The Joint Commission
[HAP PSYCH] Freestanding Psychiatric Hospital (2023)
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CY2023 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 |
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REQUIRED MEASURES: The following three measure are required: |
HBIPS-2 (CAM): Hours of Physical Restraint Use |
HBIPS-3 (CAM): Hours of Seclusion Use |
HBIPS-5 (CAM): Antipsychotic Medications at Discharge |
Available optional chart-abstracted measures |
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-2 (CAM): Tobacco Use Treatment |
TOB-3 (CAM): Tobacco Use Treatment at Discharge |
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