Catholic Medical Center Earns ‘Top Performer on Key Quality Measures™’ Recognition from The Joint Commission

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Catholic Medical Center Earns ‘Top Performer on Key Quality Measures™’ Recognition from The Joint Commission

Catholic Medical Center was named one of the nation’s Top Performers on Key Quality Measures by The Joint Commission, the leading accreditor of health care organizations in America. CMC was recognized by The Joint Commission for exemplary performance in using evidence-based clinical processes that are shown to improve care for certain conditions, including heart attack, heart failure, pneumonia, surgical care, children’s asthma, stroke and venous thromboembolism, as well as inpatient psychiatric services.

CMC is one of 620 hospitals in the U.S. earning the distinction of Top Performer on Key Quality Measures for attaining and sustaining excellence in accountability measure performance. CMC was recognized for its achievement on the following measure sets: Heart Attack, Heart Failure, Pneumonia, and Surgical Care. The ratings are based on an aggregation of accountability measure data reported to The Joint Commission during the 2011 calendar year. The list of Top Performers increased by 50 percent from its debut last year and represents 18 percent of accredited hospitals reporting data.

Each of the hospitals that were named as a Top Performer on Key Quality Measures 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.

“When we raise the bar and provide the proper guidance and tools, hospitals have responded with excellent results,” says Mark R. Chassin, M.D., FACP, M.P.P., M.P.H., president, The Joint Commission. “This capacity for continual improvement points toward a future in which quality and safety defects are dramatically reduced and high reliability is sought and achieved with regularity. Such 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 understand that what matters most to patients at Catholic Medical Center is safe, effective care. That’s why CMC has made a commitment to accreditation and to positive patient outcomes through evidence-based care processes. We are proud to be named to the list of The Joint Commission’s Top Performers on Key Quality Measures,” says Dr. Joseph Pepe, President and CEO, Catholic Medical Center.

In addition to being included in today’s release of The Joint Commission’s “Improving America’s Hospitals” annual report, Catholic Medical Center will be recognized on The Joint Commission’s Quality Check website (www.qualitycheck.org). The Top Performer program will be featured in the November issue of The Joint Commission Perspectives and the October issue of The Joint Commission: The Source.

Proof of Excellence

CMC and our staff have earned the following awards.

Award		Award Description

		CMC Receives Full Accreditation for 3 Years with Commendation from the Commission on Cancer The Commission on Cancer (CoC) is a nationally recognized multidisciplinary accreditation program. By working with its national partners, the CoC has developed comprehensive, patient-centered standards for cancer programs.

		2013: Anthem Blue Cross and Blue Shield of New Hampshire has designated Catholic Medical Center as a Blue Distinction® Center for Spine Surgery(SM). Blue Distinction® Centers are hospitals recognized for their expertise in delivering specialty care. For more information please visit http://www.bcbs.com/bluedistinction.*

		2013: Anthem Blue Cross and Blue Shield of New Hampshire has designated Catholic Medical Center as a Blue Distinction® Center for Knee and Hip Replacement (SM). Blue Distinction® Centers are hospitals recognized for their expertise in delivering specialty care. For more information please visit http://www.bcbs.com/bluedistinction.*


		America's 100 Best Hospital for Cardiac Care and Coronary Intervention. The New England Heart Institute at Catholic Medical Center delivers patient results that meet high standards and criteria for cardiac excellence. Source: HealthGrades, a national leader for physician information and hospital quality ratings. HealthGrades analyzes data from all of the nation's 5,000 non-federal hospitals, and its free website is searched by 200 million healthcare consumers a year.

		First hospital in the state to perform a mechanical heart/left ventricular assist device implant.

		First hospital in the state for neonatal unit based on "couplet care, a philosophy and care model that keeps mother and baby together in large nurturing suites and state-of-the-art monitoring technologies.

		Top 10% in the nation for patient satisfaction. Determined by the analysis of survey data from 3,837 U.S. hospitals. Awarded hospitals must meet bed size, survey response size and clinical quality thresholds in order to be eligible for the award. Source: HealthGrades, a national leader for physician information and hospital quality ratings. HealthGrades analyzes data from all of the nation's 5,000 non-federal hospitals, and its free website is searched by 200 million healthcare consumers a year.

		Bariatric Center of Excellence designation for Obesity Treatment Center

		‘Top Performer on Key Quality Measures™’ Recognition from The Joint Commission CMC was recognized for its achievement on the following measure sets: Heart Attack, Heart Failure, Pneumonia, and Surgical Care.

		Catholic Medical Center receives Get With The Guidelines-Stroke Silver Quality Achievement Award. The award recognizes CMC’s commitment and success in implementing a higher standard of stroke care by ensuring that stroke patients receive treatment according to nationally accepted standards and recommendations.

		CMC receives a 3 star rating by the Society of Thoracic Surgeons The Society of Thoracic Surgeons has developed a comprehensive rating system for the quality of cardiac surgery among hospitals across the country. Approximately 12-15% of hospitals received the 3 star rating which denotes the highest category of care. Since January 2010 the cardiac surgery performance of our hospital was found to lie in the highest quality tier, thereby receiving an STS 3 star rating.

		Named to Harvard Pilgrim's 2012 Hospital Honor Roll The Hospital Honor Roll names those hospitals whose performance was among the top 25% of those measured nationally on a set of composite quality metrics. The metrics evaluate clinical process of care, patient experience and patient safety and are based on CMC Hospital Compare and Leapfrog data.

^{*Blue Distinction® Centers met overall quality measures for patient safety and outcomes, developed with input from the medical community. Blue Distinction® Centers+ also met cost measures that address consumers’ need for affordable healthcare. Individual outcomes may vary. National criteria is displayed on www.bcbs.com. A Local Blue Plan may require additional criteria for facilities located in its own service area. To find out which services and providers (including hospital based physicians) are covered under your policy, or to learn about Local Blue Plan Criteria, contact your Local Blue Plan; and contact your provider before making an appointment to verify its current Network and Blue Distinction Centers status. Each hospital’s Cost Index is calculated separately, based on data from its Local Blue Plan. Hospitals in portions of CA, ID, NY, PA, and WA may lie in areas served by two Local Blue Plans, resulting in two Cost Index figures; and their own Local Blue Plans decide whether all hospitals in these areas must meet Blue Distinction Centers+ national criteria for one or both Cost Index figures. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for damages, losses, or non-covered charges resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. To find out more, contact your Local Blue Plan.}