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

 7.9: We do not participate in CMS programs - where do we access information?

The Social Drivers of Health (SDOH) 1 and 2 measures specifications are maintained by CMS, regardless of whether or not you participate in CMS programs.

If your organization chooses to submit the measures to The Joint Commission, please refer to and follow the CMS guidance in the measure information form and frequently asked questions.

Measure specifications are available on the CMS website (included below). Please check the site periodically to assure you are referring to the most up to date information: https://qualitynet.cms.gov/inpatient/iqr/measures#tab2

Social Drivers of Health (SDOH)

The Screening for Social Drivers of Health measure assesses a hospital’s rate of screening for five health-related social needs: food insecurity, housing instability, transportation needs, utility difficulties and interpersonal safety. 

The Screen Positive Rate for Social Drivers of Health measure assesses the rate of positive screens for the same five health-related social needs. 

File Name

File Type

File Size

 

Action

Screening for Social Drivers of Health Measure and the Screen Positive Rate for Social Drivers of Health Measure (January 2024)

PDF

130 KB

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Frequently Asked Questions: Social Drivers of Health (SDOH) Measures (April 2024)

PDF

248 KB

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