Nothing is more important to us than the safety of our care and the trust of our community. It is especially personal for me as nearly every member of my family has received care at one of our hospitals. Our more than 12,500 colleagues know that our work is both a privilege and a responsibility; one we take to heart knowing that each person we care for is someone’s mother, father, son, daughter or friend.
Given the recent coverage of our Central Sterilization Processing (CSP) Unit, I want to assure you that we are deeply committed to regaining the community’s confidence in this important department. We took a significant step in June when we brought in a leading CSP management company to implement best practices gathered through 45 years of experience. Working together, we have begun to make many changes in key areas of performance.
We will continue working with our physicians and staff to improve CSP efficiency and performance while keeping our intense focus on patient safety at the heart of it all. Keeping you informed is very important to us.
We are proud of our 150 year legacy in this community and of our many achievements in safety, quality and service.
Your wellbeing is our top priority. If you have any questions or concerns, please do not hesitate to contact us at (888) 362-3370.
Dr. Suzanne White
Chief Medical Officer, MD, MBA, FACEP, FACMT
"On December 22, 2016, Detroit Medical Center was resurveyed by the Michigan Department of Licensing and Regulatory Affairs (LARA). During this follow-up survey, LARA verified that the hospital has addressed LARA’s prior findings regarding the hospital’s processing of surgical instruments and made no new findings. We are pleased that we resolved this matter to LARA’s satisfaction and that the hospital is in compliance with regulations designed to protect the health and safety of patients who entrust us with their care.”
Nothing is more important to us than the safe, quality care we provide to the residents of Detroit. We have many exciting projects and service offerings to look forward to in 2017 and are proud to continue to build on our 150 year legacy of service in our city.”
Click here to view the communications from LARA.Update 11.10.16
“Detroit Medical Center is pleased to report that the hospital has been resurveyed by the Centers for Medicare and Medicaid (CMS) on November 1st and 2nd. During their survey, CMS found no deficiencies related to the processing of surgical instruments. The hospital is in full compliance with CMS’ Conditions of Participation.
DMC is working with LARA throughout this process as the State’s consultant continues to review our Plan of Correction for LARA.”
Click here to view the communication from CMS.Update 10.18.16
The Detroit Medical Center Plan of Correction that addresses all findings identified in the recent survey of the hospital’s sterilization program has been submitted to and approved by the Michigan Department of Licensing and Regulatory Affairs (LARA). This plan is separate from the plan submitted and approved by CMS last week and both agencies are working in coordination to ensure all of the findings are resolved.
Similar to our CMS Plan of Correction that was posted on October 11th, the key elements of our plan, some of which have already been implemented, include the use of a perioperative improvement council and task force to oversee our actions to improve operational protocols and sterilization processing. Additionally, we aligned our training and competency documents with DMC’s revised infection control policies, enhanced training for relevant staff regarding cleaning practices as well documentation of these trainings, and upgraded auditing and monitoring of these revised processes. In June, prior to the survey, DMC engaged highly regarded external specialist Unity HealthTrust to manage DMC’s instrument sterilization process as well as promote process consistency between operating rooms and the CSP department.
DMC will continue to work collaboratively with the State until all matters are resolved and validated by both the State’s consultant and the upcoming resurvey.
Click here to view the Plan of Correction.
“Detroit Medical Center has submitted a Plan of Correction to CMS to address all findings identified in the recent survey of the hospital’s sterilization program, which has been approved. As part of this process, CMS will conduct a follow-up survey to validate the effectiveness of our actions and we will continue to work collaboratively with them until all matters are resolved. As promised in our statement on September 15, we are releasing both the survey report and our Plan of Correction to help the community better understand both the findings and our commitment to resolving all of the deficiencies.
We take the survey results very seriously and through the collective efforts of our management, partners and employees we will take all actions necessary to correct the findings. The key elements of our plan, some of which have already been implemented, include the formation of a perioperative improvement council and task force to oversee our actions to improve operational protocols and sterilization processing. Specifically, our plan addresses improved policies and procedures for cleaning, processing and sterilization of surgical instruments, enhanced training for relevant staff regarding cleaning practices, and upgraded auditing and monitoring of these revised processes. In June, prior to the survey, DMC engaged highly regarded external specialist Unity HealthTrust to manage DMC’s instrument sterilization process.
We will also be submitting a Plan of Correction to the Michigan Department of Licensing and Regulatory Affairs (LARA) and will post it to this website once it has been submitted and approved. The trust of our community is paramount as we continue to build on our 150 year legacy of quality care to the residents of Detroit.”
Click here to view the findings and Plan of Correction. Click here.
Detroit Medical Center (DMC) and the Michigan Department of Licensing and Regulatory Affairs (LARA) have entered into a cooperative agreement regarding the recent assessment of DMC’s Central Sterile Processing function. This agreement includes the utilization of a third-party consultant with expertise to advise the State on the implementation of the hospital’s corrective action plan in regards to the survey and findings. DMC and LARA are committed to successful resolution of this matter and will work in coordination until the hospital has been resurveyed by the State and found to be in full compliance.
What does it mean to enter into a “cooperative agreement” with the Michigan Department of Licensing and Regulatory Affairs?
This step with the State supports DMC’s effort to provide high quality care. The State will utilize a third party consultant with expertise to advise the State on the hospital’s implementation of its corrective action plan.
Why did DMC make this agreement with the State?
DMC is working with the Michigan Department of Licensing and Regulatory Affairs to address the issues found in its recent assessment of our Central Sterile Processing (CSP) department and related areas.
What is the consultant’s responsibility?
The consultant will work with DMC on the implementation of its corrective action plan.
What actions are being taken by DMC? Update 9.16.16
In June, DMC outsourced its CSP management to Unity HealthTrust, a highly regarded organization with expertise in overseeing CSP functions. We continue to work closely with Unity to enhance operational efficiencies in this critical department. Additional actions being taken include leadership and structural standardization, improved education, training and competency documentation, and improved auditing and event monitoring.
Click here to view Agreement.
to view LARA findings
CMS/LARA completed a two-day survey of surgical instrument processing at DMC’s Midtown campus on August 30. Today, we received the results of the survey, which include some findings requiring corrective action by the hospital.
We have already taken many actions to address the findings, including leadership and structural standardization, improved education, training and competency documentation, and improved auditing and event monitoring. This will be documented in a comprehensive plan of correction we will submit to CMS/LARA. Once the authorities have had an opportunity to review and approve our corrective actions, we will make these findings and plans public on our dedicated webpage. We look forward to collaborating with CMS/LARA to address all findings raised during the survey.
We will take all actions necessary to correct the findings and based on the results of the survey, we believe the community should continue to have confidence in the care they receive at DMC. We also will work diligently to ensure that our actions are sustained. Nothing is more important to us than the safety and quality of the services we provide. Update 9.1.16
A Message about Quality and Safety
We take seriously our commitment to providing safe, high-quality care to our community.
The DMC has received many quality and service awards throughout the years, including U.S. News & World Report’s “America’s Best Hospitals” and “America’s Best Children’s Hospitals,” and The Leapfrog Group’s “Top Hospitals for Safety and Quality.” The DMC has also been involved in state and national health system initiatives to implement best practices, which have led to reductions in central line and catheter-associated infections. Additionally, our medical staff has implemented several local initiatives to reduce preventable conditions.
To be an award-winning healthcare system, the DMC continues to seek out opportunities to enhance the care it provides. The entire DMC leadership team is committed to improving the performance of the CSP process as we are not satisfied with anything less than exceptional care at any of our hospitals.
We are so proud to serve the City of Detroit. Update 8.31.16
On August 30, the team of surveyors from the Centers for Medicare and Medicaid Services (CMS) and Michigan Department of Licensing and Regulatory Affairs (LARA) concluded their onsite survey. The hospital continues to work diligently to improve efficiencies and processes and maintain our community’s confidence in this important function.
DMC is committed to providing the award-winning, high-quality care that has been our legacy in Detroit for more than 150 years.Update 8.29.16
Earlier today, a team of surveyors from the Centers for Medicare and Medicaid Services (CMS) and Michigan Department of Licensing and Regulatory Affairs (LARA) arrived at DMC to begin their review. Over the next several days, we will be working collaboratively with the surveyors to demonstrate our performance. Survey results could take several weeks and any corresponding action plans will be posted to this website at the appropriate time.
Providing safe, high-quality care to our patients is our top priority.