The Joint Commission announces new performance measure on unexpected complications in term newborns

Tuesday, July 31 2018

Maureen Lyons
Corporate Communications

Effective January 1, 2019, The Joint Commission will require data collection and reporting for a new Perinatal Care (PC) performance measure, PC-06 Unexpected Complications in Term Newborns. The new requirement will be added to the existing five measures required for Joint Commission accredited hospitals with at least 300 live births per year. All hospitals seeking Perinatal Care certification also will be required to report PC-06.

PC-06 requires hospitals to identify the percentage of infants with unexpected newborn complications among full-term newborns with no preexisting conditions. While measures have been developed to assess clinical practices and outcomes in preterm infants, The Joint Commission has identified a lack of metrics that specifically assess health outcomes of term infants who represent more than 90 percent of all births. PC-06 is designed to address the metrics gap and gauge adverse outcomes resulting in severe or moderate morbidity in otherwise healthy term infants without preexisting conditions.

 “Requiring hospitals to report PC-06 is one of several initiatives The Joint Commission has implemented to further ensure the safety of both mothers and newborns during the time of delivery,” said David W. Baker, MD, MPH, FACP, executive vice president, Division of Health Care Quality Evaluation, The Joint Commission. 

Earlier this year,  The Joint Commission approved standards to improve the identification of mothers who are at risk for transmitting infectious diseases to their newborns around the time of delivery, and requirements for hospitals to prevent the misidentification of newborns due to conventional, non-distinct naming methods, such as “Baby Boy Jones.”

The Joint Commission also established a working group in 2017 to evaluate whether it should develop standards and additional quality measures in the area of perinatal care. It is currently investigating establishing possible requirements for hospitals to standardize management of patients with hemorrhage or hypertension. The group’s work remains in progress.

“The Joint Commission is committed to working with hospitals, the professional societies that establish clinical guidelines, and other stakeholders to establish new standards and measures to improve care and reverse the problematic trend in maternal mortality and the concomitant racial and ethnic disparities in maternal outcomes,” Dr. Baker added.


About The Joint Commission
Founded in 1951, The Joint Commission seeks to continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value. The Joint Commission accredits and certifies more than 21,000 health care organizations and programs in the United States. An independent, nonprofit organization, The Joint Commission is the nation’s oldest and largest standards-setting and accrediting body in health care. Learn more about The Joint Commission at



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