The 4 metrics The Joint Commission uses to determine accountability measures

The Joint Commission explained how it calculates and determines accountability measures.

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The Joint Commission categorizes its performance measures into both accountability and non-accountability measures to emphasize an organization’s performance. Accountability measures have to meet four criteria to demonstrate improvement.

The four metrics are:

1. Research — A measure has to demonstrate it improves outcomes through evidence-based care

2. Proximity — The measure must have a direct impact on patient outcomes

3. Accuracy — The measure has to accurately assess that the care process has been provided and that it was provided accurately

4. Adverse effects — The measure should have no adverse effects

If a measure meets all four criteria, it should be used for accountability reasons like accreditation, public reporting or pay-for-performance. Other measures should not be ignored however. Accountability measures can be “useful for quality improvement, exploration and learning within healthcare organizations.”

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