Duke University Health System participates in many national and state performance measure programs to help us improve our care and help you stay informed.
Below you will find descriptions and links to these programs.
This group is a collaboration between the Centers for Medicare and Medicaid Services (CMS) and organizations that represent hospitals, doctors, employers, accrediting organizations, other federal agencies, and the public.
It tracks 20 measures of care. The measures reflect recommended treatments for heart attack (acute myocardial infarction), heart failure, pneumonia, and surgical infection prevention. Data is gathered from the patient’s medical record.
The Joint Commission (TJC) is an independent, not-for-profit organization that evaluates and accredits more than 15,000 health care organizations and programs in the United States.
All Duke University Health System entities are accredited by the TJC. The data available from TJC on quality and safety is collected through on-site inspections and from the patients’ medical records.
Leapfrog is an initiative driven by health care purchasers such as employer groups. It reports on four hospital measures: computerized physician order entry, evidence-based hospital referrals, high-risk treatments, and safe practices.
Duke University Hospital and Duke Regional Hospital report on these measures. These data are generated through the hospitals’ response to a survey provided by Leapfrog. Some survey questions require data collection from the patients’ medical records.
This site from the North Carolina Center for Hospital Quality and Patient Safety and the NC Hospital Association reports on quality measures for hospitals in North Carolina and lets you compare hospitals within a region.
NC Hospital Quality Report measures reflect recommended treatments for heart attack, heart failure, pneumonia, and surgical infection prevention.
Visit NC Hospital Quality Report
HealthGrades gathers information on hospitals and physicians. It provides quality ratings for 28 procedures in hospitals.