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Topics Covered in this section:

  • Verifying ORYX Requirements via HCO Characteristics

  • Chart-abstracted data - verifying data is submitted and Submission Report

  • eCQM data - verifying data is submitted and Submission Report

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Verifying ORYX Requirements via HCO Characteristics

  1. ORYX Requirements are determined by organization type, service, and volume

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3. There are currently 3 programs (ALC, CAH, HAP) and 3 sub types of HAP1 (Large, Small, Psych) with ORYX requirements:

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1 Organizations can have multiple program types, e.g., both HAP and CAH
2 HAP Large requirements are further determined by obstetrical services

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NOTE: the screenshot below is for example only and should not be used to determine requirements for your organization.

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Chart-abstracted data: verifying data is entered & Submission Report

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For additional information on chart-abstracted data submission, refer to the Chart-abstracted measuresHelp/Confluence contents: https://jointcommission-ddsp.atlassian.net/wiki/spaces/DCS/pages/19464193

6. For those organizations with specific required measures, those measures will be indicated in blue italic text as: (Required)”.

  • If an organization submits an optional measure for the first calendar quarter, that measure becomes required for the full calendar year; organizations may not stop/start measures mid-year with the exception of unit closures (i.e. closure of an obstetrical unit).

  • When chart-abstracted data is submitted, the measure will show as “Complete”.

  • When chart-abstracted data is entered for some months of a quarter, the measure will show as “In Progress”.

  • When a chart-abstracted data is not entered for a required measure, it will show as “Not Started”.

  • Any measure showing as “Not started” or “In Progress” is not submitted and the requirement is not met.

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9. The Joint Commission’s DDSP Support Staff and HCO ORYX email staff are not able to individually verify submission status.

  • All organizations, including those using a vendor / or consultant, are responsible for verifying their data is submitted on time, correctly, and as expected prior to established deadlines.

  • Users with access to the DDSP should download the submission report from the DDSP homepage as verification / proof of submission and verify the report reflects the data submitted.

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eCQM data: verifying data is submitted & Submission Report

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For additional information on eCQM data submission, refer to the eCQMs Help/Confluence contents: https://jointcommission-ddsp.atlassian.net/wiki/spaces/DCS/pages/24936467

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