[HAP Small] Acute Care Hospitals (2026)

Joint Commission

[HAP Small] Acute Care Hospitals (2026)


CY2026 ORYX Requirements for [HAP Small] Acute Care Hospitals


How are [HAP Small] 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 Small are defined as <26 Licensed beds AND <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.


  • HAP Small Acute Care Hospitals are not required to submit PC measures but may do so if they choose if obstetrical services are provided.

  • eCQMs 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 Small] Hospitals with <26 Licensed beds AND < 50,000 Outpatient visits

[HAP Small] Hospitals with <26 Licensed beds AND < 50,000 Outpatient visits

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:

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

PC-08 (eCQM): Timely Treatment of Severe Hypertension

REQUIED MEASURES: The following four measures are required:


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