(HAP/CAH) Joint Commission Guide for Data Entry of Chart-Abstracted Measures for Hospitals

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

 

Acknowledgement

Introduction

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


Section 3: Measure Exclusions

  • 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

Release Notes

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