Joint Commission Top Performers - Crozer-Keystone Health System - PA

Published on November 18, 2013

Delaware County Memorial Hospital Earns “Top Performer on Key Quality Measures®” Recognition from The Joint Commission

DREXEL HILL, Pa. — Delaware County Memorial Hospital was named a Top Performer on Key Quality Measures® by The Joint Commission, the leading accreditor of healthcare organizations in America. DCMH was recognized by The Joint Commission for exemplary performance in using evidence-based clinical processes that are shown to improve care for certain conditions. The clinical processes focus on care for heart attack, pneumonia, surgery, children’s asthma, stroke and venous thromboembolism, as well as inpatient psychiatric services. New this year is a category for immunization for pneumonia and influenza.

DCMH is one of 1,099 hospitals in the U.S. earning the distinction of Top Performer on Key Quality Measures for attaining and sustaining excellence in accountability measure performance. The hospital was recognized for its achievement on the following measure sets: heart attack, pneumonia and surgical care. The ratings are based on an aggregation of accountability measure data reported to The Joint Commission during the 2012 calendar year. The list of Top Performer organizations increased by 77 percent from last year and it represents 33 percent of all Joint Commission-accredited hospitals reporting accountability measure performance data for 2012.

DCMH and each of the hospitals that were named as a Top Performer on Key Quality Measures must: 1) achieve cumulative performance of 95 percent or above across all reported accountability measures; 2) achieve performance of 95 percent or above on each and every reported accountability measure where there are at least 30 denominator cases; and 3) have at least one core measure set that has a composite rate of 95 percent or above, and (within that measure set) all applicable individual accountability measures have a performance rate of 95 percent or above. 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 of care for children with asthma.

“Delaware County Memorial Hospital and all the Top Performer hospitals have demonstrated an exceptional commitment to quality improvement and they should be proud of their achievement,” says Mark R. Chassin, M.D., FACP, M.P.P., M.P.H., president and chief executive officer, The Joint Commission. “We have much to celebrate this year. Nearly half of our accredited hospitals have attained or nearly attained the Top Performer distinction. This truly shows that we are approaching a tipping point in hospital quality performance that will directly contribute to better health outcomes for patients.”

“We understand that what matters most to patients at DCMH is safe, effective care,” says William McCune, president of Delaware County Memorial Hospital. “That’s why we have made a commitment to accreditation and to positive patient outcomes through evidence-based care processes. DCMH is proud to receive the distinction of being a Joint Commission Top Performer on Key Quality Measures.”

Adds Thomas Matulewski, M.D., president of the Medical and Dental Staff at DCMH, “The physicians working as a team with the nurses and all hospital employees are dedicated to these goals of excellence. We strive to be at 100 percent in all these categories; our patients’ care, safety and satisfaction are important to us. We want to provide our community with the best of care, and by achieving this recognition we hope to instill confidence in our community that our hospital team makes their health a top priority.” 

In addition to being included in The Joint Commission’s “Improving America’s Hospitals” annual report, DCMH will be recognized on The Joint Commission’s Quality Check website ( The Top Performer program will be featured in the December issues of The Joint Commission Perspectives and The Source.

“DCMH’s achievement is certainly an example of the great efforts by all of our staff throughout the Crozer Keystone Health System to provide outstanding, evidence-based care to our community,” says Eric Dobkin, M.D., FACS, FCCM, vice president of Quality and Patient Safety for Crozer-Keystone Health System. “Even more significant than these results alone is the fact that they are sustained and consistent over time. That demonstrates true excellence.”

Delaware County Memorial Hospital is a member of the Crozer-Keystone Health System. Visit to learn more about the programs and services available at DCMH and Crozer-Keystone.

Related Locations

eNewsletter Signup

Our eNewsletters from Crozer-Keystone Health System help keep you up-to-date on your health and well being. View recent editions or sign up to receive our free eNewsletters.