Find older eCQM specifications in the eCQM Standards and Tools Version table.
*This is a risk adjusted measure.
Risk Adjustment Methodology Report: Severe Obstetric Complications Methodology Report
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 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 2023 clinical quality measure data for CMS quality reporting programs. Measures will not be eligible for 2023 reporting unless and until they are proposed and finalized through notice-and-comment rulemaking for each applicable program.
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 that submit data for this measure reporting period will receive confidential hospital-specific reports that detail submission results from the reporting period, as well as the Hybrid HWR and Hybrid HWM measure results. Data for this reporting period will be publicly reported and will be used for Fiscal Year (FY) 2026 payment determination under the Inpatient Quality Reporting (IQR) program.
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, 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 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 (identified below) for the applicable reporting period.