Specifications Manual for Joint Commission National Quality Measures (v2019A1)
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Release Notes:
Data Element
Version 2019A1

Name:Predicted Value
Collected For: PC, Transmission, Risk Adjustment, Hospital Clinical Data File, Used in the calculation of the Joint Commission's aggregate data for Risk Adjusted Measures (PC-04) and in the Transmission section of the Hospital Clinical Data file.

  • The ORYX Vendor's calculated Predicted Value will be transmitted to The Joint Commission on a quarterly basis with the associated hospital clinical data. These measure results will be used in the Joint Commission's data quality analysis and continuous measure verification process. ORYX Vendors can refer to the Joint Commission's ORYX Data Quality Manual and ORYX Risk Adjustment Guide for more information.
Definition:This data element is used to store the calculated predicted value that results from applying the appropriate Joint Commission risk model to the data.

Used in conjunction with Measure Category Assignment when its allowable value = “D” (In Measure Population) or “E” (In Numerator Population).
Question:Not Applicable
Length:2-9 (including decimal)
Occurs:One Predicted Value is expected per EOC for every risk-adjusted measure that a hospital is participating in.
Allowable Values:

0.00000001 — 0.99999999

  • Round to 8 decimal places.
  • Use only the twenty four ICD-10-CM Diagnosis Codes that are transmitted as part of the patient record when evaluating the patient against the risk model. Do not use additional ICD-10-CM Diagnosis Codes that may be available in the medical record or from the UB download.
Notes for Abstraction:None
Suggested Data Sources: Not Applicable
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
None None

Predicted Value
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Specifications Manual for Joint Commission National Quality Measures (v2019A1)
Discharges 10-01-19 through 12-31-19 (4Q19)


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