Eligible Hospital / Critical Access Hospital eCQMs

The electronic clinical quality measures (eCQMs) are updated for calendar year 2019 reporting for the Hospital Inpatient Quality Reporting (IQR) Program and the Medicare and Medicaid Promoting Interoperability programs for Eligible Hospitals and Critical Access Hospitals. Measures will not be eligible for 2019 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 Promoting Interoperability programs requires that hospitals use the most current version of the eCQMs identified below for the applicable reporting period.

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.

2019 Reporting Period Eligible Hospital / Critical Access Hospital eCQMs
For Use eCQM Materials Published File Typesort descending
2019 Q1-Q4 May 2018 zip
2019 Q1-Q4 May 2018 zip
2019 Q1-Q4 May 2018 zip
2019 Q1-Q4 May 2018 zip
2019 Q1-Q4 May 2018 pdf
2019 Q1-Q4 May 2018 pdf
2019 Q1-Q4 May 2018 pdf
2019 Q1-Q4 Jun 2018 pdf
2019 Q1-Q4 Feb 2018 pdf
2019 Q1-Q4 May 2018 pdf
2019 Q1-Q4 May 2018 link
2019 Q1-Q4 May 2018 link
Measure Name Short Name CMS eCQM ID NQF ID Meaningful Measure Area USHIK Version Links
Exclusive Breast Milk Feeding PC-05 CMS9v7 0480 Preventive Care Version Detail
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Home Management Plan of Care (HMPC) Document Given to Patient/Caregiver CAC-3 CMS26v6 None Preventive Care Version Detail
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Hearing Screening Prior To Hospital Discharge EHDI-1a CMS31v7 1354 Preventive Care Version Detail
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Median Time from ED Arrival to ED Departure for Discharged ED Patients ED-3 CMS32v8 0496 Patient’s Experience of Care Version Detail
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Primary PCI Received Within 90 Minutes of Hospital Arrival AMI-8a CMS53v7 None Preventive Care Version Detail
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Median Time from ED Arrival to ED Departure for Admitted ED Patients ED-1 CMS55v7 0495 Patient’s Experience of Care Version Detail
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Anticoagulation Therapy for Atrial Fibrillation/Flutter STK-03 CMS71v8 None Preventive Care Version Detail
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Antithrombotic Therapy By End of Hospital Day 2 STK-05 CMS72v7 None Preventive Care Version Detail
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Assessed for Rehabilitation STK-10 CMS102v7 None Preventive Care Version Detail
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Discharged on Antithrombotic Therapy STK-02 CMS104v7 None Preventive Care Version Detail
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Discharged on Statin Medication STK-06 CMS105v7 None Preventive Care Version Detail
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Stroke Education STK-08 CMS107v7 None Preventive Care Version Detail
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Venous Thromboembolism Prophylaxis VTE-1 CMS108v7 0371 Preventive Care Version Detail
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Median Admit Decision Time to ED Departure Time for Admitted Patients ED-2 CMS111v7 0497 Patient’s Experience of Care Version Detail
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Elective Delivery PC-01 CMS113v7 0469 Preventive Care Version Detail
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Intensive Care Unit Venous Thromboembolism Prophylaxis VTE-2 CMS190v7 0372 Preventive Care Version Detail
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Last Updated: June 11, 2018