Hospital - Inpatient eCQMs

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

2023 Reporting Period Hospital - Inpatient Resources for Hybrid Measures

eCQM Resources	Short Description	Published
Implementation Checklist eCQM Annual Update	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.	--
2025 Public Reporting Key Dates and Resources: Hybrid HWR and Hybrid HWM Measures	Summary key dates and resources This document summarizes key dates and resources for hospitals participating in the 2025 Voluntary Reporting of the Hybrid HWR or the Hybrid HWM Measure.	May 2022
Measure Authoring Tool (MAT) Global Common Library (GCL) Technical Specifications and Technical Release Notes	MAT-CGL specifications and technical release notes This zip file contains the MAT GCL html, xml, cql and json files for use with eCQMs and the technical release notes which provide an overview of technical changes, e.g., logic and terminology for a given quality program's reporting period.	May 2022
eCQM and Hybrid Measure Value Sets	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 2022
eCQM Direct Reference Codes List	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 2022
Binding Parameter Specification (BPS) (ZIP)	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 2022
eCQM Logic and Implementation Guidance v6.0	Assists implementers and measured entities with how to use eCQMs and report issues The eCQM Logic and Implementation Guidance is a resource document that provides guidance for understanding, using, and/or implementing eCQMs.	May 2022
Standards and tool versions used for reporting period	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 period are the versions used to create and/or support the implementation of the specific reporting period specifications.	May 2022
2023 CMS QRDA I Implementation Guide for Hospital Quality Reporting	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
2023 CMS QRDA I Schematrons and Sample Files	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
eCQM Annual Update Pre-Publication Document	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 2023 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 2023 reporting through transparent pre-release of the expected standards and code system versions	Mar 2022

The 2023 Reporting Period has 2 Hospital - Inpatient Hybrid Measures:

Title	Short Name	CMS eCQM ID	CBE ID*	Download Specifications
Core Clinical Data Elements for the Hybrid Hospital-Wide (All-Condition, All-Procedure) Risk-Standardized Mortality Measure (HWM)	Hybrid HWM	CMS844v3	3502e
Core Clinical Data Elements for the Hybrid Hospital-Wide Readmission (HWR) Measure with Claims and Electronic Health Record Data	Hybrid HWR	CMS529v3	2879e

Hybrid measures are quality measures that merge electronic health record data elements with claims data to calculate measure results. Currently, the Hybrid Hospital Wide Readmission (HWR) measure and the Hybrid Hospital Wide Mortality (HWM) measure are the hybrid measures adopted for use in a program.

The electronic specifications for the Hybrid HWR and Hybrid HWM measures are updated for the mandatory reporting period from July 1, 2023 through June 30, 2024 for the Hospital Inpatient Quality Reporting (IQR) Program. Hospitals submitting data for this measure reporting period will receive confidential hospital-specific reports detailing submission results from the reporting period, as well as the Hybrid HWR and Hybrid HWM measure results. CMS will publicly report data for this reporting period and will use for Fiscal Year (FY) 2026 payment determination under the Hospital IQR program.

Each year, CMS makes updates to the hybrid measures adopted for reporting in the Hospital IQR program. Hybrid measures require updates to the electronic specifications and to claims-based specifications, available on QualityNet. CMS requires the use of updated electronic specifications for all its quality programs because they include updated codes, logic corrections, and clarifications. Reporting data for the hybrid measures to the Hospital IQR program requires a hospital or electronic health record vendor to use the most current version of the electronic measure specifications for the applicable reporting period.

Use the Hybrid HWR and Hybrid HWM eCQM Resources and follow the eCQM Implementation Checklist to update your electronic health record and processes for hybrid measure use and reporting.
Read the 2025 Public Reporting Key Dates and Resources document to view key dates and resources for hospitals participating in the 2025 public reporting of the Hybrid HWR and Hybrid HWM Measures.

Across the eCQI Resource Center, for brevity, we use the term eCQM to encompass eCQMs and hybrid measures unless specified in a filter.

Hospital - Inpatient eCQMs

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