[HAP Large] Acute Care Hospitals that do not provide Obstetrical Services (2026)

Joint Commission

[HAP Large] Acute Care Hospitals that do not provide Obstetrical Services (2026)


CY2026 ORYX Requirements for [HAP Large] Acute Care Hospitals that DO NOT provide 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.

REMINDER: Don’t enter zeros for measures you’re not submitting data for; only enter data for measures your organization is required to submit.

This includes the PC measures for those organizations that do not provide OB services - do not enter zero for PC measures, and do not select the “Zero Denominator Cases” check box.

[HAP Large] Hospitals with ≥ 26 Licensed beds OR ≥ 50,000 Outpatient visits AND DO NOT Provide Obstetrical Services

[HAP Large] Hospitals with ≥ 26 Licensed beds OR ≥ 50,000 Outpatient visits AND DO NOT Provide Obstetrical Services

REQUIRED MEASURES: The following two measures are required:

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:

none applicable for CY2026


Return to: 2026 ORYX Performance Measurement Reporting Requirements Main Page:
https://jointcommission-ddsp.atlassian.net/wiki/spaces/DCS/pages/1030619137

 

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