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Modifications to data reporting requirements:
The Joint Commission is immediately modifying performance measure data reporting and data submission timelines for ORYX® and Certification Programs with standardized measure requirements. Please click here to see the communication which includes specific information on optional performance measure reporting for 4Q2019, 1Q2020 and 2Q2020 chart-abstracted measures and extended submission timelines for hospitals choosing to submit available chart-abstracted data.
Link to Frequently Asked Questions under 'Important FAQs' on The Joint Commission Website.

Measure Specifications Manuals

Joint Commission Only Measures
  • Future: **Coming soon**

  • Current:
    Specifications Manual for Joint Commission National Quality Measures (version 2021A1) (Updated 10/07/2020 - Updated Description for TOB-2 & TOB-3 MIF to maintain consistency with previously specified updates to Tobacco Use Status. Updated 09/25/2020 - 2021 Annual update of ICD Codes.) (ED, IMM, SUB, TOB, VTE, HBIPS, PC, ASR, ACHF, ACHFOP, CCCIP, CCCOP, CSTK, PAL, STK, STK-OP, THKR-IP, THKR-OP Measures: applicable to Discharges 01-01-21 (1Q21) through 06-30-21 (2Q21))

  • Recent Past (4Q20):
    Specifications Manual for Joint Commission National Quality Measures (version 2020B3) (Updated 09/18/2020 - 2021 Annual update of ICD Codes) (ED, IMM, SUB, TOB, VTE, HBIPS, PC, ASR, ACHF, ACHFOP, CSTK, PAL, STK, STK-OP, THKR-IP, THKR-OP Measures: applicable to Discharges 10-01-20 through 12-31-20 (4Q20))

    Risk Adjustment:
    The Joint Commission Risk Adjustment Guide and Documents

  • Data Entry Guide for Chart-Abstracted Measures:
    This guide describes the aggregate data requirements for hospitals submitting chart-abstracted measure data using the Direct Data Submission Platform. The guide is available under 'Data Entry Guide' on this page on The Joint Commission Website.

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BHC Instrument Listing

View a list of Measurement-Based Care instruments that may be suitable for use by organizations with Behavioral Health Care accreditation as they comply with a new accreditation standard related to the measurement and tracking of outcomes and progress for patients/clients/individuals served. The is of instruments is made available to accredited organizations as a resource only. The Joint Commission does not endorse the use of any particular instrument/tool, nor does it imply that the tools listed are superior to tools not found on the list. Organizations should use their discretion in choosing any product based on their needs and the needs of the population(s) they serve.

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