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Topics Covered in this section:

  • Summary of Measures & Performance Measurement with The Joint CommissionAccelerate PI Dashboard Measure Resources

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Accelerate PI Dashboard Measure

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Summary of Measures & Performance Measurement with The Joint Commission

In early 1999, the Joint Commission solicited input from a wide variety of stakeholders, including clinical professionals, health care provider organizations, state hospital associations, and health care consumers, convening an Advisory Panel about potential focus areas for performance measures.

Research has shown strong scientific evidence that demonstrates performing an evidence-based care process improves health outcomes.

  • Research: Strong scientific evidence demonstrates that performing the evidence-based care process improves health outcomes (either directly or by reducing risk of adverse outcomes).

  • Proximity: Performing the care process is closely connected to the patient outcome; there are relatively few clinical processes that occur after the one that is measured and before the improved outcome occurs.

  • Accuracy: The measure accurately assesses whether or not the care process has actually been provided. That is, the measure should be capable of indicating whether the process has been delivered with sufficient effectiveness to make improved outcomes likely.

  • Adverse Effects: Implementing the measure has little or no chance of inducing unintended adverse consequences.

Measures that meet all four criteria should be used for purposes of accountability (e.g., for accreditation, public reporting, or pay-for-performance). Those measures that have not been designated as accountability measures may be useful for quality improvement, exploration and learning within individual health care organizations, and are good advice in terms of appropriate patient care. The Joint Commission has a primary focus on adopting accountability measures for its ORYX® program.

Measure Topic Area

  • Assisted Living Communities

  • Certification

  • Health Care Staffing Services

  • Hospital & Critical Access Accreditation

Measures

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Assisted Living Community

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Cardiac Center

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Emergency Department

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Excessive Radiation Dose or Inadequate Image Quality for Diagnostic Computed Tomography in Adults

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Global Malnutrition

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Heart Failure

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Hospital Based Inpatient Psychiatric Services (HBIPS)

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Hospital Harm

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Hospital Outpatient

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Influenza Immunization

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Palliative Care

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Perinatal Care

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Safe Use of Opioids

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Social Drivers of Health

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Stroke

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ST-Segment Elevation Myocardial Infarction (STEMI)

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Substance Use

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Tobacco Use

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Total Hip & Knee

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Resources

Accelerate PI propels meaningful, data-driven conversations about performance measures and quality improvement. The dashboards are a tool for both surveyors and healthcare organizations we serve, alike in that they address unique but also overlapping needs to guide survey and quality improvement activities. The dashboards provide access to vetted national improvement resources that help organizations explore solutions to challenge areas.

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Measure Topic Area

Choose a measure topic area below. Click the link to be taken to a list of vetted improvement resources by measure.