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2017 Reporting Period EH eCQMs

Clinical Quality Measuresinfo-icon and their electronic specificationsinfo-icon as defined in the 2016 update for Eligible Hospitalsinfo-icon.

Measure Namesort descending Short Name CMS eCQM ID Quality Domain NQF ID Measure Steward Notes USHIK Version Links
Anticoagulation Therapy for Atrial Fibrillation/Flutter Stroke3 CMS71v6 Effective Clinical Care 0436 The Joint Commission Value Set content updated Jan 2017 and Sept 2017, TRNs updated Oct 2017 Version Detail
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Antithrombotic Therapy By End of Hospital Day 2 Stroke5 CMS72v5 Effective Clinical Care 0438 The Joint Commission Value Set content updated Jan 2017 and Sept 2017, TRNs updated Oct 2017 Version Detail
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Assessed for Rehabilitation Stroke10 CMS102v5 Communication and Care Coordination 0441 The Joint Commission Value Set content updated, Jan 2017 and Sept 2017 Version Detail
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Discharged on Antithrombotic Therapy Stroke2 CMS104v5 Effective Clinical Care 0435 The Joint Commission Value Set content updated Jan 2017 and Sept 2017, TRNs updated Oct 2017 Version Detail
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Discharged on Statin Medication Stroke6 CMS105v5 Effective Clinical Care 0439 The Joint Commission Value Set content updated, Jan 2017 and Sept 2017 Version Detail
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Elective Delivery PC01 CMS113v5 Effective Clinical Care 0469 The Joint Commission Value Set content updated, Jan 2017 and Sept 2017 Version Detail
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Exclusive Breast Milk Feeding BF CMS9v5 Effective Clinical Care 0480 The Joint Commission Value Set content updated Sept 2017 Version Detail
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Hearing Screening Prior To Hospital Discharge EHDI_1a CMS31v5 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 CMS26v4 Person and Caregiver-Centered Experience Outcomes None The Joint Commission Value Set content updated Sept 2017 Version Detail
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Intensive Care Unit Venous Thromboembolism Prophylaxis VTE2 CMS190v5 Patient Safety 0372 The Joint Commission Value Set content updated, Jan 2017 and Sept 2017 Version Detail
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Median Admit Decision Time to ED Departure Time for Admitted Patients ED2 CMS111v5 Person and Caregiver-Centered Experience Outcomes 0497 Centers for Medicare and Medicaid Services (CMS) Value Set content updated, Jan 2017 and Sept 2017 Version Detail
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Median Time from ED Arrival to ED Departure for Admitted ED Patients ED1 CMS55v5 Person and Caregiver-Centered Experience Outcomes 0495 Centers for Medicare and Medicaid Services (CMS) Value Set content updated, Jan 2017 and Sept 2017 Version Detail
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Median Time from ED Arrival to ED Departure for Discharged ED Patients ED3 CMS32v6 Communication and Care Coordination 0496 Centers for Medicare and Medicaid Services (CMS) Value Set content updated, Jan 2017 and Sept 2017 Version Detail
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Primary PCI Received Within 90 Minutes of Hospital Arrival AMI8a CMS53v5 Effective Clinical Care 0163 Centers for Medicare and Medicaid Services (CMS) Value Set content updated, Jan 2017 and Sept 2017 Version Detail
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Stroke Education Stroke8 CMS107v5 Person and Caregiver-Centered Experience Outcomes None The Joint Commission Value Set content updated, Jan 2017 and Sept 2017 Version Detail
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Venous Thromboembolism Prophylaxis VTE1 CMS108v5 Patient Safety 0371 The Joint Commission Value Set content updated Jan 2017 and Sept 2017, TRNs updated Oct 2017 Version Detail
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Last Updated: September 25, 2017