Accreditations and Awards
DNV Accredited Hospital
The management system of Lake Charles Memorial Health System 1701 Oak Park
Blvd., Lake Charles, LA, 70601, USA has been found to comply with the
requirements of the: NIAHO® Hospital Accreditation Program Pursuant
to the authority granted to DNV Healthcare USA Inc. by the U.S. Department
of Health and Human Services, Centers for Medicare and Medicaid Services,
this organization is deemed in compliance with the Medicare Conditions
of Participation for Hospitals (42 C.F.R. §482)
For questions, complaints or grievances:
The Det Norske Veritas (DNV)
1400 Ravello Drive, Katy, Texas 77449 • 866.496.9647
dnvhealthcareportal.com/patient-complaint-report
American College of Surgeons Level III Trauma Center
The Lake Charles Memorial Hospital trauma center is verified as a Level
III Trauma Center by the Verification Review Committee (VRC), an ad hoc
committee of the Committee on Trauma (COT) of the American College of
Surgeons (ACS). This achievement recognizes the trauma center's dedication
to providing optimal care for injured patients.
Established by the American College of Surgeons in 1987, the Verification Program for Hospitals promotes the development of trauma centers in which participants provide not only the hospital resources necessary for trauma care, but also the entire spectrum of care to address the needs of all injured patients. This spectrum encompasses the prehospital phase through the rehabilitation process.
The ACS Committee on Trauma's verification program does not designate trauma centers. Rather, the program provides confirmation that a trauma center has demonstrated its commitment to providing the highest quality trauma care for all injured patients. The actual establishment and the designation of trauma centers is the function of local, regional, or state health care systems agencies, such as the local emergency medical services (EMS) authority.
The Joint Commission Primary Stroke Center
Lake Charles Memorial Hospital has earned The Joint Commission’s
Gold Seal of Approval® and the American Stroke Association’s Heart-Check mark for Primary
Stroke Certification. Joint Commission standards are developed in consultation
with health care experts and providers, measurement experts and patients.
The reviewers also conducted onsite observations and interviews.
The Joint Commission measured Memorial against national standards for the care of stroke patients including: door to CT scan time, how quickly patients received tissue plasminogen activator (tPA) – a clot-busting medication, how quickly patients are transferred who need clot retrieval procedures, and the quality of care administered within those time frames and through discharge. Memorial met these guideline standards thanks to the interdisciplinary team’s use and development of written care protocols, education programs, quality reviews and performance improvement activities across the health system.
To learn more about this excellence measure, visit The Joint Commission.
Commission on Cancer
Lake Charles Memorial Cancer Center Earned National Accreditation from
the Commission on Cancer of the American College of Surgeons. The Commission
on Cancer (CoC) of the American College of Surgeons (ACoS) grants accreditation
to the cancer programs. To earn voluntary CoC accreditation, a cancer
program must meet or exceed 34 CoC quality care standards, be evaluated
every three years through a survey process, and maintain levels of excellence
in the delivery of comprehensive patient-centered care. The CoC Accreditation:
- Challenges cancer programs to enhance the care they provide by addressing patient-centered needs and measuring the quality of the care they deliver against national standards.
- Provides value through improved patient outcomes across all domains of care: access and service, satisfaction and well-being, quality of care and cancer outcomes.
- Ensures dedication to providing the best in patient-centered care.
As a CoC-accredited institution, Lake Charles Memorial is an ACS Surgical Quality Partner. Being a Surgical Quality Partner signifies an institution’s dedication to consistently improving procedures and approaches, while maintaining a critical eye on process at every step. The Surgical Quality Partner designation lets patients know Memorial is dedicated to quality and relentless self-improvement and has been verified or accredited by the ACS. Patients can trust that the care they receive at Surgical Quality Partner hospitals adheres to the most rigorous standards in surgical quality.
To learn more about this excellence measure, visit the Commission on Cancer.
American Society for Gastrointestinal Endoscopy
The American Society for Gastrointestinal Endoscopy (ASGE) has recognized
Lake Charles Memorial's GI Center for its clinical excellence, one of
only seven honorees in Louisiana to receive this distinction. The ASGE
recognition means that Memorial's expert gastroenterology clinical team
has demonstrated the highest standards of commitment to safety and quality
by meeting the program’s rigorous evidence-based tracking of physician
clinical performance, patient outcomes, training, credentialing and infection
control rates. Quality measures include key components critical to high
quality gastrointestinal endoscopic patient care including adenoma detection
rates, cecal intubation rate, adequacy of bowel preparation, patient satisfaction
surveys, and adverse event tracking. Data is extracted and analyzed for
continued performance improvement and better outcomes.
To learn more about this excellence measure, visit the American Society for Gastrointestinal Endoscopy www.asge.org.
American College of Cardiology Transcatheter Valve Certification
Memorial's Heart & Vascular program is the
first in the nation to be recognized by the American College of Cardiology for
its demonstrated expertise and commitment in treating patients receiving
transcatheter aortic valve repair and replacement procedures. The award
is based on evaluation of the staff’s ability to meet standards
for multidisciplinary teams, formalized training, shared decision-making
and registry performance.
The ACC’s Transcatheter Valve Certification is an external review and certification process that pairs with established national clinical databases to monitor patient safety and real-world outcomes related to transcatheter valve therapies. Participation in established national clinical databases such as the STS/ACC TVT Registry is required for hospitals interested in achieving Transcatheter Valve Certification.
American Institute of Minimally Invasive Surgery (AIMIS)
Lake Charles Memorial Hospital for Women is designated a Center of Excellence
for minimally invasive surgeries by the American Institute of Minimally
Invasive Surgery (AIMIS). Memorial for Women has held this designation
since 2013.
A hospital or surgical center can be recognized as a Center of Excellence once it has combined efforts with an accredited AIMIS surgeon and meets AMIS standards. Memorial for Women exceeds the national average for open versus minimally invasive hysterectomies.
AIMIS is the nation's pre-eminent educator of minimally invasive surgical techniques. The organization teaches minimally invasive methods, and also supports graduates and members with opportunities to find marketing support, consulting services and strategies to help them grow and strengthen their practices. AIMIS also provides resources for patients, corporate partners and physician members and affiliates to help foster progress throughout the medical profession.
Care Chex Medical Excellence
In 2024, Lake Charles Memorial Hospital has been recognized as in one of
the top 100 hospitals in the nation for cardiac card in the nation and
top 10% hospital in the nation for orthopedic care.. The award is from
CareChex® — an information service of Quantros, Inc. CareChex
is an innovative medical quality rating system designed to assist hospitals
and health systems in improving the quality of inpatient care and promoting
medical excellence to consumers, payers and employers.
The analysis by CareChex looks at patient safety, inpatient quality and measures of mortality, complications and readmission rates. Unlike other publicly available quality rankings, CareChex provides a composite evaluation of all components of medical quality including process of care, outcomes of care, and patient experiences. For access to provider quality ratings, visit www.CareChex.com.
Birth-Ready Designation - Louisiana Perinatal Quality Collaborative
Lake Charles Memorial Hospital for Women received the Louisiana Birth Ready Designation from the Louisiana Perinatal Quality Collaborative (LaPQC). The designation recognizes the skillful work, continuous improvement, and implementation of best practices evaluated by the LaPQC.
Hospitals receiving Birth Ready Designation undergo a rigorous application and review process by the LaPQC. To achieve a Birth Ready Designation, Memorial Hospital for Women met five areas of requirement: participation in collaborative learning; health disparity and patient partnership; policies and procedures; structures and education; and outcome and process measures.
This recognition by the LaPQC and Louisiana Department of Health is another example of why Memorial Hospital for Women is southwest Louisiana’s birth leader.
National Safe Sleep Hospital Certification
Lake Charles Memorial Hospital for Women has been designated a Gold Safe
Sleep Champion by the National Safe Sleep Hospital Certification Program.
It is the highest designation offered by the program. Memorial for Women
is the first infant safe sleep certified hospital in Louisiana, and includes
amazing community cooperation with the Calcasieu Parish Coroner’s Office.
Memorial for Women has demonstrated a commitment to community leadership for best practices and education on infant safe sleep through the development of a hospital policy, staff training, parent education, implementing a wearable blanket program, providing a safe sleep space to at risk families and a pledge to participate in ongoing audits and community outreach programs.
The National Safe Sleep Hospital Certification Program was created by Cribs for Kids and is endorsed by leading health and safety organizations. Its goal is to award recognition to hospitals that demonstrate a commitment to community leadership for best practices and education in infant sleep safety. By becoming certified, a hospital is demonstrating that it is committed to the mission of making babies as safe as possible in their sleep environments and eliminating as many sleep related deaths as possible.
The GIFT Breastfeeding Designation
Should you decide to breastfeed, our nurses are specially trained to enhance the breastfeeding experience while promoting the healthiest beginning for each baby. Memorial for Women has achieved Louisiana’s highest breastfeeding quality designation: The GIFT. This designation is awarded to birthing facilities in Louisiana that comply with the internationally recognized Ten Steps to Successful Breastfeeding of the WHO/UNICEF Baby-Friendly Hospital Initiative.
Blue Distinction Maternity Care Program (BCBS of La)
Lake Charles Memorial Health System (LCMHS) is proud to be recognized by Blue Cross and Blue Shield of Louisiana with a Blue Distinction® Centers+ (BDC+) for Maternity Care designation, as part of the Blue Distinction Specialty Care program. To earn this designation, each facility must deliver quality care, safely and cost-effectively.
The Blue Distinction Centers for Maternity Care program plays a key role in the Blue Cross Blue Shield Association’s (BCBSA) National Health Equity Strategy aimed at reducing racial health disparities across the care spectrum and improving patient outcomes for all Americans. To align with this strategy, the Blue Distinction Centers for Maternity Care program enhanced its quality and measurement standards to recognize higher-quality facilities that have taken action to respond effectively to obstetric emergencies, reduce racial disparities, and improve maternal health outcomes.
