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Key Communications: Hospitals & Critical Access Hospitals

The Joint Commission

Key Communications: Hospitals & Critical Access Hospitals

The following key communications were sent to organization contacts (ORYX and Primary Accreditation Contact listed in an organization’s Joint Commission Connect site) related to ORYX Performance Measurement:

ACCREDITATION

Dear Colleague: 

This email is sent to all organizations that have ORYX® performance measure reporting requirements regardless of the organization’s current CY2024 data submission status.

 The Joint Commission is reminding organizations that have ORYX® performance measure reporting requirements to submit their data well in advance of upcoming deadlines in order to have time to resolve any unexpected issues and verify that their data is entered accurately and on time. Organizations electing to use consultants or vendors to assist with the data entry process on the DDSP should have their own staff log into the platform to verify that data has been submitted as expected. Joint Commission staff cannot confirm this for you.

Users with access to the DDSP should download and retain the Submission Report from the Home page on the DDSP, which provides a summary / proof of submission of the data received from your organization.

Upcoming Deadlines:

·     The Joint Commission deadline for entering 4Q2024 chart-abstracted data to the DDSP is March 31, 2025 at 11:59PM Central Time.  This is applicable to organizations required or electing to submit chart-abstracted data.

·     The deadline to submit CY2024 eCQM data is March 17, 2025 at 11:59 PM Central Time. The eCQM Submit button is now available in the eCQM Module on the Submit Data page. This is applicable to organizations required or electing to submit eCQMs. 

ADDITIONAL INFORMATION:

·     The Joint Commission and CMS are separate entities with separate requirements and platforms; submission of data to one does not meet the requirements of the other.

·     Visit the ORYX FAQs on the measurement section of the external Joint Commission website, or the Need Help? section on the DDSP for the following information:

o  ORYX Performance Measurement Requirements

o  How to verify your organization’s ORYX requirements and data submission

o  ORYX performance measurement CY2024 and CY2025 timeline

o  Guide for Data Entry of Chart-Abstracted Measures into the DDSP

Questions:
If you need assistance or have questions with any portion of the Platform, please submit a support ticket via the DDSP “Need Help?” button.

If you have non-DDSP questions, please contact hcooryx@jointcommission.org and include your HCO ID in the subject line.

Thank You  

Dear Colleague: 

This is a reminder for those organizations required or electing to submit 3Q2024 chart-abstracted data to The Joint Commission. Please note this email is sent to all organizations regardless of their current submission status within The Joint Commission Direct Data Submission Platform (DDSP).

The deadline for submitting 3Q2024 chart-abstracted data to the Joint Commission via the DDSP is December 31, 2024 at 11:59 PM Central Time. We strongly encourage organizations to submit their data well in advance of the deadline.

CY2024 ORYX Performance Measurement Timeline

  • 1Q 2024 (Jan, Feb, Mar) Chart-abstracted measures: DDSP opened February 1, 2024; deadline to enter data was June 30, 2024

  • 2Q 2024 (Apr, May, Jun) Chart-abstracted measures: DDSP opened May 1, 2024; deadline to enter data was September 30, 2024

  • 3Q 2024 (Jul, Aug, Sep) Chart-abstracted measures: DDSP opened August 1, 2024 and data must be entered by December 31, 2024

  • 4Q 2024 (Oct, Nov, Dec) Chart-abstracted measures: DDSP opened November 1, 2024 and data must be entered by March 31, 2025

  • CY2024 eCQMs: DDSP opened August 5, 2024; Transmission period to submit data opens January 1, 2025, and data must be submitted by March 17, 2025

The ORYX Performance Measurement Timeline for CY2024 data submission is available via the DDSP “Need Help?” and ORYX FAQs; quick link: 
https://jointcommission-ddsp.atlassian.net/wiki/spaces/DCS/pages/71008257  

Deadline for retransmission of 4Q2023 CAM Data
If your organization identified incorrectly entered or incorrectly omitted chart-abstracted data for 4Q2023, the deadline to correct this is December 31, 2024 at 11:59 PM Central Time. There will be no opportunity to resolve 4Q2023 CAM data beyond this date.

Information on Retransmission is available via the DDSP “Need Help?” and ORYX FAQs; quick link: 
https://jointcommission-ddsp.atlassian.net/wiki/spaces/DCS/pages/141295632

ORYX Performance Measurement Requirements
Requirements for CY2024 and CY2025 are available on our website:
https://www.jointcommission.org/measurement/reporting/accreditation-oryx/

Questions
If you need assistance or have questions with any portion of the DDSP, please submit a support ticket via the DDSP “Need Help?” button.

If you have non-DDSP questions, please contact hcooryx@jointcommission.org and include your HCO ID in the subject line.

Thank You  

 

 

Dear Colleague: 

This communication is to correct an error on Slide #89 from the 9/10/2024 Office Hours. The slide stated that eCQM patient-level data submitted to the DDSP will be removed six months after the close of the eCQM submission period. However, sub-bullet #3 incorrectly stated that “QI page graphs and results table view… will continue to display.” The correct information is that the data associated with the graphs on the QI page and the results table view will not be available after the patient-level data has been removed from the DDSP. 

Historical HCO-level aggregate eCQM data is included in the DDSP’s Data Submission Report. This report is available on the Home page of the DDSP and documents the hospital’s data submission for the year. 

Hospitals wishing to retain the DDSP-generated eCQM patient-level data results must download them from the DDSP Quality Improvement page before six months after the close of the eCQM submission period. The patient-level results can be downloaded using the “Review Patient Results” button on the Quality Improvement page. For CY2023 data, the deadline to download is September 30, 2024. 

Corrected 9/10/2024 Office Hour Slide #89: 
Slide #89 Office Hours (corrected)
Thank you 

Dear Colleague: 

The Specifications Manual for Joint Commission National Quality Measures, version 2025A (applicable starting with 1/1/2025 encounters) and associated Release Notes have been posted to the Wiki Joint Commission Specifications Manual website and the Joint Commission website.
 
The 2025A Specifications Manual contains the following changes:

  • The use of Gestational Age code tables in PC-01 and PC-02 has been removed from the 2025A manual since the intent of the measures is to capture the gestational age at time of delivery.

  • The PDF version of the manual is not being published due to 508 Compliance issues.  As an alternative option, users can PDF each section of the web version by clicking on the ellipsis in the browser menu, then click Print and select Adobe PDF.

See Release Notes for details on all of the changes to this version of the Specifications Manual.

Please share this information with relevant staff in your organization and if applicable with your vendor.

Questions?
Please contact https://manual.jointcommission.org  
Thank you 

Dear Colleague: 

This is a reminder for those organizations required or electing to submit 2Q2024 chart-abstracted data to The Joint Commission. Please note this email is sent to all organizations regardless of organization’s current submission status within The Joint Commission Direct Data Submission Platform (DDSP).

The Joint Commission deadline for submitting 2Q2024 chart-abstracted data to the DDSP is September 30, 2024 at 11:59 PM Central Time. We strongly encourage organizations to submit their data well in advance of the deadline.

CY2024 ORYX Performance Measurement Timeline

  • 1Q 2024 (Jan, Feb, Mar) Chart-abstracted measures: DDSP opens February 1, 2024 and data must be entered by June 30, 2024

  • 2Q 2024 (Apr, May, Jun) Chart-abstracted measures: DDSP opens May 1, 2024 and data must be entered by September 30, 2024

  • 3Q 2024 (Jul, Aug, Sep) Chart-abstracted measures: DDSP opens August 1, 2024 and data must be entered by December 31, 2024

  • 4Q 2024 (Oct, Nov, Dec) Chart-abstracted measures: DDSP opens November 1, 2024 and data must be entered by March 31, 2025

  • CY2024 eCQMs: DDSP opens August 5, 2024; Transmission period to submit data opens January 1, 2025, and data must be submitted by March 17, 2025

The ORYX Performance Measurement Timeline for CY2024 data submission is available via the DDSP “Need Help?” and ORYX FAQs; quick link: 
https://jointcommission-ddsp.atlassian.net/wiki/spaces/DCS/pages/71008257  

Deadline for retransmission of 3Q2023 CAM Data
If your organization identified incorrectly entered or incorrectly omitted chart-abstracted data for 3Q2023, the deadline to correct this is September 30, 2024 at 11:59 PM Central Time. Therewill be no opportunity to resolve 3Q2023 CAM data beyond this date.

Information on Retransmission is available via the DDSP “Need Help?” and ORYX FAQs; quick link: 
https://jointcommission-ddsp.atlassian.net/wiki/spaces/DCS/pages/141295632

CY2024 ORYX Performance Measurement Requirements
Requirements for CY2024 are available on our website:
https://www.jointcommission.org/measurement/reporting/accreditation-oryx/

Questions
If you need assistance or have questions with any portion of the DDSP, please submit a support ticket via the DDSP “Need Help?” button.

If you have non-DDSP questions, please contact hcooryx@jointcommission.org and include your HCO ID in the subject line.  
Thank you 

CERTIFICATION

 

 

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