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Eligible Hospital / Critical Access Hospital eCQMs

Provide Feedback on draft changes to eCQM specifications for the 2025 reporting/performance period in the ONC Project Tracking System eCQM Issue Tracker

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

2023 Reporting Period Eligible Hospital / Critical Access Hospital Resources
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eCQM Resources Short Description Published
Implementation checklist --
Assists implementers and measured entities with information on how to read eCQM specifications May 2022
List of eCQMs available for use Sep 2022
eCQM technical specifications Nov 2022
MAT-CGL specifications and technical release notes May 2022
Value sets used with eCQMs and Hybrid Measures May 2022
Value sets used in CMS334v4 Apr 2023
eCQM Direct Reference Codes used in eCQMs May 2022
Value set metadata May 2022
Assists implementers and measured entities with how to use eCQMs and report issues May 2022
Year over year changes to eCQM logic and terminology May 2022
Year over year changes to eCQM logic and terminology May 2022
Tools and standards versions measure developers used to create eCQMs and versions of standards and tools used for their reporting May 2022
Assists implementers and measured entities with steps to take to calculate an eCQM Oct 2022
Format for reporting eCQMs to CMS Aug 2023
Rules to validate eCQM reports with samples Aug 2023
Standards and code system versions for the eCQM Annual Update Mar 2022
2023 Reporting Period Eligible Hospital / Critical Access Hospital eCQMs
Total number of EH/CAH eCQMs: 13
Title Short Name CMS eCQM ID NQF Number Specifications Notes
Anticoagulation Therapy for Atrial Fibrillation/Flutter

STK-3

CMS71v12 Not Applicable CMS71v12.zip
Antithrombotic Therapy By End of Hospital Day 2

STK-5

CMS72v11 Not Applicable CMS72v11.zip
Cesarean Birth

PC-02

CMS334v4 Not Applicable CMS334v4-v2.zip
Discharged on Antithrombotic Therapy

STK-2

CMS104v11 Not Applicable CMS104v11.zip
Discharged on Statin Medication

STK-6

CMS105v11 Not Applicable CMS105v11.zip
Exclusive Breast Milk Feeding

PC-05

CMS9v11 0480e CMS9v11.zip
Hospital Harm - Severe Hyperglycemia

HH-02

CMS871v2 3533e CMS871v2.zip

*Note: There are known issues on CMS871v2. See issue EKI-18 and EKI-19 on the ONC eCQM Known Issues Dashboard for details.

Hospital Harm - Severe Hypoglycemia

HH-01

CMS816v2 3503e CMS816v2.zip
Intensive Care Unit Venous Thromboembolism Prophylaxis

VTE-2

CMS190v11 Not Applicable CMS190v11.zip
Median Admit Decision Time to ED Departure Time for Admitted Patients

ED-2

CMS111v11 Not Applicable CMS111v11.zip
Safe Use of Opioids - Concurrent Prescribing

N/A

CMS506v5 3316e CMS506v5.zip

*Note: There is a known issue on CMS506v5. See issue EKI-20 on the ONC eCQM Known Issues Dashboard for details.

Severe Obstetric Complications

PC-07

CMS1028v1 Not Applicable CMS1028v1.zip

*This is a risk adjusted measure.

Risk Adjustment Methodology Report: Severe Obstetric Complications Methodology Report

Venous Thromboembolism Prophylaxis

VTE-1

CMS108v11 Not Applicable CMS108v11.zip

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 use of the most current version of the eCQMs as specified and intended for the applicable reporting periods for all quality reporting programs.

Questions related to eCQM specifications, logic, data elements, standards, or resources can be submitted in the eCQM Tracker - ONC Project Tracking System (Jira).

Last Updated: Jul 12, 2023