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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 Hybrid Measures
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eCQM Resources Short Description Published
Summary key dates and resources  May 2022
Implementation checklist --
MAT-CGL specifications and technical release notes May 2022
Value sets used with eCQMs and Hybrid Measures May 2022
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
Tools and standards versions measure developers used to create eCQMs and versions of standards and tools used for their reporting May 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 Hybrid Measures
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.

Across the eCQI Resource Center, for brevity, we use the term eCQM to encompass eCQMs and hybrid measures unless specified in a filter. 

Last Updated: May 01, 2024