Yes, all hospitals with ORYX Performance Measurement Requirements are now required to submit data via the DDSP. The option to self-report (collecting data internally and making it available at the time of survey) was removed. Effective CY2021, all hospitals with ORYX requirements are required to submit data via the DDSP. Requirements are posted on the “Measurement>Resources” section of our external website under “Supporting Materials” :
 https://www.jointcommission.org/measurement/resources/

Small hospitals and CAHs are not required to submit eCQMs but may do so if they choose in order to meet their minimum reporting requirements.

For CY2021: Those electing to submit eCQMs in order to meet their minimum reporting requirements must submit two quarters of data for any eCQM measure they choose to submit.

For CY2022: Those electing to submit eCQMs in order to meet their minimum reporting requirements must submit three quarters of data for any eCQM measure they choose to submit.

For CY2023: Those electing to submit eCQMs in order to meet their minimum reporting requirements must submit four (all) quarters of data for any eCQM measure they choose to submit.

Small hospitals and CAHs are not required to collect data on the PC chart-abstracted measures to meet their ORYX reporting requirements. However, those facilities providing obstetrical services may elect to use any of the PC measures (chart-abstracted and/or eCQMs) to meet their reporting requirement if they provide obstetrical services.

For CY2021: Any facility electing or required to submit eCQMs must submit a minimum of two (2) quarters of eCQM data.

For CY2022: Any facility electing or required to submit eCQMs must submit a minimum of three (3) quarters of eCQM data.

For CY2023: Any facility electing or required to submit eCQMs must submit all four (4) quarters of eCQM data.

The Specialty Hospital designation as it relates to ORYX Performance Measurement was removed effective CY2021.  All hospitals previously designated as "Specialty" for ORYX reporting purposes are placed in the appropriate ORYX policy based upon number of Licensed Beds and/or Outpatient Visits. Please refer to the reporting requirements for the respective year on our website or copy and paste the following web address into your internet browser: https://www.jointcommission.org/measurement/reporting/accreditation-oryx/