eCQMs for 2017 Reporting Period

Clinical Quality Measures and their electronic specifications as defined in the 2016 update for Eligible Hospitals.

Measure Namesort descending Short Name CMS ID Domain NQF ID Measure Steward Addendum Notes USHIK Version Links
Anticoagulation Therapy for Atrial Fibrillation/Flutter Stroke3 CMS71v6 Effective Clinical Care 0436 The Joint Commission ICD-10 Value Set addition Version Detail
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Antithrombotic Therapy By End of Hospital Day 2 Stroke5 CMS72v5 Effective Clinical Care 0438 The Joint Commission ICD-10 Value Set addition Version Detail
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Aspirin Prescribed at Discharge AMI2 CMS100v5 Effective Clinical Care 0142 Centers for Medicare & Medicaid Services (CMS) Removed from Hospital Quality Reporting Version Detail
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Assessed for Rehabilitation Stroke10 CMS102v5 Communication and Care Coordination 0441 The Joint Commission ICD-10 Value Set addition Version Detail
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Discharged on Antithrombotic Therapy Stroke2 CMS104v5 Effective Clinical Care 0435 The Joint Commission ICD-10 Value Set addition Version Detail
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Discharged on Statin Medication Stroke6 CMS105v5 Effective Clinical Care 0439 The Joint Commission ICD-10 Value Set addition Version Detail
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Elective Delivery PC01 CMS113v5 Effective Clinical Care 0469 The Joint Commission ICD-10 Value Set addition Version Detail
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Exclusive Breast Milk Feeding BF CMS9v5 Effective Clinical Care 0480 The Joint Commission Version Detail
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Fibrinolytic Therapy Received Within 30 Minutes of Hospital Arrival AMI7a CMS60v5 Effective Clinical Care None Centers for Medicare & Medicaid Services (CMS) Removed from Hospital Quality Reporting Version Detail
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Healthy Term Newborn CMS185v5 Patient Safety 0716 Centers for Medicare & Medicaid Services (CMS) Removed from Hospital Quality Reporting 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 Version Detail
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Incidence of Potentially-Preventable Venous Thromboembolism VTE6 CMS114v5 Patient Safety None The Joint Commission Removed from Hospital Quality Reporting Version Detail
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Initial Antibiotic Selection for Community-Acquired Pneumonia (CAP) in Immunocompetent Patients PN6 CMS188v6 Efficiency and Cost Reduction Use of Healthcare Resources 0147 Centers for Medicare & Medicaid Services (CMS) Removed from Hospital Quality Reporting Version Detail
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Intensive Care Unit Venous Thromboembolism Prophylaxis VTE2 CMS190v5 Patient Safety 0372 The Joint Commission ICD-10 Value Set addition 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 & Medicaid Services (CMS) ICD-10 Value Set addition 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 & Medicaid Services (CMS) ICD-10 Value Set addition 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 & Medicaid Services (CMS) ICD-10 Value Set addition Version Detail
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Primary PCI Received Within 90 Minutes of Hospital Arrival AMI8a CMS53v5 Effective Clinical Care 0163 Centers for Medicare & Medicaid Services (CMS) ICD-10 Value Set addition Version Detail
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Prophylactic Antibiotic Received Within One Hour Prior to Surgical Incision SCIPInf1 CMS171v6 Patient Safety 0527 Centers for Medicare & Medicaid Services (CMS) Removed from Hospital Quality Reporting Version Detail
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Prophylactic Antibiotic Selection for Surgical Patients SCIPInf2 CMS172v6 Efficiency and Cost Reduction Use of Healthcare Resources 0528 Centers for Medicare & Medicaid Services (CMS) Removed from Hospital Quality Reporting Version Detail
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Statin Prescribed at Discharge AMI10 CMS30v6 Effective Clinical Care None Centers for Medicare & Medicaid Services (CMS) Removed from Hospital Quality Reporting Version Detail
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Stroke Education Stroke8 CMS107v5 Person and Caregiver-Centered Experience Outcomes None The Joint Commission ICD-10 Value Set addition Version Detail
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Thrombolytic Therapy Stroke4 CMS91v6 Effective Clinical Care 0437 The Joint Commission Removed from Hospital Quality Reporting 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 CMS178v6 Patient Safety None Centers for Medicare & Medicaid Services (CMS) Removed from Hospital Quality Reporting Version Detail
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Venous Thromboembolism Discharge Instructions VTE5 CMS110v5 Person and Caregiver-Centered Experience Outcomes None The Joint Commission Removed from Hospital Quality Reporting Version Detail
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Venous Thromboembolism Patients Receiving Unfractionated Heparin with Dosages/Platelet Count Monitoring by Protocol or Nomogram VTE4 CMS109v5 Effective Clinical Care None The Joint Commission Removed from Hospital Quality Reporting Version Detail
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Venous Thromboembolism Patients with Anticoagulation Overlap Therapy VTE3 CMS73v5 Effective Clinical Care 0373 The Joint Commission Removed from Hospital Quality Reporting Version Detail
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Venous Thromboembolism Prophylaxis VTE1 CMS108v5 Patient Safety 0371 The Joint Commission ICD-10 Value Set addition Version Detail
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