Quality Improvement

Our Quality Improvement Services department focuses on the overall improvement of patient care at PMH.  QIS is also responsible for the Credentialing and Review of healthcare providers in our system, as well as Compliance, Patient Satisfaction, and Risk Management.  In order to serve our patients better, QIS assists the hospital in complying with all Center for Medicare & Medicaid Services (CMS) regulations.  We compare our services using feedback in the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS), a CMS national database of patient satisfaction scores.

Patient Satisfaction Survey

PMH has surveyed hospital inpatient satisfaction for many years.  In 2011, PMH began surveying all patients who receive medical care at our facility to determine our areas of needed improvement.  The hospital uses an independent company to mail and process satisfaction surveys, known as NRC Picker.  When these surveys are returned, NRC Picker reviews and tabulates all the responses for hospital management to use as they improve services for patients.  Inpatient satisfaction survey results are entered into the national HCAHPS database. More information is available at https://www.medicare.gov/hospitalcompare/search.html? about how PMH compares to our peer hospitals for inpatient care. 

Contact Information:
304-329-4711

Credentialing and Review

The credentialing coordinator facilitates the medical staff credentialing process. New physician applications, background checks, verification of professional references and higher education institution graduation of all physician applicants are submitted to the coordinator. The coordinator informs the QIS Director and the Credentials and Review Committee of all potential applicants and of those physicians eligible for reappointment.

State of West Virginia Credentialing Form

State of West Virginia Recredentialing Form

Contact Information:
304-329-1400 x 1220