Standards for Hospital Accreditation

1910-1919 The Joint Commission: 1920-1929 1950-1959 1960-1969 Over a century of quality and safety 1970-1979 1980-1989 1990-1999 2000-2009 2010-2018 Home

1910-1919 Ernest Codman, M.D. proposes the 1920-1929 “end result system of hospital 1950-1959 ⎻ standardization.” 1960-1969 1970-1979 American College of Surgeons is 1980-1989 founded. The “end result” system 1990-1999 ⎻ 2000-2009 becomes an ACS objective. 2010-2018 Home

1910-1919 The American College of 1920-1929 Surgeons develops the 1950-1959 ⎻ Minimum Standard for 1960-1969 1970-1979 Hospitals. Requirements fill 1980-1989 one page. 1990-1999 2000-2009 The ACS begins on-site 2010-2018 inspections of hospitals. Home ⎻

1910-1919 1920-1929 The first standards manual is 1950-1959 printed, consisting of 18 pages. 1960-1969 1970-1979 1980-1989 1990-1999 2000-2009 The American College of Surgeons made the three-story 2010-2018 former residence shown opposite, on Chicago’s rapidly growing north side, its headquarters in 1920. Home

4 © 2018 The Joint Commission. All Rights Reserved. 1910-1919 1950-1951 1920-1929 1950-1959 1960-1969 The American College of Physicians, the 1970-1979 American Hospital Association, the 1980-1989 ⎻ 1990-1999 American Medical Association, and the 2000-2009 Canadian Medical Association join with 2010-2018 the ACS as corporate members to create Home the Joint Commission on Accreditation of Hospitals (JCAH), an independent, not-for-profit organization, in Chicago, Illinois, whose primary purpose is to provide voluntary accreditation.

The American College of 1910-1919 1920-1929 Surgeons officially transfers its 1950-1959 ⎻ Hospital Standardization 1960-1969 Program to JCAH, which begins 1970-1979 1980-1989 offering accreditation to 1990-1999 hospitals in January 1953. 2000-2009 2010-2018 Edwin L. Crosby, M.D., Home becomes the first director of the ⎻ Joint Commission on Accreditation of Hospitals.

6 © 2018 The Joint Commission. All Rights Reserved. 1953-1959 1910-1919 1920-1929 – JCAH publishes Standards for 1950-1959 1960-1969 Hospital Accreditation. 1970-1979 – Kenneth Babcock, M.D., becomes 1980-1989 1990-1999 director of JCAH. 2000-2009 2010-2018 Home

1910-1919 The Joint Commission on 1920-1929 Accreditation of Hospitals begins 1950-1959 ⎻ 1960-1969 charging for surveys. 1970-1979 Congress passes the Social Security 1980-1989 1990-1999 Amendments of 1965 with a provision 2000-2009 ⎻ that hospitals accredited by JCAH are 2010-2018 “deemed” to be in compliance with Home most of the Medicare Conditions of Participation for hospitals and, thus, able to participate in the Medicare and Medicaid programs. John D. Porterfield III, M.D., becomes director of the JCAH. ⎻ 8 © 2018 The Joint Commission. All Rights Reserved. 1966-1969 1910-1919 1920-1929 Long term care accreditation begins. 1950-1959 1960-1969 JCAH establishes four accreditation ⎻ 1970-1979 councils to develop standards and survey 1980-1989 ⎻ accreditation procedures. 1990-1999 2000-2009 2010-2018 Home

9 © 2018 The Joint Commission. All Rights Reserved. 1910-1919 1970 1920-1929 1950-1959 1960-1969 The Accreditation Council for Psychiatric 1970-1979 Facilities is established and accreditation 1980-1989 ⎻ for psychiatric facilities, substance abuse 1990-1999 2000-2009 programs and community mental health 2010-2018 programs begins. Home Accreditation for hospitals and long term care facilities is reduced to a maximum of ⎻ two years from three years.

10 © 2018 The Joint Commission. All Rights Reserved. 1971-1972 1910-1919 1920-1929 The Accreditation Council for Long 1950-1959 1960-1969 Term Care is established. 1970-1979 ⎻ 1980-1989 The Social Security Act is amended to 1990-1999 require that the Secretary of the U.S. 2000-2009 ⎻ Department of Health and Human 2010-2018 Services (DHHS) validate JCAH Home findings. The first issue of Perspectives on Accreditation is published. ⎻

11 © 2018 The Joint Commission. All Rights Reserved. 1975-1977 1910-1919 1920-1929 The Accreditation Council for 1950-1959 1960-1969 Ambulatory Health Care is 1970-1979 ⎻ established and accreditation for 1980-1989 ambulatory health care facilities 1990-1999 2000-2009 begins. 2010-2018 John E. Affeldt, M.D., becomes Home president of the JCAH. ⎻

12 © 2018 The Joint Commission. All Rights Reserved. 1978-1979 1910-1919 1920-1929 1950-1959 JCAH establishes an agreement with the 1960-1969 College of American Pathologists to recognize 1970-1979 ⎻ 1980-1989 CAP accreditation of a laboratory in a JCAH- 1990-1999 accredited hospital in lieu of the 2000-2009 Commission’s accreditation of the laboratory. 2010-2018 Home The American Dental Association (ADA) becomes a JCAH corporate member. ⎻ A Professional and Technical Advisory Committee is established for each ⎻ accreditation program, and the Accreditation Councils are disbanded.

13 © 2018 The Joint Commission. All Rights Reserved. 1910-1919 1982-1983 1920-1929 1950-1959 1960-1969 The accreditation cycle is changed from two 1970-1979 years to three years for hospitals, psychiatric 1980-1989 ⎻ facilities, alcoholism and substance abuse 1990-1999 2000-2009 programs, community mental health centers, 2010-2018 and long term care organizations. Home Accreditation for hospice care organizations begins. (Folded into the Home Care ⎻ Accreditation program in 1990.)

14 © 2018 The Joint Commission. All Rights Reserved. 1910-1919 1986 1920-1929 1950-1959 Quality Healthcare 1960-1969 Resources® (QHR), Inc. is 1970-1979 ⎻ 1980-1989 formed as a not-for-profit 1990-1999 consulting subsidiary of 2000-2009 JCAH. (QHR later becomes 2010-2018 Home Joint Commission Resources.) Dennis S. O’Leary, M.D., becomes president of the ⎻ JCAH.

15 © 2018 The Joint Commission. All Rights Reserved. 1987-1989 1910-1919 1920-1929 The organization name changes to the Joint Commission 1950-1959 1960-1969 on Accreditation of Healthcare Organizations to reflect an 1970-1979 ⎻ expanded scope of activities. 1980-1989 1990-1999 The Agenda for Change is launched, placing the primary 2000-2009 emphasis of the accreditation process on actual 2010-2018 ⎻ organization performance. Home Development of the Indicator Measurement System® (IMSystem ®) – an indicator-based performance ⎻ monitoring system – gets underway. Accreditation for home care organizations and managed care begins. (Managed care is folded into the Ambulatory ⎻ Care Accreditation program in 1990).

16 © 2018 The Joint Commission. All Rights Reserved. 1990 1910-1919 1920-1929 1950-1959 The Joint Commission Headquarters and 1960-1969 Conference Center opens in Oakbrook Terrace, 1970-1979 1980-1989 Illinois, about 20 miles west of downtown Chicago. 1990-1999 2000-2009 2010-2018 Home

17 © 2018 The Joint Commission. All Rights Reserved. 1992-1993 1910-1919 1920-1929 1950-1959 The Joint Commission issues a standard 1960-1969 requiring all accredited hospitals to have a 1970-1979 ⎻ policy prohibiting smoking in the hospital. 1980-1989 1990-1999 The number and nature of confirmed 2000-2009 substantive complaints filed against 2010-2018 Home ⎻ accredited facilities and the existence of type I recommendations becomes public information. The federal government announces that home health agencies accredited by the Joint ⎻ Commission after an unannounced survey will be “deemed” to meet the Medicare Conditions of Participation.

18 © 2018 The Joint Commission. All Rights Reserved. 1994 1910-1919 1920-1929 The first organization-specific performance 1950-1959 1960-1969 reports are released to the public. 1970-1979 ⎻ A new survey process is implemented that 1980-1989 1990-1999 uses a systemwide, cross-department 2000-2009 ⎻ orientation. 2010-2018 Home Quality Healthcare Resources, Inc.® and the Joint Commission form Joint Commission ⎻ International to provide education and consulting services to international clients.

19 © 2018 The Joint Commission. All Rights Reserved. 1910-1919 1995 1920-1929 1950-1959 The federal government recognizes Joint 1960-1969 Commission laboratory accreditation services 1970-1979 ⎻ 1980-1989 as meeting the requirements for Clinical 1990-1999 Laboratory Amendments of 1988 (CLIA) 2000-2009 certification. 2010-2018 Home As part of an Action Plan, the Joint Commission launches the Orion Project in ⎻ Pennsylvania and Arizona as a series of experiments designed to test innovations to improve the delivery of accreditation services. Accreditation for freestanding laboratories begins. ⎻

20 © 2018 The Joint Commission. All Rights Reserved. 1996 1910-1919 1920-1929 The Centers for Medicare & Medicaid 1950-1959 Services announces that ambulatory 1960-1969 1970-1979 ⎻ surgical centers accredited by the Joint 1980-1989 Commission will be “deemed” as 1990-1999 meeting or exceeding Medicare 2000-2009 2010-2018 certification requirements. Home The Sentinel Event Policy is established. ⎻ The Joint Commission launches its website at www.jcaho.org (now ⎻ www.jointcommission.org).

21 © 2018 The Joint Commission. All Rights Reserved. 1997 1910-1919 1920-1929 The Joint Commission launches 1950-1959 ® 1960-1969 ORYX : The Next Evolution in 1970-1979 ⎻ Accreditation™. 1980-1989 1990-1999 ® Quality Check becomes available 2000-2009 on the Joint Commission website. 2010-2018 ⎻ Home

22 © 2018 The Joint Commission. All Rights Reserved. 1998 1910-1919 The Sentinel Event Policy is revised to 1920-1929 promote self-reporting of medical 1950-1959 1960-1969 ⎻ errors and encourage health care 1970-1979 providers to more closely examine the 1980-1989 root causes of these events. 1990-1999 2000-2009 The Joint Commission publishes the 2010-2018 first issue of Sentinel Event Alert. Home ⎻ Joint Commission Resources, Inc.™ replaces Quality Healthcare Resources, ⎻ Inc.® Joint Commission International (including accreditation and consulting services) remains a division of this new subsidiary.

23 © 2018 The Joint Commission. All Rights Reserved. 1999 1910-1919 1920-1929 1950-1959 MISSION: The Joint Commission’s mission 1960-1969 To continuously statement is revised to explicitly 1970-1979 ⎻ improve health care 1980-1989 reference patient safety. for the public, in 1990-1999 The Joint Commission establishes collaboration with other 2000-2009 stakeholders, by 2010-2018 a toll free hot line to encourage Home ⎻ patients, their families, caregivers, evaluating health care organizations and and others to share concerns inspiring them to excel regarding quality of care issues at in providing safe and accredited health care effective care of the organizations. highest quality and value.

24 © 2018 The Joint Commission. All Rights Reserved. 2000 1910-1919 1920-1929 Standards and a survey process for 1950-1959 1960-1969 organizations that provide foster care 1970-1979 ⎻ services are established, effective January 1. 1980-1989 1990-1999 Joint Commission International publishes 2000-2009 the first comprehensive set of international 2010-2018 ⎻ quality standards for hospitals and presents Home its first accreditation award.

25 © 2018 The Joint Commission. All Rights Reserved. 2001 1910-1919 1920-1929 New pain assessment and 1950-1959 management standards go into effect 1960-1969 ⎻ 1970-1979 January 1 for hospitals and 1980-1989 organizations providing ambulatory 1990-1999 care, assisted living, behavioral 2000-2009 2010-2018 health care and long term care. Home A new accreditation program for office-based surgery practices is ⎻ introduced. A new accreditation program for critical access hospitals is launched. ⎻

26 © 2018 The Joint Commission. All Rights Reserved. 2002 1910-1919 1920-1929 1950-1959 The Joint Commission establishes its first 1960-1969 ® annual National Patient Safety Goals . 1970-1979 ⎻ 1980-1989 The Joint Commission and the Centers for 1990-1999 Medicare and Medicaid Services launch Speak 2000-2009 ⎻ Up™. 2010-2018 Home The Disease-Specific Care Certification program launches. ⎻ The Centers for Medicare and Medicaid Services announces the granting of deeming ⎻ authority for critical access hospitals to The Joint Commission. The Joint Commission and the National Quality Forum announce the establishment of the John

⎻ M. Eisenberg Patient Safety Awards. 27 © 2018 The Joint Commission. All Rights Reserved. 1910-1919 2003 1920-1929 1950-1959 The Joint Commission announces a 1960-1969 Universal Protocol for Preventing Wrong 1970-1979 ⎻ 1980-1989 Site, Wrong Procedure, Wrong Person 1990-1999 Surgery™, effective July 1, 2004. 2000-2009 2010-2018 The Joint Commission creates The Gold Home Seal of Approval® that is displayed on all ⎻ certificates of accreditation. The Joint Commission develops a Primary Stroke Care Certification program with the ⎻ American Stroke Association, providing the first nationwide certification program to evaluate stroke care provided by hospitals.

28 © 2018 The Joint Commission. All Rights Reserved. 2004 1910-1919 1920-1929 1950-1959 The new accreditation process, Shared 1960-1969 Visions-New Pathways, is launched 1970-1979 ⎻ January 1, to focus on care processes 1980-1989 1990-1999 and organizational systems critical to 2000-2009 the safety and quality of patient care. 2010-2018 Home The Health Care Staffing Services Certification program launches. ⎻ New certification programs for Lung Volume Reduction Surgery and Left ⎻ Ventricular Assist Devices are developed.

29 © 2018 The Joint Commission. All Rights Reserved. 2005 1910-1919 1920-1929 Life safety code specialists are added to 1950-1959 1960-1969 the Joint Commission survey team. 1970-1979 ⎻ The World Health Organization (WHO) 1980-1989 1990-1999 in August designated The Joint 2000-2009 ⎻ Commission and Joint Commission 2010-2018 International as WHO Collaborating Home Centre for Patient Safety Solutions. The nation’s first certification program for chronic kidney disease management ⎻ launches.

30 © 2018 The Joint Commission. All Rights Reserved. 2006 1910-1919 1920-1929 1950-1959 The Joint Commission begins conducting 1960-1969 on-site accreditation surveys and 1970-1979 ⎻ certification reviews on an unannounced 1980-1989 1990-1999 basis, with certain exceptions. 2000-2009 2010-2018 An Advanced Inpatient Diabetes Care Home Certification program is announced. ⎻ The Standards Improvement Initiative launches, with a goal to eliminate non- ⎻ essential standards and to ensure that the remaining standards are understandable and relevant to the care setting to which they apply.

31 © 2018 The Joint Commission. All Rights Reserved. 2007 The Joint Commission on Accreditation of 1910-1919 1920-1929 Healthcare Organizations shortens its name to 1950-1959 ⎻ The Joint Commission. 1960-1969 1970-1979 Improving America’s Hospitals: A Report on 1980-1989 Quality and Safety publishes. 1990-1999 ⎻ 2000-2009 Joint Commission International announces a 2010-2018 cooperative agreement with the Ministry of Home ⎻ Health of the People’s Republic of China. The Ventricular Assist Device Certification Program launches for hospitals that perform ⎻ VAD surgery as destination therapy. A Disease-Specific Care Certification Program for Chronic Obstructive ⎻ Pulmonary Disease management launches. 32 © 2018 The Joint Commission. All Rights Reserved. 2008 1910-1919 1920-1929 Mark R. Chassin, M.D., M.P.P., M.P.H., 1950-1959 becomes president of The Joint 1960-1969 ⎻ 1970-1979 Commission. 1980-1989 Quality Check expands to include Joint 1990-1999 2000-2009 Commission certified programs and 2010-2018 ⎻ organizations earning Health Care Staffing Home Services Certification. The Joint Commission and other health care leaders join together to develop the ⎻ Compendium of Strategies to Prevent Healthcare- Associated Infections in Acute Care Hospitals. The E-dition, the first ever electronic version of Joint Commission accreditation ⎻ manuals, is released. 33 © 2018 The Joint Commission. All Rights Reserved. 2009 1910-1919 1920-1929 The Joint Commission, with the American Heart 1950-1959 Association, announces the Disease Specific Care 1960-1969 ⎻ Certification Program in Heart Failure. 1970-1979 1980-1989 Joint Commission International and the Korean 1990-1999 Hospital Association sign a Memorandum of 2000-2009 ⎻ 2010-2018 Understanding to establish programs to improve Home health care services in South Korea. The Joint Commission announces a new enterprise- wide vision statement and a refreshed mission ⎻ statement. The Joint Commission launches its Center for Transforming Healthcare. ⎻

34 © 2018 The Joint Commission. All Rights Reserved. 2010 1910-1919 1920-1929 The Centers for Medicare and Medicaid 1950-1959 Services names The Joint Commission 1960-1969 ⎻ a designated accreditor of advanced 1970-1979 1980-1989 diagnostic imaging centers. 1990-1999 The Joint Commission announces its 2000-2009 2010-2018 plan to categorize its performance Home ⎻ measures into accountability and non-accountability measures. The Center for Transforming Healthcare launches the Targeted ⎻ Solutions Tool® (TST®). The first set of targeted solutions is for improving hand hygiene.

35 © 2018 The Joint Commission. All Rights Reserved. 2011 1910-1919 1920-1929 The Primary Care Medical Home 1950-1959 1960-1969 option for accredited ambulatory 1970-1979 ⎻ care organizations becomes 1980-1989 available. 1990-1999 2000-2009 The Advanced Certification in 2010-2018 Palliative Care program launches. Home ⎻ For the first time, the 2011 annual report on quality and safety, ⎻ Improving America’s Hospitals, lists Top Performer hospitals.

36 © 2018 The Joint Commission. All Rights Reserved. 2011 1910-1919 1920-1929 1950-1959 Joint Commission Resources is chosen as a 1960-1969 1970-1979 Hospital Engagement Network by the 1980-1989 ⎻ Department of Health and Human Services to 1990-1999 work with hospitals to make health care safer 2000-2009 2010-2018 and less costly by targeting and reducing the Home millions of preventable injuries and complications from health care-associated conditions.

37 © 2018 The Joint Commission. All Rights Reserved. 2012 1910-1919 1920-1929 1950-1959 The Center for Transforming Healthcare 1960-1969 releases its Targeted Solutions Tool® (TST®) 1970-1979 ⎻ 1980-1989 for Safe Surgery. 1990-1999 Joint Commission International, the South 2000-2009 2010-2018 African-based Council for Health Service Home ⎻ Accreditation of Southern Africa, and the PharmAccess Foundation of the Netherlands announce an agreement to establish the SafeCare Foundation.

38 © 2018 The Joint Commission. All Rights Reserved. 2012 1910-1919 1920-1929 The Center for Transforming 1950-1959 Healthcare releases the Hand-off 1960-1969 1970-1979 ⎻ Communications Targeted 1980-1989 Solutions Tool® (TST®). 1990-1999 2000-2009 The Joint Commission and the 2010-2018 American Heart Association Home ⎻ /American Stroke Association announce the launch of the Disease-Specific Care Advanced Certification Program for Comprehensive Stroke Centers.

39 © 2018 The Joint Commission. All Rights Reserved. 2012 1910-1919 1920-1929 Joint Commission Resources 1950-1959 launches the Certified Joint 1960-1969 ⎻ Commission Professional (CJCP™) 1970-1979 1980-1989 program. 1990-1999 The Center for Transforming 2000-2009 2010-2018 Healthcare and the South Carolina Home ⎻ Hospital Association announce the South Carolina Safe Care Commitment to improve patient safety by using high reliability strategies that have been proven effective in other industries.

40 © 2018 The Joint Commission. All Rights Reserved. 2013 1910-1919 1920-1929 The Joint Commission debuts its new 1950-1959 1960-1969 Nursing and Rehabilitation Center 1970-1979 ⎻ Accreditation program, and for the 1980-1989 first time offers a Rehabilitation and 1990-1999 2000-2009 Advanced Care Certification option. 2010-2018 The Joint Commission begins offering Home a Primary Care Medical Home ⎻ Certification option for accredited hospitals and critical access hospitals.

41 © 2018 The Joint Commission. All Rights Reserved. 2014 1910-1919 1920-1929 1950-1959 The Nursing Care Center Accreditation 1960-1969 program begins offering Memory Care 1970-1979 ⎻ 1980-1989 Certification. 1990-1999 An innovative online educational tool, 2000-2009 2010-2018 “Applying High Reliability Principles Home ⎻ to the Prevention and Control of Infections in Long Term Care,” is released. A new “Patient Safety Systems” chapter is published in the 2015 ⎻ Comprehensive Accreditation Manual for Hospitals.

42 © 2018 The Joint Commission. All Rights Reserved. 2015 1910-1919 1920-1929 The Joint Commission and the 1950-1959 1960-1969 American Heart 1970-1979 ⎻ Association/American Stroke 1980-1989 Association launch a Disease- 1990-1999 2000-2009 Specific Care Advanced 2010-2018 Certification Program for Acute Home Stroke Ready Hospitals.

43 © 2018 The Joint Commission. All Rights Reserved. 2015 1910-1919 1920-1929 An Integrated Care Certification 1950-1959 option – for hospital and 1960-1969 ⎻ 1970-1979 ambulatory care settings – 1980-1989 focuses on helping improve care 1990-1999 coordination across the 2000-2009 2010-2018 continuum of care. Home Perinatal Care Certification launched, covering labor ⎻ through postpartum care in order to improve and maintain the health of newborns and their mothers.

44 © 2018 The Joint Commission. All Rights Reserved. 2015 1910-1919 1920-1929 The Center for Transforming 1950-1959 Healthcare released its Targeted 1960-1969 ⎻ Solutions Tool® (TST®) for 1970-1979 1980-1989 preventing hospital inpatient falls 1990-1999 and falls with injury. 2000-2009 2010-2018 ® The Center released ORO 2.0, an Home online high reliability assessment and ⎻ resource library designed to assist hospital leaders with determining their organization’s level of maturity in multiple components of high reliability and striving for the goal of zero preventable harm.

45 © 2018 The Joint Commission. All Rights Reserved. 1910-1919 2015 1920-1929 1950-1959 Ambulatory Care Accreditation 1960-1969 1970-1979 was awarded in March to 1980-1989 ⎻ Federal Occupational Health 1990-1999 (FOH), the largest provider of 2000-2009 2010-2018 occupational health services in Home the federal government.

46 © 2018 The Joint Commission. All Rights Reserved. 2016 1910-1919 1920-1929 Advanced Certification for Total 1950-1959 1960-1969 Hip and Total Knee Replacement 1970-1979 ⎻ launched for hospitals, critical 1980-1989 access hospitals and ambulatory 1990-1999 2000-2009 surgery centers. 2010-2018 Applications were accepted for Home Patient Blood Management ⎻ Certification, an evidence-based approach to optimizing care of patients who might need blood transfusion.

47 © 2018 The Joint Commission. All Rights Reserved. 2016 1910-1919 1920-1929 The innovative Pioneers in Quality 1950-1959 1960-1969 program launched to provide 1970-1979 ⎻ education and support for hospitals 1980-1989 as they strive to meet the growing 1990-1999 2000-2009 requirements for electronic clinical 2010-2018 quality measures (eCQMs). Home

48 © 2018 The Joint Commission. All Rights Reserved. 2016 1910-1919 1920-1929 1950-1959 The industry’s first Community-Based 1960-1969 Palliative Care (CBPC) Certification 1970-1979 ⎻ launched for home health and hospices 1980-1989 1990-1999 that provide palliative care services in 2000-2009 the patient’s place of residence. 2010-2018 Home The Joint Commission received deeming authority for California clinical ⎻ laboratories from the California Department of Public Health’s Laboratory Field Services (LFS).

49 © 2018 The Joint Commission. All Rights Reserved. 2016 1910-1919 1920-1929 1950-1959 New behavioral health care 1960-1969 1970-1979 standards became effective 1980-1989 ⎻ to better address the care, 1990-1999 treatment or services of 2000-2009 2010-2018 outpatient or residential Home eating disorders programs at Joint Commission- accredited behavioral health care organizations.

50 © 2018 The Joint Commission. All Rights Reserved. 1910-1919 2016 1920-1929 1950-1959 1960-1969 The Joint Commission began surveying to 1970-1979 the 2012 version of the National Fire 1980-1989 ⎻ Protection Association’s 101 Life Safety 1990-1999 (LS) Code, following the lead of the Centers 2000-2009 for Medicare & Medicaid Services (CMS). 2010-2018 Home Empire BlueCross BlueShield recognized The Joint Commission’s Integrated Care ⎻ Certification (ICC) as a means to meet its Care Coordination measure for plans’ Quality-In-Sights®: Hospital Incentive Program (Q-HIP®) requirements (Q-HIP).

51 © 2018 The Joint Commission. All Rights Reserved. 1910-1919 2016 1920-1929 1950-1959 1960-1969 An inaugural Health Equity Forum was 1970-1979 convened by The Joint Commission and 1980-1989 ⎻ American Hospital Association. 1990-1999 2000-2009 The 2016 Annual Report reports on how well 2010-2018 more than 3,300 Joint Commission- Home ⎻ accredited hospitals performed on individual measures of patient care during 2015. Also, 39 Pioneers in Quality™ hospitals at the forefront of a new era in health care quality reporting were recognized.

52 © 2018 The Joint Commission. All Rights Reserved. 2017 1910-1919 1920-1929 In January, Elsevier, a world-leading 1950-1959 1960-1969 provider of scientific, technical and 1970-1979 ⎻ medical information products and 1980-1989 services, began publishing The Joint 1990-1999 2000-2009 Commission Journal on Quality and 2010-2018 Patient Safety (JQPS). Home Comprehensive Cardiac Center Certification was introduced to ⎻ recognize hospitals that demonstrate excellence in cardiac care.

53 © 2018 The Joint Commission. All Rights Reserved. 2017 1910-1919 1920-1929 Medication Compounding Certification 1950-1959 1960-1969 launched in February to support compliance 1970-1979 ⎻ with enhanced, strengthened regulations 1980-1989 developed by many state legislatures and 1990-1999 2000-2009 boards of pharmacy across the U.S. in 2010-2018 response to patient safety and quality events Home related to medication compounding. In August, the Annals of Internal Medicine published an article, “Holding Providers ⎻ Accountable for Health Care Outcomes,” suggesting a national critical look is needed on how to assess the validity of outcome measures used by public accountability programs.

54 © 2018 The Joint Commission. All Rights Reserved. 2017 1910-1919 1920-1929 Updated emergency management 1950-1959 requirements became effective November 15 1960-1969 1970-1979 ⎻ to help health care organizations more 1980-1989 effectively plan for disasters and coordinate 1990-1999 with federal, state, tribal, regional and local 2000-2009 2010-2018 emergency preparedness systems. Home The 2017 annual report, America’s Hospitals: Improving Quality and Safety, ⎻ published in November, announcing that an increased number of U.S. hospitals are adopting and reporting electronic clinical quality measures (eCQMs) to drive quality improvement.

55 © 2018 The Joint Commission. All Rights Reserved. 2018 1910-1919 1920-1929 In January, a new Thrombectomy- 1950-1959 Capable Stroke Center certification 1960-1969 1970-1979 ⎻ program is announced by The Joint 1980-1989 Commission and the American Heart 1990-1999 Association/American Stroke 2000-2009 2010-2018 Association. Home In February, stroke center certification is made available to non- ⎻ accredited hospitals via a collaboration between The Joint Commission and American Heart Association/American Stroke Association.

56 © 2018 The Joint Commission. All Rights Reserved. 2018 1910-1919 1920-1929 Also in February, the Joint 1950-1959 Commission Center for 1960-1969 1970-1979 ⎻ Transforming Healthcare and 1980-1989 Huron begin collaborating to 1990-1999 create a series of high reliability 2000-2009 2010-2018 strategy workshops. Home

57 © 2018 The Joint Commission. All Rights Reserved. 2018 1910-1919 1920-1929 In June, accredited hospitals transition to 1950-1959 The Joint Commission’s new direct data 1960-1969 1970-1979 ⎻ submission platform for reporting calendar 1980-1989 year 2017 electronic clinical quality 1990-1999 measure data. 2000-2009 2010-2018 In July, the American Heart Association Home and The Joint Commission announce a ⎻ new Advanced Certification for Heart Failure program, the first of multiple, jointly offered cardiac certifications for hospitals. Also in July, The Joint Commission announces a new performance measure on ⎻ unexpected complications in term

newborns will be effective Jan. 1, 2019. 58 © 2018 The Joint Commission. All Rights Reserved. 2018 1910-1919 1920-1929 A study, “Incidence and Method of 1950-1959 Suicide in Hospitals in the United 1960-1969 1970-1979 ⎻ States,” in the September issue of The 1980-1989 Joint Commission Journal on Quality 1990-1999 and Patient Safety provides the first 2000-2009 2010-2018 data-driven estimate of the number of Home suicides in U.S. hospitals. The American Academy of Orthopaedic Surgeons and The Joint Commission ⎻ announce in September a collaboration to incorporate AAOS clinical expertise into standards development and performance measurement requirements for Total Hip and Knee Replacement Certification. 59 © 2018 The Joint Commission. All Rights Reserved. 2018 1910-1919 1920-1929 In October, it is announced that the 1950-1959 American Heart Association’s 1960-1969 1970-1979 ⎻ Cardiovascular Center of Excellence 1980-1989 accreditation will merge with The Joint 1990-1999 Commission’s existing Comprehensive 2000-2009 2010-2018 Cardiac Center Certification, effective Jan. Home 1, 2019. In November, The Joint Commission releases “Pioneers in Quality™ eCQM ⎻ Proven Practices Collection: Recognizing Success 2017-2018,” recognizing nine hospitals and health care systems that successfully leveraged electronic clinical quality measures and health information technology to drive quality improvement. 60 © 2018 The Joint Commission. All Rights Reserved. 2018 1910-1919 1920-1929 In December, it is announced that 1950-1959 two revised National Patient Safety 1960-1969 1970-1979 ⎻ Goals are effective July 1, 2019, to 1980-1989 prevent suicide and improve at-risk 1990-1999 patient care at accredited hospitals 2000-2009 2010-2018 and behavioral health programs; Home and to reduce harm associated with anticoagulant therapy at accredited hospitals, critical access hospitals, nursing care centers and medical centers (accredited under the ambulatory health care program).