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Joint Commission Begins Public Reporting of Two Hospital Perinatal Care Measures

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On Feb 1, 2021, the Joint Commission began publicly reporting hospital performance on two ORYX® perinatal care measures: one that measures cesarean birth rates, (PC-02); and another that measures unexpected complications in term newborns, (PC-06). Joint Commission-accredited hospitals’ performances on these two measures are reported on the Quality Check® website.

The Cesarean Birth measure, PC-02, measures the rates of cesarean births among a subset of the general obstetric population of low-risk women having their first birth (Nulliparous) with a Term, Singleton baby in a Vertex (head down) position (NTSV). The Joint Commission is using data reported by hospitals during 2018 and 2019, along with the following three criteria, to determine a hospital’s PC-02 rating: 

  1. Greater than or equal to 30 cases reported during both years 
  2. PC-02 rate measures greater than 30% for 2019 
  3. Overall aggregate PC-02 rate for 2018-19 is greater than 30%*

As previously reported (AHT, 2/6/2020) were to report on these measures by July 1, 2020. However, in March 2020, the Joint Commission delayed its initial implementation of the public reporting due to the impact of COVID-19 on hospitals. However, 2019 fourth quarter data analysis showed that most hospitals continued to submit data for the ORYX® measures, which allowed reporting plans to resume.

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