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Starting with CY2023, hospitals required or electing to submit eCQMs must submit all four (4) quarters of data to The Joint Commission. This is a change / increase from CY2022 reporting of three (3) quarters.

Hospitals who are required but unable to submit eCQMs and have requested and been granted an extenuating circumstance from The Joint Commission, will be required to instead submit a minimum of three chart-abstracted measures for the full CY2023 calendar year.

• In no case may an eligible Hospital or Critical Access Hospital be granted an extenuating circumstance exception for more than five consecutive years.  This is in alignment with CMS.

Due to the discontinuation of the DDSP hosted by Apervita as a result of that company’s closure, CY2021, CY2022, CY2023 ORYX performance measurement deadlines were delayed; a new Joint Commission DDSP became available the second half of CY2022. Hospitals submitted CY2021, CY2022, CY2023 on a modified timeline. CY2024 data submission is expected to return to a “normal” schedule.