Page Comparison

·         Source Viewer: There is no Inpatient Discharge Date within the reporting period in the QRDA file. (TJC-100022)

o    Section / Element: Discharge Date

o    This error is stating that the QRDA I document does not contain a Discharge Date or that the Discharge Date is not within the Reporting Period stated within the QRDA I document (i.e., calendar quarter).  Discharge Date must be equal to or before 23:59:59 local time on the final day of the calendar quarter (reporting period).

§  Inpatient QRDA I documents rejected by this message need to be corrected by adding or updating the Discharge Date.  Once corrected, the QRDA I document needs to be re-uploaded to the DDS Platform.

§  Outpatient QRDA I documents will not contain an inpatient Discharge Date.  

§  Given that we have asked for the same zip files which were submitted to CMS to be submit to the DDS Platform, it is appropriate for these outpatient cases to be submitted since CMS will evaluate them against their ED-3 eCQM.

§  At the same time, it is correct for the DDS Platform to reject the outpatient cases since we do not utilize this measure.  You can ignore the outpatient cases when submitting your hospital’s data.

§  When using the Submit Data page, you are only submitting the QRDA I document associated to the measures that you select to submit. Since ED-3 is not an option, the outpatient cases will remain solely within your hospital’s DDSP Workspace and will not be submitted to The Joint Commission.

o    Source Viewer:There exists an unacceptable unit in the QRDA document. Enter the correct unit as definied in the eCQM logic to avoid an unexpected outcome. (TJC-100039)

o    Section / Element: Result Unit

·         This warning will only trigger when incorrect/invalid unit is provided for eCQM measure logic evaluation.

·         Below are required unit as per CY2021 eCQM-

·         1) eSTK-6 - 'mg/dL' for Laboratory Test Performed

·         2) ePC-01, ePC-02, ePC-05, ePC-06 - 'wk', 'week' or 'weeks' for Assessment Performed Gestational Age calculation.

·         3) ePC-05, ePC-06 - 'g' for Assessment Performed Birth Weight calculation.

·         Source Viewer: This effectiveTime SHALL contain exactly one [1..1] low and exactly one [1..1] high for reporting period start date and end date respectively. Reporting Period must only represent one calendar quarter with valid start and end dates within the reporting year (TJC-0007). 

o    Section / Element: Reporting Parameter

o    The Reporting Period start date must be the first day of a calendar quarter. Valid quarter start dates are: January 1, April 1, July 1 and October 1.

o    For hospital QRDA I documents, the Reporting Period end date must be the last day of the calendar quarter associated to the start date. Valid quarter end dates are: March 31, June 30, September 30 and December 31.