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CY2025 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 |
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REQUIRED MEASURES: The following two measure are required: |
HBIPS-2 (CAM) Hours of Physical Restraint Use |
HBIPS-3 (CAM) Hours of Seclusion Use |
REQUIRED: In addition to the above required measures, your hospital must also submit a minimum of one (1) additional chart-abstracted measure from those listed below: |
IMM-2 (CAM) Influenza Immunization NOTE: IMM-2 is a seasonal measure; only 1Q and 4Q data are submitted |
SUB-3 (CAM) Alcohol & Drug Use Treatment at Discharge |
SDOH-1 (CAM) Screening for Social Drivers of Health NOTE: SDOH measures are not submitted quarterly, but are instead submitted annually in alignment with the 4Q CAM submission deadline. |
SDOH-2 (CAM) Screen Positive Rate for Social Drivers of Health NOTE: SDOH measures are not submitted quarterly, but are instead submitted annually in alignment with the 4Q CAM submission deadline. |
SUB-2 (CAM) Alcohol Use Brief Intervention |
SUB-3 (CAM) Alcohol & Drug Use Treatment at Discharge |
TOB-3 (CAM) Tobacco Use Treatment at Discharge |
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See also: ORYX FAQs Measure Requirements: By Organization Type:5. Measure Requirements: By Organization Type
Return to: ORYX Performance Measurement Reporting Requirements Main Page:
https://jointcommission-ddsp.atlassian.net/wiki/spaces/DCS/pages/403472385