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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 Organizations submit CY2021, CY2022, CY2023 on a modified timeline. CY2024 data submission is expected to return to a “normal” schedule.

Information on resubmission is pending.