2022 Joint Commission ORYX Requirements
The Joint Commission quietly released their 2022 ORYX® requirements this week. Or rather, I should say they were a bit buried beneath the announcement that The Joint Commission’s DDS platform is shut down and being rebuilt, therefore, the deadline to submit your 2021 abstracted and eCQM performance is delayed.
“On Sept. 30, 2021, the Apervita platform for direct data submission of chart-abstracted measures and/or eCQMs shut down permanently, resulting in the inability for hospitals to submit ORYX performance measurement data to The Joint Commission. Due to this, chart-abstracted and eCQM accreditation data submission timelines will be delayed in 2021 and 2022.
A new Joint Commission Direct Data Submission Platform (DDSP) is being built to collect both chart-abstracted and eCQM data. … We anticipate that hospitals will submit their 2021 and 2022 data to the new DDSP in the second half of 2022. A more specific timeline will be communicated when the platform launch date has been determined.”
Beyond that big announcement, there weren’t many changes to the ORYX® program requirements in 2022. To be honest, the biggest challenge we foresee is keeping the requirements straight between the ORYX® program and the CMS Inpatient Quality Reporting (IQR) program. They used to be mostly identical and now they are similar but with enough changes to confuse us all.
Let’s review some of the major changes to the ORYX® program and then go over the actual requirements for 2022.
ORYX® Program Notable Changes
- You must submit three quarters of eCQM data instead of two (same as IQR).
- There is one new eCQM available - ePC-07 Severe Obstetric Complications (not available in the IQR program).
- As of now, TJC still will not publicly report eCQM results (IQR eCQM results will be published by CMS).
- If your hospital is required to submit eCQMs, but unable to, then you must submit an extenuating circumstance request (ECR) form prior to the chart-abstracted deadline and must submit 3 chart-abstracted measures for all four quarters of 2022 instead. Hospitals must submit a new ECR form each year.
That covers the major changes you should be aware of. Now let’s move onto the requirements for the ORYX® program in 2022.
2022 TJC ORYX® program requirements
For reference, here is The Joint Commission’s PDF of 2022 requirements.
Chart-abstracted measure ORYX® requirements
The Joint Commission abstracted measure requirements essentially remain the same. Remember that Critical Access Hospitals are now required to submit data (abstracted and/or eCQMs).
Note: For any or all of the required chart-abstracted Perinatal Care Measures (PC-01, PC-02, PC-05 and PC-06), hospitals may submit a minimum of three quarters of the associated PC eCQM instead of four quarters of the corresponding chart-abstracted measure.
Requirement:
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Chart-Abstracted Measures |
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Hospitals with ≥26 beds OR ≥50,000 Outpatient visits AND: 300+ live births |
Hospitals with ≥26 beds OR ≥50,000 Outpatient visits AND: 1-299 live births |
Hospitals with ≥26 beds OR ≥50,000 Outpatient visits AND: No OB services |
Freestanding Psychiatric Hospitals | Critical Access Hospitals | Hospitals with <26 beds AND <50,000 Outpatient visits |
| PC-01 PC-02 PC-05 PC-06 |
PC-01 | None | HBIPS-1 HBIPS-2 HBIPS-3 HBIPS-5 |
Submit any combination of 3 eCQMs (3 quarters) and/or chart-abstracted measures (4 quarters) | Submit any combination of 3 eCQMs (3 quarters) and/or chart-abstracted measures (4 quarters) |
eCQM ORYX® requirements
In 2022, hospitals must submit three quarters of data instead of two quarters. The eCQMs must be the same for all three quarters but they don’t have to be consecutive quarters. Remember that this data must still be submitted via the DDS platform, but unlike the abstracted measures, eCQMs must still contain patient-level data in the form of a QRDA I file format. Also, as of now, TJC will not publicly report eCQM results unlike CMS who will publish the IQR eCQM results.
Note: For any or all of the required chart-abstracted Perinatal Care Measures (PC-01, PC-02, PC-05 and PC-06), hospitals may submit a minimum of three quarters of the associated PC eCQM instead of four quarters of the corresponding chart-abstracted measure.
Requirement:
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eCQMs |
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Hospitals with ≥26 beds OR ≥50,000 Outpatient visits AND: 300+ live births |
Hospitals with ≥26 beds OR ≥50,000 Outpatient visits AND: 1-299 live births |
Hospitals with ≥26 beds OR ≥50,000 Outpatient visits AND: No OB services |
Freestanding Psychiatric Hospitals | Critical Access Hospitals | Hospitals with <26 beds AND <50,000 Outpatient visits |
| Submit any 4 eCQMs, reporting the same eCQMs for 3 self-selected quarters | Submit any 4 eCQMs, reporting the same eCQMs for 3 self-selected quarters | Submit any 4 eCQMs, reporting the same eCQMs for 3 self-selected quarters | HBIPS-1 HBIPS-2 HBIPS-3 HBIPS-5 |
Submit any combination of 3 eCQMs (3 quarters) and/or chart-abstracted measures (4 quarters) | Submit any combination of 3 eCQMs (3 quarters) and/or chart-abstracted measures (4 quarters) |
Facilities with suspended requirements
As in the past, the following facilities are exempt from The Joint Commission ORYX® requirements in 2022:
- Freestanding Children’s Hospitals
- Long Term Acute Care Hospitals
- Inpatient Rehabilitation Facilities
- Hospitals participating in the CMS PPS-Exempt-Cancer Hospital Quality Reporting program
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Here are some resources to help you get started: Download: "[eBook] 2022 IQR Program Requirements" |
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