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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.

2021 Reporting Period Eligible Hospital / Critical Access Hospital Resources
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eCQM Resources Short Description Published
Implementation checklist --
Assists implementers and measured entities with information on how to read eCQM specifications May 2020
List of eCQMs available for use May 2020
eCQM technical specifications May 2020
Value sets used with eCQMs and Hybrid Measures May 2020
eCQM Direct Reference Codes used in eCQMs May 2020
Value set metadata May 2020
Assists implementers and measured entities with how to use eCQMs and report issues May 2020
Year over year changes to eCQM logic and terminology May 2020
Year over year changes to eCQM logic and terminology May 2020
Tools and standards versions measure developers used to create eCQMs and versions of standards and tools used for their reporting May 2020
Assists implementers and measured entities with steps to take to calculate an eCQM Aug 2020
Format for reporting eCQMs to CMS May 2020
Rules to validate eCQM reports with samples Dec 2020
Standards and code system versions for the eCQM Annual Update Oct 2020
2021 Reporting Period Eligible Hospital / Critical Access Hospital eCQMs
Total number of EH/CAH eCQMs: 9
Title Short Name CMS eCQM ID NQF Number Meaningful Measure
Anticoagulation Therapy for Atrial Fibrillation/Flutter STK-3 CMS71v10 Not Applicable Preventive Care
Antithrombotic Therapy By End of Hospital Day 2 STK-5 CMS72v9 Not Applicable Preventive Care
Discharged on Antithrombotic Therapy STK-2 CMS104v9 Not Applicable Preventive Care
Discharged on Statin Medication STK-6 CMS105v9 Not Applicable Preventive Care
Exclusive Breast Milk Feeding PC-05 CMS9v9 0480e Care is Personalized and Aligned with Patient's Goals
Intensive Care Unit Venous Thromboembolism Prophylaxis VTE-2 CMS190v9 Not Applicable Preventive Care
Median Admit Decision Time to ED Departure Time for Admitted Patients ED-2 CMS111v9 Not Applicable Admissions and Readmissions to Hospitals
Safe Use of Opioids - Concurrent Prescribing CMS506v3 3316e Prevention and Treatment of Opioid and Substance Use Disorders
Venous Thromboembolism Prophylaxis VTE-1 CMS108v9 Not Applicable Preventive Care

Each year, CMS updates the 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 the use of the most current version of the eCQMs as specified and intended for the applicable reporting periods for all quality reporting programs.

The updated eCQMs are to be used by eligible hospitals and critical access hospitals to electronically report 2021 clinical quality measure data for CMS quality reporting programs. Measures will not be eligible for 2021 reporting unless and until they are proposed and finalized through notice-and-comment rulemaking for each applicable program.

CMS has updated eCQMs for potential inclusion in these programs

  eCQM Implementation Checklist

eCQM Implementation Checklist

Use the eCQM Implementation Resources and follow the eCQM Implementation Checklist to update your electronic health record and processes for eCQM use and reporting.

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 is the only hybrid measure adopted for use in a program.

The electronic specifications for the Hybrid Hospital Wide Readmission (HWR) measure are updated for the voluntary reporting period from July 1, 2021 through June 30, 2022 for the Hospital Inpatient Quality Reporting (IQR) Program. Hospitals that submit data for this measure during the voluntary reporting period would receive confidential hospital-specific reports that detail submission results from the reporting period, as well as the Hybrid HWR measure results. Data will not be publicly reported during the voluntary reporting period. CMS will begin the public reporting of the Hybrid HWR measure results beginning with data collected from the July 1, 2023 through the June 30, 2024 reporting period.

Each year, CMS makes updates to the Hybrid HWR measure adopted for reporting in the Hospital Inpatient Quality Reporting (IQR) program. Hybrid measures require updates to the electronic specifications, posted below, 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 HWR measure to the Hospital IQR program requires that a hospital or electronic health record vendor use the most current version of the electronic measure specifications (identified below) for the applicable reporting period.

2021 Reporting Period Eligible Hospital / Critical Access Hospitals
Voluntary hybrid measures do not count toward eCQM submission.
Title CMS eCQM ID NQF Number Meaningful Measure Notes
Core Clinical Data Elements for the Hybrid Hospital-Wide Readmission (HWR) Measure with Claims and Electronic Health Record Data CMS529v1 2879e Admissions and Readmissions to Hospitals

**Note: There is a known issue on CMS529v1. See issue EKI-9 on the ONC eCQM Known Issues Dashboard for details.

2021 Reporting Period Eligible Hospital / Critical Access Hospital Resources
For Use eCQM Resources Short Description Published
2021 Q3-2022 Q2 Implementation checklist --
2021 Q3-2022 Q2 Hybrid measure technical specifications May 2020
2021 Q3-2022 Q2 Value sets used with eCQMs and Hybrid Measures May 2020
2021 Q3-2022 Q2 Key dates and resources for hybrid measure reporting Aug 2020
2021 Q3-2022 Q2 Value set metadata May 2020
2021 Q3-2022 Q2 Year over year changes to eCQM logic and terminology May 2020
2021 Q3-2022 Q2 Standards and code system versions for the eCQM Annual Update Oct 2020
Last Updated: Dec 16, 2021