GHS Earns ‘Top Performer on Key Quality Measures™’ Recognition from The Joint Commission


Granville Health System (GHS) was named one of the nation’s Top Performers on Key Quality Measures by The Joint Commission, the leading accreditor of health care organizations in America. GHS was recognized by The Joint Commission for exemplary performance in using evidence-based clinical processes that are shown to improve care for certain conditions, including heart attack, heart failure, pneumonia, surgical care, children’s asthma, stroke and venous thromboembolism, as well as inpatient psychiatric services.

Granville Health System is one of 620 hospitals in the U.S. earning the distinction of Top Performer on Key Quality Measures for attaining and sustaining excellence in accountability measure performance. GHS was recognized for its achievement on the following measure sets: pneumonia and surgical care. The ratings are based on an aggregation of accountability measure data reported to The Joint Commission during the 2011 calendar year. The list of Top Performers increased by 50 percent from its debut last year and represents 18 percent of accredited hospitals reporting data.

Granville Health System shares this distinction with a select number of area hospitals including Duke University Hospital, Durham Regional Hospital, Rex Healthcare and Duke Raleigh Hospital.

Each of the hospitals that were named as a Top Performer on Key Quality Measures met two 95 percent (95/95) performance thresholds on 2011 accountability measure data. First, each hospital achieved performance of 95 percent or above on a single, composite score that includes all the accountability measures for which it reports data to The Joint Commission, including measures that had fewer than 30 eligible cases or patients. Second, each hospital met or exceeded 95 percent performance on every accountability measure for which it reports data to The Joint Commission, excluding any measures with fewer than 30 eligible cases or patients. A 95 percent score means a hospital provided an evidence-based practice 95 times out of 100 opportunities to provide the practice. Each accountability measure represents an evidence-based practice – for example, giving aspirin at arrival for heart attack patients, giving antibiotics one hour before surgery, and providing a home management plan for children with asthma.

“When we raise the bar and provide the proper guidance and tools, hospitals have responded with excellent results,” says Mark R. Chassin, M.D., FACP, M.P.P., M.P.H., president, The Joint Commission. “This capacity for continual improvement points toward a future in which quality and safety defects are dramatically reduced and high reliability is sought and achieved with regularity. Such day-to-day progress will slowly but surely transform today’s health care system into one that achieves unprecedented performance outcomes for the benefit of the patients.”

“This recognition showcases the commitment made by our Board of Trustees and medical staff to ensure that our patients receive the best care possible,” said L. Lee Isley, GHS Chief Executive Officer. “The hard work of our physician leaders and staff illustrates Granville Health System’s dedication to quality improvement and supports our continued commitment to provide excellent service to the community.”

The award also highlights an ongoing quality and improvement program that Granville Health System has implemented with great success. In fact, the American Alliance of Healthcare Providers (AAHP) named GHS as one of the top 10 hospitals in the country in their 2012 Hospital of Choice Awards which recognizes hospitals that go beyond their walls in pursuit of excellence and quality care. Top 10 organizations have developed collaborative relationships with patients and worked with physicians and other health care organizations in the community to ensure a high level of patient safety.

GHS has worked closely with the NC Center for Hospital Quality and Patient Safety on a number of initiatives including the NC Prevent CAUTI Collaborative, North Carolina Surgical Care Improvement Project (NCSCIP) and North Carolina System for Healthcare Infection Measurement (NC SHIM).

In addition to being included in today’s release of The Joint Commission’s “Improving America’s Hospitals” annual report, Granville Health System will be recognized on The Joint Commission’s Quality Check website ( The Top Performer program will be featured in the November issue of The Joint Commission Perspectives and the October issue of The Joint Commission: The Source.

Granville Health System provides quality care to more than 86,000 patients a year and has over 100 experienced physicians representing numerous specialties on its medical staff. The main campus is located at 1010 College Street, Oxford, North Carolina.

For more information about Granville Health System visit GHS online at

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