Joint Commission
(HAP/CAH) Joint Commission Guide for Data Entry of Chart-Abstracted Measures for Hospitals
Version 2023: Discharges 01-01-23 (1Q2023) through 12-31-23 (4Q2023)
Version 2024: Discharges 01-01-24 (1Q2024) through 12-31-24 (4Q2024); March, 2024
Version 2025: Discharges 01-01-2025 (1Q2025) through 12-31-2025 (4Q2025); January 2025
Version 2026: Discharges 01-01-2026 (1Q2026) through 12-31-2026 (4Q2026); January 2026
Using The Joint Commission Guide for Data Entry of Chart-Abstracted Measures
Section 1: Chart-Abstracted Measure Submission
Direct Data Submission Platform (DDSP)
How to Use the DDSP
Chart-Abstraction Measure Selections
Aggregate Data Entry
Data Entry Open and Close
Quality Measure Specifications
Section 2: Aggregate Data Dictionary
Introduction
Data Edits and Statistical Equations
Stratified Measures
Attestation Of Zero Cases
Aggregate Data Elements Overview
Introduction
Measure Algorithm Logic
Measure Exclusions
HBIPS-2: Hours of physical restraint use
HBIPS-3: Hours of seclusion use
PC-06: Unexpected Complications in Term Newborns
Section 4: Aggregate Data Element Tool
Introduction
Measure Exclusion data elements
Tool #1
Tool #2
Tool #3
Tool #4
Tool #5
Tool #6
Tool #7
Tool #8