Short Demo (coming soon)for Chart-Abstracted Data Entry, Submission, and Status
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Purpose
Reference Material
Aggregate Data Entry
How to Use
Accessing the data entry tool
Chart-Abstracted Measure Submission’ data entry tool
Switch hospital or measure
Select a quarter
View and Edit data
Error Messages
Zero attestation of the Initial Population or Denominator
View Submission Status
Purpose
When selecting ‘Chart-Abstracted Measure Submission' from the menu, the ‘Chart-Abstracted Measure Submission’ page becomes available displaying the list of chart-abstracted measures. Access to the 'Chart-Abstracted Measure Submission’ data entry tool for each measure is available from this page.
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see if you have permission to enter data in the tool
navigate within the tool, switch between hospitals, measures, quarters
check submissions
Reference Material
The Joint Commission Guide for Data Entry of Chart-Abstracted Measures is posted on The Joint Commission Website. This guide defines the aggregate chart-abstracted accreditation measure data to be entered into the DDSP data entry tool.
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Within the data entry tool, information icons provide information about each data field. Hover the cursor over the information icon to see information, such as the definition of the data that has been abstracted and aggregated.
Aggregate Data Entry
HCOs aggregate and report monthly data points on chart-abstracted measures on a quarterly basis beginning with 1Q2020 data using the DDS Platform. No patient level data is submitted.
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Hospitals can attest to submitting two quarters of ePC measures (eCQMs) instead of four quarters of chart-abstracted PC measures for their Perinatal Care measures via the Chart-Abstracted Submission menu. The Perinatal Care Attestation Topic provides additional information.
How to Use
Accessing the data entry tool
The Measure Selection list shows the measures. For each measure, the list shows whether it is required or not available for data entry, each measure’s completion status by quarter and an open button. In addition, the list shows which quarters are open for data entry and, for those open, what each quarter’s submission deadline (close date) is.
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a measure by clicking the Open button in the Measure List on the right. PC-01 measure was opened. This opens the data entry tool for the selected measure.
Chart-Abstracted Measure Submission’ data entry tool
Note: Data may be changed up until the close of the quarter. After the quarter deadline there is no resubmission of data and the quarter will be shown as closed on the form.
Switch hospital or measure
Switch to another hospital or measure from the top of the measure data entry screen:
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The hospital and a dropdown hospital selection list (to switch hospitals) is in the top left corner.
Below the Need Help? button, there are two ways to switch to a different measure; either from ‘Return to Measure List’ or by directly choosing a measure from the list box next to it.
Select a quarter
Note: If a measure is not available for certain quarters then no form will be available. An example of this is the influenza immunization which does not accept data for quarters 2 and 3.
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Select a quarter by clicking one of the quarter tabs.
View and Edit data
Note: The minimum amount of data that can be entered and saved per data entry session for a measure is a complete month.
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‘Done’ becomes active when changes are detected. Click ‘Done’ when ready to save changes.
Error Messages
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All fields must have values and pass validation before data is saved. Error messages appear under any fields that failed validation. The ‘Done’ button changes to ‘Error’.
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Each field has an i information icon that provide useful information when the cursor hovers over it. The information summarizes data definition and requirements. This helps to explain validation errors.
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Zero attestation of the Initial Population or Denominator
If zero is entered for Initial Population or Denominator, zero attestation is required before saving. A zero attestation box appears and must be checked. After the box is checked, some data fields are deactivated.
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Calculated values have a blue background with white text. Click ‘Done’ to check the entered data. If the entered data passes all of the rules, the remaining fields are calculated and the data is saved.
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View Submission Status
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To view the status of data entry you can click on the i icon next to the hospital name. From there you can ‘Download Submission Report’. You can also return to the Welcome Page and click on ‘Download Report’ for the hospitals that you have permission for.