2016 Reporting Period EH eCQMs

Clinical Quality Measures and their electronic specifications as defined in the 2015 update for Eligible Hospitals.

Measure Namesort descending Short Name CMS eCQM ID Quality Domain NQF ID Measure Steward USHIK Version Links
Anticoagulation Therapy for Atrial Fibrillation/Flutter Stroke3 CMS71v5 Effective Clinical Care 0436 The Joint Commission Version Detail
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Antithrombotic Therapy By End of Hospital Day 2 Stroke5 CMS72v4 Effective Clinical Care 0438 The Joint Commission Version Detail
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Aspirin Prescribed at Discharge AMI2 CMS100v4 Effective Clinical Care 0142 Centers for Medicare and Medicaid Services Version Detail
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Assessed for Rehabilitation Stroke10 CMS102v4 Communication and Care Coordination 0441 The Joint Commission Version Detail
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Discharged on Antithrombotic Therapy Stroke2 CMS104v4 Effective Clinical Care 0435 The Joint Commission Version Detail
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Discharged on Statin Medication Stroke6 CMS105v4 Effective Clinical Care 0439 The Joint Commission Version Detail
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Elective Delivery PC01 CMS113v4 Effective Clinical Care 0469 The Joint Commission Version Detail
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Exclusive Breast Milk Feeding BF CMS9v4 Effective Clinical Care 0480 The Joint Commission Version Detail
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Fibrinolytic Therapy Received Within 30 Minutes of Hospital Arrival AMI7a CMS60v4 Effective Clinical Care 0164 Centers for Medicare and Medicaid Services Version Detail
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Healthy Term Newborn CMS185v4 Patient Safety 0716 Centers for Medicare and Medicaid Services Version Detail
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Hearing Screening Prior To Hospital Discharge EHDI_1a CMS31v4 Effective Clinical Care 1354 CDC National Center on Birth Defects and Developmental Disabilities Version Detail
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Home Management Plan of Care (HMPC) Document Given to Patient/Caregiver HMPC CMS26v3 Person and Caregiver-Centered Experience Outcomes None The Joint Commission Version Detail
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Incidence of Potentially-Preventable Venous Thromboembolism VTE6 CMS114v4 Patient Safety None The Joint Commission Version Detail
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Initial Antibiotic Selection for Community-Acquired Pneumonia (CAP) in Immunocompetent Patients PN6 CMS188v5 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 CMS190v4 Patient Safety 0372 The Joint Commission Version Detail
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Median Admit Decision Time to ED Departure Time for Admitted Patients ED2 CMS111v4 Person and Caregiver-Centered Experience Outcomes 0497 Centers for Medicare and Medicaid Services Version Detail
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Median Time from ED Arrival to ED Departure for Admitted ED Patients ED1 CMS55v4 Person and Caregiver-Centered Experience Outcomes 0495 Centers for Medicare and Medicaid Services Version Detail
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Median Time from ED Arrival to ED Departure for Discharged ED Patients ED3 CMS32v5 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 CMS53v4 Effective Clinical Care 0163 Centers for Medicare and Medicaid Services Version Detail
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Prophylactic Antibiotic Received Within One Hour Prior to Surgical Incision SCIPInf1 CMS171v5 Patient Safety 0527 Centers for Medicare and Medicaid Services Version Detail
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Prophylactic Antibiotic Selection for Surgical Patients SCIPInf2 CMS172v5 Efficiency and Cost Reduction Use of Healthcare Resources 0528 Centers for Medicare and Medicaid Services Version Detail
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Statin Prescribed at Discharge AMI10 CMS30v5 Effective Clinical Care 0639 Centers for Medicare and Medicaid Services Version Detail
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Stroke Education Stroke8 CMS107v4 Person and Caregiver-Centered Experience Outcomes None The Joint Commission Version Detail
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Thrombolytic Therapy Stroke4 CMS91v5 Effective Clinical Care 0437 The Joint Commission 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 CMS178v5 Patient Safety 0453 Centers for Medicare and Medicaid Services Version Detail
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Venous Thromboembolism Discharge Instructions VTE5 CMS110v4 Person and Caregiver-Centered Experience Outcomes None 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 CMS109v4 Effective Clinical Care None The Joint Commission Version Detail
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Venous Thromboembolism Patients with Anticoagulation Overlap Therapy VTE3 CMS73v4 Effective Clinical Care 0373 The Joint Commission Version Detail
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Venous Thromboembolism Prophylaxis VTE1 CMS108v4 Patient Safety 0371 The Joint Commission Version Detail
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Last Updated: September 25, 2017