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Eligible Hospital / Critical Access Hospital eCQMs

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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 for eCQMs
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eCQM Resources Short Description Published
Implementation Checklist eCQM Annual Update Implementation checklist --
Guide for Reading eCQMs 8.0 Assists implementers and measured entities with information on how to read eCQM specifications May 2022
Hospital Quality Reporting Table of eCQMs List of eCQMs available for use Sep 2022
eCQM Specifications for Hospital Quality Reporting eCQM technical specifications Nov 2022
Measure Authoring Tool (MAT) Global Common Library (GCL) Technical Specifications and Technical Release Notes MAT-CGL specifications and technical release notes May 2022
eCQM and Hybrid Measure Value Sets Value sets used with eCQMs and Hybrid Measures May 2022
EH/CAH Value Sets CMS334 Value sets used in CMS334v4 Apr 2023
eCQM Direct Reference Codes List eCQM Direct Reference Codes used in eCQMs May 2022
Binding Parameter Specification (BPS) (ZIP) Value set metadata May 2022
eCQM Logic and Implementation Guidance v6.0 Assists implementers and measured entities with how to use eCQMs and report issues May 2022
Technical Release Notes Year over year changes to eCQM logic and terminology May 2022
Technical Release Notes Year over year changes to eCQM logic and terminology 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 May 2022
eCQM Flows Assists implementers and measured entities with steps to take to calculate an eCQM Oct 2022
2023 CMS QRDA I Implementation Guide for Hospital Quality Reporting Format for reporting eCQMs to CMS Aug 2023
2023 CMS QRDA I Schematrons and Sample Files Rules to validate eCQM reports with samples Aug 2023
eCQM Annual Update Pre-Publication Document 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 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.

Risk Adjustment Methodology Report: Severe Obstetric Complications Methodology Report

Appendix to Risk Adjustment Methodology Report: Severe Obstetric Complications Methodology Report – Appendix E

eCQM Risk Model Updates: Severe Obstetric Complications Risk Model Table
Venous Thromboembolism Prophylaxis

VTE-1

 CMS108v11 Not Applicable

*Verify active CBE endorsement on the CMS certified consensus-based entity’s PQM website via the CBE ID link

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: May 01, 2024

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