The Joint Commission

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Topics Covered in this section:

  • Safe Use of Opioids – Concurrent Prescribing

  • Social Drivers of Health (SDOH)


Safe Use of Opioids – Concurrent Prescribing

 7.1: Is the safe use of opioid measure voluntary?

For Joint Commission reporting purposes applicable to CY2024, the “Safe Use of Opioids - Concurrent Prescribing” measure is a required measure for Large Acute Care Hospitals. It remains optional for Small and Critical Access Hospitals.

 7.2: How many quarters is the Safe Use of Opioids eCQM reported?

The Safe Use of Opioids measure is submitted the same as any other eCQM, based on the calendar year requirements.

 7.3: What criteria does the Opioid eCQM look for?

CMS eCQM specifications can be found on the CMS eCQI Resource Center website. The direct link to the Safe Use of Opioids - Concurrent Use measure is: https://ecqi.healthit.gov/ecqm/eh/2021/cms506v3

 7.4: Where can we find the specifications for the eCQM Safe Use of Opioids - Concurrent Prescribing?

CMS eCQM specifications can be found on the CMS eCQI Resource Center website. The direct link to the Safe Use of Opioids - Concurrent Use measure is below
https://ecqi.healthit.gov/ecqm/eh/2021/cms506v3

Social Drivers of Health (SDOH)

 7.5: Are the SDOH measures voluntary?

For Joint Commission reporting purposes applicable to CY2024, Screening for Social Drivers of Health (SDOH-1) and Screen Positive Rate for Social Drivers of Health (SDOH-2)are optional measures. Organizations may choose to submit neither, one, or both

 7.6: How many quarters are submitted for SDOH measures?

The SDOH measures are submitted once annually.

 7.7: How are the SDOH measures submitted?

The SDOH measures are chart-abstracted measures:

  • The SDOH measures are submitted annually in alignment with the 4Q CAM submission deadline.

  • SDOH data entry will open on 1/1/2025 along with December data entry.

  • SDOH data entry will close on 3/31/2025 along with 4Q2024.

 7.8: Where can we find the specifications for the SDOH measures?

CMS chart-abstracted measure specifications can be found on the CMS Quality Net website. The direct link to the SDOH measures is below https://qualitynet.cms.gov/inpatient/iqr/measures#tab2


Continue to the next section: Direct Data Submission Platform - General Information

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