The Joint Commission annual report provides performance data for United States hospitals across a range of accountability measures and highlights changes associated with quality measurement. In 2016, hospital performance on accountability measures remained strong. Although the composite accountability score decreased slightly, this result is thought to be due to the fact that measures were retired that had high performance in the past. In 2016, 59.6% of hospitals achieved overall composite performance of greater than 95%. The report also describes the Pioneers in Quality program, which was designed to facilitate hospital reporting of electronic clinical quality measures. In 2016, 470 hospitals reported electronic clinical quality measure data compared to only 34 in 2015. In a PSNet interview, the president and chief executive officer of The Joint Commission discusses high reliability in health care.