From the AHAP Blog: Joint Commission expands performance measurement requirements

December 19, 2025
Accreditation & Quality Compliance Advisor
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The Joint Commission has announced that it will expand performance measurement requirements for accredited general medical/surgical hospitals from four core measure sets to six, as part of The Joint Commission’s ORYX® performance measurement initiative, effective January 1, 2014.

The original four of the six measure sets, addressing acute myocardial infarction (AMI), heart failure, pneumonia and the Surgical Care Improvement Project (SCIP), will be mandatory for all general medical/surgical hospitals that serve specific patient populations.

For hospitals with 1,100 or more births per year, the perinatal care measure set will become the mandatory fifth measure set, and the sixth measure set (or fifth and sixth measure sets, for hospitals with fewer than 1,100 births per year) will be chosen by all general medical/surgical hospitals from the approved complement of core measure sets.

For more information, visit The Joint Commission website.

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