Joint Commission Center for Transforming Healthcare, SCHA collaborate on high-reliability program

The Joint Commission Center for Transforming Healthcare and the South Carolina Hospital Association (SCHA) have teamed up to launch the South Carolina Safe Care Commitment. The initiative, which is the first of its kind for the center, includes 20 hospitals from seven health care systems located in South Carolina that will seek new ways to strengthen processes, systems, and structures in order to provide consistently excellent, safe patient care.

The collaboration is part of the center’s efforts to facilitate the progress of health care institutions toward high reliability in health care. High reliability is defined as consistent performance at high levels of safety over long periods of time. In other words, highly reliable health care eliminates all preventable harm and provides the safest, highest-quality care to every patient, every time.

Chief executive officers and other executives from participating South Carolina hospitals will meet regularly and participate in webinars and coaching sessions to collaborate on processes to move health care toward the same highly reliable performance found in industries such as commercial aviation and nuclear power. Success will be measured through the results of safety culture survey assessments and evidence that improvement activities have produced significant reductions in patient harm. In addition, the participating South Carolina hospitals will use a Web-based electronic application that the center has created to identify critical practices leading to high reliability and to help hospitals assess their performance.

Beyond the hospitals initially participating in the project, the collaboration between the center and the SCHA is designed to improve safety and quality in health care facilities across the state. The lessons learned about identifying the underlying causes of specific breakdowns in care and creating targeted solutions at participating hospitals will be shared with other hospitals. The focus on offering targeted, tested solutions has been a hallmark of the center, which has, through its Targeted Solutions Tool, provided a step-by-step process to assist accredited health care organizations in measuring performance, identifying barriers to excellent performance, and implementing proven solutions that are customized to address specific barriers.

For more information about the Center for Transforming Healthcare, visit

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