Even as Joint Commission has expanded its attention on quality improvement activities in the hospital, hospitals that do not rely on “deemed status” based on their Joint Commission survey will have to meet the CMS conditions of participation which now require the hospital to develop, implement and maintain a data driven quality assessment and performance improvement program (42 CFR § 482.21) which must rely on quality indicator data. The Board itself is held accountable for the operation of the program. (42 CFR § 482.21(e)). This reemphasis should further propel hospital boards in stewarding the data driven quality improvement of their organizations.