Shadow Mountain Behavioral Health System 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. Shadow Mountain Behavioral Health System 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 thrombo embolism, as well as inpatient psychiatric services.
Shadow Mountain Behavioral Health System 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. Shadow Mountain Behavioral Health System was recognized for its achievement on the Hospital-Based Inpatient Psychiatric Services (HBIPS) measures. 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% from its debut last year and represents 18% of more than 3,400 eligible accredited hospitals reporting data.
Each of the hospitals that were named as a Top Performer on Key Quality Measures met two 95% (95/95) performance thresholds on 2011 accountability measure data. First, each hospital achieved performance of 95% 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% 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% 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.”
In addition to being included in today’s release of The Joint Commission’s “Improving America’s Hospitals’ annual report, Shadow Mountain Behavioral Health System will be recognized on The Joint Commission’s Quality Check website. The Top Performer program will be featured in the October issues of The Joint Commission Perspectives and The Joint Commission: The Source.