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Core Clinical Data Elements for the Hybrid Hospital-Wide Readmission Measure with Claims and Electronic Health Record Data - HWR

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Compare Versions of: "Core Clinical Data Elements for the Hybrid Hospital-Wide Readmission Measure with Claims and Electronic Health Record Data - HWR"

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Measure Information 2025 Reporting Period
Title Core Clinical Data Elements for the Hybrid Hospital-Wide Readmission Measure with Claims and Electronic Health Record Data - HWR
CMS eCQM ID CMS529v5
Short Name

Hybrid HWR

CBE ID* 2879e
Measure Steward Centers for Medicare & Medicaid Services (CMS)
Description

This logic is intended to extract electronic clinical data. This is not an electronic clinical quality measure and this logic will not produce measure results. Instead, it will produce a file containing the data that CMS will link with administrative claims to risk adjust the Hybrid HWR...

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Measure Scoring Cohort measure
Measure Type
Stratification

None

Risk Adjustment
Rationale

The intent of this logic is to extract the FIRST set of clinical data elements from hospital electronic health records (EHRs) for all qualifying hospitalizations. The data will be linked with administrative claims to risk adjust the Hybrid HWR outcome measure. This work addresses...

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Clinical Recommendation Statement

The logic is not meant to guide or alter the care patients receive. The purpose of this CCDE logic is to extract clinical data that are already routinely captured in EHRs from hospitalizations for adult patients. It is not intended to require that clinical staff perform additional...

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Improvement Notation

No actual measure score will be generated by hospitals. Instead, hospitals will report the data values for each of the CCDEs for all hospitalizations in the Initial Population. These CCDEs will be linked to administrative claims data and used by CMS to calculate results for the Hybrid...

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Definition

HWR-Specific Core Clinical Data Elements

Guidance

These specifications are for use for data with discharges that occur between July 1, 2025 and June 30, 2026. The associated Hospital Specific Report (HSR) is anticipated to be released in Spring 2027.

This logic guides the user to extract the FIRST resulted HWR-specific CCDEs for all...

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Initial Population

All Medicare FFS and MA hospitalizations for patients aged 65 and older at the start of an inpatient admission, where the length of stay is less than 365 days, and the hospitalization ends during the measurement period.

NOTE: All Medicare FFS and MA hospitalizations meeting the above...

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Last Updated: May 06, 2025