Accreditations and Certifications

All Ministry Health Care hospitals, nursing homes and clinics and Ministry Home Care services must meet quality requirements of the Center for Medicare and Medicaid Services (CMS) and are reviewed for compliance by state and federal agencies.

In addition to CMS review, many Ministry Health Care hospitals are also accredited by The Joint Commission, an independent, not-for-profit organization that sets the standards for quality health care. A major part of their accreditation process is unannounced hospital inspection. Surveyors review medical records, observe staff providing care and talk to caregivers and patients. The surveyors also conduct interviews and take tours to evaluate the systems and structures that support patient care. If the surveyors identify areas of noncompliance during their surveys, hospitals must implement plans to achieve compliance with those Standards to maintain their accreditation.

In addition to Joint Commission accreditation, many hospitals have other accreditations, certifications, and designations that support the delivery of safe, high-quality care.
Our top priority at all Ministry Health Care facilities is to provide you the best quality health care. Patients and family members are encouraged to voice any questions, concerns or complaints. Patients and family members have the right to freely express grievances and to receive prompt resolution. Your resources for contact include:

  • Your primary care provider
  • The nurse caring for you
  • The manager of the unit
  • The facility administrator
  • Many facilities also have a patient advocate

You may also contact one of the following agencies about issues concerning patient safety and quality of care that a Ministry Health Care facility has not addressed to your satisfaction:

For any Ministry Health Care Facility (Hospitals, Clinics or other):

Wisconsin Division of Quality Assurance
P.O. Box 2969
Madison, WI 53701-2969
608.266.8481 or 800.642.6552

For Laboratory Concerns:

Center for Medicare & Medicaid Services (CMS) Central Office, Division of Laboratory Services (CLIA)
7500 Security Boulevard, Mail Stop S2-12-25
Baltimore, Maryland 21244-1850
877-267-2323 ext. 63531

For any Ministry Health Care Hospital:

2909 Landmark Place
Madison, WI 53713

For the following Ministry Health Care Hospitals who are Joint Commission Accredited:

Calumet Medical Center
Howard Young Medical Center
Mercy Medical Center
Ministry Good Samaritan Health Center
Ministry Saint Clare’s Hospital
Ministry Saint Joseph’s Hospital
Ministry Saint Mary’s Hospital
Ministry Saint Michael’s Hospital
St. Elizabeth Hospital


The Joint Commission
One Renaissance Boulevard
Oakbrook Terrace, IL 60181

Contact Us

To voice questions, concerns or complaints, please call the number for the appropriate facility.

Additional Information

MU Certificate of Compliance

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