POINT PLEASANT — Pleasant Valley Hospital (PVH) is one of only 1,099 hospitals in the United States that have earned the distinction of Top Performer on Key Quality Measures for attaining and sustaining excellence in accountability measure performance.
The Joint Commission, the leading accreditor of health care organizations in America, named PVH a Top Performer on Key Quality Measures. PVH was recognized for exemplary performance in using evidence-based clinical processes that are shown to improve care for certain conditions. The clinical processes focus on care for heart attack, pneumonia, surgery, children’s asthma, stroke and venous thromboembolism, as well as inpatient psychiatric services. New this year is a category for immunization for pneumonia and influenza.
As for what this means to the average patient at PVH, Agnes A. Enrico-Simon, MD and medical staff president explained: “We take patient care extremely seriously.”
Simon went on to explain PVH follows the same evidence-based standards of care found in larger hospitals across the country, saying despite PVH being a smaller hospital, the standards of care are the same as those in larger ones.
“The Joint Commission accreditation does not begin and end with the on-site survey,” Simon explained. “It is a continuous process. Every time a Pleasant Valley Hospital nurse double-checks a patient’s identification before administering a medication, every time the Pleasant Valley Hospital surgical team calls a ‘timeout’ to verify they agree they’re about to perform the correct procedure, at the correct site, on the correct patient, they live and breathe the accreditation process. Every three months, we submit data to The Joint Commission on how we treat conditions such as heart attack care and pneumonia. Every year, we evaluate our ongoing standards of compliance through a periodic performance review. The Joint Commission accreditation is woven into the fabric of health care at Pleasant Valley Hospital. I am very proud of the Pleasant Valley physicians, nursing and medical staff. This team has made Pleasant Valley Hospital a very good place to receive and give care.”
The data collected for PVH’s accreditation as a Top Performer on Key Quality Measures was collected in 2012, prior to significant staff layoffs which occurred earlier this year at the hospital. When asked if PVH would be able to achieve that “Top Performer” accreditation with less staff, Simon said the accreditation was about adhering to procedures already in place, as well as following existing protocols and exposure to continuing education, no matter the size of the workforce.
PVH was recognized for its achievement on the following measure sets: pneumonia and surgical care. Again, the ratings are based on an aggregation of accountability measure data reported to The Joint Commission during the 2012 calendar year. The list of Top Performer organizations increased by 77 percent from last year and it represents 33 percent of all Joint Commission-accredited hospitals reporting accountability measure performance data for 2012.
Pleasant Valley Hospital and each of the hospitals that were named as a Top Performer on Key Quality Measures must: 1) achieve cumulative performance of 95 percent or above across all reported accountability measures; 2) achieve performance of 95 percent or above on each and every reported accountability measure where there are at least 30 denominator cases; and 3) have at least one core measure set that has a composite rate of 95 percent or above, and within that measure set all applicable individual accountability measures have a performance rate of 95 percent or above. A 95 percent score means a hospital provided an evidence-based practice 95 times out of 100 opportunities. Each accountability measure represents an evidence-based practice – examples include giving aspirin at arrival for heart attack patients, giving antibiotics one hour before surgery, or providing a home management plan of care for children with asthma.
“Pleasant Valley Hospital and all the Top Performer hospitals have demonstrated an exceptional commitment to quality improvement and they should be proud of their achievement,” says Mark R. Chassin, M.D., FACP, M.P.P., M.P.H., president and chief executive officer, The Joint Commission. “We have much to celebrate this year. Nearly half of our accredited hospitals have attained or nearly attained the Top Performer distinction. This truly shows that we are approaching a tipping point in hospital quality performance that will directly contribute to better health outcomes for patients.”
“We understand that what matters most to patients at Pleasant Valley Hospital is safe, effective care. That’s why Pleasant Valley Hospital has made a commitment to accreditation and to positive patient outcomes through evidence-based care processes. Pleasant Valley Hospital is proud to receive the distinction of being a Joint Commission Top Performer on Key Quality Measures,” says Larry Unroe, CEO.