• The report uses a select subset the most recent and available external data from the US Centers for Medicare & Medicaid Services (CMS) Compare websites that meet Joint Commission unique criteria for impact and actionability. Measure subsets vary by health care setting.

• For each measure, the dashboard shows that organization’s performance compared to national, state, and Joint Commission–accredited organization averages.

• The dashboard is not a scorable element on survey, but rather a tool to facilitate discussion about ongoing quality improvement work.

• Access to vetted national improvement resources that help organizations explore solutions to challenge areas.

• For select health care settings such as hospitals, the dashboard will additionally display chart-based and electronic clinical quality measure (eCQM) quality measurement data reported by hospitals to The Joint Commission under the ORYX^® program.

The dashboard report — which is posted in the "Resources and Tools" section of an accredited organization's secure Joint Commission Connect^® extranet site — is representative of each organization's relative performance on each of the selected measures.

The report is available for health care settings where available CMS performance measure data exists including:

• Ambulatory Surgery Centers

• Home Health Agencies

• Hospices

• Hospitals

• Critical Access Hospitals

• Long Term Care Hospitals

• Inpatient Psychiatric Facilities

• Inpatient Rehabilitation Facilities

• Nursing Homes

Quality Measurement Trends and Benchmarks Reports contain aggregate data for each of the ORYX® measures in a program across all the health care organizations, regardless of whether an individual health care organization reports data for those measures. Depending on the data available, reports may contain data that spans over a calendar year or a rolling 12 month period.

Yes - we provide a Dashboard User Guide. The User Guide increases awareness of the data contained in the dashboard reports and where to locate specific information, as well as enhances a health care organization’s ability to interpret the data contained in the dashboard reports to ultimately help organizations to improve quality and safety.