[HAP PSYCH] Freestanding Psychiatric Hospital (2024)

CY2024 ORYX Requirements for [HAP PSYCH] Freestanding Psychiatric Hospitals

How are [HAP PSYCH] Freestanding Psychiatric Hospitals defined as it relates to ORYX Requirements?

HAP PSYCH are defined as a "Freestanding" Psychiatric Facility licensed and separately accredited as freestanding psychiatric hospital; it is not a unit within a hospital that is surveyed at the same time as the hospitals and shares an HCO ID #.

For The Joint Commission, ORYX performance measurement requirements are specifically applicable to organizations accredited under the Hospital Accreditation Program (HAP).

Chart-abstracted measures are submitted for all four (4) quarters unless otherwise noted.
In order to meet ORYX requirements, submitted measures must be applicable to patient population/services offered.

[HAP PSYCH] FREESTANDING PSYCHIATRIC HOSPITALS

[HAP PSYCH] FREESTANDING PSYCHIATRIC HOSPITALS
REQUIRED MEASURES: The following two measure are required:
HBIPS-2 (CAM) Hours of Physical Restraint Use
HBIPS-3 (CAM) Hours of Seclusion Use
REQUIRED: In addition to the above required measures, your hospital must also submit a minimum of one (1) additional chart-abstracted measure from those listed below:
IMM-2 (CAM) Influenza Immunization NOTE: IMM-2 is a seasonal measure; only 1Q and 4Q data are submitted
SUB-2 (CAM) Alcohol Use Brief Intervention
SUB-3 (CAM) Alcohol & Drug Use Treatment at Discharge
TOB-3 (CAM) Tobacco Use Treatment at Discharge
SDOH-1 (CAM) Screening for Social Drivers of Health (NEW) NOTE: SDOH measures are not submitted quarterly, but are instead submitted annually in alignment with the 4Q CAM submission deadline.
SDOH-2 (CAM) Screen Positive Rate for Social Drivers of Health (NEW) NOTE: SDOH measures are not submitted quarterly, but are instead submitted annually in alignment with the 4Q CAM submission deadline.

The Joint Commission

CY2024 ORYX Requirements for [HAP PSYCH] Freestanding Psychiatric Hospitals

[HAP PSYCH] FREESTANDING PSYCHIATRIC HOSPITALS

[HAP PSYCH] FREESTANDING PSYCHIATRIC HOSPITALS

NOTE: IMM-2 is a seasonal measure; only 1Q and 4Q data are submitted

NOTE: SDOH measures are not submitted quarterly, but are instead submitted annually in alignment with the 4Q CAM submission deadline.

NOTE: SDOH measures are not submitted quarterly, but are instead submitted annually in alignment with the 4Q CAM submission deadline.