Continuous Improvement

St. Mary’s is dedicated to the pursuit of excellence in healthcare for our entire community

We participate in several initiatives that help us embed this dedication into every aspect of our service to others. Below are several of our core efforts.

Accredited Hospital for Quality and Patient Safety

Our hospital has earned accreditation from DNV Healthcare, affirming that our clinical practices, safety protocols, and quality systems meet rigorous national and international standards. DNV’s accreditation model fosters continuous improvement, and this recognition highlights our team’s commitment to maintaining the highest level of care, transparency, and patient‑centered practices.

Community Health Needs Assessment

St. Mary’s Healthcare periodically partners with independent research firms to conduct Community Health Needs Assessments (CHNA) for Fulton and Montgomery Counties. These reports provide a snapshot of the health of our community, which we use to collaborate with key partners in developing strategies, goals, and plans to improve community health.

• 2025-2028 Implementation Strategy
• 2024 Community Health Needs Assessment
• 2022-2025 Implementation Strategy
• 2021 Community Health Needs Assessment

Center for Medicare Services (CMS) National Patient Satisfaction Survey

St. Mary’s Participates in this national initiative to evaluate the care and services provided at acute care hospitals around the country and to provide a report to the public about how the healthcare system is functioning. A random sample of patients or their caregivers across a broad spectrum of our services receive mail or phone surveys occasionally requesting their feedback about their experience at St. Mary’s. Your participation in these surveys is completely voluntary, and we always appreciate your responses.

View our most recent results at Hospital Compare.

Corporate Compliance Policy

To review our Corporate Compliance Policy, please click here.