Joint Commission
[HAP Large] Acute Care Hospitals with Obstetrical Services (2026)
CY2026 ORYX Requirements for [HAP Large] Acute Care Hospitals with Obstetrical Services
How are [HAP Large] Acute Care Hospitals defined as it relates to ORYX Requirements?
For The Joint Commission, ORYX performance measurement requirements are specifically applicable to organizations accredited under the Hospital Accreditation Program (HAP).
HAP Large are defined as ≥26 Licensed beds OR ≥ 50,000 Outpatient visits
Refer to your Joint Commission Connect Site eAPP Hospital Volume or view the DDSP HCO Characteristics Organization Requirements tab for licensed bed / outpatient volume information.
eCQMs and/or Chart-abstracted measures are submitted for all four (4) quarters.
NHSN group participation will not be required for 2026. We recognize NHSN is a valuable data source, and we will consider this data for future program requirements.
[HAP Large] Hospitals with ≥ 26 Licensed beds OR ≥ 50,000 Outpatient visits AND Provide Obstetrical Services |
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REQUIRED MEASURES: The following five measures are required: |
PC-02 (eCQM) Potentially preventable (NTSV) cesarean births |
PC-06 (eCQM or chart-abstracted): Unexpected Complications in Term Newborns |
PC-07 (eCQM) Severe Obstetric Complications |
HH-HYPO (eCQM) Hospital Harm—Severe Hypoglycemia Measure |
HH-HYPER (eCQM) Hospital Harm—Severe Hyperglycemia Measure |
OPTIONAL: Available optional measures may be submitted if they are applicable to patient population / services offered: |
PC-08 (eCQM): Timely Treatment of Severe Hypertension |
Return to: 2026 ORYX Performance Measurement Reporting Requirements Main Page:
https://jointcommission-ddsp.atlassian.net/wiki/spaces/DCS/pages/1030619137