Accreditation & Licensure

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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

Hoag Hospital is fully accredited by The Joint Commission.

The Joint Commission accreditation means that a hospital voluntarily sought accreditation and met national health, quality, and safety standards. The 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.

Hoag Hospital understands how important reliable information is to you and your family when making healthcare decisions. Visit the Joint Commission website to learn more about quality and safety in healthcare.

Complaints or Concerns

Hoag Hospital is committed to providing safe and quality care to all patients. If you feel the care provided has in any way compromised patient safety or failed to meet accepted quality of care standards, please contact our Patient Relations Representatives. We will do our best to address your concerns as promptly as possible. If after contacting us, you feel we still have not adequately addressed your concerns, we encourage you to contact Joint Commission by either calling them at (630) 792-5000 or in writing 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, at (800) 994-6610, 8:30 to 5 p.m., Central Time, weekdays.

Licensure

Hoag Memorial Hospital Presbyterian 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 (DHS). 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.

CMS Standards

Hoag Memorial Hospital Presbyterian is recognized by CMS as meeting the Medicare standards.

The Centers for Medicare and Medicaid (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 (through a process called "deeming") meet or exceed Medicare standards.
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