DDSP General: Accreditation & Certification Data Submission Requirements

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

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 Joint Commission no longer has contracts with ORYX vendors, organizations may elect to use vendors / consultants at their discretion to assist them in collecting and aggregating the patient data required by the measures
the Invite & Manage User functionality of the DDSP allows users with security administrator permissions to invite additional users as needed, including vendors / consultants onto the DDSP to assist with chart-based data submission.

Certification

Advanced Certification

At this time, Advanced Certification program data is not entered in the DDSP; Advanced Certification data is provided within the Certification Measurement Information Process (CMIP) application within JC Connect. For more information about Advanced Certification / CMIP, visit the Certification FAQs topic:Certification FAQs

PLEASE NOTE: Joint Commission Connect is a secure, password protected website intended only for Joint Commission accredited or certified organizations. This website not only provides access to the CMIP tool, but your organization's accreditation and certification applications; survey process and continuous compliance information; and official communications.

Outcomes-Driven Certification

Beginning with CY2026, the DDSP will support organizations participating in Outcomes-Driven Certification (ODC) with Joint Commission. For an overview of ODC, visit our external Joint Commission website: Outcomes-Driven Certification | Joint Commission

For platform specific ODC content, refer to the Confluence help topic: Joint Commission - Outcomes Driven Certification Externally Available Resources