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[HAP PSYCH] Freestanding Psychiatric Hospital (2025)

Owned by Kelly C
Last updated: Oct 23, 2024
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CY2025 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-3 (CAM) Alcohol & Drug Use Treatment at Discharge

SDOH-1 (CAM) Screening for Social Drivers of Health

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

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

SUB-2 (CAM) Alcohol Use Brief Intervention

SUB-3 (CAM) Alcohol & Drug Use Treatment at Discharge

TOB-3 (CAM) Tobacco Use Treatment at Discharge

See also: ORYX FAQs Measure Requirements: By Organization Type: 5. Measure Requirements: By Organization Type

Return to: ORYX Performance Measurement Reporting Requirements Main Page:
https://jointcommission-ddsp.atlassian.net/wiki/spaces/DCS/pages/403472385

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