04/12/99

Dennis S. O’Leary, MD
President
Joint Commission on Accreditation of Healthcare Organizations
One Renaissance Boulevard
Oakbrook Terrace, IL 60181-9888

Dear Dr. O’Leary:

The American Association for Clinical Chemistry (AACC) welcomes the opportunity to participate in your survey and recommend priority measurement areas the Joint Commission should use as standardized core measures for hospitals. Our six measurement areas are listed below, in descending order of priority. Underneath each of the core measure areas we list specific content areas for which we believe measures should be identified.

For survey purposes, AACC should be categorized as a trade and professional association. The responses of this survey reflect the consensus of a group of people whose input was actively solicited. We recommend that the data for our recommended core measures be derived from standardized administrative/billing and/or clinical/medical record data.

Our priority areas follow:

  1. Acute Myocardial Infarction
  • Patient education based on knowledge of lipid levels
  • Cardiac markers
  • EKG
  1. Diabetes
  • HbA1c testing and control
  • Lipid profile testing
  • Patient education regarding self-testing

3. Congestive heart failure

  • PTT/PT
  • Self-testing

4. Adverse drug reaction

  • Drug levels from lab (serum)
  • Type of reaction
  • Assessment of drug toxicity by measurement of drug concentration

5. Materna1/newborn complication

  • Assessment of respiratory distress syndrome risk
  • Assessment of risk of premature birth
  • CBC and comprehensive chemistry panel

6. Antibiotic use

  • MIC results from microbiology lab
  • Serum drug levels

By way of background, AACC is the principal association of professional laboratory scientists--including MDs, PhDs and medical technologists. AACC’s members develop and use chemical concepts, procedures, techniques and instrumentation in health-related investigations and work in hospitals, independent laboratories and the diagnostics industry nationwide. The AACC's objectives are to further the public interest and educational activities and to help maintain high professional standards.

If you have any questions or we may be of any assistance, please call me at (405) 271-3571 or Vince Stine, Director, Government Affairs, at (202) 835-8721.

Sincerely,

 

K. Michael Parker, PhD

President

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