New Joint Commission ORYX performance measure reporting requirements

Editor's Note

The Joint Commission on November 1 announced the release of the 2024 ORYX performance measure reporting requirements, which will be effective starting on January 1, 2024, for critical access hospitals and hospitals. In the new requirements, acute care hospitals and critical access hospitals must join The Joint Commission National Healthcare Safety Network (NHSN) Group.

The Joint Commission noted that sharing NHSN data will allow it to include more recent data in Accelerate PI dashboards as opposed to publicly available CMS [Centers for Medicare & Medicaid Services] data, which can be between 18 and 24 months old. The data will also be able to more readily identify quality improvement opportunities.

Hospitals must also allow The Joint Commission to access de-identified data on five CDC [Centers for Disease Control and Prevention] NHSN hospital-associated infection (HAI) measures from the NHSN application:

• the Catheter-Associated Urinary Tract Infection (CAUTI) Outcome Measure; Facility-Wide Inpatient Hospital-Onset Clostridium difficile Infection (CDI) Outcome Measure
• Central Line-Associated Bloodstream Infection (CLABSI) Outcome Measure
• Colon and Abdominal Hysterectomy Surgical Site Infection (SSI) Outcome Measure
• and the Facility-Wide Inpatient Hospital-Onset Methicillin-Resistant Staphylococcus aureus (MRSA) Bacteremia Outcome Measure.

 The Joint Commission NSHN group will share information on joining NSHN to hospitals in late 2023 and early 2024.