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.

*This is a voluntary measure and does not count toward eCQM submission
Measure Name CMS ID NQF ID Value Set
Hybrid Hospital-Wide Readmission* CMS529v0 2879 CCDE Value Sets
Measure Name Short Name CMS eCQM ID NQF ID Notessort descending USHIK Version Links
Assessed for Rehabilitation Stroke10 CMS102v6 None Version Detail
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Stroke Education Stroke8 CMS107v6 None Version Detail
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Exclusive Breast Milk Feeding BF CMS9v6 0480 Version Detail
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Home Management Plan of Care (HMPC) Document Given to Patient/Caregiver HMPC CMS26v5 None Version Detail
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Hearing Screening Prior To Hospital Discharge EHDI_1a CMS31v6 1354 Version Detail
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Median Time from ED Arrival to ED Departure for Admitted ED Patients ED1 CMS55v6 0495 Value Set content updated Sept 2017 Version Detail
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Anticoagulation Therapy for Atrial Fibrillation/Flutter Stroke3 CMS71v7 None Value Set content updated Sept 2017 Version Detail
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Antithrombotic Therapy By End of Hospital Day 2 Stroke5 CMS72v6 None Value Set content updated Sept 2017 Version Detail
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Discharged on Antithrombotic Therapy Stroke2 CMS104v6 None Value Set content updated Sept 2017 Version Detail
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Discharged on Statin Medication Stroke6 CMS105v6 None Value Set content updated Sept 2017 Version Detail
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Median Admit Decision Time to ED Departure Time for Admitted Patients ED2 CMS111v6 0497 Value Set content updated Sept 2017 Version Detail
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Elective Delivery PC01 CMS113v6 0469 Value Set content updated Sept 2017 Version Detail
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Intensive Care Unit Venous Thromboembolism Prophylaxis VTE2 CMS190v6 0372 Value Set content updated Sept 2017 Version Detail
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Median Time from ED Arrival to ED Departure for Discharged ED Patients ED3 CMS32v7 0496 Value Set content updated Sept 2017 Version Detail
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Primary PCI Received Within 90 Minutes of Hospital Arrival AMI8a CMS53v6 None Value Set content updated Sept 2017 Version Detail
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Venous Thromboembolism Prophylaxis VTE1 CMS108v6 0371 Value Set content updated Sept 2017, TRNs updated Oct 2017 Version Detail
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Last Updated: May 16, 2018