and publicly reports patient satisfaction with our Spectrum Health Ludington Hospital Home Care services. In addition, Spectrum Health Ludington Hospital Home Care received the "Great American Home Care" award from AdvisorMed, an online report card and healthcare guide, as a top-tier home health agency in Michigan.