The Joint Commission

Key Communications: Hospitals & Critical Access Hospitals

The following key communications were sent to hospitals related to ORYX Performance Measurement:

ACCREDITATION

 

Dear Colleague:

This is a reminder for those organizations required or electing to submit 1Q2024 chart-abstracted data to The Joint Commission. Please note this email is sent to all organizations regardless of organization’s current submission status within The Joint Commission Direct Data Submission Platform (DDSP).

The Joint Commission deadline for submitting 1Q2024 chart-abstracted data to the DDSP is June 30, 2024 at 11:59 PM Central Time. We strongly encourage organizations to submit their data well in advance of the deadline.

CY2024 ORYX Performance Measurement Timeline

  • 1Q 2024 (Jan, Feb, Mar): DDSP opens February 1, 2024 and data must be entered by June 30, 2024

  • 2Q 2024 (Apr, May, Jun): DDSP opens May 1, 2024 and data must be entered by September 30, 2024

  • 3Q 2024 (Jul, Aug, Sep): DDSP opens August 1, 2024 and data must be entered by December 31, 2024

  • 4Q 2024 (Oct, Nov, Dec): DDSP opens November 1, 2024 and data must be entered by March 31, 2025

The ORYX Performance Measurement Timeline for CY2024 data submission is available via the DDSP “Need Help?” and ORYX FAQs – quick link: 
https://jointcommission-ddsp.atlassian.net/wiki/spaces/DCS/pages/71008257  

CY2024 Extenuating Circumstances
If your organization intends to submit an Extenuating Circumstances Request (ECR) form specific to submitting eCQM data for CY2024, all forms must be received at The Joint Commission no later than June 1, 2024. If no eCQMs will be submitted, organizations are required to submit a minimum of three (3) chart-abstracted measures for the entire calendar year, unless the request is for an exception for submission of any data and supporting documentation is provided.

Information on ECR’s are available via the DDSP “Need Help?” and ORYX FAQs – quick link: 
https://jointcommission-ddsp.atlassian.net/wiki/spaces/DCS/pages/74088449/Extenuating+Circumstances

CY2024 ORYX Performance Measurement Requirements
Requirements for CY2024 are available on our website:
https://www.jointcommission.org/measurement/reporting/accreditation-oryx/

Questions
If you need assistance or have questions with any portion of the DDSP, please submit a support ticket via the DDSP “Need Help?” button.

If you have non-DDSP questions, please contact hcooryx@jointcommission.org and include your HCO ID in the subject line.

Thank you

Downloadable PDF of communication: 

In April The Joint Commission will send an e-mail to acute care hospitals with information
about joining the National Healthcare Safety Network (NHSN) Group. The e-mail will be sent
to the primary accreditation contact and/or the ORYX® contact listed on the organization’s
secure Joint Commission Connect® extranet site.


The January 2024 issue of Perspectives announced that, beginning July 1, 2024, acute
care hospitals with ORYX performance measurement requirements that have to participate
in the NHSN system through a US Centers for Medicare & Medicaid Services (CMS) program,
must join the Joint Commission NHSN Group. Participation in the Joint Commission NHSN
Group is optional for critical access hospitals where participation in CMS programs is not
required.

Sign-Up Milestones and Troubleshooting

The following table provides the timeline of sign-up tasks.

April 2024

Hospitals will receive a survey via e-mail to indicate their appointed
NHSN facility administrator and provide contact information for that
individual. This survey should be completed no later than April 29,
2024.

April 2024

Hospitals will receive a survey via e-mail to indicate their appointed
NHSN facility administrator and provide contact information for that
individual. This survey should be completed no later than April 29,
2024.

May 2024

An e-mail with NHSN Group joining instructions will be sent to the
designated NHSN facility administrator; instructions also will be posted
on the hospital’s Joint Commission Connect extranet site or the ORYX
Performance Measurement Resources page.

May–June 2024

Hospitals will join the Joint Commission NHSN group and accept the
Confer Rights Template.

July 1, 2024

Enrollment in the Joint Commission NHSN Group must be complete.


Please note that health care organizations that filter e-mails must whitelist* all e-mail from
the @jointcommission.org domain to ensure that they receive all communications from The
Joint Commission. Specifically, communication from the following must be accepted:


Organization contacts that do not receive the e-mail about joining the Joint Commission
NHSN Group by the second week in April 2024 should check junk/spam/clutter folders and/
or work with internal information technology staff to verify the e-mail is not blocked by a
firewall. Contact the ORYX Help Line if these troubleshooting suggestions fail to locate the
e-mail; please remember to provide your health care organization (HCO) identification (ID)
number in the e-mail

*A whitelist is a list of e-mail addresses or domain names from which an e-mail–blocking program will allow messages to be received. E-mail–
blocking programs, also called spam filters, are intended to prevent most unsolicited e-mail messages (spam) from appearing in subscriber inboxes.
If you are uncertain how your HCO handles whitelisting, please contact your internal information technology staff.

Dear Colleague:

This is a reminder for those organizations required or electing to submit eCQM data to The Joint Commission to meet their CY2023 ORYX requirements. Please note this email is sent to all organizations regardless of organization’s current submission status within The Joint Commission Direct Data Submission Platform (DDSP).

The Joint Commission deadline for submitting CY2023 eCQM data to the DDSP is March 15, 2024 at 11:59 PM Central Time. We strongly encourage organizations to submit their data well in advance of the deadline.

It is important for organizations to verify that their data is processed and submitted accurately and on time and retain a copy of their Submission Report. Organizations electing to use consultants or vendors to assist with the data submission process on the DDSP should have their own staff log into the platform to verify that data has been submitted as expected. Joint Commission staff cannot confirm this for you.

ADDITIONAL INFORMATION

Questions
If you need assistance or have questions with any portion of the Platform, please submit a support ticket via the DDSP “Need Help?” button.

If you have non-DDSP questions, please contact hcooryx@jointcommission.org and include your HCO ID in the subject line.

Thank you
 

Downloadable PDF of communication: 

Dear Colleague, 

The purpose of this communication is to inform you that the Joint Commission will be deleting CY2022 QRDA-I files from the DDSP servers effective 4/12/2024.  

Once the CY2022 QRDA-I files have been removed from the DDSP, users will not be able to view patient level data in the Source Viewer and Logic Explorer debugging tools accessible via the magnifier icon. In addition, the magnifier icon on the Upload Data - Upload Summary page will not function. 

This will not affect DDSP users’ ability to view/download their CY2022 Data Submission Reports from the Home page, Patient Result detail report on the Quality Improvement page, or Error and Warning report on the Data Accuracy page.   In addition, there is no impact to submitted data saved in the DDSP database. 

Hospitals that would like to review their CY2022 eCQM data in Source Viewer or Logic Explorer for debugging purposes need to act before Friday, April 12, 2024. 

Please note, moving forward, QRDA-I files for each annual submission will be removed 6 months after close of the submission period. Therefore, 2023 QRDA-I files will be removed in September 2024. 

Note that the 2021 QRDA-I Files have already been removed and while the DDSP debugging tools to review these files cannot be used anymore, however, the Patient Result detail reports, Error and Warning reports, Data Submission Reports, and the dashboard views are available.  

If you have any questions, please submit a support ticket via the “Need Help?” button on the DDSP. 

Thank you 

Downloadable PDF of communication: 

Dear Colleague:

This is a reminder for all DDSP users. This email is sent to all organizations currently active on The Joint Commission Direct Data Submission Platform (DDSP), and regardless of the organization’s current submission status. Information on whether this applies to your organization and how to verify your organization’s ORYX requirements and submission status is provided below.  

Applicable to organizations required or electing to submit chart-abstracted data: The Joint Commission deadline for entering 4Q2023 chart-abstracted data to the DDSP is March 31, 2024 at 11:59 PM Central Time.

Applicable to organizations required or electing to submit eCQMs: The eCQM Submit button is now available in the eCQM Module on the Submit Data page.  The deadline to submit  of CY2023 eCQM data is March 15, 2024 at 11:59 PM Central Time.   

We strongly encourage organizations to enter or submit their data well in advance of the deadline. It is important for organizations to verify that their data is entered/submitted accurately and on time. Joint Commission staff cannot confirm this for you. Organizations electing to use consultants or vendors to assist with the data entry process on the DDSP should have their own staff log into the platform to verify that chart-abstracted data has been entered as expected. 
 
ADDITIONAL INFORMATION 

Questions 
If you need assistance or have questions with any portion of the Platform, please submit a support ticket via the DDSP “Need Help?” button. 
 
If you have non-DDSP questions, please contact hcooryx@jointcommission.org and include your HCO ID in the subject line.  
 
Thank you 

Downloadable PDF of communication: 

CERTIFICATION

 

 

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