The Joint Commission

Certification FAQs

Topics Covered in this section:

  • Certification Basics

  • ACPC and using eCQMs for Certification

  • Certification Resources


Certification Basics

1Q certification data is due June 30th
2Q certification data is due September 30th
3Q certification data is due December 31st
4Q certification data is due March 31st

Acute Stroke Ready Hospital (ASRH)
Comprehensive Stroke Care (CSC)
Primary Stroke Center (PSC)
Thrombectomy Capable Stroke Center (TSC)
Acute Heart Attack Ready (AHAR)
Comprehensive Cardiac Care Centers (CCCC)
Heart Failure (HF)
Primary Heart Attack Center (PHAC)
Health Care Staffing Services (HCSS)
Total Hip and Knee Replacement (THKR)
Palliative Care (PC)
Perinatal Care Certification (PCC)
Spine Surgery (ACSS)

For organization applying for Certification programs that do not have standardized measures, your
hospital is required to report on four self-selected Performance Measures. At least two of the four
measures should be clinical measures related to or identified in clinical practice guidelines for that
program or service. Measures selected by the program or service should be evidence-based, relevant,
valid and reliable. Certification data is entered into the Certification Measure Information Process (CMIP)
application (available via Joint Commission Connect® site). The Data Submission tab allows your
organization to record and track the data entered for each program.

Effective 1/1/2020, The Joint Commission no longer has contracts with ORYX chart-abstracted vendors
for certification or accreditation purposes. If available, a healthcare organization may use a vendor tool
to identify numerator and denominator values for entry in the Certification Measure Information Process
(CMIP) application on its Joint Commission Connect® secure-extranet site; however, the healthcare
organization must self-submit these data each month via CMIP to meet certification measure reporting
requirements.

Effective 1/1/2020, The Joint Commission no longer has contracts with ORYX chart-abstracted vendors
for certification or accreditation purposes.

Effective 1/1/2020 patient discharges, all hospitals in the Perinatal Care (PNC) certification program
that have been using an ORYX chart-abstracted vendor must manually enter their aggregate data on the
Certification Measure Information Process (CMIP) application available on JC Connect. Hospitals may
use a vendor to assist in data collection and aggregation.

Note: For reporting of the chart-abstracted PC measures for ORYX accreditation reporting purposes,
hospitals submit data via the The Joint Commission’s Direct Data Submission Platform (DDSP).

 

ACPC and using eCQMs for Certification

 

Certification Resources

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