The Joint Commission

4. Measure Requirements: Chart and eCQM

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Topics Covered in this section:

  • Chart Abstracted Measures

  • eCQMs


CHART ABSTRACTED MEASURES

No, chart-abstracted measures are not going away for accreditation purposes. Effective CY2021, all Joint Commission accredited organizations with ORYX Performance Measurement requirements are required to submit (eCQM and/or chart-abstracted) data. Chart-abstracted measures remain required for Freestanding Psychiatric Hospitals and Assisted Living Communities.

These measures remain optional for Joint Commission reporting purposes. HCOs may elect to submit these measure, or Small/Critical Hospitals may submit these measures to meet their reporting requirements. Please refer to the full list of available measures available on our website, or copy and paste the following text into your web browser: https://www.jointcommission.org/measurement/reporting/accreditation-oryx/

As a supplement to measure specifications, The Joint Commission provides a Guide for Data Entry of Chart-Abstracted Measures which describes the aggregate data requirements for organizations submitting chart-abstracted measure data. This is available within these help content pages, and a link is also available on the Measurement>Specifications part of our external website, or copy and paste the following web address in your internet browser: https://jointcommission-ddsp.atlassian.net/wiki/spaces/DCS/pages/112001025

The DDSP Data Entry Guide is typically available in during the first quarter of the reporting year and available within the help content: (HAP/CAH) Joint Commission Guide for Data Entry of Chart-Abstracted Measures for Hospitals or by copying and pasting the url into your web browser: https://jointcommission-ddsp.atlassian.net/wiki/spaces/DCS/pages/112001025

Currently, there are no plans to provide upload capability of data for chart-abstracted measures.

 

eCQMs


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