The Joint Commission
[CAH] Critical Access Hospitals (2022)
CY2022 ORYX Requirements for [CAH] Critical Access Hospitals
How are [CAH] Critical Access Hospitals defined as it relates to ORYX Requirements?
[CAH] Critical Access Hospitals adhere to the CAH standards manual, and are a specific designation by the state as a critical access hospital in a rural area. For more information on CAH eligibility, contact your Joint Commission Account Executive and/or see also the accreditation health care settings on The Joint Commission Website.
eCQMs are submitted for three (3) quarters.
Chart-abstracted measures are submitted for four (4) quarters. unless otherwise noted.
In order to meet ORYX requirements, submitted measures must be applicable to patient population/services offered.
Critical Access Hospitals (CAH) |
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REQUIRED: Submit any three (3) measures (chart-abstracted measures and/or eCQMs) applicable to patient population/ services offered.
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AVAILABLE eCQMs: |
eED-2 (eCQM) Admit Decision Time to ED Departure-Admit |
eOPI-1 (eCQM) Safe Use of Opioids |
ePC-01 (eCQM) Elective Delivery |
ePC-02 (eCQM): Cesarean Birth |
ePC-05 (eCQM) Exclusive Breast Milk Feeding |
ePC-06 (eCQM) Unexpected Complications in Term Newborns |
ePC-07 (eCQM) Severe Obstetric Complications |
eSTK-2 (eCQM) Discharged on Antithrombotic Therapy |
eSTK-3 (eCQM) Anticoagulation Therapy Atrial Fibrillation/Flutter |
eSTK-5 (eCQM) Antithrombotic Therapy by End of Hospital Day 2 |
eSTK-6 (eCQM) Discharged on Statin Medication |
eVTE-1 (eCQM) Venous Thromboembolism Prophylaxis |
eVTE-2 (eCQM) ICU Venous Thromboembolism Prophylaxis |
OPTIONAL Chart-Abstracted Measures |
ED-1 (CAM) Median ED Arrival to ED Departure-Admit |
ED-2 (CAM) Admit Decision Time to ED Departure-Admit |
HBIPS-1 (CAM) Admission Screening |
HBIPS-2 (CAM) Hours of Physical Restraint Use |
HBIPS-3 (CAM) Hours of Seclusion Use |
HBIPS-5 (CAM) Antipsychotic Medications at Discharge |
IMM-2 (CAM) Influenza Immunization NOTE: IMM-2 is a seasonal measure; only 1Q and 4Q data are submitted |
OP-18 (CAM) Median ED Arrival-ED Departure at Discharge |
OP-23 (CAM) Head CT or MRI Scan Results-Stroke |
PC-01 (CAM): Elective Delivery |
PC-02 (CAM): Cesarean Birth |
ePC-06 (CAM): Exclusive Human Milk Feeding |
PC-06 |
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