2021 Joint Commission ORYX eCQM Requirements

Now that 2020 is in the rearview mirror, let’s take a look at the TJC ORYX 2021 timeline for Healthcare Organizations (HCOs):

We’ve already blogged about ,eCQM IQR requirements so here’s a quick overview of Joint Commission ORYX requirements. As a data submission vendor and a previous ORYX vendor, we are known as the quality measure experts. Here are the key takeaways for 2021:

  • Critical Access Hospitals must report data
  • You must submit the same measures for 2 quarters of data (changed from 1 quarter)
  • Additional eCQMs are available
  • eCQMs (equivalents) may be submitted instead of the Perinatal Care chart-abstract measures
  • Deadline is ,March 15, 2022,, using the DDS platform


Similar to IQR requirements, you must submit two-quarters of data and quarters do not have to be consecutive. You must submit the same measures in each quarter, so make sure you are monitoring measure scores and choosing wisely. No measures have been removed or retired for CY2021 but there are 2 new measures:

  • Unexpected Complications in Term Newborns (ePC-06) (Joint Commission Only Measure)
  • Safe Use of Opioids – Concurrent Prescribing (eOPI-1) (IQR & Joint Commission)

NOTE: For any of the Perinatal Care measures ( PC-01, PC-02, PC-05, and PC-06) hospitals may submit a minimum of two-quarters of eCQM data (ePC-01, ePC-02, ePC-05 and ePC-06) instead of four quarters of the corresponding chart-abstracted measures.

For Chart-Abstracted measures or more information on reporting requirements, 2021 ORYX Reporting Requirements

Data Submission Vendor

HCOs that go above and beyond the minimum ORYX eCQM requirements and meet eligibility will be recognized as part of the Pioneers in Quality program. Make sure you have the right Strategic Partner for 2021 to monitor your performance score, assist in the selection of measures, and submit successfully. Since TJC has eliminated “self-reporting” of ORYX data they now require submission of abstracted or eCQMs using the Direct Data Submission (DDS) platform. We suggest utilizing an expert third-party to minimize stress and burden!