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ORYX for Hospitals Fact Sheet

(National Hospital Quality Measures)

  • The Joint Commission’s ORYX® initiative integrates performance measurement data into the accreditation process.
  • ORYX® measurement requirements support Joint Commission-accredited organizations in their quality improvement efforts.
  • The Joint Commission continues to align measures as closely as possible with Centers for Medicare & Medicaid Services.

2023 ORYX Reporting Requirements for Hospitals

The Joint Commission updated the 2023 ORYX® Performance Measure reporting requirements effective Jan. 1, 2023. These updates affect reporting requirements for Joint Commission-accredited critical access hospitals and hospitals. Key updates include:

  • Three new eCQMs will be available to meet ORYX eCQMs submission requirements:
  • Hospital Harm—Severe Hypoglycemia Measure
  • Hospital Harm—Severe Hyperglycemia Measure
  • ST-Segment Elevation Myocardial Infarction (STEMI) Patients in the Emergency Department (ED)
  • Hospitals that are required or elect to submit eCQMs are required to submit eCQM data on a minimum of four (4) eCQMs for all four quarters starting with 2023 discharges.
  • The Joint Commission will retire the chart-abstracted HBIPS-1 measure.

Additionally, CMS and The Joint Commission will both include maternal care eCQMs ePC-02 and ePC-07 as optional measures for the 2023 measure collection year. The Joint Commission made these measures available as optional measures to satisfy 2022 ORYX Performance Measure requirements. (Supporting material: 2023: ORYX Performance Measurement Reporting Requirements)


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