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2026 ORYX Performance Measurement Reporting Requirements

Joint Commission

2026 ORYX Performance Measurement Reporting Requirements

NEW for 2026:

  • Effective CY2026, The Joint Commission has added the following eCQM as an available optional measure towards meeting ORYX requirements:

    • eCQM: PC-08 Timely Treatment of Severe Hypertension

  • Effective CY2026, The Joint Commission has retired the following measures:

    • eCQM: Safe Use of Opioids - Concurrent Prescribing

    • eCQM: OP-ExRad Excessive Radiation Dose or Inadequate Image Quality for Diagnostic Computed Tomography (CT) in Adults (Outpatient)

    • eCQM: HH-PI Hospital Harm - Pressure Injury

    • eCQM: GMCS Global Malnutrition Composite Score

    • eCQM: HH-ORAE Hospital Harm—Opioid Related Adverse Events

    • eCQM: OP-40 ST-Segment Elevation Myocardial Infarction (STEMI)

    • eCQM: PC-01 Elective Delivery

    • eCQM: PC-05 Exclusive Human Milk Feeding

    • eCQM: STK-2 (eCQM) Discharged on Antithrombotic Therapy

    • eCQM: STK-3 Anticoagulation Therapy Atrial Fibrillation/Flutter

    • eCQM: STK-5 Antithrombotic Therapy by End of Hospital Day 2

    • eCQM: VTE-1 Venous Thromboembolism Prophylaxis

    • eCQM: VTE-2 ICU Venous Thromboembolism Prophylaxis

    • Chart: ED-1 Median ED Arrival to ED Departure-Admit

    • Chart: ED-2 Admit Decision Time to ED Departure-Admit

    • Chart: IMM-2 Influenza Immunization

    • Chart: OP-18 Median ED Arrival-ED Departure at Discharge

    • Chart: OP-23 Head CT or MRI Scan Results-Stroke

    • Chart: PC-01 Elective Delivery

    • Chart: PC-02 Cesarean Birth

    • Chart: PC-05 Exclusive Human Milk Feeding

    • Chart: SDOH-1 Screening for Social Drivers of Health

    • Chart: SDOH-2 Screen Positive Rate for Social Drivers of Health

    • Chart: SUB-2 Alcohol Use Brief Intervention

    • Chart: SUB-3 Alcohol & Drug Use Treatment at Discharge

    • Chart: TOB-3 Tobacco Use Treatment at Discharge

  • Effective CY2026: Small Hospitals & Critical Access Hospitals are required to submit:

    • eCQM Hospital Harm: Hypoglycemia

    • eCQM Hospital Harm: Hyperglycemia

  • There are four additional available optional measures for small and critical access hospitals that have obstetrical services:

    • eCQM PC-02 Potentially preventable (NTSV) cesarean births

    • eCQM or CAM PC-06 Unexpected Complications in Term Newborns

    • eCQM PC-07 Severe Obstetric Complications

    • eCQM PC-08: Timely Treatment of Severe Hypertension

  • Effective CY2026: Large Acute Care Hospitals with Obstetrical Services have three specified required perinatal care eCQMs plus two additional specified required hospital harm eCQMs; Effective CY2026, Large Acute Care Hospitals with Obstetrical Units are required to submit :

    • eCQM Hospital Harm: Hypoglycemia

    • eCQM Hospital Harm: Hyperglycemia

    • eCQM PC-02 Potentially preventable (NTSV) cesarean births

    • eCQM or CAM PC-06 Unexpected Complications in Term Newborns

    • eCQM PC-07 Severe Obstetric Complications

  • There is one additional available optional measure:

    • eCQM PC-08: Timely Treatment of Severe Hypertension

  • Effective CY2026: Large Acute Care Hospitals with No Obstetrical Services only have two specified required eCQMs; Effective CY2026, Large Acute Care Hospitals with No Obstetrical Services are required to submit:

    • eCQM Hospital Harm: Hypoglycemia

    • eCQM Hospital Harm: Hyperglycemia

There are no additional available optional measures.

  • Effective CY2026: Freestanding Psychiatric Hospitals only have two available and required measures; Effective CY2026, Freestanding Psychiatric Hospitals are required to submit:

    • Chart-abstracted HBIPS-2: Physical Restraint Use

    • Chart-abstracted HBIPS-3: Hours of Seclusion Use

There are no additional available optional measures.

  • There were no changes to the ORYX Performance Measurement Requirements for Assisted Living Communities (ALCs) for CY2026. ALCs are required to submit all four quarters of:

    • Chart-abstracted ALC-01 Off-Label Antipsychotic Drug Use

    • Chart-abstracted ALC-02 Resident Falls

    • Chart-abstracted ALC-03 Resident Preferences and Goals of Care

    • Chart-abstracted ALC-04 Advanced Care Plan/Surrogate Decision-Maker

    • Chart-abstracted ALC-05 Staff Stability

There are no additional available optional measures.

Refer to the 2026 ORYX FAQs for information regarding data submission deadlines for 2026: https://jointcommission-ddsp.atlassian.net/wiki/spaces/DCS/pages/1062567963 (Note - this link temporarily redirects to the 2026 ORYX FAQs)

For system users with multiple facility types who would like a “one page snapshot view” of CY2026 ORYX requirements, visit the “2026 ORYX Requirements Snapshot” confluence page: https://jointcommission-ddsp.atlassian.net/wiki/spaces/DCS/pages/1030553620 ; links to full requirements by facility type are listed below and in the lefthand side panel.

ORYX REQUIREMENTS for 2026:

[HAP Large] Acute Care Hospitals that Provide Obstetrical Services
HAP Large are defined as ≥26 Licensed beds OR ≥ 50,000 Outpatient visits

[HAP Large] Acute Care Hospitals that Provide Obstetrical Services
HAP Large are defined as ≥26 Licensed beds OR ≥ 50,000 Outpatient visits

[HAP Large] Acute Care Hospitals that DO NOT provide Obstetrical Services
HAP Large are defined as ≥26 Licensed beds OR ≥ 50,000 Outpatient visits

[HAP Large] Acute Care Hospitals that DO NOT provide Obstetrical Services
HAP Large are defined as ≥26 Licensed beds OR ≥ 50,000 Outpatient visits

[HAP Small] Acute Care Hospitals
HAP Small are defined as <26 Licensed beds AND <50,000 Outpatient visits

[HAP Small] Acute Care Hospitals
HAP Small are defined as <26 Licensed beds AND <50,000 Outpatient visits

[CAH] Critical Access Hospitals
[CAH] Critical Access Hospitals adhere to the CAH standards manual, and are a specific designation by the state as a critical access hospital in a rural area.

[CAH] Critical Access Hospitals
[CAH] Critical Access Hospitals adhere to the CAH standards manual, and are a specific designation by the state as a critical access hospital in a rural area.

[HAP PSYCH] Freestanding Psychiatric Hospital
HAP PSYCH are defined as a "Freestanding" Psychiatric Facility licensed and separately accredited as freestanding psychiatric hospital; it is not a unit within a hospital that is surveyed at the same time as the hospitals and shares an HCO ID #.

[HAP PSYCH] Freestanding Psychiatric Hospital
HAP PSYCH are defined as a "Freestanding" Psychiatric Facility licensed and separately accredited as freestanding psychiatric hospital; it is not a unit within a hospital that is surveyed at the same time as the hospitals and shares an HCO ID #.

[ALC] Assisted Living Community
ALCs adhere to the ALC standards manual.

[ALC] Assisted Living Community
ALCs adhere to the ALC standards manual.

Suspended Accreditation Programs
Suspended organizations may submit ORYX Performance Measures to The Joint Commission via the DDSP if they choose.

Suspended Accreditation Programs
Suspended organizations may submit ORYX Performance Measures to The Joint Commission via the DDSP if they choose.

Return to: ORYX Performance Measurement Reporting Requirements Main Page:
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