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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 'Data Entry Guide' on this 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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Health Care Staffing Services (HCSS) Certification Program Performance Measure Implementation Guide:
This guide describes the specifications for HCSS measures and is effective until 12/31/2021. The guide is available at the link below.

HCSS Implementation Guide

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