Recognizing organizations contributing to 2023 performance measure initiatives

In 2023 many accredited healthcare organizations assisted The Joint Commission in further strengthening performance measurement and quality improvement by sharing important learnings with hospitals and health systems across the U.S. Contributions to The Joint Commission’s performance measurement initiatives and projects is highlighted below. We would like to thank these organizations for their support and participation.

Accelerate PI™ (performance improvement) webinar series:

Provides tools, resources, and examples to assist organizations with quality performance improvement initiatives that lead to consistent, high-quality patient care.

• Using Data to Identify Disparities Across Patient Groups – This webinar focused on stratification of key patient safety and quality measures to examine health care disparities and assist organizations on the journey to health care equity, regardless of where they are on the path.
  • Missouri Hospital Association – Jefferson City, Missouri
  • Missouri University Health – Kansas City, Missouri
• Physicians Engagement in Quality Improvement – This webinar shared resources and real-life examples of identifying and engaging physician leaders in quality improvement efforts.
  • Wisconsin Hospital Association – Fitchburg, Wisconsin

Patient safety and hospital harm eCQMs pilot testing in collaboration with AIR:

In collaboration with the American Institutes for Research (AIR), The Joint Commission engaged organizations to pilot test patient safety and hospital harm electronic clinical quality measures (eCQMs). These organizations assisted in developing important measure-related initiatives, including data collection, feasibility, reliability, and/or validity measure testing.

East Alabama Medical Center – Opelika, Alabama
Loma Linda University Health – Loma Linda, California
Hackensack Meridian Mountainside Medical Center – Montclair, New Jersey
Northwell Health – New Hyde Park, New York
Maria Parham Health – Henderson, North Carolina
Hospital Menonita Guayama – Guayama, Puerto Rico

Early access of CY 2023 DDSP eCQM module and chart-abstracted measure (CAM) module:

The Joint Commission recognizes the following organizations, which participated in the early access and testing of the calendar year (CY) 2023 Direct Data Submission Platform (DDSP) prior to its launch. These organizations provided valuable feedback, which assisted with the successful launch of DDSP updates.

University of Alabama at Birmingham – Birmingham, Alabama
North Alabama Medical Center – Florence, Alabama
RCHP Florence, LLC – Muscle Shoals, Alabama
Ronald Reagan UCLA Medical Center – Los Angeles, California
Northwest Community Hospital – Arlington Heights, Illinois
RHN Scott Memorial Health – Scottsburg, Indiana
Spring View Hospital – Lebanon, Kentucky
Pinelake Regional Hospital – Mayfield, Kentucky
Newark Beth Israel Medical Center – Newark, New Jersey
DLP Person Memorial Hospital, LLC – Roxboro, North Carolina
DLP Rutherford Regional Health System, LLC – Rutherfordton, North Carolina
DLP Wilson Medical Center, LLC – Wilson, North Carolina
Willamette Valley Medical Center – McMinnville, Oregon
Cookeville Regional Medical Center – Cookeville, Tennessee
Henry County Medical Center – Paris, Tennessee
Southern Tennessee Medical Center, LLC – Winchester, Tennessee
Essent PRMC, LP – Paris, Texas
Westpark Springs, LLC – Richmond, Texas
Danville Regional Medical Center, LLC – Danville, Virginia
Kempsville Center for Behavioral Health – Norfolk, Virginia
Clinch Valley Medical Center – Richards, Virginia
Fauquier Medical Center, LLC – Warrenton, Virginia
Wythe County Community Hospital, LLC – Wytheville, Virginia
Raleigh General Hospital, LLC – Beckley, West Virginia
River Park Hospital – Huntington, West Virginia
RCCH Trios Health, LLC – Kennewick, Washington
UHS of Wyoming, Inc. – Casper, Wyoming