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Performance Measurement Network

Chart Abstracted Measure Specifications Manuals

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warning NOTE: This site is only for questions about performance measure specifications. The Joint Commission will not interpret imaging readings, clinical diagnoses, or abstract chart information. Those tasks should be performed within each health care organization. Other types of Joint Commission questions should be directed as follows:
If your question… Then go to:
…is related to Clinical Specifications for: OP Go to the QualityNet system.
…is related to CMS eCQMs, including ePC-02 and ePC-07 (NEW): Go to the ONC Isssue Tracking System.
…does not relate to a specific performance measure but is related to Joint Commission Standards Use the Standards Online Question Form

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Additional Documentation
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 the "Guide for Data Entry" section of the Chart Abstracted Measures page on The Joint Commission Website.
Hospital Outpatient Specifications Manuals (CMS) The Joint Commission also uses chart-based hospital outpatient measures: OP-18 and OP-23. The specifications are available here.

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Additional Documentation
Assisted Living Community (ALC) Certification Program Performance Measure Abstraction Template:
pdf ALC Abstraction Template
Data Entry Guide for Chart-Abstracted Measures:
This guide describes the aggregate data requirements for Assisted Living Communities (ALC) submitting chart-abstracted measure data the Direct Data Submission Platform. The guide is available under the "Guide for Data Entry" section of the Chart Abstracted Measures page on The Joint Commission Website.

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Additional Documentation
Comment on performance measures for the Health Care Staffing Certification Program:
The Joint Commission invites comment on proposed changes to the performance measure requirements for HCSS certification. These proposed changes are intended to build-on the current standardized measures required for certification and expand the portfolio of topics used to measure quality improvement initiatives. We welcome your thoughtful feedback. Comment is invited until 11:59 PM, June 30, 2023. If you would like to review the measure topics and submit comments, please access the survey via the following link:

Survey Link

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