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Friday 5:25 CST, December 14, 2018

Targeted Solutions Tool®

Targeted Solutions Tool® (TST®): A unique online application

Developed by the Joint Commission Center for Transforming Healthcare, the Targeted Solutions Tool (TST) is a unique online application that helps both domestic and international Joint Commission-accredited organizations solve some of the most persistent health care quality and safety problems. Through a step-by-step process, the TST guides organizations in accurately measuring their actual performance, identifying their barriers to excellent performance, and then directing them to proven solutions that are customized to address each organization’s specific barriers.

The TSTs...

  • are confidential and separate from accreditation – surveyors to do not have access to data
  • allow organizations to work at their own pace
  • are accessible via

Four TSTs currently available to our domestic and international customers…

Targeted solutions: How they are identified

The Center uses Robust Process Improvement® (RPI®) methodology to solve complex issues in health care. RPI is a fact-based, systematic, and data-driven problem-solving approach that incorporates the tools and concepts from Lean Six Sigma and Change Management methodologies, and is a key component to achieving high reliability. The Center participants, which include some of the nation’s leading hospitals and health systems, have a great deal of experience using RPI concepts and tools. The goal is to share the work of the Center through the TST. The TST guides organizations through RPI methodology to accurately measure their baseline performance, identify their root causes, and direct them to proven solutions that are customized to address each of their specific root causes without the user needing Lean Six Sigma or Change Management expertise.

Requesting access to a TST

Both domestic and international staff at a Joint Commission accredited organization can request access to the tool by going to the TST tab on the Center website and clicking the ‘Request Access’ button.

TST: How it works

  • Staff select a project and assemble a project team.
  • Following the step-by-step processes outlined in the TST, staff enter data on their current performance within the TST.
  • The TST automatically generates charts and graphs to track performance and identify problem areas.
  • After a short baseline data collection period, the project team implements proven solutions that are customized to address their specific barriers to performance excellence.
  • After improvements are put in place, ongoing performance data is collected and entered into the TST and the TST creates new charts and graphs to highlight the improvement between their baseline and improved performances.
  • Continuous improvement is measured and tracked through the TST to help ensure sustainability.

Who do I contact with questions about the TST?

Call Joint Commission Customer Service at (630) 792-5800 or send an e-mail to with your name, organization name and organization number. We will respond to your e-mail within two business days.


Visit Our Websites:


The Joint Commission       Joint Commission Resources       Joint Commission International

log in tst
Req Access Falls TST

TST Brochure

In Your Own Words…

If you’ve utilized the Joint Commission Center for Transforming Healthcare Targeted Solutions Tools® or Oro™ 2.0, or have participated in any of our training programs, we invite you to share your experience. Simply Click Here to provide a few highlights about lessons learned, insights gained, results achieved--In Your Own Words…