AAAHC (Accreditation Association for Ambulatory Health Care) is the country’s largest and most respected accreditation association, whose purpose is the promotion of patient safety, quality of care and measurement of performance.
Accreditation is a voluntary process that measures the quality of an ambulatory health care organization’s services and performance against nationally recognized standards. The process involves a self-assessment and a rigorous on-site review by highly trained and experienced survey professionals. It symbolizes Springfield Clinic’s commitment to high quality health care to its patients.
In the 2012 survey, Springfield Clinic received straight A’s on the survey report and was granted a full, three-year accreditation, the highest level of achievement available from AAAHC, marking more than twenty consecutive years of accreditationfor Springfield Clinic.
NCQA Level 3 - Patient Centered Medical Home
Springfield Clinic’s care process has been recognized by the National Committee for Quality Assurance (NCQA) for delivering quality health care at the highest level possible. All 13 of Springfield Clinic’s primary care locations have achieved LEVEL 3 Patient Centered Medical Home (PCMH) status for a three year period.
These locations include Springfield Clinic offices in Carlinville, Hillsboro, Jacksonville, Lincoln, Riverton, Sherman, Taylorville, as well as all its Springfield-based primary care locations.
PCMH – Level 3 status means patients can count on Springfield Clinic’s circle of care to provide the care they need when they need it in a way that improves their health outcomes.
In many aspects, this is the way Springfield Clinic has delivered medical care to its patients for years, but PCMH standards provide clear and definitive guidelines, as well as expectations, for the delivery of patient-focused care. PCMH guidelines help practices transition from an episodic, physician-centered care model to one that focuses on the overall health and well-being of the patient and the value generated from a team-managed approach.
PCMH Nurse Navigator, Shayna Muench, LPN, has been working with care teams in Springfield Clinic’s primary care offices for several years to achieve this new level of recognition. “It has been a team effort,” said Muench, “and this is a huge achievement.” She added, “Our work is really just beginning. PCMH is just the first phase in a long journey toward a higher level of patient engagement, as well as a focus on prevention, improved outcomes and lower overall costs.”
ASGE Quality Recognition
Springfield Clinic’s Ambulatory Surgery & Endoscopy Center has been recognized by the American Society for Gastrointestinal Endoscopy (ASGE), a leading gastrointestinal medical society.
ASGE’s Endoscopy Unit Recognition Program (EURP) honors endoscopy units that have demonstrated a commitment to patient safety and quality in endoscopy, as evidenced by meeting the program’s rigorous criteria, which includes following the ASGE guidelines on privileging, quality assurance, endoscope reprocessing, CDC infection control guidelines and ensuring endoscopy staff competency.
Springfield Clinic specialists in Gastroenterology, Colon & Rectal Surgery and General Surgery, participated in the EURP application process. “We are honored to be recognized by ASGE for our efforts to enhance quality and safety here in our endoscopy center,” said Ashish Chopra, chairman of Springfield Clinic’s Gastroenterology Department. “Through ongoing education and continued compliance with the ASGE Endoscopy Unit Recognition Program requirements, we demonstrate our dedication to the delivery of high-quality patient care.”
Springfield Clinic’s Ambulatory Surgery & Endoscopy Center, located on the 2nd floor of Springfield Clinic’s Main Campus – East Building, was Springfield’s first free-standing facility designed for the convenience, privacy and comfort of its patients. More than 10,000 cases were performed in the GI facility in 2015.
To achieve the national recognition, Springfield Clinic completed a peer-reviewed application process, attested to the competence of all staff relative to their roles, demonstrated the adoption of policies related to ongoing assessment of performance relative to key quality indicators, and attested it had an established infrastructure and personnel dedicated to infection control and prevention.
“We are proud to acknowledge these endoscopy units through our Endoscopy Unit Recognition Program for their commitment to promoting the highest standards of safety and quality,” said Glenn Eisen, MD, FASGE, chair, ASGE Quality Assurance in Endoscopy Committee. “By ensuring infection control principles are adhered to, continually assessing the competency of staff, and monitoring patient satisfaction, ASGE-recognized units contribute to the public’s confidence in endoscopy, a life-saving technology.”
NCQA Level 3 - Patient Centered Medical Practice
Springfield Clinic’s Center for Women’s Health (CWH)is the first specialty practice in the state of Illinois to achieve recognition by the National Committee for Quality Assurance (NCQA) as a Patient-Centered Specialty Practice (PCSP).
NCQA’s Patient-Centered Specialty Practice program recognizes physician practices for their responsiveness to patients and colleagues, cooperation and integration with other health care groups, and dedication to continuous improvement.
The PCSP initiative was led by a committee of physicians from the group and began in June of 2014. The nearly 14-month process, which involved a multi-disciplinary team of doctors, nurses and operations staff, was rigorous, but “worth it” according to the team’s leadership.
“Our PCSP recognition sends a powerful message to our patients, our colleagues and the community that our entire team is dedicated to high quality care and intently focused on the health and wellness of our patients,” said Angelique Rettig, MD, a specialist in Obstetrics & Gynecology with Springfield Clinic’s Center for Women’s Health. “We are truly honored to be recognized by one of the nation’s leaders in health care quality improvement, and thrilled to be the first in Illinois to achieve this prestigious status.”
Practices that become recognized under Patient-Centered Specialty Practice Recognition have demonstrated commitment to patient-centered care and clinical quality through streamlined referral processes and care coordination with referring clinicians, timely patient and caregiver-focused care management and continuous clinical quality improvement.
“We’re certainly not resting on our laurels,” added Dr. Rettig. “Our group is committed to continually improving care coordination and referral processes, not only within our own group, but with other providers within and outside Springfield Clinic’s network of care.”
Springfield Clinic’s PCSP recognition includes the Obstetrics & Gynecology practices in both Springfield and Lincoln. As the Center for Women’s Health, more than 30 doctors and advanced practitioners are committed to upholding the NCQA standards.
PCSP recognition is modeled on and complements NCQA’s Patient Centered Medical Home (PCMH) Recognition program, the most widely adopted medical home model in the country. All 13 of Springfield Clinic’s primary care locations received Level 3 Patient-Centered Medical Home status in 2013 and were just recently granted recognition for another 3-year period.
“NCQA Patient-Centered Specialty Practice Recognition distinguishes practices that communicate, collaborate and integrate care in ways that patients want and that improve quality,” said NCQA President Margaret E. O’Kane. “I commend the team at Springfield Clinic’s Center for Women’s Health for its achievement.”
NCQA is a private, non-profit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations. It also recognizes clinicians and practices in key areas of performance. NCQA is committed to providing health care quality information for consumers, purchasers, health care providers and researchers.
AMGF Measure Up, Pressure Down
The national Measure Up/Pressure Down® hypertension campaign recognized Springfield Clinic for its blood pressure control initiatives.
Springfield Clinic received the "Best Control" award for groups with 150 or more full-time equivalent physicians. The American Medical Group Foundation (AMGF) announced that Springfield Clinic's control rate of 89.39% exceeds the campaign goal of 80% by 2016, and the national average of 47 percent, based on date from the Centers for Disease Control and Prevention.
More than forty campaign participants were recognized during the anniversary event for their progress towards the campaign goal of 80% hypertension control by 2016.
The Breast Health Center at Springfield Clinic has been granted a full three-year accreditation designation by the National Accreditation Program for Breast Centers (NAPBC), a program administered by the American College of Surgeons.
The Breast Health Center at Springfield Clinic ensures a multidisciplinary team of physicians and nurses who will confirm treatment is timely and thorough. The Breast Health Center offers all aspects of treatment for breast cancer, including services for radiology, surgery, reconstruction, medical oncology, radiation therapy, clinical research and nurse navigation.
Accreditation by the NAPBC is only given to those centers that have voluntarily committed to provide the highest level of quality breast care and that undergo a rigorous evaluation process and review of their performance.
During the survey process, the center must demonstrate compliance with standards established by the NAPBC for treating women who are diagnosed with the full spectrum of breast disease. The standards include proficiency in the areas of: center leadership, clinical management, research, community outreach, professional education and quality improvement. A breast center that achieves
NAPBC accreditation has demonstrated a firm commitment to offer its patients every significant advantage in their battle against breast disease.
The QOPI Certification Program provides a three-year certification for outpatient hematology-oncology practices.
Using nationally approved standards, the program validates the practice's processes; which demonstrates a commitment to quality for patients, payer and colleagues.
QOPI practices may apply when they select the QOPI certification measures, meet target chart numbers and meet scoring requirements.
Springfield Clinic's Cancer Center works diligently in maintaining this nationally recognized certification. In 2018, the Cancer Center was described as "exceptional" by QOPI auditors and received re-certification as reward for these efforts.