Updates to the CMS Hospital Quality Reporting System Related to CY 2017

November 16, 2017 - 7:12pm

The Centers for Medicare & Medicaid Services (CMS) is pleased to announce several improvements to the Hospital Quality Reporting (HQR) System (accessible via the QualityNet Secure Portal) related to calendar year (CY) 2017 electronic clinical quality measureinfo-icon (eCQMinfo-icon) reporting to the Hospital Inpatient Quality Reporting (IQR) Program and the Electronic Health Record (EHRinfo-icon) Incentive Program (Meaningful Use), which are detailed below.

  • eCQM Submission Status Report (Report 530) Updates
    • The report has been updated to reflect eCQM reporting requirements finalized in the fiscal year (FY) 2018 inpatient prospective payment system (IPPS) final rule to report on at least four eCQMsinfo-icon for one quarter (Q1, Q2, Q3, or Q4) of CY 2017 data by the February 28, 2018 submission deadline.
  • Performance Improvements to eCQM Submission Reports
    • Data from files submitted each day will be compiled during a nightly refresh; this will reduce processing times for the following reports:
      • eCQM Submission Summary Report (Report 528)
      • eCQM Submission Detail Report (Report 529)
    • Report data will be refreshed nightly; submission data will display on the reports the following day at approximately 5:00 a.m. ET.
  • Q4 eCQM Addendum Update
    • The HQR System has been updated to support the Q4 eCQM Addendum.
      • CMS continues to encourage hospitals to select one quarter from Q1–Q3 2017 to meet the reporting requirements if integrating the Q4 2017 value setinfo-icon addendum into EHR products is not feasible before the February 28, 2018 deadline.
      • Please note, submitting the Q4 2017 data without the addendum will not result in a file rejection but may affect the measure performance.
  • Known Issue Corrections
    • Corrections have been made for the following defects identified in the EHR Incentive Program Known Issues document published on QualityNet.org:
      • Known issues reference number 124256, emergency department (ED) time calculation
      • Known issues reference number 126218, venous thromboembolism (VTE)-2 outcomes

 If you need additional information:

  • For questions concerning the QualityNet Secure Portal, Pre-Submission Validation Application (PSVA), and file-error messages, please open a ticket with the QualityNet Help Desk at qnetsupport@hcqis.org.
  • For questions regarding the EHR Incentive Program, please contact the EHR Information Center (EHRIC) at (888) 734-6433.
  • To locate measure specificationsinfo-icon, the CMS Implementation Guide for Quality Reporting Document Architecture (QRDAinfo-icon) Category I Hospital Quality Reporting, and additional technical guidance materials associated with eCQM reporting, please visit the Electronic Clinical Quality Improvement (eCQI) Resource Center website. If additional assistance is required to troubleshoot QRDA Category I conformance statements, please email the eCQI Resource Centerinfo-icon at ecqi-resource-center@hhs.gov.
  • For questions regarding the Hospital IQR Program, please contact the Hospital Inpatient VIQR Outreach and Education Support Team at https://cms-ip.custhelp.com or (844) 472-4477.
Last Updated: June 19, 2018