Eligible Hospital / Critical Access Hospital eCQMs

The electronic clinical quality measures (eCQMs) are updated for calendar year 2018 reporting for the Hospital Inpatient Quality Reporting (IQR) Program and the Medicare and Medicaid Electronic Health Record (EHR) Incentive programs for Eligible Hospitals and Critical Access Hospitals. Measures will not be eligible for 2018 reporting unless and until they are proposed and finalized through notice-and-comment rulemaking for each applicable program.

Each year, CMS makes updates to the eCQMs adopted for submission in CMS programs. CMS requires the use of updated eCQMs for all its quality programs because they include updated codes, logic corrections, and clarifications. Reporting eCQM data to the Hospital IQR Program and for aligned credit for reporting of eCQMs to the EHR Incentive programs requires that hospitals use the most current version of the eCQMs identified below for the applicable reporting period. The reporting period for eligible and ciritcal access hospitals is defined as the measure data capture period of the calendar year between January 1 and December 31.

In addition, CMS may publish addenda to the eCQM updates.  The addenda provide updates to the codes used in value sets based on code system changes.

CMS has updated eCQMs for potential inclusion in the following programs:

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

2018 Reporting Period Eligible Hospital / Critical Access Hospital eCQMs
For Use eCQM Materials Published File Type
2018 Q1-Q4 link
2018 Q1-Q4 link
2018 Q1-Q4 May 2017 pdf
2018 Q1-Q4 Mar 2017 pdf
2018 Q1-Q4 May 2017 zip
2018 Q1-Q4 Sep 2017 link
2018 Q1-Q4 Sep 2017 zip
2018 Q1-Q4 May 2017 pdf
2018 Q1-Q4 Jan 2018 pdf
2018 Q1-Q4 Oct 2017 zip
2018 Q1-Q4 Jan 2018 pdf
2018 Q1-Q4 Oct 2017 zip
2018 Q1-Q4 Jul 2017 pdf
2018 Q1-Q4 Jan 2018 zip
2018 Q1-Q4 Jan 2017 link
*This is a voluntary measure and does not count toward eCQM submission
Measure Name CMS ID NQF ID Measure Steward Value Set
Hybrid Hospital-Wide Readmission* CMS529v0 2879 Centers for Medicare and Medicaid Services (CMS) CCDE Value Sets
Measure Name Short Name CMS eCQM ID NQF ID Measure Steward Notes USHIK Version Links
Exclusive Breast Milk Feeding BF CMS9v6 0480 The Joint Commission Version Detail
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Home Management Plan of Care (HMPC) Document Given to Patient/Caregiver HMPC CMS26v5 None The Joint Commission Version Detail
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Hearing Screening Prior To Hospital Discharge EHDI_1a CMS31v6 1354 CDC National Center on Birth Defects and Developmental Disabilities Version Detail
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Median Time from ED Arrival to ED Departure for Discharged ED Patients ED3 CMS32v7 0496 Centers for Medicare and Medicaid Services (CMS) Value Set content updated Sept 2017 Version Detail
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Primary PCI Received Within 90 Minutes of Hospital Arrival AMI8a CMS53v6 None Centers for Medicare and Medicaid Services (CMS) Value Set content updated Sept 2017 Version Detail
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Median Time from ED Arrival to ED Departure for Admitted ED Patients ED1 CMS55v6 0495 Centers for Medicare and Medicaid Services (CMS) Value Set content updated Sept 2017 Version Detail
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Anticoagulation Therapy for Atrial Fibrillation/Flutter Stroke3 CMS71v7 None The Joint Commission Value Set content updated Sept 2017 Version Detail
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Antithrombotic Therapy By End of Hospital Day 2 Stroke5 CMS72v6 None The Joint Commission Value Set content updated Sept 2017 Version Detail
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Assessed for Rehabilitation Stroke10 CMS102v6 None The Joint Commission Version Detail
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Discharged on Antithrombotic Therapy Stroke2 CMS104v6 None The Joint Commission Value Set content updated Sept 2017 Version Detail
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Discharged on Statin Medication Stroke6 CMS105v6 None The Joint Commission Value Set content updated Sept 2017 Version Detail
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Stroke Education Stroke8 CMS107v6 None The Joint Commission Version Detail
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Venous Thromboembolism Prophylaxis VTE1 CMS108v6 0371 The Joint Commission Value Set content updated Sept 2017, TRNs updated Oct 2017 Version Detail
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Median Admit Decision Time to ED Departure Time for Admitted Patients ED2 CMS111v6 0497 Centers for Medicare and Medicaid Services (CMS) Value Set content updated Sept 2017 Version Detail
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Elective Delivery PC01 CMS113v6 0469 The Joint Commission Value Set content updated Sept 2017 Version Detail
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Intensive Care Unit Venous Thromboembolism Prophylaxis VTE2 CMS190v6 0372 The Joint Commission Value Set content updated Sept 2017 Version Detail
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Last Updated: April 19, 2018