New Dashboard Report launches for ambulatory surgery centers

Oct. 25, 2019

A new Dashboard Report is now available for Joint Commission-accredited ambulatory surgery centers (ASCs). It will provide performance measurement data on select measures and is intended to be a springboard for conversations on data, performance measures and quality improvement during the on-site survey process.

The report uses the most recent external data from the Centers for Medicare & Medicaid Services (CMS) ASC Quality Reporting website. After thorough analysis and vetting with national experts from the field, these measures were chosen for the dashboard:

·   Patient burn (ASC-1)

·   Patient fall (ASC-2)

·   Wrong site, side, patient, procedure, implant (ASC-3)

·   Hospital transfer/admission (ASC-4)

·    Percentage of patients receiving appropriate recommendation for follow-up screening colonoscopy (ASC-9)

·    Percentage of patients with history of polyps receiving follow-up colonoscopy in the appropriate time frame (ASC-10)

·    Percentage of patients who had cataract surgery and had improvement in visual function within 90 days following the surgery (ASC-11)

·    Rate of unplanned hospital visits after an outpatient colonoscopy (ASC-12)

·    Percentage of surgical patients under general/neuraxial anesthesia of 60 minutes or more who are normothermic within 15 minutes of arrival in a postanesthesia care unit (ASC-13)

·    Percentage of cataract surgery patients who have unplanned anterior vitrectomy (ASC-14)

The report — which can be found in the Continuous Compliance section of an accredited organization’s Joint Commission Connect extranet site — notes each organization’s performance on selected measures and shows that organization’s performance compared to averages at the national, state and Joint Commission level.

While the dashboard is not a scorable element on survey, it can be used as a tool to facilitate discussion about ongoing quality improvement. The Joint Commission plans to release a Dashboard Report for specialty hospitals, such as rehabilitation and inpatient psychiatric, in 2020. For more information about the Dashboard Reports, organizations should contact their account representatives.

Joint Commission has the report