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Hospital - Inpatient eCQMs

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Find older eCQM specifications in the eCQM Standards and Tools Version table.

2024 Reporting Period Hospital - Inpatient Resources for eCQMs
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eCQM Resources Short Description Published
Implementation checklist The eCQM Implementation Checklist provides the necessary technical steps health information technology developers, implementers, and healthcare organizations must take to update their systems and processes with the eCQM Annual Update for the upcoming reporting and performance periods. The most recent eCQM Annual Update should be applied to your system for use in electronic quality reporting. May 2023
Assists implementers and measured entities with information on how to read eCQM specifications The Guide for Reading eCQMs is a resource to help measured entities (including clinicians, providers, and hospitals), quality analysts, implementers and health IT vendors understand eCQMs. The guide provides background on eCQM packages, which are the building blocks of eCQMs, and an overview for a user to understand the humand-readable format of eCQMs. The guide also provides information related to file naming convention, value sets, QDM data criteria, and more. May 2023
List of eCQMs available for use This table contains a list of eCQMs that measured entities may use to electronically report clinical quality measure data to CMS for a given quality program’s reporting period. May 2023
eCQM technical specifications This zip file contains individual zip files for each eCQM that measured entities may use to report clinical quality measure data to CMS. Each individual zip file contains html, xml, cql, and json technical specifications for use with a specific eCQM version for a given quality program’s reporting period. May 2023
MAT-CGL specifications This zip file contains the MAT GCL html, xml, cql and json files for use with eCQMs for a given quality program's reporting period.  May 2023
Value sets used with eCQMs and Hybrid Measures The eCQM and hybrid measure value sets specify terminology codes such as ICD-10-CM/PCS, CPT, SNOMED CT, required for use with each eCQM or hybrid measure. May 2023
eCQM Direct Reference Codes used in eCQMs The eCQM Direct Reference Codes list is a list of direct reference codes (DRCs) used in eCQMs for a given quality program’s reporting period. These codes are referenced directly in eCQM logic to describe a data element or one of its attributes. The list includes the description of the code, the code system from which the code is derived, and the version of that code system. May 2023
Value set metadata The value set Binding Parameter Specification (BPS) is a record of the value set metadata that defines the code lists specified by current CMS eCQMs. Measure implementers and vendors use the BPS to track versions and other parameters that define the code lists for each eCQM Annual Update year. May 2023
Assists implementers and measured entities with how to use eCQMs and report issues The eCQM Logic and Implementation Guidance is a resource that provides guidance for understanding, using, and/or implementing eCQMs. May 2023
Tools and standards versions measure developers used to create eCQMs and versions of standards and tools used for their reporting The standards and tools versions listed for each reporting/performance period are the versions used to create and/or support the implementation of the specific reporting/performance period specifications. Mar 2023
Year over year changes to eCQMs, including logic and terminology The Technical Release Notes are resource files which provide an overview of technical changes, e.g., logic and terminology, to each eCQM in the most recent eCQM Annual Update for CMS reporting periods. May 2023
Year over year changes to eCQMs, including logic and terminology The Technical Release Notes are resource files which provide an overview of technical changes, e.g., logic and terminology, to each eCQM in the most recent eCQM Annual Update for CMS reporting periods. May 2023
Assists implementers and measured entities with steps to take to calculate an eCQM The eCQM flows provide a graphical and narrative description of the descisions to calculate an eCQM performance rate. Aug 2023
Format for reporting eCQMs to CMS The CMS Quality Reporting Document Architecture (QRDA) I Implementation Guide for Hospital Quality Reporting constrains the HL7 QRDA Category I Implementation Guide (HL7 QRDA I IG). The CMS QRDA Category I IG is used for reporting individual-patient-level quality measure data to CMS. Note: IGs, Schematrons and sample files may be updated after initial publication to address stakeholder or policy requirements. Revisit the eCQI Resource Center for updated resources prior to use. Aug 2023
Rules to validate eCQM reports with samples The CMS Quality Reporting Document Architecture (QRDA) I Schematrons and Sample Files provide technical guidance for implementing the HL7 QRDA I standard for reporting patient level data to CMS quality programs. The Schematron files contain a list of rules used to validate that generated QRDA I reports conform to the requirements specified in the Implementation Guides. Note: IGs, Schematrons and sample files may be updated after initial publication to address stakeholder or policy requirements. Revisit the eCQI Resource Center for updated resources prior to use. Aug 2023
Standards and code system versions for the eCQM Annual Update The eCQM Annual Update Pre-Publication Document describes the versions of the standards and code systems used in conjunction with the updated eCQMs for potential use in the CMS programs for the 2024 reporting/performance period. It is designed to help health information technology/electronic health record developers, Eligible Clinicians, and Eligible Hospitals/Critical Access Hospitals prepare for 2024 reporting through transparent pre-release of the expected standards and code system versions Feb 2023
The 2024 Reporting Period has 12 Hospital - Inpatient eCQMs:
Title Short Name CMS eCQM ID CBE ID* Download Specifications Notes
Anticoagulation Therapy for Atrial Fibrillation or Flutter

STK-3

CMS71v13 Not Applicable
Antithrombotic Therapy By End of Hospital Day 2

STK-5

CMS72v12 Not Applicable
Cesarean Birth

PC-02

CMS334v5 0471e
Discharged on Antithrombotic Therapy

STK-2

CMS104v12 Not Applicable
Global Malnutrition Composite Score

GMCS

CMS986v2 3592e

There is a known issue on CMS986v2. See issue EKI-21 on the ONC eCQM Known Issues Dashboard for details.

Hospital Harm - Opioid-Related Adverse Events

HH-ORAE

CMS819v2 3501e
Hospital Harm - Severe Hyperglycemia

HH-Hyper

CMS871v3 3533e
Hospital Harm - Severe Hypoglycemia

HH-Hypo

CMS816v3 3503e
Intensive Care Unit Venous Thromboembolism Prophylaxis

VTE-2

CMS190v12 Not Applicable
Safe Use of Opioids - Concurrent Prescribing None CMS506v6 3316e
Severe Obstetric Complications

PC-07

CMS1028v2 Not Applicable

This is a risk adjusted measure: Severe Obstetric Complications Methodology Report and Appendix E

There is a known issue on CMS1028v2. See issue…

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Venous Thromboembolism Prophylaxis

VTE-1

CMS108v12 Not Applicable

Each year, CMS updates the electronic clinical quality measures (eCQMs) for potential use in CMS quality reporting programs and publishes them on the eCQI Resource Center. CMS updates the specifications annually to align with current clinical guidelines and code systems so they remain relevant and actionable within the clinical care setting. CMS requires the use of the most current version of the eCQMs as specified and intended for the applicable reporting periods for all quality reporting programs.

Eligible hospitals and critical access hospitals are to use the updated eCQMs to electronically report 2024 clinical quality measure data for CMS quality reporting programs. 

For hospital inpatient reporting guidance, visit QualityNet and the Quality Reporting Center for specific program reporting education.

For information about the Medicare Promoting Interoperability Program, refer to the CMS Promoting Interoperability Program webpage.

Submit questions related to the eCQM specifications, logic, data elements, standards, or resources in the eCQM Tracker - ONC Project Tracking System (Jira).

Last Updated: Feb 06, 2025