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Joint Commission Guide for Data Entry of Chart-Abstracted Measures for Assisted Living Community (ALC)
Applicable calendar year 01-01-23 (1Q2023) through 12-31-23 (4Q2023); As of July 1, 2023 

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Introduction

This section of the manual provides several tools to assist assisted living organizations and their vendors in understanding the order in which the aggregate data elements are entered into the Direct Data Submission Platform (DDSP).

Tool #1

Applicable to the following measures:  ALC-01, ALC-02, ALC-03, ALC-04

  • These measures are rate-based proportion measures that are not stratified.

Aggregate Data Element

Data Entry

Denominator

User enters data

  • Zero Denominator Attestation for the month will be prompted at this point in data entry.

Numerator

User enters data

Observed Rate

Calculated by DDSP

(Numerator / Denominator)

Tool #2

Applicable to the following measures:  ALC-05

  •  ALC-05 is a rate-based proportion measures that is stratified.

  •  ALC-05 requires entry of separate data for ALC-05a and ALC-05b.

Aggregate Data Element

Data Entry

ALC-05a: Number of Staff Employed

User enters data

ALC-05a:  Denominator

User enters data

  • Zero Denominator Attestation will be prompted at this point in data entry.

ALC-05a: Numerator

Calculated by DDSP

(Number of Staff EmployedDenominator)

ALC-05a: Observed Rate

Calculated by DDSP

[(Numerator / Denominator) *100]

ALC-05b: Number of Direct Care Staff Employed

User enters data

ALC-05b: Denominator

User enters data

  • Zero Denominator Attestation will be prompted at this point in data entry.

ALC-05b: Numerator

Calculated by DDSP

(Number of Direct Care Staff EmployedDenominator)

ALC-05b: Observed Rate

Calculated by DDSP

[(Numerator / Denominator) *100]

 

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