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DDSP General: Perinatal Care Attestation on the Direct Data Submission Platform

The Joint Commission

DDSP General: Perinatal Care Attestation on the Direct Data Submission Platform

Short Demo for PC Attestation (duration: 8:34 minutes)
https://player.vimeo.com/video/1045154339?h=085dc24f0d&badge=0&autopause=0&player_id=0&app_id=58479

What’s in this section:

  • General Information about Perinatal Care Attestation

  • Examples

  • How to Attest

General Information

For CY2024: Hospitals can attest to submitting FOUR quarters of ePC-06 measure (eCQM) instead of four quarters of chart-abstracted PC-06 measures for their Perinatal Care measures via the Chart-Abstracted Submission menu.

NOTE: This is a one for one replacement:

Correct submit ePC-06 instead of PC-06

Not Correct: submit ePC-02 instead of PC-06

  • If an organization is uncertain the eCQM data can be submitted (e.g., ePC-06), we strongly suggest the chart-abstracted data is entered until it is certain the eCQM data can be successfully submitted.

  • A PC measure submitted as a chart-abstracted measure for all 4 quarters, may also be submitted as an eCQM.

  • If applicable, every ePC eCQM submitted for counts towards both an organization's PC requirement and eCQM requirement.

  • Organizations should begin submitting chart-abstracted PC-06 for 1Q and subsequent quarters if they are uncertain they can submit ePC-06 (eCQM) - see examples below.

REMINDER: In order to meet chart-abstracted measure requirements, data is submitted for four quarters. Submitting less than four quarters of an eCQM does not meet the requirement.

Correct: submit PC-06 as a chart abstracted measure for 1Q, 2Q, then switch to eCQMs and submit ePC-06 data for four quarters

Not Correct: submit PC-06 as a chart abstracted measure for 1Q, 2Q, then switch to eCQM and submit quarters 3Q and 4Q

Examples:

  1. HCO submits all 4 quarters of chart-abstracted PC-06 and ePC-02 and ePC-07

    1. The Perinatal Care requirement is met by submitting four quarters of chart-abstracted PC-06, plus four quarters of ePC-02, and ePC-07 eCQM data.

  2. HCO submits first quarter of chart-abstracted PC-06 measure, then switches to submitting all four quarters of ePC-06 as an eCQM instead

    1. The Perinatal Care requirement is met by submitting four quarters of ePC-06, ePC-02, and ePC-07 eCQM data.

    2. HCO receives feedback on both chart-abstracted data submitted for the first quarter, and eCQM data submitted.

  3. HCO does not submit chart-abstracted PC-06 measures during 1Q

    1. The HCO is required to submit eCQM ePC-06 data in order to meet the PC requirement, in addition to ePC-02 and ePC-07 for the entire calendar year.

  • Click on the open button for the Perinatal Care measure for which you wish to attest to submit via eCQM.

  • Select the toggle on the right-hand side, “Attest to submit via eCQM”. By clicking on that toggle, you are attesting that you will be submitting this measure as eCQM data instead of aggregate chart-abstracted data. 

Screenshot image of the Joint Commission DDSP chart-abstracted measure submission page indicating where to attest to submit PC measures via eCQM.