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Hospital - Inpatient eCQMs

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

2026 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 health care 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 2025
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, hospitals, quality analysts, implementers, and health information technology 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 human-readable format of eCQMs. The Guide also provides information related to file naming convention, value sets, QDM data criteria, and more. May 2025
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 2025
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 2025
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 2025
eCQM Direct Reference Codes used in eCQMs The eCQM Direct Reference Codes List is a list of direct reference codes (DRCs) used in eCQMs or hybrid measures for a given quality program’s reporting/performance period. These codes are referenced directly in the 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 2025
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 and hybrid measures. Measure implementers and vendors use the BPS to track versions and other parameters that define the code lists for each eCQM or hybrid measure for each Annual Update. May 2025
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 2025
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. May 2025
CQMCommonQDM Library Specifications This zip file contains the CQMCommonQDM Library html, xml, cql, and json files for use with eCQMs for a given quality program's reporting/performance period. May 2025
Year over year changes to the CQMCommonQDM Library The CQMCommonQDM Library Technical Release Notes are resource files which provide an overview of technical changes to the CQMCommonQDM Library used in development of eCQMs. May 2025
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 the CMS reporting period. May 2025
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 the CMS reporting period. May 2025
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. May 2025
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 (IGs). 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. May 2025
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 CMS programs. It is designed to help health information technology/electronic health record developers, Eligible Clinicians, and Eligible Hospitals/Critical Access Hospitals prepare for reporting through transparent pre-release of the expected standards and code system versions. Mar 2025
The 2026 Reporting Period has 17 Hospital - Inpatient eCQMs:
Title Short Name CMS eCQM ID CBE ID* Download Specifications Notes
Anticoagulation Therapy for Atrial Fibrillation/Flutter

STK-3

CMS71v15 Not Applicable
Antithrombotic Therapy by End of Hospital Day 2

STK-5

CMS72v14 Not Applicable
Cesarean Birth

PC-02

CMS334v7 0471e
Discharged on Antithrombotic Therapy

STK-2

CMS104v14 Not Applicable
Excessive Radiation Dose or Inadequate Image Quality for Diagnostic Computed Tomography (CT) in Adults (Facility IQR)

IP-ExRad

CMS1074v3 3663e

Beginning with the Calendar Year 2025 performance period, hospitals and clinicians who choose to report this…

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Hospital Harm - Acute Kidney Injury

HH-AKI

CMS832v3 3713e

This is a risk adjusted measure; Risk Adjustment Methodology Report: Acute Kidney Injury's Risk Adjustment Methodology Report

Hospital Harm - Falls with Injury

HH-FI

CMS1017v2 4120e

This is a risk adjusted measure. Risk Adjustment Summary Report: Hospital Harm – Falls with Injury

Hospital Harm - Opioid-Related Adverse Events

HH-ORAE

CMS819v4 3501e
Hospital Harm - Postoperative Respiratory Failure

HH-RF

CMS1218v2 4130e

This is a risk adjusted measure. Risk Adjustment Summary Report: Hospital Harm – Postoperative Respiratory Failure

Hospital Harm - Pressure Injury

HH-PI

CMS826v3 3498e
Hospital Harm - Severe Hyperglycemia

HH-Hyper

CMS871v5 3533e
Hospital Harm - Severe Hypoglycemia

HH-Hypo

CMS816v5 3503e
Intensive Care Unit Venous Thromboembolism Prophylaxis

VTE-2

CMS190v14 Not Applicable
Malnutrition Care Score

MCS

CMS986v5 3592e
Safe Use of Opioids - Concurrent Prescribing None CMS506v8 3316e
Severe Obstetric Complications

PC-07

CMS1028v4 Not Applicable

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

Venous Thromboembolism Prophylaxis

VTE-1

CMS108v14 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.

Hospitals are to use the updated eCQMs to electronically report 2026 clinical quality measure data for CMS quality reporting programs.

For hospital inpatient reporting guidance, including the Inpatient Quality Reporting Program, Medicare PPS-Exempt Cancer Hospital Quality Reporting (PCHQR) Program or the Transforming Episode Accountability Model (TEAM) visit QualityNet, the Quality Reporting Center or submit questions to the QualityNet Question and Answer Site.

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

For Medicaid Promoting Interoperability guidance, refer to your state Medicaid agency, https://www.medicaid.gov.

Submit questions on the technical aspects of eCQMs to the ASTP/ONC Project Tracking System (Jira) eCQM Issue Tracker.

Find information regarding reporting exceptions here.

Last Updated: May 06, 2025