New High-Reliability Organizational Assessment Available for Hospital Leadership Teams


The Joint Commission Center for Transforming Healthcare has released Oro™ 2.0, an online high reliability assessment and resource library designed to assist hospital leaders with determining their organization’s level of maturity in multiple components of high reliability and striving for the goal of zero preventable harm.

Oro 2.0 is a Web-based assessment for hospital leadership that is accessible on the Center for Transforming Healthcare website. The assessment process guides the leadership team through a series of questions which allows for discussion and alignment on key strategic performance issues.   

Once an assessment is completed, a report is generated that identifies strengths and opportunities for improvement and directs the user to resources specific to their organization’s high-reliability maturity level. The content included in the Oro 2.0 Resource Library focuses on the areas of leadership commitment, safety culture and performance improvement.

“We developed Oro 2.0 because we are seeing limited progress in health care improvement today. High reliability in healthcare is excellence in patient care for every patient, every time. With the assessment, it is our goal to engage hospital leaders in the high reliability journey through a consensus-driven process that guides them to a transformative perspective regarding their approach to zero harm and organizational performance,” says Erin DuPree, MD, FACOG, vice president and chief medical officer at Joint Commission Center for Transforming Healthcare. “Leaders at the hospitals where we pilot tested the assessment have said it helped them to align their team because it provided a clear vision of where they are today on the high reliability journey. The quality of the Oro 2.0 assessment depends on ability of the senior leadership team to express humility and honesty through the process.”

Based on the content published by Joint Commission President Mark Chassin, MD, and the late Jerod Loeb, MD, in Health Affairs and The Milbank Quarterly, the work to develop Oro 2.0 began in 2011 and it was pilot tested by more than 50 hospitals.

Oro 2.0 is complimentary to Joint Commission-accredited hospitals and may be accessed through the Center’s website or on their secure Joint Commission Connect extranet. Data is completely separate from accreditation and no information is shared with Joint Commission surveyors.

The Center is grateful for the generous leadership and support of the American Hospital Association, Blue Cross and Blue Shield Association and Medline Industries, as well as the support of GOJO Industries, Inc. and The ARAMARK Charitable Fund.

Source: Joint Commission Center for Transforming Healthcare 

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