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No - Don’t enter zeros* for measures you’re not submitting data for; only enter data for measures your organization is required and/or electing to submit.
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eCQMs |
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As with the chart-abstracted measures, selections should be based on populations and services provided. If an HCO does not provide a service(s) addressed by certain eCQMs such that the HCO is unable to identify four applicable eCQMs, then the HCO would report on only those eCQMs for which it has the relevant patient population/service. HCOs should not select eCQMs for which it has no patient population and would be reporting zero values. Important Note: HCOs unable to meet the eCQM requirement and are granted an extenuating circumstance by The Joint Commission must substitute chart-abstracted measure(s) and submit those chart-abstracted measures for all four quarters of the calendar year in accordance with the standard data submission timeline. |
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Additional information will be provided on our website regarding eligibility for recognition. See the “Pioneers in Quality” section of our website for additional information: https://www.jointcommission.org/measurement/pioneers-in-quality/ |
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Joint Commission requires reporting four quarters (Q) of data (1Q, 2Q, 3Q, 4Q)*. The same eCQMs must be submitted for all four quarters submitted. The Joint Commission and CMS do not share data and there is no requirement to submit the same measures/quarters to each entity. For eCQMs, the measures being submitted are at the discretion of the HCO but must reflect patient population/services offered. *Exception: For CY2024, in alignment with CMS, if eOP-40 is reported, only one (1) self-selected quarter is required and will count as a complete measure / towards meeting the eCQM requirement. |
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The DDSP is set up to be a “rolling” platform, where once the data submission deadline for the preceding calendar year passes, the next year shortly becomes available for upload/submissionQRDA I documents for eCQM data may be uploaded when The Joint Commission opens the eCQM module for the calendar year, typically during the second quarter. QRDA I documents for eCQM data may be submitted as soon as The Joint Commission makes the platform available for submission of that calendar year’s eCQMs (typically early January of the following calendar year). To submit data, the entire calendar quarter must be available. eCQM data is submitted retroactively. Please see the “ORYX Performance Measurement Timeline” documentation for key dates and information: https://jointcommission-ddsp.atlassian.net/wiki/spaces/DCS/pages/71008257/ORYX+Performance+Measurement+Timeline |
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eCQMs are due at The Joint Commission no later than the annual deadline date. HCOs may upload their eCQM data on a quarterly basis; however, the submission deadline is the same for all quarters of eCQM data submitted. Please see the “ORYX Performance Measurement Timeline” documentation for key dates and information. |
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