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. Measures listed in the specifications manuals section below are chart-abstracted Measures that are part of the performance measurement data submission for accreditation and certification programs.

Over time, it may be necessary to view historical or future versions of the Specifications 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).

 

The link below lists three versions of the specifications manual (current, future and past) based upon hospital discharge/encounter dates. Once you navigate to the page, select the version associated with the specific data collection time period.

Joint Commission Specifications Manuals

Note that beginning with 01/01/2020 discharges, the ED, IMM, SUB, TOB and VTE measure specifications which were previously in the aligned CMS/Joint Commission aligned specifications manual have been moved to the Specifications Manual for Joint Commission National Quality Measures for hospital use.

The Joint Commission also uses chart-based hospital outpatient measures: OP-18 and OP-23. The specifications for these measures are available below:

Hospital Outpatient Specifications Manuals (CMS)

The Joint Commission Guide for Data Entry of Chart-Abstracted Measures describes the aggregate data requirements for hospitals submitting chart-abstracted measure data. The Guide is derived from the same year’s Specifications Manual for Joint Commission National Quality Measures and the Center for Medicare and Medicaid Services' Hospital Outpatient Quality Reporting Specifications Manual. The information in the Guide is intended to assist health care organizations in their preparation for data entry of their aggregate data into the Joint Commission’s Direct Data Submission Platform (DDSP). 

Joint Commission Guide for Data Entry of Chart-Abstracted Measures

(Last Updated: June 2020)

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