Accreditation & Licensure
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
Sutter Medical Center of Santa Rosa is fully accredited by the Joint Commission. 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 affect patient care. We understand how important reliable information is to you and your family when making healthcare decisions. Visit the Joint Commission web site (www.qualitycheck.org) to learn more about quality and safety in healthcare.
Complaints or Concerns
Our hospitals are accredited by the Joint Commission (JC) 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.
We Would Like to Hear From You
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 Risk Manager at 707-576-4386. 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 JCAHO at:
E-mail:
complaint@jcaho.org
Fax:
Office of Quality Monitoring
(630) 792-5636
Mail:
Office of Quality Monitoring
Joint Commission on Accreditation of Healthcare Organizations
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
Sutter Medical Center of Santa Rosa 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 affect 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.
CMS Standards
Sutter Medical Center of Santa Rosa 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.
