The Joint Commission has implemented several changes to show quality and performance improvements. First it has expanded the performance measurement requirement for accredited general surgical/medical hospital from four core measures sets to six (The Joint Commission, 2014). This change was implemented from January 2014.According to the new performance measurement, out of the six measure sets, four are mandatory for the hospitals that serve special patient populations addressed by both the measure sets as well as the related measures (The Joint Commision., 2014). For hospitals that experience more than 1100 births annually, a fifth measure set will be mandatory, and this ...
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