ED Accreditation Update

JCAHO and CMS align performance measures

The Joint Commission on Accreditation of Healthcare Organizations and the Centers for Medicare & Medicaid Services (CMS) have been working to align their common national hospital performance in the areas of acute myocardial infarction, heart failure, pneumonia, and surgical infection prevention.

Previously, these common measures were referred to as the Joint Commission’s ORYX Core Measures and CMS’ Seventh Scope of Work Quality of Care Measures.

Now, both groups will refer to them as Hospital Quality Measures. The Specifications Manual for National Hospital Quality Measures, version 1.0 (2005), a single common quality measures manual for hospitals, is effective with discharges beginning Jan. 1, 2005.

The specification manual can be found on the Joint Commission web site at www.jcaho.org/pms/core+measures/aligned_manual.htm.

The manual contains documentation on the identical measures, as well as measures and operational processes (for example, data transmission) unique to each agency.

For example the acute myocardial infarction (AMI) section of the manual contains the common identical measures as well as two CMS test measures and the Joint Commission AMI mortality measure.

The Specifications Manual for National Implementation of Hospital Core Measures (2004) is posted on the Joint Commission web site, and this manual is in effect for hospital discharges through Dec. 31, 2004.