JOINT COMMISSION CENTER FOR TRANSFORMING HEALTHCARE
One Renaissance Blvd, Oakbrook Terrace, IL 60181 www.centerfortransforminghealthcare.org

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Organizations Filed Purposes: The Center for Transforming Healthcare's (the Center) mission is to perform the functions of and to support the mission of The Joint Commission, a related tax-exempt organization. The Center's programs are dedicated to transforming health care into a high-reliability industry by developing highly effective, durable solutions to health care's most critical safety and quality problems in collaboration with health care organizations, by disseminating the solutions widely, and by facilitating their adoption.

QUALITY OF CARE/PATIENT SAFETY - THE JOINT COMMISSION CENTER FOR TRANSFORMING HEALTHCARE WORKS WITH A NETWORK OF LEADING HOSPITALS AND HEALTH SYSTEMS TO DEVELOP SOLUTIONS TO THE MOST PRESSING QUALITY AND SAFETY PROBLEMS FACING HEALTH CARE ORGANIZATIONS TODAY. THESE HOSPITALS AND HEALTH SYSTEMS HAVE A COMMITMENT AND COMPETENCY IN APPLYING ROBUST PROCESS IMPROVEMENT (RPI) METHODS AND TOOLS TO IMPROVE HEALTH CARE QUALITY AND PATIENT SAFETY. THESE METHODS INCLUDE LEAN SIX SIGMA AND CHANGE MANAGEMENT TOOLS TO ACHIEVE HIGH RELIABILITY. SOLUTIONS AND TOOLS DEVELOPED AS A RESULT OF THESE PROJECTS ARE AVAILABLE AT NO CHARGE TO JOINT COMMISSION-ACCREDITED ORGANIZATIONS. THERE ARE THIRTEEN PROJECTS UNDER THIS PROGRAM: 1) HAND HYGIENE PROJECT FOR IMPROVING PATIENT SAFETY TO LIMIT HOSPITAL ACQUIRED INFECTIONS THROUGH THE INCREASED USE OF HAND HYGIENE TECHNIQUES. 2) HAND-OFF COMMUNICATIONS FOR TRANSFER AND ACCEPTANCE OF PATIENT CARE RESPONSIBILITY ACHIEVED THROUGH EFFECTIVE COMMUNICATION 3) SAFE SURGERY TO REDUCE THE RISKS OF WRONG SITE, WRONG SIDE AND WRONG PATIENT SURGICAL PROCEDURES 4) SURGICAL SITE INFECTIONS (SSI) WHICH AIMS TO REDUCE INFECTIONS IN PATIENTS HAVING COLORECTAL SURGERY 5) PREVENTING AVOIDABLE HEART FAILURE HOSPITALIZATIONS FOR PEOPLE WITH HEART FAILURE 6) IMPROVED SAFETY CULTURE THAT REINFORCES AND SUPPORTS THE PREVENTION OF PATIENT HARM 7) PREVENTION OF FALLS THAT OCCUR IN HEALTH CARE FACILITIES THAT RESULT IN INJURY. 8) REDUCING SEPSIS MORTALITY 9) SAFE USE OF INSULIN 10) REDUCING CLOSTRIDIUM DIFFICILE INFECTIONS 11) PREVENTING VENOUS THROMBOEMBOLISM (VTE) 12) PREVENTING HOSPITAL-ACQUIRED PRESSURE INJURIES 13) PREVENTING FALLS WITH INJURY IN A HOME HEALTH SETTING

HIGH RELIABILITY IN HEALTH CARE TRAINING PROGRAMS - LEADERSHIP COMMITMENT TO ZERO PREVENTABLE HARM, A CULTURE OF SAFETY AND EFFECTIVE PROCESS IMPROVEMENT ARE ESSENTIAL COMPONENTS ON THE JOURNEY TO HIGH RELIABILITY IN HEALTH CARE. IN 2016, THE JOINT COMMISSION CENTER FOR TRANSFORMING HEALTHCARE DEVELOPED COMPREHENSIVE HIGH RELIABILITY IN HEALTH CARE TRAINING PROGRAMS, WHICH OFFER A DISCIPLINED, PRACTICAL APPROACH THAT BRINGS NEW STAKEHOLDERS TO THE TABLE AND SUSTAINABLE SOLUTIONS TO THE MOST PERSISTENT PROBLEMS IN HEALTH CARE THAT GO FAR BEYOND THE WALLS OF THE HOSPITAL. CUSTOMIZED TRAINING PROGRAMS ARE OFFERED IN PARTNERSHIP TO HIGH RELIABILITY (BUILDING AND STRENGTHENING THE HIGH RELIABILITY DOMAINS OF LEADERSHIP AND PERFORMANCE IMPROVEMENT THROUGH ENGAGEMENT WITH LEADERSHIP AND STAFF), RPI TRAINING FOR GREEN BELTS OR CHANGE LEADERS (A COMPREHENSIVE PROGRAM THAT INCLUDES TRAINING IN LEAN SIX SIGMA AND CHANGE MANAGEMENT METHODS AND TOOLS), LEADERSHIP CHANGE MANAGEMENT TRAINING (LEADERS FACILITATING CHANGE TRAINING AND MEETING FACILITATION TRAINING), AND FACILITATION OF THE ORO 2.0 HIGH RELIABILITY ORGANIZATIONAL ASSESSMENT (ALLOWS SENIOR LEADERS IN A HOSPITAL TO SELF-ASSESS THEIR STAGE OF MATURITY IN 14 AREAS OF PERFORMANCE THAT ARE CRITICAL FOR ADVANCING FROM LOW-TO-HIGH RELIABILITY AND THE GOAL OF ZERO PREVENTABLE HARM).

PATIENT SAFETY & QUALITY PROGRAM (HIGH RELIABILITY HEALTH CARE) - HIGH RELIABILITY HEALTH CARE REFERS TO PATIENT CARE THAT IS CONSISTENTLY EXCELLENT AND SAFE OVER LONG PERIODS ACROSS ALL SERVICES AND SETTINGS. THE JOINT COMMISSION CENTER FOR TRANSFORMING HEALTH CARE DEVELOPED THE ORO 2.0 HIGH RELIABILITY ORGANIZATIONAL ASSESSMENT TO HELP HOSPITALS REFLECT ON 14 AREAS OF PERFORMANCE THAT ARE CRITICAL ASPECTS OF THE HIGH RELIABILITY JOURNEY, INCLUDING LEADERSHIP COMMITMENT TO ACHIEVING THE ULTIMATE GOAL OF ZERO PATIENT HARM, ACTING ON THIS COMMITMENT BY EMBEDDING A FULLY FUNCTIONAL CULTURE OF SAFETY THROUGHOUT THE ORGANIZATION, AND PROMOTING WIDESPREAD DEPLOYMENT OF HIGHLY EFFECTIVE PROCESS IMPROVEMENT TOOLS. ORO 2.0 ALLOWS SENIOR LEADERS IN A HOSPITAL TO SELF-ASSESS THEIR STAGE OF MATURITY IN 14 AREAS OF PERFORMANCE THAT ARE CRITICAL FOR ADVANCING FROM LOW TO HIGH RELIABILITY AND THE GOAL OF ZERO PREVENTABLE HARM THROUGH A SERIES OF COMPREHENSIVE REPORTS THAT PROVIDE IMPORTANT INFORMATION ABOUT ORGANIZATIONAL STRENGTHS, GROWTH OPPORTUNITIES, AND TARGET AREAS. THE CONTINUED USE OF ORO 2.0 WILL ALLOW ORGANIZATIONS TO TRACK PROGRESS OVER TIME ON THE JOURNEY TO HIGHLY RELIABLE HEALTH CARE. COMPLETION OF ORO 2.0 CAN HELP HOSPITAL LEADERS IDENTIFY ORGANIZATIONAL STRENGTHS AND AREAS THAT REPRESENT THE MOST PRESSING OPPORTUNITIES FOR IMPROVEMENT. During 2019 there were no contractual services for this program. Therefore, there are no revenues or expenses.

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