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Hospitals can now submit information for the Voluntary Hybrid Hospital-Wide Readmission (HWR) measure!

August 28, 2018 - 10:45am

The Centers for Medicare & Medicaid Services (CMS) hospital quality reporting system is now accepting submissions of Quality Reporting Document Architecture (QRDA)info-icon Category I files for the Voluntary Hybrid HWR measure via the QualityNetinfo-icon Secure Portal.

Hospitals should submit data for discharges that occurred between January 1, 2018 and June 30, 2018. For more information on this, visit the Voluntary Hybrid HWR measure overview page on QualityNet.

QRDA Category I files for the Voluntary Hybrid HWR measure should be:

  • Batched and submitted separately from the QRDA Category I files for electronic clinical quality measuresinfo-icon (eCQMsinfo-icon) under the Hospital Inpatient Quality Reporting (IQR) and the Promoting Interoperability Programs. (eCQMs and the Voluntary Hybrid HWR measure use different system processing pathways.)
  • Submitted into the HQR_IQR_VOL program folder in the QualityNet Secure Portal.

The deadline for submission of QRDA Category I files for the Voluntary Hybrid HWR measure is December 14, 2018, at 11:59 p.m. Pacific Time.

The Pre-Submission Validation Application (PSVAinfo-icon) tool is available for download!

Before submission to CMS, hospitals can use the PSVA tool to confirm whether the QRDA Category I files they plan to submit in 2018 are properly formatted. If the file is improperly formatted, the PSVA tool also helps identify the source of error(s) contained in the file.

The PSVA tool is available for download from the Secure File Transfer area in the QualityNet Secure Portal. You can also visit for the August 8, 2018 materials for the webinar entitled Pre-Submission Validation Application (PSVA) Overview for Electronic Clinical Quality Measureinfo-icon (eCQMinfo-icon) Data Submission in Calendar Year (CY) 2018.

NOTE: The PSVA tool will require users to download a new version of the PSVA tool and the 2018 Schematron if it has not been updated since August 10, 2018. If a PSVA tool update is available, users will be prompted to update the tool. Users can download the latest version of the tool after logging into the Secure File Transfer application within the QualityNet Secure Portal. When users open the PSVA tool, the application will run a check against the Schematron that the user has installed. The PSVA tool will identify that a new Schematron is available and will prompt users to download the new Schematron to their workstation.

Do you have questions related to the Voluntary Hybrid HWR measure?

Use the table below to direct questions related to the Voluntary Hybrid HWR measure.


  • QualityNet Secure Portal
  • PSVA tool
  • File error messages

Please contact the QualityNet Help Desk at or (866) 288-8912.
Please submit questions via the Hybrid Measures Issue Tracker JIRA page at
  • Hybrid HWR measure methodology and specifications (e.g., cohort inclusions/exclusions, risk adjustment, outcome, planned readmission algorithm)
  • Previous measure testing and development
Please email the Hybrid Measure Inbox at

Did you know?

  • Only admissions paid under Medicare fee-for-service (FFS) should be included in the population.
    • The intent of the measure is to capture Medicare FFS patients only. However, if your hospital captures a significant volume of Medicare FFS patients under a different code contained in the “Medicare Payer” value setinfo-icon, then you may include that code in your reporting. Including additional payers after identifying Medicare FFS as the primary payer for a patient will not result in the file being rejected. (CHM-8, CHM-10, CHM-16)
  • Core Clinical Data Elements can be submitted in any unit of measurement.
    • Hospitals should send the units of measure associated with each data element value sent. CMS will accept any units of measurement (e.g., pounds or kilograms) and will convert data into a standard unit of measurement for reporting to hospitals. (CHM-13)

For a full list of questions being asked in the Issue Tracker regarding the electronic specifications, value sets, and appropriate mapping of the Voluntary Hybrid HWR measure visit:

Last Updated: August 28, 2018