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Date of Modification

Section

Original Information

Modified Information

Reason

3/4/2024

All

Retired HBIPS-5

n/a

The Joint Commission retired HBIPS-5 as of 12/31/2023 discharges. TOB-2/2a information will remain within the Guide until 2023 data can no longer be resubmitted.

3/4/2024

All

Retired TOB-2/2a

n/a

The Joint Commission retired TOB-2/2a as of 12/31/2023 discharges. TOB-2/2a information will remain within the Guide until 2023 data can no longer be resubmitted.

3/4/2024

Section 3: Measure Exclusions

PC-05: Exclusive Breast Milk Feeding

PC-05: Exclusive Breast Milk Feeding (through 12/31/2023 Discharges)

Modified the note “(through 12/31/2023 Discharges)” for the existing Measure Exclusions.

3/4/2024

Section 3: Measure Exclusions

n/a

PC-05: Exclusive Breast Milk Feeding (starting with 1/1/2024 Discharges)

  • Removed question: Number of cases excluded due to a Length of Stay > 120 days?

  • Added question: Number of cases excluded for not being able to determine if they were term or their Gestational Age and their birthweight < 3000g or =UTD?

Modified the Measure Exclusion Questions and Help Text to match the change that was made to the PC-05 measure starting with 1/1/2024 discharges.

For more information, refer to version 2024A of the Specification Manual for Joint Commission National Quality Measures.

3/4/2024

Section 3: Measure Exclusions

n/a

SDOH-1: Screening for Social Drivers of Health (starting with calendar year 2024)

Exclusions, if any, will be provided later this year.

The Joint Commission will begin using SDOH-1 starting with calendar year 2024. The measure information will be available later this year. Data entry for the year will be available on the same timeframe as Dec 2024 data entry.

3/4/2024

Section 3: Measure Exclusions

n/a

SDOH-2: Screen Positive Rate for Social Drivers of Health (starting with calendar year 2024)

Exclusions, if any, will be provided later this year.

The Joint Commission will begin using SDOH-1 starting with calendar year 2024. The measure information will be available later this year. Data entry for the year will be available on the same timeframe as Dec 2024 data entry.

These release notes detail the modifications that have been made to this 2023 version of the Guide for Hospitals (HAP/CAH) released on 7/1/2023. Below are the changes to the 2023 Guide.

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