2015 Reporting Period EH eCQMs

Clinical Quality Measures and their electronic specifications as defined in the April 2014 update for Eligible Hospitals.

Measure Name Short Name CMS eCQM ID Domain NQF ID Measure Steward USHIK Version Links
Exclusive Breast Milk Feeding BF CMS9v3 Effective Clinical Care 0480 The Joint Commission Version Detail
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Home Management Plan of Care (HMPC) Document Given to Patient/Caregiver HMPC CMS26v2 Person and Caregiver-Centered Experience Outcomes None The Joint Commission Version Detail
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Statin Prescribed at Discharge AMI10 CMS30v4 Effective Clinical Care 0639 Centers for Medicare and Medicaid Services Version Detail
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Hearing Screening Prior To Hospital Discharge EHDI_1a CMS31v3 Effective Clinical Care 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 CMS32v4 Communication and Care Coordination 0496 Centers for Medicare and Medicaid Services Version Detail
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Primary PCI Received Within 90 Minutes of Hospital Arrival AMI8a CMS53v3 Effective Clinical Care 0163 Oklahoma Foundation for Medical Quality Version Detail
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Median Time from ED Arrival to ED Departure for Admitted ED Patients ED1 CMS55v3 Person and Caregiver-Centered Experience Outcomes 0495 Centers for Medicare and Medicaid Services Version Detail
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Fibrinolytic Therapy Received Within 30 Minutes of Hospital Arrival AMI7a CMS60v3 Effective Clinical Care 0164 Oklahoma Foundation for Medical Quality Version Detail
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Anticoagulation Therapy for Atrial Fibrillation/Flutter Stroke3 CMS71v4 Effective Clinical Care 0436 The Joint Commission Version Detail
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Antithrombotic Therapy By End of Hospital Day 2 Stroke5 CMS72v3 Effective Clinical Care 0438 The Joint Commission Version Detail
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Venous Thromboembolism Patients with Anticoagulation Overlap Therapy VTE3 CMS73v3 Effective Clinical Care 0373 The Joint Commission Version Detail
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Thrombolytic Therapy Stroke4 CMS91v4 Effective Clinical Care 0437 The Joint Commission Version Detail
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Aspirin Prescribed at Discharge AMI2 CMS100v3 Effective Clinical Care 0142 Oklahoma Foundation for Medical Quality Version Detail
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Assessed for Rehabilitation Stroke10 CMS102v3 Communication and Care Coordination 0441 The Joint Commission Version Detail
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Discharged on Antithrombotic Therapy Stroke2 CMS104v3 Effective Clinical Care 0435 The Joint Commission Version Detail
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Discharged on Statin Medication Stroke6 CMS105v3 Effective Clinical Care 0439 The Joint Commission Version Detail
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Stroke Education Stroke8 CMS107v3 Person and Caregiver-Centered Experience Outcomes None The Joint Commission Version Detail
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Venous Thromboembolism Prophylaxis VTE1 CMS108v3 Patient Safety 0371 The Joint Commission Version Detail
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Venous Thromboembolism Patients Receiving Unfractionated Heparin with Dosages/Platelet Count Monitoring by Protocol or Nomogram VTE4 CMS109v3 Effective Clinical Care None The Joint Commission Version Detail
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Venous Thromboembolism Discharge Instructions VTE5 CMS110v3 Person and Caregiver-Centered Experience Outcomes None The Joint Commission Version Detail
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Median Admit Decision Time to ED Departure Time for Admitted Patients ED2 CMS111v3 Person and Caregiver-Centered Experience Outcomes 0497 Centers for Medicare and Medicaid Services Version Detail
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Elective Delivery PC01 CMS113v3 Effective Clinical Care 0469 The Joint Commission Version Detail
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Incidence of Potentially-Preventable Venous Thromboembolism VTE6 CMS114v3 Patient Safety None The Joint Commission Version Detail
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Prophylactic Antibiotic Received Within One Hour Prior to Surgical Incision SCIPInf1 CMS171v4 Patient Safety 0527 Centers for Medicare and Medicaid Services Version Detail
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Prophylactic Antibiotic Selection for Surgical Patients SCIPInf2 CMS172v4 Efficiency and Cost Reduction Use of Healthcare Resources 0528 Centers for Medicare and Medicaid Services Version Detail
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Urinary catheter removed on Postoperative Day 1 (POD 1) or Postoperative Day 2 (POD 2) with day of surgery being day zero SCIPInf9 CMS178v4 Patient Safety 0453 Centers for Medicare and Medicaid Services Version Detail
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Healthy Term Newborn CMS185v3 Patient Safety 0716 California Maternal Quality Care Collaborative (CMQCC) Version Detail
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Initial Antibiotic Selection for Community-Acquired Pneumonia (CAP) in Immunocompetent Patients PN6 CMS188v4 Efficiency and Cost Reduction Use of Healthcare Resources 0147 Centers for Medicare and Medicaid Services Version Detail
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Intensive Care Unit Venous Thromboembolism Prophylaxis VTE2 CMS190v3 Patient Safety 0372 The Joint Commission Version Detail
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