Recognition
Accreditations/Recognition
Montefiore St. Luke’s Cornwall is committed to quality, and is accredited by several organizations that set health care standards and monitor performance.
Magnet Accreditation
Montefiore St. Luke’s Cornwall achieved Magnet designation on September 15, 2020, and earned its second redesignation in 2025. This is a direct reflection of nursing professionalism, teamwork and collaboration in patient care. The American Nurses Credentialing Center’s Magnet Recognition Program® distinguishes organizations that meet rigorous standards for nursing excellence. With this credential, Montefiore St. Luke’s Cornwall joins the global community of Magnet-recognized organizations. Only a small and select group of United States health care organizations have achieved Magnet recognition. Magnet recognition is the gold standard for nursing excellence and is a factor when the public judges health care organizations. U.S. News & World Report’s annual showcase of “America’s Best Hospitals” includes Magnet designation in its ranking criteria for quality of inpatient care. The foundation of this model comprises various elements deemed essential to delivering superior patient care. These include the quality of nursing leadership and coordination and collaboration across specialties, as well as processes for measuring and improving the quality and delivery of care.
Continued Recognition by Healthgrades™
Healthgrades® has recognized MSLC for its high quality patient care. These 5-star ratings indicate that the hospital’s clinical outcomes are statistically significantly better than expected when treating the condition or performing the procedure being evaluated. Providing quality care to our patients is our number one priority. The recognition continues in 2026 including Colorectal Surgery.
IDSA ANTIMICROBIAL STEWARDSHIP CENTER OF EXCELLENCE
The Infectious Diseases Society of America has conferred upon Montefiore
St. Luke's Cornwall the designation of Antimicrobial Stewardship Center
of Excellence. The designation recognizes institutions that have created
stewardship programs led by infectious diseases-trained physicians and
pharmacists that advance science in antimicrobial resistance. The institutions
also have achieved standards aligned with evidence-based national guidelines,
such as the IDSA-Society for Healthcare Epidemiology of America guidelines
and the Centers for Disease Control and Prevention’s Core Elements.
A total of 177 programs nationwide have received the designation since
the program’s launch in 2017.
Blue Distinction Center for Knee and Hip Replacement
Montefiore St. Luke’s Cornwall's Newburgh campus is designated as
a Blue Distinction Center for Knee and Hip Replacement by Empire Blue
Cross Blue Shield, an independent licensee of Blue Cross Blue Shield Association.
Empire BlueCross BlueShield has selected Montefiore St. Luke’s Cornwall as a Blue Distinction Center for Knee and Hip Replacement, part of the Blue Distinction Specialty Care program. The MSLC Center for Joint Replacement offers the full gamut of joint replacement including the knee, hip, and shoulder; performed by a highly trained, qualified team of orthopedic surgeons on the staff of MSLC.
As a Blue Distinction Center for Knee and Hip Replacement, MSLC demonstrates expertise in total knee and total hip replacement surgeries, resulting in fewer patient complications and hospital readmissions.
With this designation, MSLC's Center for Joint Replacement is a nationally designated healthcare facility shown to deliver improved patient safety and better health outcomes, based on objective measures that were developed by Blue Cross and Blue Shield companies with input from the medical community.
Blue Distinction Center for Bariatric surgery
Montefiore St. Luke’s Cornwall's Newburgh campus is designated as
a Blue Distinction Center for Bariatric Surgery by Empire Blue Cross Blue
Shield, an independent licensee of Blue Cross Blue Shield Association.
Our Bariatric Surgery Center offers Laparoscopic Sleeve Gastrectomy, Laparoscopic
Gastric Bypass, and Laparoscopic Band Removal and Revision procedures
performed by a highly trained, qualified team of bariatric surgeons on
the staff of MSLC. As a Blue Distinction Center for Bariatric surgery,
Montefiore St. Luke's Cornwall is a nationally designated healthcare facility
recognized for its expertise in delivering Bariatric specialty care and
meeting nationally established quality measures. Our Bariatric Surgery
program is also accredited by the Metabolic and Bariatric Surgery Accreditation
and Quality Improvement Program ( MBSAQIP) as a Comprehensive Center.
MBSAQIP®
Montefiore St. Luke’s Cornwall's Institute for Metabolic and Bariatric
Surgery has been accredited as a Comprehensive Center under the Metabolic
and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP®),
a joint program of the American College of Surgeons (ACS) and the American
Society for Metabolic and Bariatric Surgery (ASMBS).
MSLC officially launched the service in January 2015, treating patients throughout the Hudson Valley at the hospital’s Newburgh and Cornwall campuses. With this accreditation, patients seeking surgical treatment for severe obesity and its related conditions have a high-quality choice for receiving care at a nationally accredited program that meets the highest standards for patient safety and quality of care in the greater Hudson Valley Region area.
The MBSAQIP Standards, outlined in the Resources for Optimal Care of the Metabolic and Bariatric Surgery Patient 2016 ensure that bariatric surgical patients receive a multidisciplinary program, not just a surgical procedure, which improves patient outcomes and long-term success. MSLC’s accredited center offers preoperative and postoperative care designed specifically for their bariatric patients.
To earn the MBSAQIP designation, MSLC met essential criteria for staffing, training, facility, infrastructure and protocols for care, ensuring its ability to support patients with severe obesity. MSLC’s Institute for Metabolic and Bariatric Surgery also participates in a national data registry that yields semiannual reports on the quality of its processes and outcomes, identifying opportunities for continuous quality improvement. The standards are specified in the MBSAQIP Resources for Optimal Care of the Metabolic and Bariatric Surgery Patient 2016, published by the ACS and ASMBS.
After submitting an application, centers seeking MBSAQIP Accreditation undergo an extensive site visit by an experienced bariatric surgeon, who reviews the center's structure, process, and clinical outcomes data. Centers are awarded a specific designation depending on how many patients it serves annually, the type of procedures it provides, and whether it provides care for patients under age 18. MSLC received outstanding remarks from its survey earlier this year, which included acknowledgment of the team’s leadership and excellent clinical outcomes.
Level III Trauma Center
The trauma center at Montefiore St. Luke’s Cornwall has been verified as a Level III Trauma Center through 2026 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.
The MSLC Trauma Program officially began in May 2014, allowing the hospital to operate provisionally as an Area Trauma Center. Since that time, the MSLC trauma team has treated more than 10,000 patients, implementing policies and procedures designed to enhance the care provided to patients in need of trauma services.
In September 2023, MSLC had its trauma verification survey conducted by the American College of Surgeons Committee on Trauma. MSLC is the first hospital in New York State to receive a Level III trauma designation as a first time trauma center and is the only verified Level III Trauma Center in the Hudson Valley.
MSLC is proud to partner with Surgical Affiliates Management Group (SAMGI) in the management of MSLC's Trauma surgeons, Nurse Practitioners and Physician Assistants. This dynamic team assists in the management of trauma and acute care surgery patients in all areas of the hospital during a patient's stay. The Trauma Program has bolstered the Kaplan Family Center for Emergency Medicine and the Emergency Department team as it continues to provide comprehensive, high-quality emergent care to patients and their families throughout the community.
Verified trauma centers must meet the essential criteria that ensure trauma care capability and institutional performance, as outlined by the American College of Surgeons' Committee on Trauma.
The MSLC Level III Trauma Center provides a multitude of services both within the walls of the hospital and in the community including community education to prevent trauma injuries such as "SNUG"-, Child Car Seat Safety program, Stop the Bleed", "Not One More"-Teen Traffic Safety Program and a Falls Prevention Program, etc.
The Consultation/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.
To date, the program has seen thousands of trauma patients who were able to receive excellent care faster and closer to home, undoubtedly leading to better outcomes. The Trauma Program has bolstered the Kaplan Family Center for Emergency Medicine as it continues to provide comprehensive, high-quality emergent care to our patients and their families.
American Stroke Association Recognition
Montefiore St. Luke’s Cornwall (MSLC) has received the American Heart Association/American Stroke Association’s Get With The Guidelines®-Stroke Gold Plus Quality Achievement Award for the 17th consecutive year. The award recognizes the hospital’s commitment to ensuring stroke patients receive the most appropriate treatment according to nationally recognized, research-based guidelines based on the latest scientific evidence.
MSLC earned the award by meeting specific quality achievement measures for the diagnosis and treatment of stroke patients at a set level for a designated period. These measures include evaluation of the proper use of medications and other stroke treatments aligned with the most up-to-date, evidence-based guidelines with the goal of speeding recovery and reducing death and disability for stroke patients. Before discharge, patients should also receive education on managing their health, get a follow-up visit scheduled, as well as other care transition interventions.
Additionally, MSLC received the Target: Stroke SM Honor Roll Elite Plus award. To qualify for this recognition, hospitals must meet quality measures developed to reduce the time between the patient’s arrival at the hospital and treatment with the clot-buster tissue plasminogen activator, or tPA, the only drug approved by the U.S. Food and Drug Administration to treat ischemic stroke.
The Montefiore St. Luke’s Cornwall Hospital Cardiovascular Service Line provides an individualized and comprehensive approach to identification of cardiac risk factors and quick assessment of symptoms. State-of-the-art cardiac diagnostic equipment allows the staff to quickly obtain the necessary information to diagnose heart problems and determine the best possible plan of care.
According to the American Heart Association/American Stroke Association, stroke is the No. 5 cause of death and a leading cause of adult disability in the United States. On average, someone in the U.S. suffers a stroke every 40 seconds and nearly 795,000 people suffer a new or recurrent stroke each year.
2023 Health Care's Most Wired
Montefiore St. Luke’s Cornwall has earned 2023 CHIME Digital Health
Most Wired recognition as a certified level 7. The CHIME Digital Health
Most Wired program conducts an annual survey to assess how effectively
healthcare organizations apply core and advanced technologies into their
clinical and business programs to improve health and care in their communities.
MSLC has achieved the Most Wired recognition for the seventh time, as
a nod to the hospital’s information technology infrastructure.”
Among the more than 38,000 organizations surveyed by CHIME, Montefiore St. Luke's Cornwall ranked above peers in categories like analytics and data management, population health, infrastructure, and patient engagement. The survey assessed the adoption, integration and impact of technologies in health care organizations at all stages of development, from early development to industry leading.
The Digital Health Most Wired survey and recognition program serves as a comprehensive “Digital Health Check-up” for healthcare organizations across the world. As success in digital health increasingly determines the quality of patient care, the scope of the CHIME Digital Health Most Wired survey reflects the progress of leading healthcare providers as they reinvent healthcare for a new century.
Aetna Institute of Quality® (IOQ) for Cardiac Care
Montefiore St. Luke’s Cornwall has been designated as an Institute
of Quality® for Cardiac Medical Intervention by Aetna. MSLC was chosen
as an Aetna Designated IOQ facility because we demonstrate excellence
in care, a commitment to continuous improvement and represent an exceptional
value to our patients.
Undersea and Hyperbaric Medical Society
The Montefiore St. Luke’s Cornwall Center for Wound Healing and Hyperbaric
Medicine has been named an accredited facility by the Undersea and Hyperbaric
Medical Society. The UHMS investigates twenty two separate and detailed
topics in the operations hyperbaric medicine center. Our facility has
met the standard for Administration, Facility, Governance, Patient Care,
Quality and Safety.
Since 2001, the UHMS has a clinical hyperbaric medicine facility accreditation program. Clinical hyperbaric facilities can demonstrate their commitment to patient care and facility safety by voluntarily participating in this program. When invited to perform an accreditation survey, the UHMS will send a team of experts to the facility to examine staffing and training, equipment installation, operation, and maintenance, facility and patient safety, and standards of care.
The Joint Commission
MSLC is committed to providing quality care, and has earned a gold seal
from The Joint Commission. This includes both hospital campuses, as well
as our outpatient satellite services. The Commission sets the standards
by which health care quality is measured in the U.S.
joint commission primary stroke center disease certification
MSLC has attained advanced certification by The Joint Commission. This
means that MSLC provides the next generation of stroke care and has met
and seeks to maintain The Joint Commission’s high standards in providing
stroke care.
Commission on Cancer Accreditation by the American College of Surgeons (CoC)
The oncology program at MSLC was recertified in 2025 by the American College
of Surgeons’ Commission on Cancer. Fewer than one in four hospitals
that treat cancer receive this coveted recognition, which is awarded only
to facilities that voluntarily commit to providing "the highest level
of quality cancer care" and undergo a rigorous evaluation and performance
review process. This recertification applies to both the Cornwall and
Newburgh campuses.
According to the Commission, receiving care at an approved cancer program
ensures patients will have access to "comprehensive care, including
state-of-the-art services and equipment; a multi-specialty team approach
to coordinate the best treatment options; information about cancer clinical
trials and new treatment options; access to cancer-related information,
education, and support; a cancer registry that offers lifelong patient
follow-up; ongoing monitoring and improvement of care; and most importantly,
quality care close to home."
American Diabetes Association
The diabetes self-management program at Montefiore St. Luke’s Cornwall
(MSLC) has been awarded recognition by the American Diabetes Association
(ADA). Education recognition is presented to health care sites that meet
national standards for Diabetes Self-Management Education (DSME).
College of American Pathology (CAP)
The College of American Pathology’s Laboratory Accreditation is widely
recognized as setting the “gold standard” for laboratory services.
The laboratories at both the Cornwall and Newburgh campuses are accredited
by CAP, with re-certification required every two years. Montefiore St.
Luke's Cornwall
American Academy of Sleep Medicine
The Montefiore St. Luke’s Cornwall Center for Sleep Medicine locations
in Cornwall and Fishkill have earned accreditation from the American Academy
of Sleep Medicine (AASM). The AASM is the leader in setting standards
and promoting excellence in sleep medicine health care, education and
research. The AASM sets the clinical standards for sleep medicine. They
advocate for the recognition, diagnosis and treatment of sleep disorders
as well as educate professionals dedicated to providing optimal sleep
health care.
The AASM acknowledges facilities across the nation that provides only the highest quality of care. The MSLC Center for Sleep Medicine is a facility that not only provides quality diagnostic services but also effective treatment methods for its patients.
American College of Radiology (ACR)
MSLC has earned accreditation from The American College of Radiology. With
more than 32,000 members, the ACR is a professional society whose primary
purpose is to improve services to patients, advance the science of radiology,
and encourage continuing education for radiologists, radiation oncologists,
medical physicists and persons practicing in the allied professional fields.
Areas of accreditation include: CT scan at the Cornwall and Newburgh campus,
as well as ultrasound, nuclear medicine and mammography at the Newburgh campus.
American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR)
The AACVPR has awarded MSLC's Cardiac Rehabilitation Program re-certification
with the distinction of excellence. Certification recognizes those programs
reviewed by a national board and found to uphold rigorous standards of
care designed to limit the physiological and psychological effects of
cardiac illness; reduce the risk for sudden death or relapse; control
cardiac symptoms; stabilize and/or improve health; and enhance the patient's
quality of life.
NAPBC Reaccreditation for the MSLC Breast Program
MSLC’s Breast Program has once again earned reaccreditation from
the National Accreditation Program for Breast Centers (NAPBC), a quality
program administered by the American College of Surgeons. This reaccreditation
recognizes the program’s ongoing commitment to meeting rigorous
national standards for comprehensive, multidisciplinary, patient-centered
breast care. It reflects excellence in areas including leadership, clinical
services, research, community outreach, professional education, and quality
improvement — reaffirming that patients have access to coordinated,
high-quality care from screening through survivorship.
Reaccreditation of Laboratory Services by the College of American Pathologists
The College of American Pathology’s Laboratory Accreditation is widely recognized as setting the “gold standard” for laboratory services. The laboratories at both the Cornwall and Newburgh campuses are accredited by CAP, with re-certification required every two years.
Other
In addition to voluntary accreditation, our services are also monitored by state and regulatory agencies, including:
- New York State Department of Health
- New York State Department of Health-Bureau of Environmental Radiation Protection
- Livanta is the Beneficiary and Family Centered Care Quality Improvement Organization that manages case review activities (i.e., all beneficiary complaints/quality of care reviews, higher weighted DRG validation and non-coverage appeals) for the Centers for Medicare and Medicare Services (CMS). Their toll free number is (866) 815-5440.
Should you have a concern about patient care or safety at MSLC, please contact a member of our management team in order to discuss your concern. If it cannot be resolved by the hospital staff or management team, you may contact the Joint Commission via the following methods:
- Visit on the web at www.jointcommission.org , using the “Report a Patient Safety Concern” link on the home page of the website.
- By mail to The Office of Quality and Patient Safety (OQPS), The Joint Commission, One Renaissance Boulevard, Oakbrook Terrace, Illinois 60181.
You may contact the New York State Department of Health by mail or by phone. The toll free number is (800) 804-5447 or you may file a complaint in writing and send it to:
New York State Department of Health
Centralized Hospital Intake Program
Mailstop: CA/DCS
Empire State Plaza
Albany, NY 12237
For questions or comments, you can e-mail the Department of Health at hospinfo@health.state.ny.us
Pay My Bill
Contact Us
Patient Portal
Donate