Organizations get recognition for 2020, 2021 performance measure contributions

The Joint Commission provides performance measure dashboards for specific accreditation settings. These dashboards identify important quality targets and assist organizations in seeing where their performance lags and leads. As national performance improvement opportunities are identified, webinars are held to target those needs and facilitate improvement in health care organizations.

In the first three quarters of 2021, a series of webinars were held on targeted topics, with high-performing sites sharing their best practices and lessons learned for achieving and sustaining their impressive outcomes. The Joint Commission would like to recognize these organizations for sharing their stories during the following webinars:

• OME (Hospice): Comprehensive Pain Assessment
  • AAdi Home Health & Hospice – Corpus Christi, Texas
  • Tomah Health – Tomah, Wisconsin
• ASC: Colonoscopy Interval for High-Risk Patients
  • Bluffton Okatie Surgery Center – Okatie, South Carolina
  • Melbourne GI Center – Melbourne, Florida
• NCC: Antipsychotic Medication Use
  • Oneida Nursing & Rehab Center – Oneida, Tennessee
  • Fall River Jewish Home – Fall River, Massachusetts
• HAP: Clostridium difficile (C. diff) Intestinal Infections
  • Davie Medical Center – Bermuda Run, North Carolina
  • Mercy Health–Defiance Hospital – Defiance, Ohio
• OME (Home Health Care): Wound Improvement
  • Integris Home Care Enid – Enid, Oklahoma
  • One at Home – Dade – Doral, Florida

View the webinars.

Additionally, The Joint Commission recognizes the following health care organizations that continue to partner with The Joint Commission as pilot test sites for the development of electronic clinical quality measures (eCQMs). This year’s contributions reflect the time and effort dedicated to abstract and clinically adjudicate patient-level data to evaluate the measure’s reliability and validity and inform the final draft measure specifications.

The ePC-07—Severe Obstetrics Complications measure pilot was conducted in the first three quarters of 2021. Despite the challenges of the ongoing pandemic, pilot sites participated in data collection, virtual feasibility, reliability, and validity measure testing. They were:

• Greater Baltimore Medical Center – Towson, Maryland
• Kaiser Permanente – San Diego, California
• Mercy Hospital of Folsom – Folsom, California
• Mercy San Juan Medical Center – Carmichael, California
• Novant Health – Winston-Salem, North Carolina
• Novant Health Brunswick Medical Center – Bolivia, North Carolina
• Novant Health Forsyth Medical Center – Winston-Salem, North Carolina
• Novant Health Huntersville Medical Center – Huntersville, North Carolina
• Novant Health Matthews Medical Center – Matthews, North Carolina
• Novant Health Mint Hill Medical Center – Mint Hill, North Carolina
• Novant Health Presbyterian Medical Center – Charlotte, North Carolina
• Novant Health Rowan Medical Center – Salisbury, North Carolina
• Novant Health Thomasville Medical Center – Thomasville, North Carolina
• Novant Health UVA Prince William Medical Center – Manassas, Virginia
• ProMedica Bay Park Hospital – Oregon, Ohio
• ProMedica Charles and Virginia Hickman Hospital – Adrian, Michigan
• ProMedica Coldwater Regional Hospital – Coldwater, Michigan
• ProMedica Defiance Regional Hospital – Defiance, Ohio
• ProMedica Flower Hospital – Sylvania, Ohio
• ProMedica Health System – Toledo, Ohio
• ProMedica Memorial Hospital – Fremont, Ohio
• ProMedica Monroe Regional Hospital – Monroe, Michigan
• ProMedica Toledo Hospital – Toledo, Ohio
• University of Chicago – Chicago, Illinois
• UPMC Magee-Womens Hospital – Pittsburgh, Pennsylvania
• The Valley Hospital – Ridgewood, New Jersey
• Woman’s Hospital – Baton Rouge, Louisiana
• Women & Infants Hospital of Rhode Island – Providence, Rhode Island

The Joint Commission seeks eCQM success stories, tips, and strategies from its accredited hospitals and health systems to advance quality improvement as part of its Pioneers in Quality® Proven Practices program. Early in 2020, a call was issued for such noteworthy practices. But due to the continuing challenges of the national pandemic and ongoing impact on accredited organizations, the program continues to be on hold for 2021. However, The Joint Commission wants to recognize several organizations that submitted practices for consideration in 2020 and commend them for their efforts to improve their use of data to improve quality and patient safety. They are:

• AtlantiCare – Egg Harbor Township, New Jersey
• BayCare Health System – Clearwater, Florida
• Froedtert Hospital–Comprehensive Stroke Center – Milwaukee, Wisconsin
• Langley Porter Psychiatric Hospital and Clinics (LPPHC) – San Francisco, California
• Martin Luther King Jr. Community Hospital – Los Angeles, California