Effective 1/1/2024 patient discharges and applicable to CY2024 ORYX Requirements, Large Acute Care hospitals with obstetric services are required to submit ePC-02 and ePC-07 as eCQMs, and may submit PC-06 as an eCQM or chart-abstracted measure (CAM). If submitting PC-06 as an eCQM, they must attest to this in the DDSP.

Hospitals that do not provide obstetrical services have no chart-abstracted measure requirements. Additionally:  

• They may elect to submit optional chart abstracted measures if they choose.

• Hospitals that do not provide obstetrical services are not required or expected to submit "substitute" measures.

• Hospitals that do not provide obstetrical services should not enter zeros for PC/ePC measures.

Yes; Effective 1/1/2024 patient discharges and applicable to CY2024 ORYX Requirements, Large Acute Care hospitals with obstetric services are required to submit ePC-02 and ePC-07 as eCQMs, and may submit PC-06 as an eCQM or chart-abstracted measure (CAM). If submitting PC-06 as an eCQM, they must attest to this in the DDSP. Refer to the Perinatal Care Attestation on the DDSP for additional information on how to attest to submitting PC eCQMs.

The eCQM specifications for Joint Commission only measures are available on the Measurement section of the Joint Commission's main website.

https://www.jointcommission.org/measurement/specification-manuals/electronic-clinical-quality-measures/

The ED is not considered an "obstetrical unit" so the PC measures would not be applicable. We use the hospital’s General Application/eAPP in Joint Commission Connect to determine if an organization has an obstetrical unit.