How Does Research Medical Center Compare in Heart Care?

What are Core Measures?

Core measures are a set of care processes which were initially developed by The Joint Commission, the accrediting body responsible for setting standards for healthcare. The purpose of these standards is to improve the quality of healthcare by implementing a national, standardized performance measurement system. These measures will now be used  by the Centers for Medicare and Medicaid Services (CMS) for reimbursement because the evidence has supported the theory that by using these  measures, there is reduced risk of complications, prevention of recurrences and otherwise standardized treatment for better patient care.

Comparing Performance

Hospitals across the country have been measured and compared by The Joint Commission on its performance in these Core Measures. This data “lags” so that all facilities can be compared equally across time. The information is posted to the Joint Commission website and the www.cms.gov website, on hospital compare. 

What are each of the Core Measures?

There are four categories (acute myocardial infarction, community-acquired pneumonia, congestive heart failure, and surgical care improvement project). Under each category, key actions are listed that represent the most widely accepted, research-based care process for appropriate care.

What are Core Measures and Why are They Important?

• In 1999 the Joint Commission (a governing body that accredits healthcare institutions) created a Cardiovascular Conditions Clinical Advisory Panel in a quest for “core” measures of hospital care.
• A Core Measure is an evidenced-based performance measure that is a process measure (how care is provided). 
• In 2001, the Joint Commission announced an expansion to four of these “core measures” which are: acute myocardial infarction (heart attack), heart failure, pneumonia and surgical care improvement. 
• The Joint Commission partnered with CMS and this became the basis for the 7th Scope of Work and for accreditation of hospitals. 
• Hospitals started collecting data on July 1, 2002. 
• In November 2003, CMS and the Joint Commission agreed on one common set of measure specifications. 
• Healthcare facilities must meet the four measures to be in compliance with both organizations. 
• 70 percent of the reimbursement from CMS to hospitals will center on meeting these measures. 
• For Joint Commission accreditation after January 2012, healthcare facilities must achieve at least an 85 percent compliance on 22 of these measures in order to pass its accreditation. 

Everyone plays a role in helping their organization to achieve this level of success. We owe it to ourselves and to our patients.