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CY2022 ORYX Requirements for [HAP PSYCH] Freestanding Psychiatric Hospitals

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How are [HAP PSYCH] Freestanding Psychiatric Hospitals defined as it relates to ORYX Requirements?

HAP PSYCH are defined as a "Freestanding" Psychiatric Facility licensed and separately accredited as freestanding psychiatric hospital; it is not a unit within a hospital that is surveyed at the same time as the hospitals and shares an HCO ID #.

For The Joint Commission, ORYX performance measurement requirements are specifically applicable to organizations accredited under the Hospital Accreditation Program (HAP).

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  • Chart-abstracted measures are submitted for all four (4) quarters unless otherwise noted.

  • In order to meet ORYX requirements, submitted measures must be applicable to patient population/services offered.

[HAP PSYCH] FREESTANDING PSYCHIATRIC HOSPITALS

REQUIRED MEASURES: The following four measure are required:

HBIPS-1 (CAM): Admission Screening

HBIPS-2 (CAM): Hours of Physical Restraint Use

HBIPS-3 (CAM): Hours of Seclusion Use

HBIPS-5 (CAM): Antipsychotic Medications at Discharge

Available Optional Chart-Abstracted Measures

IMM-2 (CAM): Influenza Immunization

NOTE: IMM-2 is a seasonal measure; only 1Q and 4Q data are submitted

SUB-2 (CAM): Alcohol Use Brief Intervention

SUB-3 (CAM): Alcohol & Drug Use Treatment at Discharge

TOB-2 (CAM): Tobacco Use Treatment

TOB-3 (CAM): Tobacco Use Treatment at Discharge

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