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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.

2024 Reporting Period Eligible Hospital / Critical Access Hospital Resources for Hybrid Measures
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eCQM Resources Short Description Published
Hybrid measure technical specifications Apr 2023
Implementation checklist May 2023
Summary key dates and resources  May 2023
Assists implementers and measured entities with information on how to read eCQM specifications May 2023
List of eCQMs available for use Nov 2023
MAT-CGL specifications May 2023
Value sets used with eCQMs and Hybrid Measures May 2023
eCQM Direct Reference Codes used in eCQMs May 2023
Value set metadata May 2023
Assists implementers and measured entities with how to use eCQMs and report issues May 2023
Tools and standards versions measure developers used to create eCQMs and versions of standards and tools used for their reporting Mar 2023
Year over year changes to eCQMs, including logic and terminology Nov 2023
Year over year changes to eCQMs, including logic and terminology Nov 2023
Assists implementers and measured entities with steps to take to calculate an eCQM Sep 2023
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 Feb 2023
2024 Reporting Period Eligible Hospital / Critical Access Hospital Hybrid Measures
Total number of EH/CAH eCQMs: 2

Hybrid measures - A hybrid measure is a quality measure that uses more than one source of data for measure calculation. Current hybrid measures use claims data and electronic clinical data from electronic health records to calculate measure results hybrid measures merge electronic health record data elements with claims data to calculate measure results. 

CMS updated the electronic specifications for the Hybrid Hospital-Wide Readmission (HWR) and the Hybrid Hospital-Wide Mortality (HWM) Measures for the reporting period from July 1, 2023 through June 34, 2023 for the Hospital Inpatient Quality Reporting (IQR) Program. Hospitals that submit data for these measures during the voluntary reporting period will receive confidential hospital-specific reports that detail submission results from the reporting period, as well as the Hybrid HWR or Hybrid HWM measure results. CMS will begin the public reporting of the Hybrid HWR and the Hybrid HWM measures results beginning with data collected from the July 1, 2023 through June 30, 2024 reporting period.

Each year, CMS makes updates to the hybrid measures adopted for reporting in the Hospital Inpatient Quality Reporting (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 that a hospital or electronic health record vendor use the most current version of the electronic measure specifications for the applicable reporting period.

Submit questions related to the hybrid measure specifications, logic, data elements, standards, or resources in the eCQM Tracker - ONC Project Tracking System (Jira). 

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: Feb 19, 2024