The Top Performer Certificate is awarded by Epimed Solutions to Intensive Care Units throughout the country that exhibit high performance, according to the Efficiency Matrix generated by the Epimed Monitor System.

An ICU is certified as Top Performer if, in the previous year, it has standardized mortality (SMR) and severity-adjusted resource utilization (SRU) rates according to the SAPS3 score below the lower terciles (SMR and SRU with values below the 33rd percentile).