Chart Abstracted Measures

Measures listed in the specification manuals available below are Chart-Abstracted Measures. Chart abstraction is the review of medical record documentation from the current episode of care for the purposes of data collection and submission.

Over time, it may be necessary to view historical or future versions of the Specification Manuals as they are associated with very specific data collection time periods (i.e., based on hospital discharge/encounter dates). The Release Notes for each version of the manual outline the changes associated with that specific release and include corrections and clarifications from the Joint Commission.

Note: Measure specifications available in the manuals below are also used in CMS payment programs (e.g., IMM, TOB, SUB and HBIPS measures are used in Inpatient Psychiatric Facility Quality Reporting Program).

Current Version: Discharges 1/1/2020 to 6/30/2020

Beginning with 1/1/2020 discharges, the ED, IMM, SUB, TOB and VTE measure specifications which were previously in the aligned CMS/Joint Commission aligned specification manual have been moved to the Specification Manual for Joint Commission National Quality Measures, version 2020A for hospital use.

Future Version: Discharges 7/1/2020 to 12/31/2020

Performance Measurement Network Q&A Forum

The Joint Commission manual is posted on the Performance Measurement Network Q&A Forum. Need more information? See "Ask a New Question" on the Q & A Forum.

The CMS specification manual version 5.7 (applicable for 1/1/2020-6/30/2020 discharges) is available on the QualityNet website and contains the Sepsis measure.

Link to NHQM v5.7 on QualityNet website