Quality & Safety Accreditations, Measures, and Resources

At UP Health System - Marquette, we are committed to always providing excellent care to our communities. Our facilities provide comprehensive services to residents throughout the Upper Peninsula. Our commitment to high-quality healthcare is strong. We bring new and innovative programs to those who matter the most: our communities.

Our team of more than 2,900 employees is committed to always providing compassionate care. We offer the latest technology in imaging services, orthopaedics, cancer, and cardiac care. We also provide outreach with programs like annual health & safety fairs, community runs & walks, health screenings for the entire family and many more to keep our community healthy!

Below is a list of initiatives in which we participate to ensure that we provide the highest quality healthcare services.

Joint Commission 

"An independent, not-for-profit organization, The Joint Commission accredits and certifies nearly 21,000 health care organizations and programs in the United States. Joint Commission accreditation and certification is recognized nationwide as a symbol of quality that reflects an organization’s commitment to meeting certain performance standards." Learn more about the Joint Commission.

Hospital Compare - CMS 3-Star Rating 

"Hospital Compare was created through the efforts of the Centers for Medicare & Medicaid Services (CMS), in collaboration with organizations representing consumers, hospitals, doctors, employers, accrediting organizations, and other federal agencies." View the Hospital Compare score for UP Health System - Marquette. 

HealthGrades

"After leaving the hospital, patients are randomly selected to answer the standardized, multiple-question survey developed by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). Healthgrades obtains this survey data from the Centers for Medicare and Medicaid Services (CMS)." UP Health System - Marquette received the HealthGrades Patient Safety Excellence Award in 2014 and 2016. Read more about HealthGrades. 

Hospital Safety Score - LeapFrog Group

"The Hospital Safety Score uses national performance measures from the Leapfrog Hospital Survey, the Agency for Healthcare Research and Quality (AHRQ), the Centers for Disease Control and Prevention (CDC), the Centers for Medicare and Medicaid Services (CMS), and the American Hospital Association’s Annual Survey and Health Information Technology Supplement." Read more about the LeapFrog Group and UP Health System - Marquette's LeapFrog Group rating. 

Hospital Engagement Network

"The Centers for Medicare and Medicaid Services awarded a Hospital Engagement Network (HEN) 2.0 contract to the American Hospital Association (AHA)/Health Research & Educational Trust (HRET). HENs identify best practices proven to reduce hospital-acquired conditions and spread them to other hospitals and health care providers. These networks are a key element of the Partnership for Patients (PfP) campaign to improve the quality, safety and affordability of health care.Read more about the Hospital Engagement Network. 

2016 National Patient Safety Goals

"The National Patient Safety Goals (NPSGs) were established in 2002 to help accredited organizations address specific areas of concern in regards to patient safety." Read more about the 2016 National Patient Safety Goals. 

Duke Quality Network

UP Health System - Marquette is aligned with the Duke Quality Network. "The Duke Quality Network connects community hospitals to the quality and patient safety resources of Duke Medicine through a proven model focused on leadership, performance improvement and a culture of safety." Read more about the Duke Quality Network. 

Blue Distinction

"Blue Distinction Center and Blue Distinction Center+ designations are awarded to healthcare facilities based on a thorough, objective evaluation of their performance in the areas that matter the most—quality care, treatment expertise and overall patient results, just to name a few. The criteria are established with the help of expert physicians and medical organizations. UP Health System - Marquette is a Blue Distinction Center+ for: Bariatric Surgery (Gastric Stapling, Gastric Banding), Knee and Hip Replacement, Maternity Care, and Spine Surgery. Read more about Blue Distinction Center+ Designation. 

BMC2

"The Blue Cross Blue Shield of Michigan Cardiovascular Consortium (BMC2) is a collaborative consortium of health care providers in the State of Michigan which was created in 1997.  BMC2 is comprised of statewide quality improvement projects." Learn more about BMC2. 

Michigan Arthroplasty Registry Collaborative Quality Initiative MARCQI 

"The Michigan Arthroplasty Registry Collaborative Quality Initiative (MARCQI) is a group of orthopaedic surgeons and medical professionals dedicated to improving the quality of care for patients undergoing hip and knee replacement procedures in Michigan. MARCQI has created a statewide quality improvement infrastructure by developing a consortium of hospitals in Michigan to engage in quality improvement activities for hip and knee joint replacement surgery procedures." Learn more about MARCQI

Michigan Spine Surgery Improvement Collaborative (MSSIC) 

"The Michigan Spine Surgery Improvement Collaborative (MSSIC) is a statewide quality improvement collaborative involving orthopedic surgeons and neurosurgeons with the aim of improving the quality of care of spine surgery. The objective of this collaborative is to heighten patient care outcomes while consequently increasing efficiency of treatment." Learn more about MSSIC

MBSC (Michigan Bariatric Surgery Collaborative)

"The MBSC is a regional, voluntary consortium of hospitals and surgeons that perform bariatric (weight loss) surgery in Michigan. The goal of the project is to improve the quality of care for patients undergoing bariatric surgery. The project is funded by Blue Cross and Blue Shield of Michigan/Blue Care Network (BCBSM/BCN) and coordinated at the University of Michigan." Learn more about MBSC

Michigan Trauma Quality Improvement

"The program aims to measure and improve the quality of care administered to trauma patients through a statewide collaborative of participating trauma centers in Michigan." Learn more about Michigan Trauma Quality Improvement. 

Michigan Breast Oncology Quality Initiative

"Our mission is to collect accurate data on women diagnosed with breast cancer in Michigan. We will collect demographic, diagnostic, treatment, and outcome data, and use this information to evaluate current standards of care and to initiate quality improvement efforts that will advance breast cancer treatments in order to improve patient outcomes." Learn more about the Michigan Breast Oncology Quality Initiative.

Michigan Surgical Quality Collaborative

"MSQC is a collaborative of Michigan Hospitals dedicated to overall surgical quality improvement, including better patient care and lower costs. We are multidisciplinary and inclusive as we work together to transform surgical quality and deliver care that is cost effective. The Michigan Surgical Quality Collaborative is listed as a Patient Safety Organization (PSO), designated by The Agency for Healthcare Research and Quality (AHRQ). This designation requires a high level of quality and security in the way MSQC gathers, analyzes, and shares data from each of its hospitals for use in quality work. Listing as a PSO is a validation that data from each participating site is afforded the most appropriate protections." Learn more about MSQC. 

The Michigan Society of Thoracic and Cardiovascular Surgeons and MSTCVS Quality Collaborative 

"The Michigan Society of Thoracic and Cardiovascular Surgeons has devoted itself to the goal of maintaining the highest standards of quality in our profession and specialty. Our annual summer meeting is held each year in August, and advances this goal through education and discussion of important issues in our field." Learn more about MSTCVS