ORYX^® Performance Measurement FAQs for Accreditation

These FAQs are applicable to Joint Commission ORYX Performance Measurement data submission for accreditation purposes.

Resources / Links / Abbreviations

Topics Covered in this section:

• Links to external Joint Commission resources, such as Requirements, Timelines, & Specifications

• Abbreviations / Glossary

• Where to ask questions (ORYX, Specifications, DDSP, Standards, General)

Extenuating Circumstances

Topics Covered in this section:

• Extenuating Circumstance Request information

• Extenuating Circumstance Request form

ORYX Performance Measurement Timeline

Topics Covered in this section:

• Data Submission Timeline

• Data Submission Infographic

• Data Submission Worksheet

1. What’s New

Topics Covered in this section:

• Changes to CY2024 ORYX Reporting

2. General ORYX Information: Basics

Topics Covered in this section:

• ORYX Basics

• The Joint Commission & CMS

• Communications

• Fees

• Deadlines

3. General ORYX Information: Feedback & Public Reporting

Topics Covered in this section:

• Quality Check

• State and National Comparison

• Accelerate PI Dashboard (See our external website for detailed information)

4. Measure Requirements: Chart and eCQM

Topics Covered in this section:

• Chart Abstracted Measures

• eCQMs

• Safe use of Opioids

• Technical

• Volumes / Case Threshold

5: Measure Requirements: By Organization Type

Topics Covered in this section:

• Critical Access & Small Hospitals

• Specialty Hospitals

• Psychiatric Hospitals

• Assisted Living Community (ALC)

• Hospitals with Suspended Requirements

6. Perinatal Care

Topics Covered in this section:

• Chart-abstracted and eCQM PC measure reporting

7. Safe Use of Opioids

Topics Covered in this section:

• Opioid measure reporting

8. Direct Data Submission Platform: Overview

Topics Covered in this section:

• DDSP Basics

• DDSP Access

• DDSP Onboarding

• DDSP Measure Selections

9. Direct Data Submission Platform: Technical

Topics Covered in this section:

• DDSP QRDA-1 files

• Volume / Case Threshold

10. Multi-Factor Authentication (MFA)

Topics Covered in this section:

• Authy for Desktop

• Google Authenticator (mobile phone)

• Microsoft Authenticator (mobile phone)

11. Resubmission

Topics Covered in this section:

• FAQs Resubmission of data

12. NHSN Group for The Joint Commission

Topics Covered in this section:

• NHSN Frequently Asked Questions (FAQ)

• Instructions for Joining The Joint Commission NHSN Group (pending)