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
| eCQM Resources | Short Description | Published |
|---|---|---|
| Implementation Checklist eCQM Annual Update | Implementation checklist | -- |
| 2025 Public Reporting Key Dates and Resources: Hybrid HWR and Hybrid HWM Measures | Summary key dates and resources | May 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 |
| eCQM Direct Reference Codes List | eCQM Direct Reference Codes used in eCQMs | May 2022 |
| Binding Parameter Specification (BPS) (ZIP) | Value set metadata | 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 |
| 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 |
| 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: 2
Total number of EH/CAH eCQMs: 2
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.
Last Updated: May 24, 2023