IP-EXRad performance measure removed from ORYX® optional measure list for 2025
The Joint Commission has removed from the 2025 ORYX®; program an optional inpatient measure, the Excessive Radiation Dose or Inadequate Image Quality for Diagnostic Computed Tomography (CT) in Adults, Hospital Level — Inpatient, (IP-ExRad). The IP-ExRad measure was on the list of optional measures organizations can select from to meet the ORYX requirement to report self-selected eCQMs. We are removing the measure due to a specification issue in the 2025 measure specifications (IP-ExRad version CMS1074v2).
Joint Commission technical staff identified that the measure specification does not match the measure intent and creates significant burden for implementers, including The Joint Commission, vendors, and hospitals. The Joint Commission team will continue to work with the measure developer and stakeholders and consider implementing the measure once the specification is corrected. The Excessive Radiation Dose or Inadequate Image Quality for Diagnostic Computer Tomography (CT) in Adults, Hospital Level — Outpatient (OP-ExRad) does not have this technical issue and will remain on the list of optional measures available for organizations to select to meet eCQM reporting requirements.
Organizations that considered or selected this measure please reach out to our customer support team directly for additional assistance or with any questions at .
Questions related to the ExRad eCQM specifications, logic, data elements, standards or resources can be submitted to the ONC JIRA CQM Issue Tracker.