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Joint Commission Guide for Data Entry of Chart-Abstracted Measures for Hospitals (HAP/CAH)
Version 2023: Discharges 01-01-23 (1Q2023) through 12-31-23 (4Q2023); As of July 1, 2023 

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Data Element Name

Aggregated For

Denominator

Proportion and ratio measures

Hospital Sample Size

All measures

Initial Population

All measures

Maximum Observation

Continuous variable measures

Mean Observation

Continuous variable measures

Measure Exclusion

All measures

Median Observation

Continuous variable measures

Minimum Observation

Continuous variable measures

Number of Unique Patients Within the Numerator

Ratio measures

Numerator

Proportion and ratio measures

Population

Continuous variable measures

Standard Deviation of the Observation

Continuous variable measures

Quarterly Sampling Frequencies

All measures


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