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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 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. --
Assists implementers and measured entities with information on how to read eCQM specifications The Guide for Reading eCQMs is a resource to assist stakeholders in interpreting and understanding eCQMs. The guide provides information on eCQMs such as file naming conventions, understanding an eCQM human-readable rendition, value sets, QDM data criteria, and more. May 2022
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. Sep 2022
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. Nov 2022
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
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
Value sets used in CMS334v4 The eCQM value sets specify terminology codes such as ICD-10-CM/PCS, CPT, SNOMED CT, required for use with each eCQM. Apr 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 2022
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
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
Year over year changes to eCQM 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 2022
Year over year changes to eCQM 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 2022
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
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. Oct 2022
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 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 13 Hospital - Inpatient eCQMs:
Title Short Name CMS eCQM ID CBE ID* Download Specifications Notes
Anticoagulation Therapy for Atrial Fibrillation or Flutter

STK-3

CMS71v12 Not Applicable
Antithrombotic Therapy By End of Hospital Day 2

STK-5

CMS72v11 Not Applicable
Cesarean Birth

PC-02

CMS334v4 Not Applicable
Discharged on Antithrombotic Therapy

STK-2

CMS104v11 Not Applicable
Discharged on Statin Medication

STK-6

CMS105v11 Not Applicable
Exclusive Breast Milk Feeding

PC-05

CMS9v11 0480e
Hospital Harm - Severe Hyperglycemia

HH-02

CMS871v2 3533e

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
Intensive Care Unit Venous Thromboembolism Prophylaxis

VTE-2

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

ED-2

CMS111v11 Not Applicable
Safe Use of Opioids - Concurrent Prescribing None CMS506v5 3316e

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

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

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Venous Thromboembolism Prophylaxis

VTE-1

CMS108v11 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 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: Feb 06, 2025