"You look through the literature and see, the median performance on hand hygiene in hospitals around the world is 40%. Communication in transitions and coordination fails 40, 50, 60% of the time. And there are lots and lots of processes that work way under the 90%–95% level."
Chassin said that while growing numbers of hospitals are reaching the thresholds set by The Joint Commission, things will get tougher next year.
That's because starting Jan. 1, 2014, TJC-accredited hospitals will have to submit not four, but a minimum of six measure sets for evaluation, including one with five measures of perinatal quality in that measure set.
"We will be requiring that all hospitals with more than 1,100 deliveries report those measures because they are so essential to the improvement of moms and babies," Chassin said.