Included in this section:
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Chart-Abstracted Measures
All chart-abstraction measure abstracted measures are managed within the DDSP. Organizations no longer need to notify The Joint Commission in advance of measure selections.
Chart-abstracted measures are selected based on ORYX requirements for your organization. Data is collected for a minimum of a calendar year to ensure that performance on a given measure is monitored over time for trends/patterns. Measures may not be stopped/started within a calendar year, with the exception of applicable unit closures.
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Unless otherwise communicated, reporting chart-abstracted performance measurement data is performed quarterly*:
1Q (Jan, Feb, Mar) data are due by June 30th
2Q (Apr, May, Jun) data are due by September 30th
3Q (Jul, Aug, Sep) data are due by December 31st
4Q (Oct, Nov, Dec) data are due by March 31st
*IMPORTANT NOTE: Reporting timelines may be modified at the discretion of The Joint Commission in certain unique circumstances (e.g. as we did during the Covid-19 pandemic). Open/close dates and deadlines are shown within the platform. Keep up to date on changes to deadlines via the Timeline document. Link: https://jointcommission-ddsp.atlassian.net/wiki/spaces/DCS/pages/71008257
For information on the Resubmission topic and timeframe, please see the link below.
Link: Resubmission - Joint Commission DDSP User Documentation
Permissions
Access to the Chart-Abstracted Submission module is controlled at the site level and at the user level. If you or your facility do not have permission to access the chart-abstracted data entry tool, one of the following messages will appear when you attempt to login.
If an organization’s access is missing the following message appears:
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Your HCO’s Chart-Abstracted Measure module has not been enabled. Request access by submitting a support ticket via the Need Help? button in the upper right hand corner. |
If you have not been granted permission the following message appears:
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You do not have permission to access this HCO's Chart-Abstracted Measure Submission module. If you have access to multiple HCOs, please check the Header of the page to ensure you are "active" for the desired HCO. If you believe you should have access to the Chart-Abstracted Measure Submission module for this HCO, contact a DDSP Security Administrator for the HCO, as only they may modify your permissions. |
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All of the quarters for the year and their status are in a heading above the measure list. Open quarters have status ‘Closes mm/dd/yyyy’ with close date. If Resubmission is available, the tab will show ‘Resubmission Ends on mm/dd/yyyy’. Otherwise, it is ‘Closed’ or ‘Not Yet Open’.
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Quarter statuses for each measure include; Not Started, In Progress and Complete. Optional measures show a dash instead of Not Started when no data as been entered for the Quarter yet.
After the data submission deadline has passed for a quarter, measures that were in the In Progress state will change to be in the Incomplete state.
Measures are greyed out if they are disabled for this facility. Please open a help ticket if a measure is incorrectly disabled or required for an organization.
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Continue to the next section: eCQMs
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