Accreditation

eCQMs

eCQMs for accreditation purposes will continue to be:

• using CQL-based HQMF eCQM specifications:

  • ePC-02 is a Joint Commission only specification, available on our website

  • the remaining eCQMs available for accreditation purposes have been published by CMS on the eCQI Resource Center

• submitted to The Joint Commission via the DDSP using:

  • HL7’s QRDA I Release 5.1 Implementation Guide (IG) and

  • CMS' 2020 QRDA I IG for Hospital Quality Reporting

  • note: ePC-02 will use the above two IGs, The Joint Commission will not be releasing a separate IG for this measure.

Chart-abstracted Measures

Effective CY2020, chart-abstracted measures for accreditation purposes are submitted:

• as Aggregate Data (e.g., Initial Population, Sampling Frequency, Sample Size, Denominator, Numerator, Exclusions)

• the data will be entered into data entry forms on the DDSP

• while The Joint Commission will no longer have contracts with ORYX vendors, organizations may continue to use vendors / consultants to assist them in collecting and aggregating the patient data required by the measures

• the Invite & Manage User functionality of the DDSP will remain the same, meaning that organizations may invite vendors / consultants onto the DDSP specifically to assist them with their chart-based data submission.

Certification

eCQMs

At this time, there are no eCQMs available for use within any of the Certification programs

Chart-abstracted Measures

Effective CY2020, chart-abstracted measures for certification purposes are submitted via the CMIP tool:

• as Aggregate Data (i.e., Denominator and Numerator)

• the data will be entered into data entry forms within the Certification Measurement Information Process (CMIP) application within JC Connect

• while The Joint Commission will no longer have contracts with ORYX vendors, organizations may continue to use vendors / consultants to assist them in collecting and aggregating the patient data required by the measures

• if the staff that will be entering your certification data does not have access to JC Connect, your organization’s JC Connect Security Administrator must Create a New User and provide the individual ‘Full' Security Rights to the CMIP application.