Voluntary Submission of 2024 Hybrid HWR and/or Hybrid HWM Measure Data to the Hospital IQR Program Due October 2, 2023
For hospitals participating in the 2024 voluntary reporting of the Hybrid Hospital-Wide All-Cause Readmission (HWR) measure and/or the Hybrid Hospital-Wide All-Cause Risk Standardized Mortality (HWM) measure for the Hospital Inpatient Quality Reporting (IQR) Program, the deadline to voluntarily submit data is Monday, October 2, 2023, at 11:59 p.m. Pacific Time.
Data are for Medicare Fee-for-Service patients aged 65 and older (between 65 and 94 years for the Hybrid HWM measure) at the start of an admission and discharged from an inpatient admission at the hospital during the measurement period (length of stay<365 days) between July 1, 2022, and June 30, 2023. The discharge quarters are Quarter (Q)3 2022 (July 1–September 30); Q4 2022 (October 1–December 31); Q1 2023 (January 1–March 31); and Q2 2023 (April 1–June 30).
There is no impact to the fiscal year (FY) 2025 payment determination for hospitals that do not submit data on these measures during the voluntary period. These measure results will not be publicly reported. Subsection (d) hospitals in the Hospital IQR Program may voluntarily submit these data.
Note: Data submission for these measures will become mandatory for all subsection (d) hospitals participating in the Hospital IQR Program beginning with the July 1, 2023, through June 30, 2024, reporting period. These data will impact the FY 2026 payment determination and measure results will be publicly reported.
Hospitals participating in the voluntary reporting process will:
- Use the most current guidance applicable to the 2022 reporting period.
- Use Certified Electronic Health Record Technology updated to meet 2015 Edition Cures Update criteria.
- Submit Quality Reporting Document Architecture (QRDA) Category I files for each eligible hospital discharge, batched per patient and per quarter (one QRDA Category I file, per quarter, per patient, inclusive of the data that are relevant for either/both the Hybrid HWR and Hybrid HWM measures) to the Hospital Quality Reporting (HQR) System.
- Receive a confidential Hospital-Specific Report in the spring of 2024.
More information on the Hybrid HWR and Hybrid HWM Measures is available on the Hybrid Measure page of the QualityNet website. On that page, you can also access the 2024 Key Resources and Dates document.
Visit the eCQM Archived Events page of QualityReportingCenter.com and the HQR Support Video Playlist for videos that provide assistance on the data submission process.
Be sure to complete and submit the Hospital Contact Change Form to ensure we have the correct contact information for your facility in our system.
Contact Information
- For questions about the implementation of the hybrid measures and related claim-based specifications, please submit a ticket to the CMS Quality Question and Answer Tool by selecting IQR – Inpatient Quality Reporting under Program and Hybrid Measures under Topic.
- For questions regarding the measure logic, value sets and electronic specifications for the hybrid measures, please submit a ticket to the JIRA tool.
- For questions regarding the HQR System, including questions regarding user roles, reports, data upload, and troubleshooting file errors, please contact the Center for Clinical Standards and Quality Service Center at (866) 288-8912 or QNetSupport@cms.hhs.gov.
- For further assistance regarding the Hospital IQR Program and policy information contained in this message, please contact the Inpatient Value, Incentives, and Quality Reporting Outreach and Education Support Contractor or (844) 472-4477.