Now Available: Updated 2023 CMS QRDA I Implementation Guide (IG), Schematron, and Sample Files for Hospital Quality Reporting

The Centers for Medicare & Medicaid Services (CMS) has published an update to the 2023 CMS Quality Reporting Document Architecture (QRDA) Category I Implementation Guide (IG), Schematron, and Sample Files for Hospital Quality Reporting. The 2023 CMS QRDA I IG outlines requirements for eligible hospitals and critical access hospitals (CAHs) to report electronic clinical quality measures (eCQMs) for the calendar year 2023 reporting period for these programs:

• Hospital Inpatient Quality Reporting Program
• Medicare Promoting Interoperability Program
• Outpatient Quality Reporting Program (voluntary)

Changes to the 2023 CMS QRDA I IG include:

• Updates to require patient telephone and email address.
• Updates to provide guidance when report “result as type” such as “result as Quantity”.

Changes to the 2023 CMS QRDA I schematron file:

• Updates to support the changes in the December 2022 Errata release of the Health Level Seven International (HL7) Clinical Document Architecture (CDA®) R2 IG: QRDA Category I (QRDA I), Release 1, Standard for Trial Use (STU) Release 5.3.
• Updates to add assertion rules requiring patient telephone and email address.

Changes to the 2023 CMS QRDA I Sample Files:

•  Updates to align with the changes to require patient telephone and email address.

Additional QRDA-Related Resources:

• To find out more about QRDA, visit the QRDA pages of the Electronic Clinical Quality Improvement (eCQI) Resource Center.
• For questions related to the QRDA IGs and/or Schematrons, visit the ONC Project Tracking System (Jira) QRDA project.
• See the QRDA Known Issues Dashboard for solutions under development for both QRDA I and III known technical issues. These known issues supplement the information in QRDA IGs and other supporting documents.