Joint Commission Annual Report

Improving America’s Hospitals
The Joint Commission’s Annual Report on Quality and Safety
2012
Top Performers on Key Quality Measures™
™
Table of Contents
Letter from The Joint Commission President ................................................................................................3-4

Executive Summary......................................................................................................................................5-11
Graph 1: Heart attack care accountability composite ........................................................................................7
Graph 2: Pneumonia care accountability composite ..........................................................................................8
Graph 3: Surgical care accountability composite ................................................................................................8
Graph 4: Children’s asthma care accountability composite ................................................................................9
Graph 5: Inpatient psychiatric services accountability composite ......................................................................9
Graph 6: Venous thromboembolism (VTE) care accountability composite ....................................................10
Graph 7: Stroke care accountability composite ..............................................................................................10
Graph 8: Percent of hospitals with overall accountability composite greater than 90 percent............................11
The Top Performers on Key Quality Measures™ program ............................................................................12-24
Accountability Measures Summary ............................................................................................................25-26
Table 1: Composite results for accountability measures....................................................................................25
Table 2: Percentage of hospitals achieving composite rates greater than 90 percent for
accountability measures ..................................................................................................................................26
National Performance Summary ................................................................................................................27-34
Table 3: Heart attack care measure results........................................................................................................27
Table 4: Heart failure care measure results ......................................................................................................28
Table 5: Pneumonia care measure results ........................................................................................................28
Table 6: Surgical care measure results ..............................................................................................................29
Table 7: Children’s asthma care measure results ..............................................................................................30
Table 8: Inpatient psychiatric services measure results ......................................................................................31
Table 9: Inpatient psychiatric services ratio measure results..............................................................................32
Table 10: Venous thromboembolism (VTE) care measure results ....................................................................33
Table 11: Stroke care measure results ..............................................................................................................33
Table 12: Perinatal care test measure results ....................................................................................................33
Table 13: Percentage of hospitals achieving 90 percent or greater performance ................................................34
Understanding the Quality of Care Measures ............................................................................................35-38
Glossary ....................................................................................................................................................39-41
Appendix ..................................................................................................................................................42-45
Appendix 1: Short and original measure names ..........................................................................................42-43
Appendix 2: 2011 accountability measures ......................................................................................................44
Appendix 3: 2011 measures being tested or evaluated against accountability measure criteria ..........................45
2 Improving America’s Hospitals: The Joint Commission’s Annual Report on Quality and Safety 2012
Letter from The Joint Commission President
It has been five years since The Joint Commission began publishing this annual report
on quality and safety, and I’m astounded at the improvement reflected in the data
contained within these pages. The first annual report, published in 2007, included data
from 2002-2005 and covered 15 measures of performance. This year’s report covers 45
measures and reflects from one to 10 years of improvement results. The data reflected
in this report are also the basis for The Joint Commission’s Top Performers on Key
Quality Measures™ program, which we introduced last year. The announcement of
Top Performers is highly anticipated by hospitals across the country, recognizing their
hard work in attaining excellence in accountability measure performance.
Three new accountability measure sets are included in the calculation for this year’s Top Performers program for the first
time: stroke, venous thromboembolism (VTE), and inpatient psychiatric services. With the inclusion of the last measure
set, 43 freestanding psychiatric hospitals or hospitals with inpatient psychiatric units are being recognized as Top
Performers for the first time. This year’s program recognizes 620 Joint Commission-accredited hospitals – over 50 percent
more hospitals than last year – a significant and heartening improvement in accountability measure performance. Even
more heartening is the distinction of 244 hospitals that have achieved Top Performer status for two consecutive years!
This year, 18 percent of America’s hospitals achieved the Top Performers distinction, with another 17 percent only one
measure short of the goal. By this time next year, we expect our Top Performers list to be even longer, as the program
continues to support and provide an incentive for organizations to continually improve.
Making the Top Performers list is no easy feat. Each recognized hospital met two 95 percent performance thresholds.
First, each hospital achieved performance of 95 percent or above on a single, composite score that includes all the
accountability measures for which it reports data to The Joint Commission, including measures that had fewer than
30 eligible cases or patients. Second, each hospital met or exceeded a 95 percent performance target for every
accountability measure for which it reports data, excluding any measures with fewer than 30 eligible cases or patients.
These hospitals are leading the way in quality improvement, as American hospitals as a whole continue to make strides.
While all hospitals achieving improvements deserve congratulations, those making the list starting on page 13 have
achieved an exemplary level of performance.
The program also provides an opportunity for recognized hospitals to celebrate their achievement. In addition to being
named in this report, Top Performers are highlighted at www.jointcommission.org and The Joint Commission’s Quality
Check website – www.qualitycheck.org. Each Top Performer will receive a certificate of recognition and communication
tools to aid in promoting its achievement. Since we started this program a year ago, the reputations of the hospitals on
our Top Performers list have been enhanced within their communities by local media stories about their achievement.
Improving America’s Hospitals: The Joint Commission’s Annual Report on Quality and Safety 2012 3
Letter from The Joint Commission President
(Cont’ d)
On January 1, 2012, The Joint Commission took yet another important step when it integrated performance
expectations on accountability measures into accreditation standards. Joint Commission-accredited hospitals are now
expected to meet a new performance improvement requirement (Standard PI.02.01.03, Element of Performance 1) that
establishes an 85 percent composite compliance target rate for performance on ORYX® accountability measures. The
new requirement is intended to help improve performance on ORYX core measures of patient care. (This standard does
not apply to the critical access hospital program.)
Better performance will help hospitals meet the valued-based purchasing requirements of federal and state governments
and private payers. Also, because the public expects transparency in hospital performance reporting, quality data have
been available on www.qualitycheck.org and the Centers for Medicare & Medicaid Services’ Hospital Compare website –
http://www.hospitalcompare.hhs.gov – for some time.
As hospitals work diligently to improve quality and safety, I am energized by their ability to respond affirmatively to
challenges. When we raise the bar and provide the proper guidance and tools, hospitals have answered with excellent
results. Their capacity for continual improvement points toward a future in which quality and safety defects are
dramatically reduced and high reliability is expected and achieved. Day-to-day progress will slowly but surely transform
today’s health care system into one that achieves unprecedented performance outcomes for the benefit of the patients
we serve.
Sincerely,
Mark R. Chassin, M.D., F.A.C.P., M.P.P, M.P.H

President
The Joint Commission
Executive Summary
Reflecting an increase of 50 percent from last year, 620 hospitals have achieved the outstanding accountability measure
performance required to be included in the Top Performers on Key Quality Measures™ program. Improving America’s
Hospitals: The Joint Commission’s Annual Report on Quality and Safety 2012 recognizes these hospitals for their exemplary
performance. The report also summarizes the performance of all Joint Commission-accredited hospitals on 45 accountability
measures (see Appendix 2) of evidence-based care processes closely linked to positive patient outcomes. (The 45 accountability
measures include two inpatient psychiatric services measures that are ratio measures, which are not included in the composite
results.)
Three accountability measure sets (heart attack care, heart failure care, and pneumonia care) have been followed for 10 years
(2002-2011) and five more sets have been followed from seven years to two years (surgical care, children’s asthma care,
inpatient psychiatric services, venous thromboembolism care, and stroke care). The magnitude of improvement on the
individual accountability measures has a median value of 7.1 percentage points from measure inception to 2011. Improvement
has ranged from a small fraction of a percentage point (for a measure that improved from 99.8 percent to 99.9 percent) to
+66.1 percentage points (for a measure with 10 years of reporting experience). All measures tracked over at least two years
showed improvement from the year of inception to 2011.
While the data show impressive gains in hospital quality performance, improvements can still be made. Some hospitals perform
better than others in treating particular conditions and in achieving patient satisfaction. Quality, safety, and patient satisfaction
results for specific hospitals can be found at www.qualitycheck.org.
More than 3,300 eligible Joint Commission accredited hospitals contributed data. See the Glossary for definitions.
Key Findings
1. The number of hospitals recognized by the Top Performers on Key Quality Measures™ program has increased over
50 percent from last year, with 620 hospitals earning this achievement. These hospitals represent about 18 percent of
all Joint Commission-accredited hospitals reporting core measure performance data.
Each of the 620 recognized hospitals met two 95 percent (95/95) performance thresholds on 2011 accountability measure
data.
First, each hospital achieved performance of 95 percent or above on a single, composite score that includes all the
accountability measures for which it reports data to The Joint Commission, including measures that had fewer than 30 eligible
cases or patients.
Second, each hospital met or exceeded 95 percent performance on every accountability measure for which it reports data to
The Joint Commission, excluding any measures with fewer than 30 eligible cases or patients.
A 95 percent score means a hospital provided an evidence-based practice 95 times out of 100 opportunities to provide the
practice. Each accountability measure represents an evidence-based practice – for example, giving aspirin at arrival for heart
attack patients, giving antibiotics one hour before surgery, and providing a home management plan for children with asthma.
Because hospitals want to achieve excellent reputations for delivering high quality care within their communities, The Joint
Commission expects the percentage of hospitals achieving these thresholds to increase as it publicly reports on the Top
Performers on Key Quality Measures program in the fall of each successive year.
Executive Summary (Cont’d)
2. Of the 620 Top Performers, 244 achieved the distinction for a second straight year.
This accomplishment means 244 hospitals repeated 95/95 performance after including data on new accountability measures
designated in 2011 into the measure sets they choose to report. The bar was raised; yet, the total number of hospitals meeting
the challenge increased by over 50 percent. In addition to the 620 hospitals (18 percent of total hospitals) achieving Top
Performer status, another 583 hospitals (17 percent) fell slightly short by missing 95 percent performance on only one measure.
These 583 hospitals are on track to potentially achieve Top Performer status next year. To help them improve core measure
performance and meet the Top Performer goal, The Joint Commission provides an online Core Measure Solution Exchange,
available through the Joint Commission Connect extranet. The Core Measure Solution Exchange is a user-friendly, interactive
forum that allows health care professionals from Joint Commission accredited organizations to freely exchange quality
improvement practices.
Increase in Top Performers in one year
406 244 620
2010 2011
244 hospitals were recognized both for 2010 and 2011
3. For the first time, freestanding psychiatric hospitals or hospitals with inpatient psychiatric units are being included
for recognition in the Top Performers program. Also, new this year is the addition of three accountability measure sets
in the calculation for this year’s Top Performers program – inpatient psychiatric services, stroke and venous
thromboembolism (VTE).
Psychiatric hospitals or hospitals with inpatient psychiatric units submitted data for the inpatient psychiatric services measure
set and 43 were recognized in the Top Performers program. The other two accountability measure sets included in this year’s
program for the first time are the stroke and venous thromboembolism (VTE) measure sets.
As more performance measures are developed and tested, they will be added in the calculation for the Top Performers program,
increasing the likelihood that more hospitals will be recognized for their work in performance measurement.
4. Hospital performance on accountability measures has improved significantly over time, greatly enhancing the quality
of care provided in America’s hospitals. Still, more improvement is needed and is expected to continue.
In 2011, hospitals achieved 96.6 percent “composite” accountability measure performance on 16.1 million opportunities to
perform care processes closely linked to positive patient outcomes. This is an improvement of 14.8 percentage points since
2002, when hospitals achieved 81.8 percent “composite” performance on 957,000 opportunities. A composite result sums
up the results of all individual accountability measures into a single percentage rating.
While hospitals achieved 90 percent or better performance on most individual measures, more improvement is needed. For
example, hospitals finished 2011 with only 60.2 percent of eligible heart attack patients receiving fibrinolytic therapy within
30 minutes of arrival.
5. Hospitals have significantly improved the quality of care provided to heart attack, pneumonia, surgical care,
children’s asthma care, inpatient psychiatric, venous thromboembolism, and stroke patients, according to composite
accountability measure results.
Composite accountability measures for heart attack and pneumonia care have been compiled since 2002, surgical care since
2005, children’s asthma care since 2008, inpatient psychiatric services since 2009, and venous thromboembolism and stroke
care since 2010. Note: There is no accountability composite for heart failure care since there is only one heart failure accounta-
bility measure. A composite must have at least two measures. However, the overall accountability composite results (see graph
8) include the one heart failure measure. For more information about accountability composite results versus composite results,
see “Note on Calculations and Methodology” on page 37.
• The 2011 heart attack care result is 98.5 percent, up Graph 1: Heart attack care accountability composite
from 88.6 percent in 2002 – an improvement of 9.9
100
percentage points. A 98.5 percent score means that hospitals
provided an evidence-based heart attack treatment 985 95
times for every 1,000 opportunities to do so.
Composite Rate
90
This composite includes:
• Aspirin at arrival 85
• Aspirin at discharge
• ACEI or ARB at discharge 80
• Beta-blocker at discharge
75
• Fibrinolytic therapy within 30 minutes
• PCI therapy within 90 minutes
70
• Statin prescribed at discharge
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
The average number of hospitals reporting data was 2,573,

and ranged from 1,585 to 2,923.
• The 2011 pneumonia care result is 96.2 percent, Graph 2: Pneumonia care accountability composite
up from 72.4 percent in 2002 – an improvement of 23.8
100
percentage points.
95
• Pneumococcal vaccination
Composite Rate
90
• Blood cultures in ICU
• Blood cultures in ED 85
• Antibiotics to ICU patients
• Antibiotics to non-ICU patients 80
• Influenza vaccination
75
70
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

• The 2011 surgical care result is 97.6 percent, Graph 3: Surgical care accountability composite
up from 82.1 percent in 2005 – an improvement
100
of 15.5 percentage points.
95
• Antibiotics within one hour before the first surgical cut
Composite Rate
90
• Appropriate prophylactic antibiotics
• Stopping antibiotics within 24 hours 85
• Cardiac patients with 9 a.m. postoperative blood glucose
• Patients with appropriate hair removal 80
• Beta-blocker patients who received beta-blocker

perioperatively 75
• Prescribing VTE medicine/treatment

70
• Receiving VTE medicine/treatment
• Urinary catheter removed 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

and ranged from 149 to 2,820.
• The 2011 children’s asthma care result is 94.7 Graph 4: Children’s asthma care accountability
composite
percent, up from 79.8 percent in 2008 – an
100
improvement of 14.9 percentage points.
95
• Relievers for inpatient asthma
90
Composite Rate
• Systemic corticosteroids for inpatient asthma
• Home management plan of care 85
80
75
70
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
The average number of hospitals reporting data was 227,

and ranged from 173 to 257.
• The 2011 inpatient psychiatric services result is 87.3 Graph 5: Inpatient psychiatric services accountability
percent, up from 80.5 percent in 2009 – an composite
100
95
The composite includes:
• Multiple antipsychotic medications* 90
Composite Rate
• Justification for multiple antipsychotic medications

85
• Continuing care plan created
• Continuing care plan transmitted 80
75
70
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
* For this measure, where a decrease in the rate is desired, the
accountability composite includes the number of the denominator The average number of hospitals reporting data was 319,
cases minus the number of the numerator cases. This converts the and ranged from 167 to 485.
rate so that it can be used in the composite with the majority of
accountability measures (those where an increase in the rate is
desired).
• The 2011 venous thromboembolism (VTE) care Graph 6: Venous thromboembolism (VTE) care
accountability composite
result is 89.9 percent, up from 82.7 in 2010 – an
100
95
• VTE medicine/treatment
90
Composite Rate
• VTE medicine/treatment in ICU
• VTE patients with overlap therapy 85
• VTE patients with UFH monitoring
• VTE warfarin discharge instructions 80
75
70
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
The average number of hospitals reporting data was 72, and

ranged from 67 to 75.
• The 2011 stroke care result is 94.9 percent, up from

Graph 7: Stroke care accountability composite
92.7 percent in 2010 – an improvement of 2.2
percentage points. 100
95
The composite includes:
• VTE medicine/treatment 90
Composite Rate
• Discharged on antithrombotic therapy

85
• Anticoagulation therapy for atrial fibrillation/flutter
• Thrombolytic therapy
80
• Antithrombotic therapy by end of hospital day two
• Discharged on statin medication 75
• Stroke education
70
• Assessed for rehabilitation
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
The average number of hospitals reporting data was 156,

and ranged from 142 to 169.
6. The percentage of hospitals achieving composite Graph 8: Percent of hospitals with overall accountability
composite greater than 90 percent
accountability measure performance greater than
100
90 percent in 2011 was 88.8 percent.
90
Percent Exceeding 90 Percent

80
For the first time, measures in the inpatient psychiatric
services, VTE care, and stroke care measure sets were 70
included in this calculation. Including these newer 60
measures resulted in a decrease from the 91.7 percent 50
score reported last year. Only 20.4 percent of hospitals 40

achieved 90 percent in 2002. 30
20
This composite includes all 2011 accountability
10
measures (see Appendix 2) except for two inpatient
0
psychiatric services measures – hours of seclusion and
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
hours of physical restraint. On these measures, a lower
score is preferred. The average number of hospitals reporting data was 3,272,
What’s new this year

• The Top Performers on Key Quality Measures™ Inpatient psychiatric services measure set
program recognized 620 hospitals achieving 4. Multiple antipsychotic medications
excellence in accountability measure performance. 5. Justification for multiple antipsychotic medications
• For the first time, 43 freestanding psychiatric hospitals 6. Continuing care plan created
or hospitals with inpatient psychiatric units are being 7. Continuing care plan transmitted
recognized in the Top Performers program. 8. Hours of physical restraint*
• Three accountability measure sets were added in the 9. Hours of seclusion*
calculation for this year’s Top Performers program for
Venous thromboembolism (VTE) care measure set
the first time – inpatient psychiatric services, stroke
10. VTE medicine/treatment
and venous thromboembolism (VTE).
11. VTE medicine/treatment in ICU
• For the first time, composite performance for each
12. VTE patients with overlap therapy
measure set was calculated by using only
13. VTE patients with UFH monitoring
accountability measures.
14. VTE warfarin discharge instructions
• In this year’s report, 22 care processes were included
for the first time in the accountability measure results. Stroke care measure set
15. VTE medicine/treatment
Heart attack care measure set
16. Discharged on antithrombotic therapy
1. Statin prescribed at discharge
17. Anticoagulation therapy for atrial fibrillation/flutter
Pneumonia care measure set 18. Thrombolytic therapy
2. Blood cultures in ICU 19. Antithrombotic therapy by end of hospital day two
20. Discharged on statin medication
Surgery care measure set 21. Stroke education
3. Urinary catheter removed 22. Assessed for rehabilitation
* This measure is not included in the composite results because it is a ratio measure. Only proportional process measures are included
in the composite.
The Top Performers on Key Quality Measures™ program
The Top Performers on Key Quality Measures™* program recognizes accredited hospitals that attain excellence in accountability
measure performance. The announcement of the Top Performers occurs in the fall of each year and coincides with the
publication of The Joint Commission’s “Improving America’s Hospitals” annual report.
There are 620 hospitals being recognized this year; they represent approximately 18 percent of Joint Commission-accredited
hospitals reporting core measure performance data. Each year, the percentage of recognized hospitals will vary. (Most Joint
Commission-accredited hospitals are required to report performance measure data to The Joint Commission while many
critical access hospitals voluntarily report these data.) Each year, hospitals may choose to report data on new or different
measure sets, which will influence whether they make the list of Top Performers; it usually takes some time to reach high
achievement on a new measure set.
Psychiatric hospitals or hospitals with inpatient psychiatric units are being included for recognition in the Top Performers
program for the first time. Of the 620 recognized hospitals, 43 are freestanding psychiatric hospitals or hospitals with inpatient
psychiatric units. These hospitals submitted data for the inpatient psychiatric services measure set – one of three new
accountability measure sets included in the calculation for this year’s Top Performers program. The other two accountability
measure sets included in this year’s program for the first time are the stroke and venous thromboembolism (VTE) measure sets.
How Top Performers are determined

Recognition in The Joint Commission’s Top Performers on Key Quality Measures™ program is based on an aggregation of
accountability measure data reported to The Joint Commission during the previous calendar year. This year’s program results
are based on data that were reported for 2011. Specifically, a Top Performer must first achieve performance of 95 percent or
above on a single, composite score that includes all the accountability measures for which it reports data to The Joint
Commission, including measures that had fewer than 30 eligible cases or patients. Second, the hospital also must meet a
95 percent performance threshold for every accountability measure for which it reports data to The Joint Commission,
excluding any measures with fewer than 30 eligible cases or patients.
Why the Top Performers program was developed

Since 2002, hospitals have been reporting data to The Joint Commission and have continuously shown improvement in
performance on core measures. Most hospitals not recognized among the 620 Top Performers are still performing well on
accountability measures, but there is still room for improvement. For example, 583 hospitals (17 percent) narrowly missed
Top Performers recognition by having sub-95 percent performance on only one measure. To help these and other hospitals
improve their accountability measure performance, The Joint Commission provides various resources, including the Core
Measure Solution Exchange, the Leading Practices Library, and the Strategic Surveillance System (S3). These resources are
available on The Joint Commission’s secure extranet site, Joint Commission Connect.
The Top Performers on Key Quality Measures program is designed to inspire better performance on accountability measures and
to serve as an incentive for all hospitals to improve and be the best they can be. The program also provides an opportunity for
recognized hospitals to celebrate their achievement of excellence in accountability measure performance.
The Top Performers on Key Quality Measures program is consistent with pay-for-performance trends being enacted by federal
and state government and private payers. The reported data have been available on The Joint Commission’s Quality Check
website and the Centers for Medicare & Medicaid Services’ Hospital Compare website for some time. Today, the public expects
transparency in the reporting of performance at the hospitals where they receive care.
*Being named a Top Performer by The Joint Commission does not ensure that any specific patient in such a named hospital will have any particular good medical outcome.
Top Performer recognition is based on hospital performance on measures about activity in certain patient care areas, but not all the patient care areas provided by acute care
hospitals.
The Top Performers on Key Quality Measures™ for 2011
The checkmark (✓) indicates the measure set(s) for which the hospital is being recognized as a Top Performer. The list
is alphabetized by state and then by city. Many of these hospitals were also recognized as Top Performers last year.
To see last year’s Top Performers, visit www.jointcommission.org/accreditation/top-performers.aspx.
Heart Heart Pneumonia Surgical Children’s Hosp-Based Stroke VTE

Hospitals by State City Attack Failure Care Asthma Inpt Psych
Alabama
Affinity Hospital, LLC Birmingham ✓ ✓ ✓ ✓
Brookwood Medical Center Birmingham ✓ ✓ ✓ ✓
Princeton Baptist Medical Center Birmingham ✓ ✓ ✓ ✓
Laurel Oaks Behavioral Health Center Dothan ✓
QHG of Enterprise, Inc. Enterprise ✓ ✓
South Baldwin Regional Medical Center Foley ✓ ✓ ✓ ✓
DeKalb Regional Medical Center Fort Payne ✓ ✓ ✓
Riverview Regional Medical Center Gadsden ✓ ✓ ✓
Greenville Hospital Corporation Greenville ✓
Crestwood Medical Center Huntsville ✓ ✓ ✓ ✓
Walker Baptist Medical Center Jasper ✓ ✓ ✓ ✓
East Alabama Medical Center Opelika ✓ ✓ ✓ ✓
Russell County Community Hospital, LLC Phenix City ✓
Prattville Baptist Hospital Prattville ✓ ✓
Russellville Hospital Russellville ✓ ✓
Vaughan Regional Medical Center Selma ✓ ✓ ✓ ✓
Helen Keller Hospital Sheffield ✓ ✓ ✓
Citizens Baptist Medical Center Talladega ✓ ✓ ✓
Tuscaloosa VA Medical Center Tuscaloosa ✓
Alaska
North Star Behavioral Health Anchorage ✓
Central Peninsula Hospital Soldotna ✓ ✓
Arizona
Western Arizona Regional Medical Center Bullhead City ✓ ✓ ✓ ✓
Oro Valley Hospital, LLC Oro Valley ✓ ✓ ✓ ✓
Payson Hospital Corporation Payson ✓ ✓
Maryvale Hospital Phoenix ✓ ✓ ✓ ✓
Carondelet St. Mary's Hospital Tucson ✓ ✓ ✓ ✓ ✓
Arkansas
Rivendell Behavioral Health Services of Arkansas Benton ✓
Vista Health Fayetteville ✓
Sparks Regional Medical Center Fort Smith ✓ ✓ ✓ ✓
Helena Regional Medical Center Helena ✓ ✓
Arkansas Heart Hospital Little Rock ✓ ✓ ✓ ✓
Baptist Health Medical Center - Little Rock Little Rock ✓ ✓ ✓
BHC Pinnacle Pointe Hospital, Inc. Little Rock ✓
Arkansas Methodist Hospital Corporation Paragould ✓ ✓ ✓ ✓
Summit Medical Center Van Buren ✓
California
Kaiser Permanente - Orange County Anaheim ✓ ✓ ✓ ✓
West Anaheim Medical Center Anaheim ✓ ✓ ✓ ✓
Sutter Auburn Faith Hospital Auburn ✓ ✓
Providence Saint Joseph Medical Center Burbank ✓ ✓ ✓ ✓
Sutter Davis Hospital Davis ✓ ✓
Kaiser Foundation Hospital - Downey Medical Center Downey ✓ ✓ ✓ ✓
Scripps Memorial Hospital - Encinitas Encinitas ✓ ✓ ✓ ✓
Encino Hospital Medical Center Encino ✓
Kaiser Foundation Hospital - Fontana Fontana ✓ ✓ ✓ ✓
Weed Army Community Hospital Fort Irwin ✓
Kaiser Foundation Hospital - Fresno Fresno ✓ ✓ ✓ ✓
Garden Grove Hospital Medical Center Garden Grove ✓ ✓ ✓
Kaiser Foundation Hospital - South Bay Harbor City ✓ ✓ ✓ ✓
Kaiser Foundation Hospital - Hayward/Fremont
Medical Center Hayward ✓ ✓ ✓ ✓
The Huntington Beach Hospital Huntington Beach ✓ ✓ ✓
Centinela Hospital Medical Center Inglewood ✓ ✓ ✓ ✓

Scripps Green Hospital La Jolla ✓ ✓ ✓ ✓
La Palma Intercommunity Hospital La Palma ✓ ✓ ✓
VA Long Beach Health Care System Long Beach ✓ ✓ ✓ ✓
Los Alamitos Medical Center, Inc. Los Alamitos ✓ ✓ ✓ ✓
Kaiser Foundation Hospital - Los Angeles Medical Center Los Angeles ✓ ✓ ✓ ✓
Temple Community Hospital Los Angeles ✓ ✓ ✓
Memorial Hospital Los Banos Los Banos ✓
Providence Health System - Southern California Mission Hills ✓ ✓ ✓ ✓
Kaiser Foundation Hospital - Modesto/Manteca Modesto ✓ ✓ ✓ ✓
Prime Healthcare Paradise Valley, LLC National City ✓ ✓ ✓ ✓
Children's Hospital & Research Center Oakland Oakland ✓
Lucile Salter Packard Children's Hospital at Stanford Palo Alto ✓
Kaiser Foundation Hospitals - Panorama City
Medical Center Panorama City ✓ ✓ ✓ ✓
Prime Healthcare Services - Shasta, LLC Redding ✓ ✓ ✓ ✓
Kaiser Foundation Hospital - Redwood City Redwood City ✓ ✓ ✓
Kaiser Foundation Hospital - Riverside Riverside ✓ ✓ ✓ ✓
Riverside Community Hospital Riverside ✓ ✓ ✓ ✓
BHC Heritage Oaks Hospital Sacramento ✓
Sutter Medical Center, Sacramento Sacramento ✓ ✓ ✓
Kaiser Foundation Hospital - San Diego San Diego ✓ ✓ ✓ ✓
Sharp Memorial Hospital San Diego ✓ ✓ ✓ ✓
Kaiser Foundation Hospital - San Francisco San Francisco ✓ ✓ ✓ ✓
Good Samaritan Hospital, LP San Jose ✓ ✓ ✓ ✓
Kaiser Foundation Hospital - San Jose San Jose ✓ ✓ ✓ ✓
Regional Medical Center of San Jose San Jose ✓ ✓ ✓ ✓
Sierra Vista Regional Medical Center San Luis Obispo ✓ ✓
Sutter Maternity & Surgery Center of Santa Cruz Santa Cruz ✓
Saint John's Health Center Santa Monica ✓ ✓ ✓
Kaiser Foundation Hospital - Santa Rosa Santa Rosa ✓ ✓ ✓ ✓
Sutter Medical Center of Santa Rosa Santa Rosa ✓ ✓ ✓ ✓
Sonora Community Hospital Sonora ✓ ✓ ✓
Kaiser Foundation Hospital - South San Francisco South San Francisco ✓ ✓ ✓ ✓
Banner Lassen Medical Center Susanville ✓ ✓
Los Robles Hospital and Medical Center Thousand Oaks ✓ ✓ ✓ ✓
Providence Little Company of Mary
Medical Center Torrance Torrance ✓ ✓ ✓ ✓
Sutter Tracy Community Hospital Tracy ✓ ✓
Kaiser Foundation Hospital - Vacaville Vacaville ✓ ✓ ✓
Kaiser Foundation Hospital - Walnut Creek Walnut Creek ✓ ✓ ✓ ✓
Kaiser Foundation Hospital - Woodland Hills Woodland Hills ✓ ✓ ✓ ✓
Colorado
Presbyterian/St. Luke's Medical Center Denver ✓ ✓ ✓
Rose Medical Center Denver ✓ ✓ ✓
St. Anthony Summit Medical Center Frisco ✓
Valley View Hospital Association Glenwood Springs ✓ ✓ ✓
Grand Junction Veterans Affairs Medical Center Grand Junction ✓ ✓
Sky Ridge Medical Center Lone Tree ✓ ✓ ✓
McKee Medical Center Loveland ✓ ✓ ✓
North Suburban Medical Center Thornton ✓ ✓ ✓
Delaware
Meadow Wood Behavioral Health System New Castle ✓
VA Medical Center Wilmington ✓ ✓
Florida
JFK Medical Center Limited Partnership Atlantis ✓ ✓ ✓ ✓
Aventura Hospital and Medical Center Aventura ✓ ✓ ✓ ✓
Bartow Regional Medical Center Bartow ✓ ✓

Lakeside Medical Center Belle Glade ✓ ✓ ✓
Lakewood Ranch Medical Center Bradenton ✓ ✓ ✓ ✓
Brandon Regional Hospital Brandon ✓ ✓ ✓ ✓
Brooksville & Spring Hill Regional Hospitals Brooksville ✓ ✓ ✓
Morton Plant Hospital Association Clearwater ✓ ✓ ✓ ✓
Coral Gables Hospital Coral Gables ✓ ✓ ✓ ✓
Doctors Hospital, Inc. Coral Gables ✓ ✓ ✓ ✓
Pasco Regional Medical Center Dade City ✓ ✓ ✓
Heart of Florida Regional Medical Center Davenport ✓ ✓ ✓
Delray Medical Center, Inc. Delray Beach ✓ ✓ ✓ ✓
Englewood Community Hospital Englewood ✓ ✓ ✓ ✓
Fort Walton Beach Medical Center, Inc. Fort Walton Beach ✓ ✓ ✓ ✓
North Florida Regional Medical Center Gainesville ✓ ✓ ✓ ✓
Gulf Breeze Hospital Gulf Breeze ✓ ✓
Homestead Hospital, Inc. Homestead ✓ ✓ ✓ ✓
Regional Medical Center Bayonet Point Hudson ✓ ✓ ✓ ✓
Memorial Hospital Jacksonville Jacksonville ✓ ✓ ✓ ✓
River Point Behavioral Health Jacksonville ✓
Osceola Regional Medical Center Kissimmee ✓ ✓ ✓ ✓
Lake City Medical Center Lake City ✓ ✓ ✓ ✓
Largo Medical Center Largo ✓ ✓ ✓ ✓
Lehigh HMA, LLC Lehigh Acres ✓ ✓ ✓
Palms West Hospital Loxahatchee ✓ ✓ ✓ ✓
Kendall Regional Medical Center Miami ✓ ✓ ✓ ✓
Santa Rosa Medical Center Milton ✓ ✓
Memorial Hospital Miramar Miramar ✓ ✓ ✓ ✓
Physicians Regional Healthcare System Naples ✓ ✓ ✓ ✓
Twin Cities Hospital Niceville ✓ ✓
Raulerson Hospital Okeechobee ✓ ✓ ✓ ✓
Orange Park Medical Center Orange Park ✓ ✓ ✓ ✓
Palm Beach Gardens Medical Center Palm Beach Gardens ✓ ✓ ✓ ✓
Gulf Coast Medical Center Panama City ✓ ✓ ✓ ✓
Memorial Hospital Pembroke Pembroke Pines ✓ ✓ ✓ ✓
Memorial Hospital West Pembroke Pines ✓ ✓ ✓ ✓
Baptist Hospital, Inc. Pensacola ✓ ✓ ✓ ✓
West Florida Regional Medical Center, Inc. Pensacola ✓ ✓ ✓ ✓
Columbia Hospital Corporation of South Broward Plantation ✓ ✓ ✓ ✓
Plantation General Hospital Plantation ✓ ✓ ✓ ✓
Fawcett Memorial Hospital Port Charlotte ✓ ✓ ✓ ✓
St. Lucie Medical Center Port Saint Lucie ✓ ✓ ✓ ✓
Charlotte Regional Medical Center Punta Gorda ✓ ✓ ✓
Mease Countryside Hospital Safety Harbor ✓ ✓ ✓ ✓
Northside Hospital Saint Petersburg ✓ ✓ ✓ ✓
St. Petersburg General Hospital Saint Petersburg ✓ ✓ ✓
Central Florida Regional Hospital Sanford ✓ ✓ ✓ ✓
Doctors Hospital of Sarasota Sarasota ✓ ✓ ✓ ✓
Sebastian River Medical Center Sebastian ✓ ✓ ✓
Highlands Regional Medical Center Sebring ✓ ✓
Martin Memorial Medical Center, Inc. Stuart ✓ ✓ ✓ ✓
South Bay Hospital Sun City Center ✓ ✓ ✓ ✓
Capital Regional Medical Center Tallahassee ✓ ✓ ✓ ✓
University Hospital, Ltd. Tamarac ✓ ✓ ✓ ✓
St. Joseph's Hospital, Inc. Tampa ✓ ✓ ✓ ✓
Medical Center of Trinity Trinity ✓ ✓ ✓ ✓
Venice HMA, Inc. Venice ✓ ✓ ✓
Columbia Hospital West Palm Beach ✓ ✓ ✓ ✓
Tenet Good Samaritan West Palm Beach ✓ ✓ ✓ ✓

Georgia
Atlanta Medical Center Atlanta ✓ ✓ ✓ ✓
Northside Hospital, Inc. Atlanta ✓ ✓ ✓
Trinity Hospital of Augusta Augusta ✓ ✓ ✓ ✓
Doctors Hospital of Augusta Augusta ✓ ✓ ✓ ✓
Fannin Regional Hospital, Inc. Blue Ridge ✓ ✓
Higgins General Hospital Bremen ✓
Tanner Medical Center, Inc. Carrollton ✓ ✓ ✓ ✓
Cartersville Medical Center Cartersville ✓ ✓ ✓ ✓
Murray Medical Center Chatsworth ✓
Northside Hospital - Forsyth Cumming ✓ ✓ ✓
Paulding Medical Center, Inc. Dallas ✓ ✓
Coffee Regional Medical Center Douglas ✓ ✓ ✓
Fairview Park Hospital Dublin ✓ ✓ ✓ ✓
Coliseum Northside Hospital Macon ✓ ✓
Oconee Regional Medical Center Milledgeville ✓ ✓ ✓
Clearview Regional Medical Center Monroe ✓ ✓
Perry Hospital Perry ✓ ✓
Redmond Park Hospital, LLC Rome ✓ ✓ ✓ ✓
Emory-Adventist Hospital Smyrna ✓ ✓ ✓
Ridgeview Institute Smyrna ✓
East Georgia Regional Medical Center Statesboro ✓ ✓ ✓
Tanner Medical Center/Villa Rica Villa Rica ✓ ✓ ✓
Barrow Regional Medical Center Winder ✓
Hawaii
Kaiser Foundation Hospital Honolulu ✓ ✓ ✓ ✓
Castle Medical Center Kailua ✓ ✓ ✓
Idaho
Boise VA Medical Center Boise ✓
West Valley Medical Center Caldwell ✓ ✓
Eastern Idaho Health Services Idaho Falls ✓ ✓ ✓ ✓
St. Luke's Magic Valley Medical Center Twin Falls ✓ ✓ ✓ ✓
Illinois
Saint Anthony's Health Center Alton ✓ ✓ ✓
Anna Hospital Corporation Anna ✓
St. Mary's Hospital Centralia ✓ ✓ ✓
The Pavilion Foundation Champaign ✓
Ann & Robert H. Lurie Children's Hospital of Chicago Chicago ✓
Hartgrove Hospital Chicago ✓
Jesse Brown VA Medical Center Chicago ✓ ✓ ✓ ✓
Louis A. Weiss Memorial Hospital Chicago ✓ ✓ ✓ ✓
Galesburg Cottage Hospital Galesburg ✓ ✓
Granite City Illinois Hospital Company, LLC Granite City ✓ ✓ ✓ ✓
Mercy Harvard Hospital Harvard ✓
Advocate South Suburban Hospital Hazel Crest ✓ ✓ ✓ ✓
Abraham Lincoln Memorial Hospital Lincoln ✓ ✓
Good Samaritan Regional Health Center Mount Vernon ✓ ✓ ✓ ✓
Advocate Christ Medical Center Oak Lawn ✓ ✓ ✓ ✓
Lincoln Prairie Behavioral Health Center Springfield ✓
Waukegan IL Hospital Company, LLC Waukegan ✓ ✓ ✓ ✓
Indiana
Bloomington Meadows Hospital Bloomington ✓
Bluffton Regional Medical Center Bluffton ✓ ✓
St. Mary's Warrick Boonville ✓
Dupont Hospital, LLC Fort Wayne ✓ ✓
Lutheran Musculoskeletal Center Fort Wayne ✓

Orthopaedic Hospital at Parkview North Fort Wayne ✓
Valle Vista Health System Greenwood ✓
Dukes Memorial Hospital Peru ✓
Michiana Behavioral Health Center Plymouth ✓
Saint Joseph Regional Medical Center Plymouth ✓ ✓
Terre Haute Regional Hospital Terre Haute ✓ ✓ ✓
Iowa
Mercy Medical Center - Clinton Clinton ✓ ✓ ✓
Allen Memorial Hospital Waterloo ✓ ✓ ✓ ✓
Kansas
Western Plains Medical Complex Dodge City ✓ ✓ ✓
Irwin Army Community Hospital Fort Riley ✓
Allen County Hospital Iola ✓
Lawrence Memorial Hospital Lawrence ✓ ✓ ✓
Saint John Hospital Leavenworth ✓
Menorah Medical Center Overland Park ✓ ✓ ✓
Miami County Medical Center, Inc. Paola ✓
Saint Francis Health Center, Inc. Topeka ✓ ✓ ✓ ✓
Kentucky
Greenview Regional Hospital Bowling Green ✓ ✓ ✓ ✓
UHS of Bowling Green, LLC Bowling Green ✓
Ephraim McDowell Regional Medical Center, Inc. Danville ✓ ✓ ✓ ✓
St. Elizabeth Medical Center, Inc. Florence ✓ ✓ ✓ ✓
Saint Elizabeth Medical Center, Inc. Fort Thomas ✓ ✓ ✓ ✓
Frankfort Regional Medical Center Frankfort ✓ ✓
Parkway Regional Hospital Fulton ✓
Harlan Appalachian Regional Hospital Harlan ✓ ✓ ✓
Cumberland Hall Hospital Hopkinsville ✓
Jackson Hospital Corporation Jackson ✓ ✓
Twin Lakes Regional Medical Center Leitchfield ✓ ✓
Central Baptist Hospital Lexington ✓ ✓ ✓ ✓
Hospital of Louisa, Inc. Louisa ✓ ✓
Robley Rex Medical Center Louisville ✓ ✓ ✓
KentuckyOne Health Martin ✓
Middlesboro Appalachian Regional Hospital Middlesboro ✓ ✓ ✓
Paul B. Hall Regional Medical Center Paintsville ✓
Logan Memorial Hospital Russellville ✓
Louisiana
Rapides Regional Medical Center Alexandria ✓ ✓ ✓ ✓
Baton Rouge General Medical Center Baton Rouge ✓ ✓ ✓ ✓
Oceans Behavioral Hospital of Lafayette Broussard ✓
Lakeview Medical Center, LLC Covington ✓ ✓ ✓ ✓
Bayne - Jones Army Community Hospital Fort Polk ✓ ✓
Leonard J. Chabert Medical Center Houma ✓ ✓ ✓
Women & Children's Hospital, LLC Lake Charles ✓ ✓
Byrd Regional Hospital Leesville ✓ ✓ ✓
Minden Medical Center Minden ✓ ✓ ✓
Dauterive Hospital Corporation New Iberia ✓ ✓ ✓
Oceans Behavioral Hospital of Opelousas Opelousas ✓
Huey P. Long Medical Center Pineville ✓ ✓
Ruston Louisiana Hospital Company, LLC Ruston ✓ ✓ ✓ ✓
West Calcasieu Cameron Hospital Sulphur ✓ ✓ ✓ ✓
Mercy Regional Medical Center Ville Platte ✓ ✓ ✓
Maine
Sebasticook Valley Health Pittsfield ✓
Maine Medical Center Portland ✓ ✓ ✓ ✓
The Aroostook Medical Center Presque Isle ✓ ✓ ✓

Henrietta D. Goodall Hospital Sanford ✓ ✓ ✓
Maryland
Civista Medical Center, Inc. La Plata ✓ ✓ ✓
Holy Cross Hospital of Silver Spring, Inc. Silver Spring ✓ ✓ ✓ ✓
Massachusetts
Sturdy Memorial Hospital, Inc. Attleboro ✓ ✓ ✓ ✓
Faulkner Hospital, Inc. Boston ✓ ✓ ✓
Steward Saint Anne's Hospital Fall River ✓ ✓ ✓
Falmouth Hospital Falmouth ✓ ✓ ✓
Fairview Hospital Great Barrington ✓ ✓
Cooley Dickinson Hospital Northampton ✓ ✓ ✓ ✓
Wing Memorial Hospital and Medical Centers Palmer ✓ ✓
Berkshire Medical Center Pittsfield ✓ ✓ ✓ ✓
Noble Hospital Westfield ✓ ✓
Saint Vincent Hospital Worcester ✓ ✓ ✓ ✓
Michigan
Huron Valley - Sinai Hospital Commerce Township ✓ ✓ ✓
Detroit Receiving Hospital and University Health Center Detroit ✓ ✓ ✓ ✓
St. John River District Hospital East China ✓ ✓
Spectrum Health United Memorial Greenville ✓ ✓
Beaumont Hospital, Grosse Pointe Grosse Pointe ✓ ✓ ✓ ✓
Portage Health, Inc. Hancock ✓ ✓
Pennock Hospital Hastings ✓ ✓
Oscar G. Johnson VA Medical Center Iron Mountain ✓
Aspirus Grand View Ironwood ✓
Aleda E. Lutz VA Medical Center Saginaw ✓
Tawas St. Joseph Hospital - St. Joseph Health System Tawas City ✓ ✓
Oakwood Heritage Hospital Taylor ✓ ✓ ✓ ✓
Lakeland Community Hospital, Watervliet Watervliet ✓ ✓
Minnesota
Cambridge Medical Center Cambridge ✓ ✓
Fairview Southdale Hospital Edina ✓ ✓ ✓ ✓
Mayo Clinic Health System in Fairmont Fairmont ✓ ✓
Unity Hospital Fridley ✓ ✓ ✓ ✓
Kanabec Hospital Mora ✓ ✓
Mayo Clinic Health System in New Prague New Prague ✓ ✓
Fairview Northland Health Services Princeton ✓ ✓
Fairview Red Wing Medical Center Red Wing ✓ ✓
Regions Hospital Saint Paul ✓ ✓ ✓ ✓
Child and Adolescent Behavioral Health Services Willmar ✓
Fairview Lakes Medical Center Wyoming ✓ ✓
Mississippi
Gilmore Memorial Regional Medical Center Amory ✓ ✓
Biloxi Regional Medical Center Biloxi ✓ ✓
VA Gulf Coast Veterans Health Care System Biloxi ✓
Baptist Memorial Hospital - Booneville Booneville ✓
Crossgates River Oaks Hospital Brandon ✓
Bolivar Medical Center Cleveland ✓ ✓ ✓
Baptist Memorial Hospital - Golden Triangle Columbus ✓ ✓ ✓ ✓
Garden Park Medical Center Gulfport ✓ ✓ ✓
Wesley Health System, LLC Hattiesburg ✓ ✓ ✓ ✓
Central Mississippi Medical Center Jackson ✓ ✓ ✓
River Oaks Hospital Jackson ✓
Woman's Hospital Jackson ✓
Anderson Regional Medical Center South Campus Meridian ✓
Natchez Community Hospital Natchez ✓ ✓ ✓
Baptist Memorial Hospital - Union County New Albany ✓

Baptist Memorial Hospital - DeSoto Southaven ✓ ✓ ✓
Missouri
Research Belton Hospital Belton ✓ ✓
St. Mary's Health Center Jefferson City ✓ ✓ ✓ ✓
Twin Rivers Regional Medical Center Kennett ✓
SSM St. Joseph Hospital West Lake Saint Louis ✓ ✓ ✓ ✓
Lee's Summit Medical Center Lees Summit ✓ ✓ ✓ ✓
Lafayette Regional Health Center Lexington ✓
Pike County Memorial Hospital Louisiana ✓
St. Francis Hospital and Health Services Maryville ✓ ✓
Moberly Hospital Company, LLC Moberly ✓ ✓ ✓
Heartland Behavioral Health Services Nevada ✓
Poplar Bluff Regional Medical Center, LLC Poplar Bluff ✓ ✓ ✓
SSM Health Care - St. Louis Richmond Heights ✓ ✓ ✓ ✓ ✓
Hawthorn Children's Psychiatric Hospital Saint Louis ✓
Montana
St. Vincent Healthcare Billings ✓ ✓ ✓ ✓
Bozeman Deaconess Hospital Bozeman ✓ ✓ ✓
Providence St. Joseph Medical Center Polson ✓
Nebraska
Beatrice Community Hospital and Health Center, Inc. Beatrice ✓ ✓ ✓
Bellevue Medical Center Bellevue ✓ ✓ ✓
Columbus Community Hospital, Inc. Columbus ✓ ✓
Faith Regional Health Services Norfolk ✓ ✓ ✓
North Platte Nebraska Hospital Corporation North Platte ✓ ✓ ✓
Creighton University Medical Center -
Saint Joseph Hospital Omaha ✓ ✓ ✓ ✓
Regional West Medical Center Scottsbluff ✓ ✓
Nevada
Sierra Surgery Hospital Carson City ✓
Northeastern Nevada Regional Hospital Elko ✓ ✓
St. Rose Dominican Hospitals - Rose de Lima Campus Henderson ✓ ✓ ✓ ✓
Montevista Hospital Las Vegas ✓
Southern Hills Medical Center, LLC Las Vegas ✓ ✓ ✓
Spring Mountain Treatment Center Las Vegas ✓
Sunrise Hospital and Medical Center Las Vegas ✓ ✓ ✓ ✓
Renown South Meadows Medical Center Reno ✓ ✓
New Hampshire
Cheshire Medical Center Keene ✓ ✓
Catholic Medical Center Manchester ✓ ✓ ✓ ✓
St. Joseph Hospital of Nashua New Hampshire Nashua ✓ ✓ ✓ ✓
HCA Healthcare of NH Portsmouth ✓ ✓ ✓ ✓
New Jersey
Clara Maass Medical Center Belleville ✓ ✓ ✓ ✓
Saint Clare's Health System Denville ✓ ✓ ✓ ✓
Englewood Hospital and Medical Center Englewood ✓ ✓ ✓ ✓
Bayshore Community Hospital Holmdel ✓ ✓ ✓ ✓
Jersey City Medical Center Jersey City ✓ ✓ ✓ ✓
Monmouth Medical Center Long Branch ✓ ✓ ✓ ✓
Saint Peter's Healthcare System New Brunswick ✓ ✓ ✓ ✓
Newark Beth Israel Medical Center Newark ✓ ✓ ✓ ✓
Capital Health Medical Center - Hopewell Pennington ✓ ✓ ✓ ✓
Warren Hospital Phillipsburg ✓ ✓ ✓ ✓
Princeton HealthCare System Princeton ✓ ✓ ✓ ✓
Saint Clare's Hospital Sussex Sussex ✓
Holy Name Medical Center Teaneck ✓ ✓ ✓ ✓
Kennedy University Hospital Voorhees ✓ ✓ ✓ ✓

New Mexico
Lovelace Women's Hospital Albuquerque ✓ ✓
Carlsbad Medical Center Carlsbad ✓ ✓ ✓
Plains Regional Medical Center Clovis ✓ ✓
Lincoln County Medical Center Ruidoso ✓
Socorro General Hospital Socorro ✓
New York
Samuel S. Stratton VA Medical Center Albany ✓ ✓ ✓
Southside Hospital Bay Shore ✓ ✓ ✓ ✓
Kingsbrook Jewish Medical Center Brooklyn ✓ ✓ ✓ ✓
New York Community Hospital Brooklyn ✓ ✓ ✓ ✓
Community Memorial Hospital Hamilton ✓ ✓
Benedictine Hospital Kingston ✓
Central New York Psychiatric Center Marcy ✓
VA Hudson Valley Health Care System Montrose ✓
Northern Westchester Hospital Mount Kisco ✓ ✓ ✓ ✓
New York Society for the Relief of the Ruptured
& Crippled New York ✓
Nyack Hospital Nyack ✓ ✓ ✓ ✓
St. Charles Hospital Port Jefferson ✓ ✓ ✓
Northern Dutchess Hospital Rhinebeck ✓ ✓
Staten Island University Hospital Staten Island ✓ ✓ ✓ ✓
Good Samaritan Hospital Medical Center West Islip ✓ ✓ ✓ ✓
Keller Army Community Hospital West Point ✓
North Carolina
Transylvania Regional Hospital Brevard ✓ ✓
Carolinas Medical Center -
Mercy & Carolinas Medical Center - Pineville Charlotte ✓ ✓ ✓ ✓
Durham Regional Hospital Durham ✓ ✓ ✓ ✓
Duke University Hospital Durham ✓ ✓ ✓ ✓
Vidant Duplin Hospital Kenansville ✓ ✓ ✓
Carolinas Medical Center - Union Monroe ✓ ✓ ✓ ✓
Lake Norman Regional Medical Center Mooresville ✓ ✓ ✓
Wilkes Regional Medical Center North Wilkesboro ✓ ✓ ✓
Granville Health System Oxford ✓ ✓
Duke Raleigh Hospital Raleigh ✓ ✓ ✓ ✓
Rex Healthcare Raleigh ✓ ✓ ✓ ✓
Rutherford Hospital, Inc. Rutherfordton ✓ ✓ ✓ ✓
Davis Regional Medical Center Statesville ✓
Iredell Memorial Hospital, Inc. Statesville ✓ ✓ ✓ ✓
Valdese General Hospital, Inc. Valdese ✓ ✓
Anson Community Hospital Wadesboro ✓
Medical Park Hospital Winston Salem ✓
Old Vineyard Behavioral Health Services Winston Salem ✓
Ohio
Mercy Hospital Anderson Cincinnati ✓ ✓ ✓ ✓
Berger Hospital Circleville ✓ ✓
Doctors Hospital Columbus ✓ ✓ ✓ ✓
Grant Medical Center Columbus ✓ ✓ ✓
Mercy Hospital of Defiance, LLC Defiance ✓ ✓
Grady Memorial Hospital Delaware ✓ ✓
Mercy Hospital Fairfield Fairfield ✓ ✓ ✓ ✓
Marymount Hospital Garfield Heights ✓ ✓ ✓ ✓
University Hospitals Geneva Medical Center Geneva ✓ ✓
Mercy Regional Medical Center Lorain ✓ ✓ ✓ ✓

Arrowhead Behavioral Health Maumee ✓
Joel Pomerene Memorial Hospital Millersburg ✓ ✓
Mount Carmel New Albany Surgical Hospital New Albany ✓
Allen Medical Center Oberlin ✓ ✓
Southern Ohio Medical Center Portsmouth ✓ ✓ ✓ ✓
Mercy Hospital of Tiffin, Inc. Tiffin ✓ ✓
Mercy St. Vincent Medical Center Toledo ✓ ✓ ✓ ✓
Wadsworth - Rittman Area Hospital Association Wadsworth ✓ ✓
Windsor Laurelwood Center for Behavioral Medicine Willoughby ✓
The Surgical Hospital at Southwoods Youngstown ✓
Oklahoma
INTEGRIS Blackwell Regional Hospital Blackwell ✓
INTEGRIS Bass Baptist Health Center Enid ✓ ✓ ✓
St. Mary's Regional Medical Center Enid ✓ ✓ ✓ ✓
Midwest Regional Medical Center, LLC Midwest City ✓ ✓ ✓
Ponca City Medical Center Ponca City ✓ ✓
INTEGRIS Mayes County Medical Center Pryor ✓ ✓
SouthCrest Hospital Tulsa ✓ ✓ ✓ ✓
Tulsa Spine and Specialty Hospital Tulsa ✓
Universal Health Services, Inc. Tulsa ✓
Woodward Regional Hospital Woodward ✓ ✓
Oregon
Peace Harbor Hospital Florence ✓ ✓
Willamette Valley Medical Center McMinnville ✓ ✓ ✓
Portland VA Medical Center Portland ✓ ✓ ✓ ✓
McKenzie - Willamette Regional Medical Center
Associates, LLC Springfield ✓ ✓ ✓ ✓
Tillamook County General Hospital Tillamook ✓ ✓
Pennsylvania
CH Hospital of Allentown, LLC Allentown ✓
Coordinated Health Orthopedic Hospital Bethlehem ✓
Holy Spirit Hospital Camp Hill ✓ ✓ ✓ ✓
St. Luke's Hospital - Miners Campus Coaldale ✓ ✓
Charles Cole Memorial Hospital Coudersport ✓ ✓
Delaware County Memorial Hospital Drexel Hill ✓ ✓ ✓ ✓
Erie VA Medical Center Erie ✓ ✓
UPMC Horizon Greenville ✓ ✓ ✓ ✓
First Hospital Wyoming Valley Kingston ✓
Lancaster Regional Medical Center Lancaster ✓ ✓
St. Mary Medical Center Langhorne ✓ ✓ ✓ ✓
Latrobe Hospital Latrobe ✓ ✓ ✓
Heart of Lancaster Regional Medical Center Lititz ✓ ✓
UPMC McKeesport McKeesport ✓ ✓ ✓ ✓
Riddle Memorial Hospital Media ✓ ✓ ✓ ✓
Paoli Hospital Paoli ✓ ✓ ✓ ✓
Chestnut Hill Hospital Philadelphia ✓ ✓ ✓ ✓
Friends Behavioral Health System, LP Philadelphia ✓
St. Christopher's Hospital for Children Philadelphia ✓
Nason Hospital Roaring Spring ✓ ✓
Grand View Hospital Sellersville ✓ ✓ ✓ ✓
UPMC Northwest Seneca ✓ ✓
Waynesboro Hospital Waynesboro ✓ ✓ ✓
Puerto Rico
First Hospital Panamericano Cidra ✓

Rhode Island
Emma Pendleton Bradley Hospital Riverside ✓
South Carolina
Marlboro Park Hospital Bennettsville ✓
Bon Secours St. Francis Xavier Hospital, Inc. Charleston ✓ ✓
Palmetto Lowcountry Behavioral Health, LLC Charleston ✓
Trident Health System Charleston ✓ ✓ ✓
William Jennings Bryan Dorn VA Medical Center Columbia ✓ ✓ ✓
Baptist Easley Hospital Easley ✓ ✓ ✓ ✓
Greenville Hospital System University Medical Center Greenville ✓ ✓ ✓
Patewood Memorial Hospital Greenville ✓
Carolina Pines Regional Medical Center Hartsville ✓ ✓
Springs Memorial Hospital Lancaster ✓ ✓ ✓ ✓
Grand Strand Regional Medical Center, LLC Myrtle Beach ✓ ✓ ✓ ✓
Piedmont Medical Center Rock Hill ✓ ✓ ✓ ✓
Hillcrest Memorial Hospital Simpsonville ✓
Colleton Medical Center Walterboro ✓ ✓ ✓
Tennessee
Bolivar General Hospital Bolivar ✓
Riverview Regional Medical Center North Carthage ✓
Horizon Medical Center Dickson ✓ ✓ ✓ ✓
Dyersburg Hospital Corporation Dyersburg ✓ ✓ ✓ ✓
Rolling Hills Hospital, LLC Franklin ✓
Hendersonville Hospital Corporation Hendersonville ✓ ✓ ✓ ✓
Baptist Memorial Hospital Huntingdon Huntingdon ✓ ✓
Jackson, Tennessee Hospital Company, LLC Jackson ✓ ✓ ✓ ✓
Jamestown Regional Medical Center Jamestown ✓
Tennova Healthcare - Jefferson Memorial Hospital Jefferson City ✓ ✓
Fort Sanders Regional Medical Center Knoxville ✓ ✓ ✓ ✓
Fort Loudoun Medical Center Lenoir City ✓ ✓
Henderson County Community Hospital Lexington ✓
Martin Hospital Corporation Martin ✓ ✓
McKenzie Tennessee Hospital Company, LLC Mc Kenzie ✓ ✓
Baptist Memorial Hospital Memphis ✓ ✓ ✓
Memphis VA Medical Center Memphis ✓ ✓ ✓
Morristown - Hamblen Hospital Association Morristown ✓ ✓ ✓ ✓
Centennial Medical Center Nashville ✓ ✓ ✓ ✓
Skyline Medical Center Nashville ✓ ✓ ✓ ✓
Tennova Newport Medical Center Newport ✓
Henry County Medical Center Paris ✓ ✓
Decatur County General Hospital Parsons ✓
McNairy Regional Hospital Selmer ✓
Heritage Medical Center Shelbyville ✓ ✓ ✓
StoneCrest Medical Center Smyrna ✓ ✓ ✓
NorthCrest Medical Center Springfield ✓ ✓ ✓ ✓
Harton Regional Medical Center Tullahoma ✓ ✓ ✓
Baptist Memorial Hospital - Union City Union City ✓
Texas
Texas Health Presbyterian Hospital Allen Allen ✓ ✓
Baylor Orthopedic and Spine Hospital at Arlington Arlington ✓
Medical Center of Arlington Arlington ✓ ✓ ✓ ✓
Dell Children's Medical Center of Central Texas Austin ✓
Seton Southwest Hospital Austin ✓
St. David's North Austin Medical Center Austin ✓ ✓ ✓ ✓
St. David's South Austin Medical Center Austin ✓ ✓ ✓ ✓
Texas Health Harris Methodist Hospital Azle Azle ✓ ✓ ✓

Texas Health Harris Methodist Hospital HEB Bedford ✓ ✓ ✓ ✓ ✓ ✓
Houston Orthopedic & Spine Hospital Bellaire ✓
Scott & White Hospital Brenham Brenham ✓ ✓
Valley Regional Medical Center Brownsville ✓ ✓ ✓ ✓
Baylor Medical Center at Carrollton Carrollton ✓ ✓ ✓
Cleveland Regional Medical Center Cleveland ✓ ✓ ✓
Aspire Behavioral Health of Conroe, LLC Conroe ✓
Conroe Regional Medical Center Conroe ✓ ✓ ✓ ✓
Baylor Heart and Vascular Center, LLP Dallas ✓ ✓ ✓
Medical City Dallas Hospital Dallas ✓ ✓ ✓ ✓
Methodist Dallas Medical Center Dallas ✓ ✓ ✓ ✓
MSH Partners, LLC Dallas ✓
North Central Surgical Center Dallas ✓
UT Southwestern Zale Lipshy Hospital Dallas ✓
Texoma Medical Center Denison ✓ ✓ ✓ ✓
Memorial Hospital Dumas ✓
South Texas Health System Edinburg ✓ ✓ ✓ ✓
East El Paso Physicians Medical Center, LLC El Paso ✓ ✓ ✓
Las Palmas Del Sol Healthcare El Paso ✓ ✓ ✓ ✓
PRHC - Ennis, LP Ennis ✓ ✓
Baylor Surgical Hospital at Fort Worth Fort Worth ✓
Plaza Medical Center of Fort Worth Fort Worth ✓ ✓ ✓ ✓
Centennial Medical Center Frisco ✓ ✓ ✓
Frisco Medical Center, LLP Frisco ✓
Baylor Regional Medical Center at Grapevine Grapevine ✓ ✓ ✓ ✓
Glen Oaks Hospital Greenville ✓
CHRISTUS St. John Hospital Houston ✓ ✓ ✓ ✓
Methodist Willowbrook Hospital Houston ✓ ✓ ✓ ✓
Texas Orthopedic Hospital, Ltd. Houston ✓
The Woman's Hospital of Texas Houston ✓
TOPS Surgical Specialty Hospital Houston ✓
West Houston Medical Center Houston ✓ ✓ ✓ ✓
Huntsville Memorial Hospital Huntsville ✓ ✓
Las Colinas Medical Center Irving ✓ ✓ ✓
Mother Frances Hospital - Jacksonville Jacksonville ✓ ✓
South Texas Regional Medical Center Jourdanton ✓
Memorial Hermann Katy Hospital Katy ✓ ✓ ✓ ✓
Kingwood Medical Center Kingwood ✓ ✓ ✓ ✓
Memorial Hermann Specialty Hospital Kingwood, LLC Kingwood ✓
Medical Center of Lewisville Lewisville ✓ ✓ ✓
Woodland Heights Medical Center Lufkin ✓ ✓ ✓ ✓
Methodist Mansfield Medical Center Mansfield ✓ ✓ ✓ ✓
Medical Center of McKinney McKinney ✓ ✓ ✓ ✓
Dallas Regional Medical Center Mesquite ✓ ✓ ✓
BCA of Texas, LLC Midland ✓
Baylor Regional Medical Center at Plano Plano ✓ ✓ ✓
THE HEART HOSPITAL Baylor Plano Plano ✓ ✓ ✓
Scott & White Hospital - Round Rock Round Rock ✓ ✓ ✓ ✓
St. David's Round Rock Medical Center Round Rock ✓ ✓ ✓ ✓
Lake Pointe Medical Center Rowlett ✓ ✓ ✓ ✓
Methodist Ambulatory Surgery Hospital - Northwest San Antonio ✓ ✓
Methodist Healthcare System of San Antonio, Ltd., LLP San Antonio ✓ ✓ ✓
Nix Health Care System San Antonio ✓
Texas Laurel Ridge Hospital, LP San Antonio ✓
Memorial Hermann Sugar Land Hospital Sugar Land ✓ ✓
Rolling Plains Memorial Hospital Sweetwater ✓

Trophy Club Medical Center Trophy Club ✓
DeTar Healthcare System Victoria ✓ ✓ ✓ ✓
Baylor Medical Center at Waxahachie Waxahachie ✓ ✓ ✓
Weatherford Regional Medical Center Weatherford ✓ ✓
Clear Lake Regional Medical Center Webster ✓ ✓ ✓ ✓
Utah
Brigham City Community Hospital Brigham City ✓
Ogden Regional Medical Center Ogden ✓ ✓ ✓
Timpanogos Regional Hospital Orem ✓ ✓ ✓
Intermountain Park City Medical Center Park City ✓
Mountain View Hospital Payson ✓ ✓ ✓
Mountain West Medical Center Tooele ✓ ✓
Vermont
Central Vermont Medical Center Berlin ✓ ✓
Northwestern Medical Center, Inc. Saint Albans ✓
VA Medical Center White River Junction ✓ ✓
Virginia
Buchanan General Hospital Grundy ✓
Sentara CarePlex Hospital Hampton ✓ ✓ ✓ ✓ ✓
John Randolph Medical Center Hopewell ✓ ✓ ✓ ✓
LewisGale Hospital Alleghany Low Moor ✓ ✓
Riverside Regional Medical Center Newport News ✓ ✓ ✓ ✓
Poplar Springs Hospital Petersburg ✓
Maryview Hospital Portsmouth ✓ ✓ ✓ ✓
Lewis Gale Hospital Pulaski Pulaski ✓ ✓ ✓
Reston Hospital Center, LLC Reston ✓ ✓ ✓
Community Memorial Healthcenter South Hill ✓ ✓
Wythe County Community Hospital, LLC Wytheville ✓ ✓
Washington
Overlake Health Care Association Bellevue ✓ ✓ ✓ ✓
Providence Centralia Hospital Centralia ✓ ✓ ✓
VA Medical Center Spokane ✓
Spokane Valley Washington Hospital Company, LLC Spokane Valley ✓ ✓
Toppenish Community Hospital Toppenish ✓
Central Washington Health Services Association Wenatchee ✓ ✓ ✓ ✓
West Virginia
Fairmont General Hospital, Inc. Fairmont ✓ ✓ ✓ ✓
Cabell Huntington Hospital, Inc. Huntington ✓ ✓ ✓ ✓
VA Medical Center Huntington ✓ ✓ ✓
Jackson General Hospital Ripley ✓ ✓
Stonewall Jackson Memorial Hospital Weston ✓ ✓
Wisconsin
St. Clare Hospital Baraboo ✓ ✓
Black River Memorial Hospital, Inc. Black River Falls ✓
Aurora Health Care Southern Lakes, Inc. Burlington ✓ ✓
Aurora Health Care Southern Lakes, Inc. Elkhorn ✓ ✓
Aurora BayCare Medical Center Green Bay ✓ ✓ ✓ ✓
Aurora Medical Center of Washington County Hartford ✓ ✓
Good Samaritan Health Center of Merrill, Wisconsin, Inc. Merrill ✓
Aurora Medical Center of Oshkosh Oshkosh ✓ ✓ ✓
Mercy Medical Center Oshkosh ✓ ✓ ✓
Wheaton Franciscan Healthcare - All Saints, Inc. Racine ✓ ✓ ✓ ✓
Aurora Health Care Central, Inc. Sheboygan ✓ ✓ ✓
Aurora Health Care North, Inc. Two Rivers ✓ ✓
Wyoming
Evanston Regional Hospital Evanston ✓
Accountability Measures Summary
Accountability measures reflect performance on evidence-based care processes closely linked to positive patient outcomes.
These measures are most suitable for use in programs that hold providers accountable for their performance to external
oversight entities and to the public.
Composite measures combine the results of related measures into a single percentage rating calculated by adding up the
number of times recommended evidence-based care was provided to patients (measure numerator) and dividing this sum by
the total number of opportunities to provide this care (measure denominator).
Composite for accountability measures: The 2011 overall accountability composite calculation is derived from 43 of the 45
accountability measures from seven measure sets (heart attack care, pneumonia care, surgical care, children’s asthma care,
inpatient psychiatric services, venous thromboembolism care, and stroke care) and the one heart failure accountability measure.
However, there is no accountability composite for heart failure care because a measure set composite must have at least two
measures. In addition, two measures from the inpatient psychiatric services set are not included in the composite because they
are reported as a ratio measure. Only proportion process measures are included in the composite. For more information, see
“Note on Calculations and Methodology” on page 37.
The overall 2011 composite calculation corresponds to the fourth quarter 2011 data on the ORYX Performance Measure
Report (PMR).
See Glossary for definitions.
Table 1: Composite results for accountability measures
Accountability composite measure sets 2007 2008 2009 2010 2011
Heart attack care composite 95.7% 96.8% 97.7% 98.4% 98.5%
Pneumonia care composite 90.3% 89.8% 92.9% 95.2% 96.2%
Surgical care composite 88.9% 93.5% 95.8% 96.4% 97.6%
Children’s asthma care composite 70.7% 79.8% 88.1% 92.4% 94.7%
Inpatient psychiatric services composite N/A N/A 80.5% 88.1% 87.3%
Venous thromboembolism (VTE) N/A N/A N/A 82.7% 89.9%

care composite
Stroke care composite N/A N/A N/A 92.7% 94.9%
Overall 90.0% 93.1% 95.4% 95.6% 96.6%
Accountability Measures Summary (Cont’d)
Table 2: Percentage of hospitals achieving composite rates

greater than 90 percent for accountability measures
Accountability composite measure sets 2007 2008 2009 2010 2011
Heart attack care composite 85.0% 91.1% 94.5% 96.0% 98.7%
Pneumonia care composite 57.0% 55.8% 75.5% 88.5% 93.4%
Surgical care composite 42.1% 74.4% 89.5% 92.6% 97.7%
Children’s asthma care composite 2.6% 21.3% 50.8% 73.7% 82.6%
Inpatient psychiatric services composite N/A N/A 34.0% 50.5% 49.3%
Venous thromboembolism (VTE)

care composite N/A N/A N/A 23.6% 60.6%
Stroke care composite N/A N/A N/A 66.0% 87.7%
Overall 60.0% 70.8% 85.9% 91.7%* 88.8%
*The overall composite rate results for 2010 only include the 23 accountability measures
active as of January 1, 2010.
National Performance Summary
Results are determined by the number of times the hospital met the measure (such as giving aspirin at arrival for heart attack
patients) divided by the number of opportunities (eligible patients for the measure) the hospital had during the year. Results are
expressed as a percentage.
All improvements or decreases in performance are statistically significant. Many of the smaller percentage improvements
occurred within large patient populations, meaning that significantly more patients received a treatment. In some cases,
performance was already quite high and there was less room for improvement.
Composite measures combine the results of all individual process measures on a similar medical condition into a single
percentage rating calculated by adding up the number of times recommended evidence-based care was provided to patients and
dividing this sum by the total number of opportunities to provide this care.
Composite for all measures: The composite for all measures calculation is derived from the accountability measures for each
measure set. These composite results have historically been provided in previous annual reports, allowing them to be tracked
from year-to-year.
See Glossary for definitions.
Table 3: Heart attack care measure results

Performance measure 2007 2008 2009 2010 2011 Improvement
since inception
(percentage
points)
Heart attack care composite 95.7% 96.8% 97.7% 98.4% 98.5% 9.9%
Aspirin at arrival 97.4% 97.9% 98.4% 98.9% 99.2% 6.2%
Aspirin at discharge 97.2% 97.7% 98.4% 98.8% 99.1% 7.1%
ACEI or ARB at discharge 91.6% 93.9% 95.5% 96.6% 97.5% 21.7%
Beta-blocker at discharge 97.3% 97.8% 98.3% 98.6% 99.0% 11.6%
Fibrinolytic therapy within 30 minutes 51.4% 52.4% 55.2% 60.5% 60.2% 21.5%
PCI therapy within 90 minutes 72.3% 81.6% 87.4% 91.2% 93.7% 25.4%
Statin prescribed at discharge N/A N/A N/A N/A 97.5% N/A
National Performance Summary (Cont’d)
Table 4: Heart failure care measure results

since inception
(percentage
points)
Heart failure care
ACEI or ARB at discharge 90.1% 92.7% 94.3% 95.5% 96.6% 22.4%
Table 5: Pneumonia care measure results

In the following table, the two measures on antibiotics to ICU patients and anitbiotics to
non-ICU patients are one measure for the Centers for Medicare & Medicaid Services,
although they are separated for reporting to The Joint Commission.

since inception
(percentage
points)
Pneumonia care composite 90.3% 89.8% 92.9% 95.2% 96.2% 23.8%
Pneumococcal vaccination † 84.0% 89.0% 92.8% 94.8% 96.3% 66.1%
Blood cultures in ICU 92.8% 93.9% 95.5% 96.9% 97.7% 7.3%
Blood cultures in ED 91.1% 93.2% 95.0% 96.4% 97.1% 7.0%
Antibiotics to ICU patients 63.9% 60.3% 67.5% 77.2% 89.2% 39.0%
Antibiotics to non-ICU patients 91.9% 93.0% 94.5% 95.2% 96.1% 12.2%
Influenza vaccination*† 79.5% 85.7% 88.9% 92.9% 94.8% 15.3%
*Influenza vaccination based on flu season rather than calendar year

†Retired as of December 31, 2011; replaced with a new immunization measure set that is being
evaluated against the accountability criteria.
Table 6: Surgical care measure results
The overall measure and rates are indicated in bold; the stratified measures (by specific surgical procedures) are indicated in
regular type. The first three measures listed (antibiotics within one hour before the first surgical cut, appropriate prophylactic
antibiotics, and stopping antibiotics within 24 hours) report rates on seven specific surgical procedures, as well as the overall
measure rate.

since inception
(percentage
points)
Surgical care composite 88.9% 93.5% 95.8% 96.4% 97.6% 15.5%
Antibiotics within one hour before the first surgical cut 89.5% 93.5% 96.2% 97.4% 98.2% 16.4%
For CABG surgery 89.5% 94.0% 96.8% 97.8% 98.4% 13.2%
For cardiac surgery (other than CABG) 89.0% 93.7% 96.6% 97.6% 98.4% 14.6%
For colon surgery 82.4% 87.6% 91.8% 94.7% 96.5% 24.3%
For hip joint replacement surgery 89.4% 93.4% 96.3% 97.5% 98.2% 16.9%
For hysterectomy surgery 89.8% 93.7% 96.4% 97.5% 98.3% 15.9%
For knee joint replacement surgery 92.5% 95.3% 97.2% 98.0% 98.6% 13.5%
For vascular surgery 85.3% 90.6% 94.6% 96.0% 96.9% 21.8%
Appropriate prophylactic antibiotics 94.9% 96.8% 97.7% 97.8% 98.5% 3.5%
For CABG surgery 97.8% 98.7% 99.5% 99.6% 99.7% 1.9%
Stopping antibiotics within 24 hours 85.6% 90.5% 93.5% 95.7% 97.0% 23.5%
For CABG surgery 89.7% 93.6% 95.5% 97.1% 97.9% 28.2%
Cardiac patients with 9 a.m. postoperative blood glucose N/A 89.9% 92.7% 94.1% 95.3% 5.4%
Patients with appropriate hair removal N/A 97.4% 99.2% 99.7% 99.8% 2.4%
Beta-blocker patients who received beta-blocker perioperatively N/A 92.0% 91.5% 94.4% 96.4% 4.3%
Prescribing VTE medicine/treatment 87.2% 92.1% 93.7% 95.2% 97.8% 10.6%
Receiving VTE medicine/treatment 83.2% 89.6% 91.9% 93.7% 96.9% 13.7%
Urinary catheter removed N/A N/A N/A 91.3% 94.1% 2.8%
Table 7: Children’s asthma care measure results

The overall measure and rates are indicated in bold; the stratified measures (by specific age ranges of patients) are indicated in
regular type.
Performance measure 2008 2009 2010 2011 Improvement

since inception
(percentage
points)
Children's asthma care composite 79.8% 88.1% 92.4% 94.7% 14.9%
Relievers for inpatient asthma 99.8% 99.9% 100.0% 99.9% 0.2%
For age 2-4 years 99.8% 99.9% 100.0% 99.9% 0.1%
For age 5-12 years 99.8% 99.9% 100.0% 100.0% 0.2%
For age 13-17 years 99.8% 99.9% 99.9% 100.0% 0.2%
Systemic corticosteroids for inpatient

asthma 99.1% 99.5% 99.6% 99.6% 0.6%
For age 2-4 years 98.8% 99.4% 99.6% 99.5% 0.7%
For age 5-12 years 99.3% 99.5% 99.7% 99.7% 0.4%
For age 13-17 years 99.0% 99.5% 99.4% 99.7% 0.7%
Home management plan of care 40.6% 64.9% 77.1% 84.3% 43.7%
Table 8: Inpatient psychiatric services measure results

As in the other measure sets, high rates are preferred in this measure set for three of the measures. However, a lower score
reflects better performance on the multiple antipsychotic medications measure, as well as on the two “ratio measures” included
in Table 9. The overall measure and rates are indicated in bold; the stratified measures (by specific age ranges of patients) are
indicated in regular type.
Performance measure 2009 2010 2011 Improvement since inception

(percentage points)
Inpatient psychiatric services composite 80.5% 88.1% 87.3% 6.8%
Admission screening 88.4% 92.0% 93.5% 5.1%
For age 1-12 years 90.4% 93.7% 96.9% 6.5%
For age 13-17 years 91.2% 94.3% 96.4% 5.3%
For age 18-64 years 87.2% 90.8% 92.0% 4.7%
For age 65 and above 87.4% 92.7% 94.1% 6.7%
Multiple antipsychotic medications* 11.8% 11.2% 11.6% -0.2%
For age 1-12 years 5.1% 4.4% 3.3% -1.7%
For age 13-17 years 5.9% 5.7% 4.6% -1.3%
For age 18-64 years 14.8% 14.2% 14.5% -0.4%
For age 65 and above 9.4% 8.7% 9.8% 0.4%
Justification for multiple antipsychotic medications 28.3% 39.5% 38.8% 10.4%
For age 1-12 years 30.8% 37.1% 49.1% 18.3%
For age 13-17 years 29.4% 33.9% 43.8% 14.4%
For age 18-64 years 28.4% 40.5% 38.5% 10.1%
For age 65 and above 25.6% 37.5% 35.8% 10.2%
Continuing care plan created 85.7% 90.8% 92.2% 6.5%
For age 1-12 years 87.1% 91.4% 92.3% 5.2%
For age 13-17 years 86.1% 91.5% 93.3% 7.2%
For age 18-64 years 85.9% 91.0% 92.2% 6.2%
For age 65 and above 82.4% 87.3% 90.1% 7.7%
Continuing care plan transmitted 74.1% 82.8% 83.5% 9.4%
For age 1-12 years 76.2% 83.7% 82.9% 6.7%
For age 13-17 years 73.0% 82.8% 83.0% 10.0%
For age 18-64 years 74.4% 83.0% 83.8% 9.4%
For age 65 and above 72.2% 80.6% 82.8% 10.7%
* For this measure, where a decrease in the rate is desired, the accountability composite includes the number of the denominator cases
minus the number of the numerator cases. This converts the rate so that it can be used in the composite with the majority of
accountability measures (those where an increase in the rate is desired).
■ Test measure; not included in the composite.
Table 9: Inpatient psychiatric services ratio measure results
The following table includes a different kind of measure type – a “ratio measure.” A ratio tells how one number is related to
another. For example, one can count a group of people and then refer to the ratio of men to women. This table contains two
ratio measures: physical restraint hours per 1,000 patient hours and seclusion hours per 1,000 patient hours. In addition, these
two measures are stratified by age groups 1-12 years, 13-17 years, 18-64 years, and age 65 and above. Lower ratios reflect better
performance.
For the overall measures (in bold), the number of hospitals reporting these data ranged from 476-481. For the stratified
measures (by specific age ranges of patients in regular type), the number of hospitals reporting these data ranged from 231-453.
2009 2010
Median Maximum Percent of Median Maximum Percent of
Performance measure hospitals hospitals
with 0 hours with 0 hours
Inpatient psychiatric services – ratio measures
Physical restraint (minutes per 1,000 patient hours)* 0.11 10.27 8.6% 0.09 5.29 5.8%
For age 1-12 years 0.14 7.02 13.2% 0.18 5.19 8.2%
For age 13-17 years 0.16 7.08 9.3% 0.14 3.30 5.9%
For age 18-64 years 0.07 10.27 10.6% 0.06 3.85 7.6%
For age 65 and above 0.00 22.93 51.0% 0.00 23.14 49.3%
Seclusion (minutes per 1,000 patient hours)* 0.07 2.87 16.7% 0.06 10.06 16.8%
For age 1-12 years 0.21 6.50 17.9% 0.18 3.98 16.7%
For age 13-17 years 0.07 8.29 24.2% 0.08 7.65 20.3%
For age 18-64 years 0.04 2.26 22.6% 0.04 10.83 22.1%
For age 65 and above 0.00 3.23 73.2% 0.00 9.75 76.0%
2011
Median Maximum Percent of
Performance measure hospitals
with 0 hours
Inpatient psychiatric services – ratio measures
Physical restraint (minutes per 1,000 patient hours)* 0.09 4.46 7.4%
For age 1-12 years 0.17 5.72 8.4%
For age 13-17 years 0.12 16.58 7.5%
For age 18-64 years 0.06 4.84 9.6%
For age 65 and above 0.00 8.50 44.8%
Seclusion (minutes per 1,000 patient hours)* 0.06 9.55 16.8%
For age 1-12 years 0.22 5.97 22.1%
For age 13-17 years 0.08 4.43 22.5%
For age 18-64 years 0.04 9.72 20.3%
For age 65 and above 0.00 3.45 71.5%
* A lower ratio is preferred for this measure; therefore, it is not included in the composite results.
Table 10: Venous thromboembolism (VTE) care measure results
Performance measure 2010 2011 Improvement since inception
(percentage points)
Venous thromboembolism (VTE) care composite 82.7% 89.9% 7.2%
VTE medicine/treatment 84.5% 89.7% 5.2%
VTE medicine/treatment in ICU 89.5% 94.5% 4.9%
VTE patients with overlap therapy 80.7% 96.3% 15.6%
VTE patients with UFH monitoring 88.8% 97.4% 8.7%
VTE warfarin discharge instructions 53.7% 73.6% 19.9%
Incidence of potentially preventable VTE* 13.3% 7.6% -5.7%
* This measure is not included in the composite. Only proportion process measures are included in the
composite.
■ Test measure
Table 11: Stroke care measure results
Performance measure 2010 2011 Improvement since inception

(percentage points)
Stroke care composite 92.7% 94.9% 2.2%
VTE medicine/treatment 88.1% 92.4% 4.3%
Discharged on antithrombotic therapy 98.7% 99.0% 0.4%
Anticoagulation therapy for atrial fibrillation/flutter 94.2% 94.9% 0.6%
Thrombolytic therapy 61.0% 68.3% 7.3%
Antithrombotic therapy by end of hospital day two 97.3% 97.8% 0.5%
Discharged on statin medication 92.8% 94.1% 1.3%
Stroke education 82.1% 88.2% 6.1%
Assessed for rehabilitation 97.0% 97.6% 0.6%
Table 12: Perinatal care test measure results

The following table shows the results for a set of test measures for perinatal care. These measures are still being
evaluated against the accountability criteria. The measures on Cesarean section and newborn bloodstream
infections are outcomes measures as well as test measures, and they are not included in the composite.
Performance measure 2011
Perinatal care composite 53.2%
Elective delivery 13.6%
Cesarean section* 26.3%
Antenatal steroids 73.6%
Newborn bloodstream infections* 0.9%
Exclusive breast milk feeding 46.2%
* This measure is not included in the composite. Only proportion

process measures are included in the composite.
■ Test measure
Table 13: Percentage of hospitals achieving 90 percent or greater performance
The following table shows the percentage of hospitals achieving rates of 90 percent or greater on a measure. The last column
is reported as percentage points – the difference on a percentage scale between two rates, in this case 2010 performance
versus 2011 performance.
Performance measure 2009 High 2010 High 2011 High 2010-2011

(percentage (percentage (percentage difference
>90) >90) >90) (percentage)
VTE patients with overlap therapy (VTE) N/A 28.6 90.5 61.9
Antibiotics to ICU patients (Pneumonia) 11.7 25.9 71.2 45.3
VTE medicine/treatment in ICU (VTE) N/A 59.4 92.1 32.7
VTE medicine/treatment (Stroke) N/A 45.3 71.2 25.9
VTE medicine/treatment (VTE) N/A 32.3 58.0 25.7
Incidence of potentially preventable VTE (VTE)* N/A 40.0 60.0 20.0
Receiving VTE medicine/treatment (Surgical Care) 75.8 76.1 93.7 17.5
Urinary catheter removed (Surgical Care) N/A 62.8 78.3 15.6
PCI therapy within 90 minutes (Heart Attack) 53.4 69.5 81.5 12.1
Stroke education (Stroke) N/A 48.1 60.0 11.9
Prescribing VTE medicine/treatment (Surgical Care) 65.2 83.5 95.2 11.7
Influenza vaccination (Pneumonia) 57.3 73.8 84.3 10.5
Beta-blocker patients who received beta-blocker perioperatively (Surgical Care) 67.0 82.0 91.3 9.3
Home management plan of care (Children’s Asthma) 14.9 27.8 37.1 9.3
VTE warfarin discharge instructions (VTE) N/A 21.1 30.0 8.9
VTE patients with UFH monitoring (VTE) N/A 81.8 90.0 8.2
Pneumococcal vaccination (Pneumonia) 75.1 84.2 90.6 6.4
Cardiac patients with 9 a.m. postoperative blood glucose (Surgical Care) 74.7 84.0 90.0 6.1
Stopping antibiotics within 24 hours (Surgical Care) 78.6 89.5 95.2 5.7
ACEI or ARB at discharge (Heart Failure) 81.1 86.8 92.0 5.2
Continuing care plan created (Inpatient Psychiatric) 62.7 73.1 77.7 4.6
Discharged on statin medication (Stroke) N/A 74.0 78.4 4.4
Assessed for rehabilitation (Stroke) N/A 88.0 92.1 4.1
Antibiotics to non-ICU patients (Pneumonia) 86.0 89.5 93.3 3.8
ACEI or ARB at discharge (Heart Attack) 88.0 93.9 96.8 2.9
Blood cultures in ICU (Pneumonia) 90.8 94.6 97.1 2.5
Antithrombotic therapy by end of hospital day two (Stroke) N/A 96.6 98.6 2.0
Antibiotics within one hour before the first surgical cut (Surgical Care) 90.8 95.7 97.6 1.9
Continuing care plan transmitted (Inpatient Psychiatric) 33.7 47.7 49.6 1.8
Admission screening (Inpatient Psychiatric) 64.2 76.9 78.5 1.6
Appropriate prophylactic antibiotics (Surgical Care) 96.7 97.1 98.3 1.2
Aspirin at discharge (Heart Attack) 96.6 97.7 98.8 1.1
Beta-blocker at discharge (Heart Attack) 96.8 97.9 98.8 0.9
Aspirin at arrival (Heart Attack) 98.4 98.8 99.5 0.7
Anticoagulation therapy for atrial fibrillation/flutter (Stroke) N/A 83.3 84.0 0.7
Patients with appropriate hair removal (Surgical Care) 98.3 99.5 99.7 0.2
Relievers for inpatient asthma (Children’s Asthma) 100.0 100.0 100.0 0.0
Systemic corticosteroids for inpatient asthma (Children’s Asthma) 100.0 100.0 100.0 0.0
Discharged on antithrombotic therapy (Stroke) N/A 99.1 98.6 -0.6
Multiple antipsychotic medications (Inpatient Psychiatric)* 48.0 53.0 52.3 -0.7
Justification for multiple antipsychotic medications (Inpatient Psychiatric) 1.2 12.2 9.8 -2.4
Statin prescribed at discharge (Heart Attack) N/A N/A 94.4 N/A
Elective delivery (Perinatal)* N/A N/A 52.6 N/A
Antenatal steroids (Perinatal) N/A N/A 33.3 N/A
Exclusive breast milk feeding (Perinatal) N/A N/A 3.0 N/A
* For this measure, a decrease in the rate is desired, so the percentage represented is the percent of hospitals with percentage of
10 percent or less.
■ Test measure
Understanding the Quality of Care Measures
Why they were created, what they report and why the results are
important
The Joint Commission has been involved in performance measurement for
25 years, viewing it as a critical way to extend the reach and sophistication of
the accreditation process. The Joint Commission’s 1990 publication, The
Primer on Clinical Indicator Development and Application, created a readily
adaptable template for performance measure development that is still in use
today and established The Joint Commission as a leader in this arena.
Criteria for accountability process
measures
The Joint Commission continues to be a leader in performance measurement.
Research: Strong scientific evidence
The data displayed on the Centers for Medicare & Medicaid Services’ (CMS) demonstrates that performing the
Hospital Compare website reflects measures that The Joint Commission and evidence-based care process improves
CMS have in common. Of that data, 96 percent comes from The Joint health outcomes (either directly or by
Commission via its well-established performance measure data network. reducing risk of adverse outcomes).
Today, this network comprises approximately 39 measurement systems,
all under contract to The Joint Commission, and is the source of all Proximity: Performing the care process
quality-related data on The Joint Commission’s Quality Check© website is closely connected to the patient
outcome; there are relatively few clinical
(www.qualitycheck.org).
processes that occur after the one that is
measured and before the improved
Improving America’s Hospitals: The Joint Commission’s Annual Report on outcome occurs.
Quality and Safety presents the overall performance of Joint Commission-
accredited hospitals on quality of care accountability measures relating to Accuracy: The measure accurately
heart attack, heart failure, pneumonia, surgery, children’s asthma, inpatient assesses whether or not the care process
psychiatric services, venous thromboembolism (VTE) and stroke. These has actually been provided. That is, the
measures were chosen because they provide concrete data about the best kinds measure should be capable of indicating
of treatments or practices for common conditions for which Americans enter whether the process has been delivered
with sufficient effectiveness to make
the hospital and seek care.
improved outcomes likely.
The results are important because they show that hospitals have improved. Adverse Effects: Implementing the
The results identify opportunities for further improvement, and support measure has little or no chance of
continual measurement and reporting. Quality improvement in hospitals inducing unintended adverse
contributes to saved lives, better health and quality of life for many patients, consequences.
and lower health care costs.
A special focus on accountability measures

Accountability measures are evidence-based care processes closely linked to
positive patient outcomes. These measures are most suitable for use in
programs that hold providers accountable for their performance to external
oversight entities and to the public. There has been an evolution of such
oversight programs – including those for value-based purchasing,
accreditation, certification, and public reporting – and they are often used to
demonstrate quality and cost-efficient performance, to drive market share,
and to determine appropriate reimbursements.
Each accountability measure meets four criteria (see sidebar) that evaluate
whether or not evidence-based care processes associated with the measures
lead to positive patient outcomes. As new measures are introduced, they are
evaluated against the criteria.
Understanding the Quality of Care Measures (Cont’d)
For more information about accountability measures, see the New England Journal of Medicine article “Accountability Measures
– Using Measurement to Promote Quality Improvement,” for which Mark R. Chassin, M.D., F.A.C.P., M.P.P, M.P.H., president
of The Joint Commission, was the lead author.
How The Joint Commission is bringing accountability measures into practice

On January 1, 2012, The Joint Commission integrated performance expectations on accountability measures into accreditation
standards when it introduced the following performance improvement requirement:
PI.02.01.03: The hospital improves its performance on ORYX accountability measures.

EP 1: The hospital achieves a composite performance rate of at least 85% on the ORYX accountability measures
transmitted to The Joint Commission.
Note: This standard does not apply to the critical access hospital program.
Compliance with the element of performance, which has been identified as a direct impact requirement, is based on
performance on a single composite measure rate for all reported accountability measures. The target rate is based on research of
past ORYX performance data that shows increasing levels of compliance with accountability measures. In 2011, 97 percent of
hospitals met an 80 percent compliance rate, 94 percent met an 85 percent rate, and 89 percent met a 90 percent target. An
organization that is not in compliance with the target rate at the time of the triennial survey would receive a Requirement for
Improvement (RFI) in its accreditation report.
It’s important to note that where a patient receives care makes a difference. Not all hospitals deliver the same level of quality;
some hospitals perform better than others in treating particular conditions and in achieving patient satisfaction. This variability
has been known within the hospital industry for a long time. Quality, safety and patient satisfaction results for specific hospitals
can be found at Quality Check™ (www.qualitycheck.org). Designation as an accountability measure is included in the
information on Quality Check™.
How quality measures are determined

The Joint Commission worked closely with clinicians, health care providers, hospital associations, performance measurement
experts, and health care consumers across the nation to identify the quality measures. This collaborative process identified
measures that reflect the best "evidence-based" treatments relating to heart attack, heart failure, pneumonia, surgery, children’s
asthma, inpatient psychiatric services, VTE and stroke. Current measures are the product of The Joint Commission’s Hospital
Core Measure Initiative that sought to create sets of standard national measures that would permit comparisons across
organizations. Subsequently, The Joint Commission collaborated with the Centers for Medicare & Medicaid Services (CMS) to
align common measures to ease data collection efforts by hospitals and to allow the same data sets to be used to satisfy multiple
data requirements.
Related quality reporting efforts of other organizations
The CMS Hospital Compare website (www.hospitalcompare.hhs.gov) reports quality information from U.S. hospitals,
including treatments relating to heart attack, heart failure, pneumonia, surgical care and childhood asthma. Hospitals
voluntarily submit these data abstracted from their medical records about the treatments that their patients receive, including
patients with Medicare and those who do not have Medicare. Consumers can use Hospital Compare to compare care of local
hospitals to state and national averages. Unlike Quality Check, Hospital Compare includes data from organizations accredited
by CMS-recognized accrediting organizations other than The Joint Commission; some unaccredited organizations; and most
Department of Veterans Affairs medical centers. It does not currently include Department of Defense and Indian Health
Service hospitals.
Data collection and reporting requirements

Currently, The Joint Commission requires most hospitals to select four measure sets. Hospitals choose sets best reflecting their
patient population and report on all the applicable measures in each of the sets they choose. Hospitals submit monthly data on
a quarterly basis on all measures of performance within specific sets they choose to third-party vendors, which compile and
provide data to The Joint Commission. Hospitals can obtain feedback reports through The Joint Commission’s extranet.
Note on calculations and methodology

This report includes a composite for accountability measures: The sum of all the numerator counts for accountability process
measures across all measure sets divided by the sum of all the denominator counts from across the same accountability
measures.
A composite measure is calculated by adding or "rolling up" the number of times recommended care was provided over all the
process measures in the given measure set and dividing this sum by the total number of opportunities for providing this
recommended care, determined by summing up all of the process measure populations for this same set of measures. The
composite measure shows the percentage of the time that recommended care was provided.
For example, if a heart attack patient receives each treatment included in the heart attack measure set, that’s a total of seven
treatments in seven opportunities. If 60 patients receive all seven treatments, that’s 420 treatments in 420 opportunities - 100
percent composite performance. However, if some of the 60 patients don’t receive all seven treatments (e.g., the total number
of opportunities for treatments is 410), and the treatments given to the 60 patients add to a total of 378, the heart attack
composite score is 92 percent.
Composite performance measures are useful in integrating performance measure information in an easily understood format
that gives a summary assessment of performance for a given area of care in a single rate. The composite measures in this report
are based on combining all of the process rate-based measures in the measure set. For a performance measure, each patient
identified as falling in the measure population can be considered an opportunity to provide recommended care.
Inclusions and exclusions
This report only includes data about patients considered "eligible" for one of the evidence-based treatments or measures. It’s
important to understand that not every patient gets – or should get – a treatment. Often, patients have health conditions or
factors that influence the effectiveness of treatments, or whether or not a provider orders a particular treatment. Also, a patient
may choose to refuse treatment or not follow the instructions of his or her care plan.
Links for More Information

The Joint Commission: www.jointcommission.org
Quality Check: www.qualitycheck.org
Glossary
Accountability process measure. An accountability process measure is a quality measure that meets four criteria designed to
identify measures that produce the greatest positive impact on patient outcomes when hospitals demonstrate improvement.
The four criteria are: research, proximity, accuracy and adverse effects (see page 35 for an explanation of the criteria).
ACEI (ACE inhibitors). ACE stands for "angiotensin converting enzyme." ACE inhibitors are medicines that are used to treat
heart failure, high blood pressure, and patients with left ventricular systolic dysfunction following a heart attack. These
medicines block an enzyme in the body that is responsible for causing the blood vessels to narrow. If the blood vessels are
relaxed, blood pressure is lowered and more oxygen-rich blood can reach the heart. ACE inhibitors also lower the amount of
salt and water in the body, which helps to lower blood pressure.
Admission screening. Evaluating a patient for violence risk, substance use, psychological trauma history and patient strengths
within the first three days of admission to an inpatient psychiatric facility.
Antenatal steroids. Medication given to a mother in premature labor before delivery to promote lung development in the
baby.
Antibiotic timing. The length of time from arrival at the hospital until antibiotics are given. Antibiotics are generally given as
soon as possible to pneumonia patients to speed their recovery.
Antithrombotic therapy. Pharmacologic agents (oral or parenteral) that prevent or interfere with the formation of a blood
clot.
ARB. ARB stands for "angiotensin receptor blocker." An ARB is a medicine taken by mouth that reduces blood pressure and
strengthens the heart beat. ARBs are useful in the treatment of cardiac diseases such as heart attack and heart failure.
Beta-blocker. This type of medicine blocks the action of certain hormones on the heart. By blocking these hormones,
beta-blockers help to reduce the heart rate and blood pressure, thereby reducing the amount of oxygen needed by the heart.
Blood cultures. Blood tests that look for bacteria in the blood. These tests are given to pneumonia patients before antibiotics
are administered.
CABG. CABG stands for coronary artery bypass graft surgery – an operation in which a section of vein or artery is used to
bypass a blockage in a coronary artery, allowing enough blood to flow to deliver oxygen and nutrients to the heart muscles.
CABG is performed to prevent damage from a myocardial infarction (heart attack) or to relieve angina.
Cesarean section. A surgical procedure in which an abdominal incision is made to deliver the infant.
Composite measure. A measure that combines the results of two or more process measures into a single rating. A composite is
a summary of a related set of measures, which could be a condition specific set, all accountability measures, or accountability
and non-accountability measures. However, accountability composites are restricted to accountability measures;
non-accountability measures are excluded.
Elective delivery. A delivery occurring between 37 and 39 weeks of gestation, without a medical reason.
Glossary (Cont’d)
Exclusive breast milk feeding. An infant receives only breast milk during the hospital stay, with no additional food or drink,
including water.
Fibrinolytic therapy. Medication that dissolves blood clots. Breaking up blood clots increases blood flow to the heart. If blood
flow is returned to the heart muscle quickly during a heart attack, the risk of death is decreased.
Hair removal, appropriate. Removing hair with clippers or depilatory is considered appropriate. Shaving is considered
inappropriate.
Health care-associated infections in newborns. An infection acquired during a newborn’s stay in a hospital.
Heart failure. A condition in which the heart loses its ability to efficiently pump blood throughout the body.
Inpatient psychiatric services. Inpatient psychiatric services include care provided to a patient for a mental disorder while
hospitalized in a psychiatric unit of an acute care hospital or a free-standing psychiatric hospital. Services rendered to
outpatients or “day treatment” patients are not considered inpatient psychiatric services.
LVS assessment. An in-depth evaluation of heart muscle function that helps determine the correct treatment for heart failure.
LVS stands for “left ventricular systolic.” An LVS assessment evaluates how well the left ventricle – the heart’s main pumping
chamber – is functioning. Left ventricular diastolic dysfunction results when this heart chamber is not pumping all the blood
out before it refills for the next heart beat. This results in high pressure within the heart and can produce heart failure.
Multiple antipsychotic medications. Antipsychotic medications are drugs prescribed to treat mental disorders; if two or more
medications are routinely administered or prescribed, it is considered multiple medications.
Outcomes measure. A measure that focuses on the results of the performance or nonperformance of a process. (See process
measure.)
Overlap therapy. Administration of parenteral (intravenous or subcutaneous) anticoagulation therapy and warfarin to treat
patients with VTE.
PCI therapy. PCI stands for “percutaneous coronary interventions.” PCI therapy is a coronary angioplasty procedure
performed by a doctor who threads a small device into a clogged artery to open it, thereby improving blood flow to the heart.
A lack of blood supply to the heart muscle can cause lasting heart damage. PCI therapy is used as an alternative treatment to
coronary artery bypass surgery (CABG).
Percentage points. This is the difference on a percentage scale between two rates expressed as percents. For example, the
difference between a performance rate of 85 percent and a performance rate of 92 percent is 7 percentage points.
Perinatal. The period shortly before and after birth.
Perioperative. This generally refers to 24 hours before surgery and lasts until the patient leaves the recovery area.
Glossary (Cont’d)
Physical restraint. A physical restraint is any manual or physical or mechanical device, material, or equipment that
immobilizes a patient or reduces the ability of a patient to move his or her arms, legs, body or head freely. A physical restraint is
used as a restriction to manage a patient’s behavior or restrict the patient’s freedom of movement and is not a standard
treatment for the patient’s medical or psychiatric condition.
Pneumonia. An acute infection of lung tissue that is associated with at least some symptoms of acute infection, such as altered
or abnormal breathing sounds.
Pneumococcal vaccination. A vaccination that helps to prevent pneumonia.
Post discharge continuing care plan. Communication from the hospital to the next health provider after a patient is
discharged from the hospital. The plan must contain the reason for hospitalization, main diagnosis at discharge, a list of
medications at discharge, and recommendations for the next level of care.
Process measure. A measure that focuses on one or more steps that lead to a particular outcome. (See outcomes measure.)
Prophylaxis. Any medical intervention designed to preserve health and prevent disease.
Rehabilitation assessment. Evaluation of the need for or receipt of rehabilitation services. Rehabilitation is a treatment or
treatments designed to facilitate the process of recovery from injury, illness or disease to as normal a condition as possible.
Reliever, for asthma. A medicine that reduces narrowing in the lung’s airways, providing quick relief from asthma symptoms.
Seclusion. Seclusion is the involuntary confinement of a patient alone in a room or an area where the patient is physically
prevented from leaving.
Statin. A class of pharmaceutical agents that lower blood cholesterol. Specifically, the agents modify LDL-cholesterol by
blocking the action of an enzyme in the liver which is needed to synthesize cholesterol, thereby decreasing the level of
cholesterol in the blood. Statins are also called HMG-CoA reductase inhibitors.
Systemic corticosteroid, for asthma. A medication that helps control asthma symptoms by controlling swelling,
inflammation, and the buildup of mucous in the lung’s airways.
Thrombolytic therapy. Administration of a pharmacological agent intended to cause lysis of a thrombus (destruction or
dissolution of a blood clot).
UFH monitoring. Using a protocol or nomogram to ensure that UFH (unfractionated heparin) achieves a sufficient level of
anti-coagulation.
VTE. VTE stands for venous thromboembolism and is when a blood clot forms in a deep vein in the body, such as in the leg.
VTE is a common complication at surgery and hospitalized medical patients, particularly those who have decreased mobility,
are at risk for development of VTE.
Appendix
Appendix 1: Short and original measure names
Note: This is not a complete list of measures. The short name is the name used in this report.
Short measure name used in this report Original measure name

Heart attack care
Aspirin at discharge Aspirin prescribed at discharge
ACEI or ARB at discharge ACEI or ARB for LVSD
Beta-blocker at discharge Beta-blocker prescribed at discharge
Fibrinolytic therapy within 30 minutes Fibrinolytic therapy received within 30 minutes of
hospital arrival
PCI therapy within 90 minutes Primary PCI received within 90 minutes of hospital
arrival (timing of receipt of primary PCI)
Heart failure care
ACEI or ARB at discharge ACEI or ARB for LVSD (left ventricular systolic
dysfunction)
Pneumonia care
Blood cultures in ICU Blood cultures performed within 24 hours prior to or 24
hours after hospital arrival for patients who were
transferred or admitted to the ICU (intensive care unit)
within 24 hours of hospital arrival
Blood cultures in ED Blood cultures performed in the emergency department
prior to initial antibiotic received in hospital
Antibiotics to ICU patients Initial antibiotic selection for CAP (community-acquired
pneumonia) in immunocompetent – ICU (intensive care
unit) patient
Antibiotics to non-ICU patients Initial antibiotic selection for CAP (community-acquired
pneumonia) in immunocompetent – non-ICU
(intensive care unit) patient
Surgical care
Antibiotics within one hour before the first surgical cut Prophylactic antibiotic received within one hour prior to
surgical incision – overall rate
Appropriate prophylactic antibiotics Prophylactic antibiotic selection for surgical patients –
overall rate
Stopping antibiotics within 24 hours Prophylactic antibiotics discontinued within 24 hours
after surgery end time – overall rate
Appendix
Appendix 1: Short and original measure names (Cont’d)
Short measure name used in this report Original measure name

Surgical care (Cont’d)
Cardiac patients with 9 a.m. postoperative blood glucose Cardiac surgery patients with controlled 9 a.m.
postoperative blood glucose
Patients with appropriate hair removal Surgery patients with appropriate hair removal
Beta-blocker patients who received beta-blocker Surgery patients on beta-blocker therapy prior to
perioperatively arrival who received a beta-blocker during the
perioperative period
Prescribing VTE medicine/treatment Surgery patients with recommended venous
thromboembolism prophylaxis ordered
Receiving VTE medicine/treatment Surgery patients who received appropriate venous
thromboembolism prophylaxis within 24 hours prior to
surgery to 24 hours after surgery
Urinary catheter removed Urinary catheter removed on postoperative day 1 (POD
1) or postoperative day 2 (POD 2) with day of surgery
being day zero
Children’s asthma care
Home management plan of care Home management plan of care (HMPC) document
given to patient/caregiver
Inpatient psychiatric services
Admission screening Admission screening for violence risk, substance use,
psychological trauma history and patient strengths
completed
Multiple antipsychotic medications Patients discharged on multiple antipsychotic medications
Justification for multiple antipsychotic medications Patients discharged on multiple antipsychotic medications
with appropriate justification
Continuing care plan created Post discharge continuing care plan created
Continuing care plan transmitted Post discharge continuing care plan transmitted to next
level of care provider upon discharge
Venous thromboembolism (VTE) care
VTE medicine/treatment VTE prophylaxis
VTE medicine/treatment in ICU Intensive care unit VTE prophylaxis
VTE patients with overlap therapy VTE patients with anticoagulation overlap therapy
VTE patients with UFH monitoring VTE patients receiving unfractionated heparin (UFH)
with dosages/platelet count monitoring by protocol
Stroke care
VTE medicine/treatment VTE prophylaxis
Perinatal care
Newborn bloodstream infections Health care-associated bloodstream infections in
newborns
Appendix
Appendix 2: 2011 accountability measures
Heart attack care Inpatient psychiatric services

• Aspirin at arrival • Multiple antipsychotic medications
• Aspirin at discharge • Justification for multiple antipsychotic medications
• ACEI or ARB at discharge • Continuing care plan created
• Beta-blocker at discharge • Continuing care plan transmitted
• Fibrinolytic therapy within 30 minutes • Hours of physical restraint use*
• Hours of seclusion*
• PCI therapy within 90 minutes
• Statin prescribed at discharge
Venous thromboembolism (VTE) care
Heart failure care • VTE medicine/treatment
• VTE medicine/treatment in ICU
• ACEI or ARB at discharge
• VTE patients with overlap therapy
• VTE patients with UFH monitoring
Pneumonia care • VTE warfarin discharge instructions
• Pneumococcal vaccination
• Blood culture in ED Stroke care
• Blood culture in ICU • VTE medicine/treatment
• Antibiotics to ICU patients • Discharged on antithrombotic therapy
• Antibiotics to non-ICU patients • Anticoagulation therapy for atrial fibrillation/flutter
• Influenza vaccination • Thrombolytic therapy
• Antithrombotic therapy by end of hospital day two
• Discharged on statin medication
Surgical care • Stroke education
• Antibiotics within one hour before the first • Assessed for rehabilitation
surgical cut
* This measure is not included in the composite results because it is
• Appropriate prophylactic antibiotics
a ratio measure. Only proportion measures are included in the
• Stopping antibiotics within 24 hours
composite.
• Cardiac patients with 9 a.m. postoperative blood
glucose
• Patients with appropriate hair removal
• Beta-blocker patients who received beta-blocker
perioperatively
• Prescribing VTE medicine/treatment
• Receiving VTE medicine/treatment
• Urinary catheter removed
Children’s asthma care

• Relievers for inpatient asthma
• Systemic corticosteroids for inpatient asthma
• Home management plan of care
Appendix
Appendix 3: 2011 measures being tested or

evaluated against accountability measure criteria
Inpatient psychiatric services

Admission screening
Venous thromboembolism care

Incidence of potentially preventable VTE
Perinatal care
Elective delivery
Cesarean section
Antenatal steroids
Health care-associated bloodstream infections in newborns
Exclusive breast milk feeding

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Improving America’s Hospitals

The Joint Commission’s Annual Report on Quality and Safety

Top Performers on Key Quality Measures™

Letter from The Joint Commission President ................................................................................................3-4

Mark R. Chassin, M.D., F.A.C.P., M.P.P, M.P.H

Increase in Top Performers in one year

406 244 620

244 hospitals were recognized both for 2010 and 2011

The average number of hospitals reporting data was 2,573,

The average number of hospitals reporting data was 2,775,

• Beta-blocker patients who received beta-blocker

• Prescribing VTE medicine/treatment

The average number of hospitals reporting data was 1,671,

The average number of hospitals reporting data was 227,

• Justification for multiple antipsychotic medications

The average number of hospitals reporting data was 72, and

• The 2011 stroke care result is 94.9 percent, up from

• Discharged on antithrombotic therapy

The average number of hospitals reporting data was 156,

Percent Exceeding 90 Percent

included in this calculation. Including these newer 60

measures resulted in a decrease from the 91.7 percent 50

score reported last year. Only 20.4 percent of hospitals 40

What’s new this year

How Top Performers are determined

Why the Top Performers program was developed

Heart Heart Pneumonia Surgical Children’s Hosp-Based Stroke VTE

Heart Heart Pneumonia Surgical Children’s Hosp-Based Stroke VTE

Heart Heart Pneumonia Surgical Children’s Hosp-Based Stroke VTE

Heart Heart Pneumonia Surgical Children’s Hosp-Based Stroke VTE

Heart Heart Pneumonia Surgical Children’s Hosp-Based Stroke VTE

Heart Heart Pneumonia Surgical Children’s Hosp-Based Stroke VTE

Heart Heart Pneumonia Surgical Children’s Hosp-Based Stroke VTE

Heart Heart Pneumonia Surgical Children’s Hosp-Based Stroke VTE

Heart Heart Pneumonia Surgical Children’s Hosp-Based Stroke VTE

Heart Heart Pneumonia Surgical Children’s Hosp-Based Stroke VTE

Heart Heart Pneumonia Surgical Children’s Hosp-Based Stroke VTE

Heart Heart Pneumonia Surgical Children’s Hosp-Based Stroke VTE

See Glossary for definitions.

Table 1: Composite results for accountability measures

Accountability composite measure sets 2007 2008 2009 2010 2011

Heart attack care composite 95.7% 96.8% 97.7% 98.4% 98.5%

Pneumonia care composite 90.3% 89.8% 92.9% 95.2% 96.2%

Surgical care composite 88.9% 93.5% 95.8% 96.4% 97.6%

Children’s asthma care composite 70.7% 79.8% 88.1% 92.4% 94.7%

Inpatient psychiatric services composite N/A N/A 80.5% 88.1% 87.3%

Venous thromboembolism (VTE) N/A N/A N/A 82.7% 89.9%

Overall 90.0% 93.1% 95.4% 95.6% 96.6%

Table 2: Percentage of hospitals achieving composite rates

Heart attack care composite 85.0% 91.1% 94.5% 96.0% 98.7%

Pneumonia care composite 57.0% 55.8% 75.5% 88.5% 93.4%

Surgical care composite 42.1% 74.4% 89.5% 92.6% 97.7%

Children’s asthma care composite 2.6% 21.3% 50.8% 73.7% 82.6%

Inpatient psychiatric services composite N/A N/A 34.0% 50.5% 49.3%

Venous thromboembolism (VTE)

Stroke care composite N/A N/A N/A 66.0% 87.7%

Overall 60.0% 70.8% 85.9% 91.7%* 88.8%

See Glossary for definitions.

Table 3: Heart attack care measure results

Aspirin at arrival 97.4% 97.9% 98.4% 98.9% 99.2% 6.2%