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ORYX® Performance Measurement FAQs for Accreditation

These FAQs are applicable to Joint Commission ORYX Performance Measurement data submission for accreditation purposes.


Resources / Links / Abbreviations

Topics Covered in this section:

  • Links to external Joint Commission resources, such as Requirements, Timelines, & Specifications

  • Abbreviations / Glossary

  • Where to ask questions (ORYX, Specifications, DDSP, Standards, General)

Extenuating Circumstances

Topics Covered in this section:

  • Extenuating Circumstance Request information

  • Extenuating Circumstance Request form

ORYX Performance Measurement Timeline

Topics Covered in this section:

  • Data Submission Timeline

  • Data Submission Infographic

  • Data Submission Worksheet

1. What’s New

Topics Covered in this section:

  • Changes to CY2024 ORYX Reporting

2. General ORYX Information: Basics

Topics Covered in this section:

  • ORYX Basics

  • The Joint Commission & CMS

  • Communications

  • Fees

  • Deadlines

3. General ORYX Information: Feedback & Public Reporting

Topics Covered in this section:

  • Publicly available information

  • State and National Comparison

  • Accelerate PI Dashboard (See our external website for detailed information)

4. Measure Requirements: Chart and eCQM

Topics Covered in this section:

  • Chart Abstracted Measures

  • eCQMs

  • Safe use of Opioids

  • Technical

  • Volumes / Case Threshold

5: Measure Requirements: By Organization Type

Topics Covered in this section:

  • Critical Access & Small Hospitals

  • Specialty Hospitals

  • Psychiatric Hospitals

  • Assisted Living Community (ALC)

  • Hospitals with Suspended Requirements

6. Perinatal Care

Topics Covered in this section:

  • Chart-abstracted and eCQM PC measure reporting

7. Measure Specific

Topics Covered in this section:

  • Safe Use of Opioids – Concurrent Prescribing

  • Social Drivers of Health (SDOH)

8. Direct Data Submission Platform: Overview

Topics Covered in this section:

  • DDSP Basics

  • DDSP Access

  • DDSP Onboarding

  • DDSP Measure Selections

9. Direct Data Submission Platform: Technical

Topics Covered in this section:

  • DDSP QRDA-1 files

  • Volume / Case Threshold

10. Multi-Factor Authentication (MFA)

Topics Covered in this section:

  • Google Authenticator (mobile phone)

  • Microsoft Authenticator (mobile phone)

11. Resubmission

Topics Covered in this section:

  • FAQs Resubmission of data

12. NHSN Group for The Joint Commission

Topics Covered in this section:

  • NHSN Frequently Asked Questions (FAQ)

  • Instructions for Joining The Joint Commission NHSN Group (pending)

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