Eligible Hospital / Critical Access Hospital eCQMs

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EH/CAH eCQMs
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2023 Reporting Period Eligible Hospital / Critical Access Hospital Resources

eCQM Resources	Short Description	Published
2023 CMS QRDA I Implementation Guide for Hospital Quality Reporting	Format for reporting eCQMs to CMS	Mar 2023
2023 CMS QRDA I Schematrons and Sample Files	Rules to validate eCQM reports with samples	Mar 2023
Binding Parameter Specification (BPS) (ZIP)	Value set metadata	May 2022
eCQM Annual Update Pre-Publication Document	Standards and code system versions for the eCQM Annual Update	Mar 2022
eCQM Direct Reference Codes List	eCQM Direct Reference Codes used in eCQMs	May 2022
eCQM Flows	Assists implementers and measured entities with steps to take to calculate an eCQM	Oct 2022
eCQM Logic and Implementation Guidance v6.0	Assists implementers and measured entities with how to use eCQMs and report issues	May 2022
eCQM Specifications for Hospital Quality Reporting	eCQM technical specifications	Nov 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
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
Implementation Checklist eCQM Annual Update	Implementation checklist	--
Measure Authoring Tool (MAT) Global Common Library (GCL) Technical Specifications and Technical Release Notes	MAT-CGL specifications and technical release notes	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
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

2023 Reporting Period Eligible Hospital / Critical Access Hospital eCQMs
Total number of EH/CAH eCQMs: 13

Title	Short Name	CMS eCQM ID	NQF Number	Notes
Exclusive Breast Milk Feeding	PC-05	CMS9v11	0480e
Safe Use of Opioids - Concurrent Prescribing	N/A	CMS506v5	3316e	*Note: There is a known issue on CMS506v5. See issue EKI-20 on the ONC eCQM Known Issues Dashboard for details.
Hospital Harm - Severe Hypoglycemia	HH-01	CMS816v2	3503e
Hospital Harm - Severe Hyperglycemia	HH-02	CMS871v2	3533e	*Note: There are known issues on CMS871v2. See issue EKI-18 and EKI-19 on the ONC eCQM Known Issues Dashboard for details.
Venous Thromboembolism Prophylaxis	VTE-1	CMS108v11	Not Applicable
Discharged on Antithrombotic Therapy	STK-2	CMS104v11	Not Applicable
Antithrombotic Therapy By End of Hospital Day 2	STK-5	CMS72v11	Not Applicable
Cesarean Birth	PC-02	CMS334v4	Not Applicable
Median Admit Decision Time to ED Departure Time for Admitted Patients	ED-2	CMS111v11	Not Applicable
Discharged on Statin Medication	STK-6	CMS105v11	Not Applicable
Severe Obstetric Complications	PC-07	CMS1028v1	Not Applicable	*This is a risk adjusted measure. Risk Adjustment Methodology Report: Severe Obstetric Complications Methodology Report
Anticoagulation Therapy for Atrial Fibrillation/Flutter	STK-3	CMS71v12	Not Applicable
Intensive Care Unit Venous Thromboembolism Prophylaxis	VTE-2	CMS190v11	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.