WJB Dorn VAMC: A Joint Commission Top Performer on Key Measures - Columbia VA Health Care System
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Columbia VA Health Care System


WJB Dorn VAMC: A Joint Commission Top Performer on Key Measures

November 6, 2013

The Wm. Jennings Bryan Dorn VA Medical Center (VAMC) recently was named Top Performer on Key Quality Measures® by The Joint Commission, the leading accreditor of health care organizations in America.

The Dorn VAMC was recognized by The Joint Commission on Oct. 29 for exemplary performance in using evidence-based clinical processes that are shown to improve care for certain conditions. The clinical processes focus on care for heart attack, pneumonia, surgery, children’s asthma, stroke and venous thromboembolism, as well as inpatient psychiatric services. New this year is a category for immunization for pneumonia and influenza.

            The Dorn VAMC is one of 1,099 hospitals in the United States earning the distinction of Top Performer on Key Quality Measures for attaining and sustaining excellence in accountability measure performance.  The Dorn VAMC was recognized for its achievement on the following measure sets: heart failure, pneumonia, and surgical care.

It was also only one of 20 hospitals in the State of South Carolina that earned the distinction out of a total of 57 submitting data in 2012. The Dorn VAMC also earned recognition as a Top Performer on Key Quality Measures in the two preceding years.

The ratings are based on an aggregation of accountability measure data reported to The Joint Commission during the 2012 calendar year. The list of Top Performer organizations increased by 77 percent from last year and it represents 33 percent of all Joint Commission-accredited hospitals reporting accountability measure performance data for 2012.

            The Dorn VAMC and each of the hospitals that were named as a Top Performer on Key Quality Measures must: 1) achieve cumulative performance of 95 percent or above across all reported accountability measures; 2) achieve performance of 95 percent or above on each and every reported accountability measure where there are at least 30 denominator cases; and 3) have at least one core measure set that has a composite rate of 95 percent or above, and (within that measure set) all applicable individual accountability measures have a performance rate of 95 percent or above.

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 of care for children with asthma.

            “The Dorn VAMC and all the Top Performer hospitals have demonstrated an exceptional commitment to quality improvement and they should be proud of their achievement,” said Mark R. Chassin, M.D., FACP, M.P.P., M.P.H., president and chief executive officer, The Joint Commission. “We have much to celebrate this year. Nearly half of our accredited hospitals have attained or nearly attained the Top Performer distinction. This truly shows that we are approaching a tipping point in hospital quality performance that will directly contribute to better health outcomes for patients.”

            “We understand that what matters most to patients at the Dorn VAMC is safe, effective care. That’s why the Dorn VAMC has made a commitment to accreditation and to positive patient outcomes through evidence-based care processes. The Dorn VAMC is proud to receive the distinction of being a Joint Commission Top Performer on Key Quality Measures,” said Interim Medical Center Director John S. Goldman.

      In addition to being included in today’s release of The Joint Commission’s “Improving America’s Hospitals” annual report, the Dorn VAMC will be recognized on The Joint Commission’s Quality Check website (www.qualitycheck.org). The Top Performer program will be featured in the December issues of The Joint Commission Perspectives and The Source.

      For more information visit the Dorn VAMC on the web at http://www.columbiasc.va.gov/.