On November 17th, The Joint Commission announced the release of America’s Hospitals: Improving Quality and Safety: The Joint Commission’s Annual Report 2015, summarizing data on 49 accountability measures reported by more than 3,300 Joint Commission-accredited hospitals in 2014. Congratulations to Banner Churchill Community Hospital in Fallon and Mesa View Regional Hospital in Mesquite for making this list!

The 2014 data shows how well hospitals are performing on evidence-based care processes for the treatment of conditions such as heart attack, pneumonia and stroke. The report also includes the recognition of 1,043 hospitals—31.5 percent—that are performing exceptionally well on these patient care processes, earning them special recognition as a Top Performer on Key Quality Measures® for 2014 data.

The Top Performer program is a way to provide transparency to the public in the reporting of performance at the hospitals where they receive care. It identifies hospitals with extraordinary performance on specific, important measures of quality; however, it is not a rating of all aspects of care provided in those hospitals. The designation is based on performance related to accountability measures for heart attack, heart failure, pneumonia, perinatal care, surgical care, children’s asthma care, inpatient psychiatric services, venous thromboembolism (VTE) care, stroke care and immunization. This year’s report added accountability measure sets for tobacco treatment and substance use, and a measure to the inpatient psychiatric services measure set.

Requirements to become a 2014 Top Performer on Key Quality Measures:

  • Achieve cumulative performance of 95 percent or above across all reported accountability measures;
  • Achieve performance of 95 percent or above on each and every reported accountability measure with at least 30 denominator cases; and
  • Have at least one core measure set that had a composite rate of 95 percent or above, and within that measure set, achieve a performance rate of 95 percent or above on all applicable individual accountability measures.