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Eligible Hospital / Critical Access Hospital eCQMs

The electronic clinical quality measuresinfo-icon (eCQMsinfo-icon) 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 Hospitalsinfo-icon 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 eCQMinfo-icon 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 setsinfo-icon based on code systeminfo-icon 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 eCQMinfo-icon 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 Quality Domainsort descending NQF ID Meaningful Measure Area Notes USHIK Version Links
Anticoagulation Therapy for Atrial Fibrillation/Flutter STK-03 CMS71v8 None Preventive Care 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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Venous Thromboembolism Prophylaxis VTE1 CMS108v6 0371 Value Set content updated Sept 2017, TRNs updated Oct 2017 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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Hearing Screening Prior To Hospital Discharge EHDI_1a CMS31v6 1354 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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Assessed for Rehabilitation STK-10 CMS102v7 None Preventive Care 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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Elective Delivery PC01 CMS113v6 0469 Value Set content updated Sept 2017 Version Detail
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Discharged on Antithrombotic Therapy STK-02 CMS104v7 None Preventive Care 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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Intensive Care Unit Venous Thromboembolism Prophylaxis VTE2 CMS190v6 0372 Value Set content updated Sept 2017 Version Detail
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Discharged on Statin Medication STK-06 CMS105v7 None Preventive Care 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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Exclusive Breast Milk Feeding PC-05 CMS9v7 0480 Preventive Care Version Detail
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Stroke Education STK-08 CMS107v7 None Preventive Care Version Detail
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Anticoagulation Therapy for Atrial Fibrillation/Flutter Stroke3 CMS71v7 None Value Set content updated Sept 2017 Version Detail
Version Compare
Home Management Plan of Care (HMPC) Document Given to Patient/Caregiver CAC-3 CMS26v6 None Preventive Care Version Detail
Version Compare
Venous Thromboembolism Prophylaxis VTE-1 CMS108v7 0371 Preventive Care Version Detail
Version Compare
Antithrombotic Therapy By End of Hospital Day 2 Stroke5 CMS72v6 None Value Set content updated Sept 2017 Version Detail
Version Compare
Hearing Screening Prior To Hospital Discharge EHDI-1a CMS31v7 1354 Preventive Care Version Detail
Version Compare
Median Admit Decision Time to ED Departure Time for Admitted Patients ED-2 CMS111v7 0497 Patient’s Experience of Care Version Detail
Version Compare
Assessed for Rehabilitation Stroke10 CMS102v6 None Version Detail
Version Compare
Median Time from ED Arrival to ED Departure for Discharged ED Patients ED-3 CMS32v8 0496 Patient’s Experience of Care Version Detail
Version Compare
Elective Delivery PC-01 CMS113v7 0469 Preventive Care Version Detail
Version Compare
Discharged on Antithrombotic Therapy Stroke2 CMS104v6 None Value Set content updated Sept 2017 Version Detail
Version Compare
Primary PCI Received Within 90 Minutes of Hospital Arrival AMI-8a CMS53v7 None Preventive Care Version Detail
Version Compare
Intensive Care Unit Venous Thromboembolism Prophylaxis VTE-2 CMS190v7 0372 Preventive Care Version Detail
Version Compare
Discharged on Statin Medication Stroke6 CMS105v6 None Value Set content updated Sept 2017 Version Detail
Version Compare
Median Time from ED Arrival to ED Departure for Admitted ED Patients ED-1 CMS55v7 0495 Patient’s Experience of Care Version Detail
Version Compare
Exclusive Breast Milk Feeding BF CMS9v6 0480 Version Detail
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Stroke Education Stroke8 CMS107v6 None Version Detail
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Stroke Education Stroke8 CMS107v5 Person and Caregiver-Centered Experience Outcomes None Value Set content updated, Jan 2017 and Sept 2017 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 Value Set content updated 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 Value Set content updated, Jan 2017 and Sept 2017 Version Detail
Version Compare
Median Time from ED Arrival to ED Departure for Admitted ED Patients ED1 CMS55v5 Person and Caregiver-Centered Experience Outcomes 0495 Value Set content updated, Jan 2017 and Sept 2017 Version Detail
Version Compare
Venous Thromboembolism Prophylaxis VTE1 CMS108v5 Patient Safety 0371 Value Set content updated Jan 2017 and Sept 2017, TRNs updated Oct 2017 Version Detail
Version Compare
Intensive Care Unit Venous Thromboembolism Prophylaxis VTE2 CMS190v5 Patient Safety 0372 Value Set content updated, Jan 2017 and Sept 2017 Version Detail
Version Compare
Assessed for Rehabilitation Stroke10 CMS102v5 Communication and Care Coordination 0441 Value Set content updated, Jan 2017 and Sept 2017 Version Detail
Version Compare
Median Time from ED Arrival to ED Departure for Discharged ED Patients ED3 CMS32v6 Communication and Care Coordination 0496 Value Set content updated, Jan 2017 and Sept 2017 Version Detail
Version Compare
Anticoagulation Therapy for Atrial Fibrillation/Flutter Stroke3 CMS71v6 Effective Clinical Care 0436 Value Set content updated Jan 2017 and Sept 2017, TRNs updated Oct 2017 Version Detail
Version Compare
Antithrombotic Therapy By End of Hospital Day 2 Stroke5 CMS72v5 Effective Clinical Care 0438 Value Set content updated Jan 2017 and Sept 2017, TRNs updated Oct 2017 Version Detail
Version Compare
Discharged on Antithrombotic Therapy Stroke2 CMS104v5 Effective Clinical Care 0435 Value Set content updated Jan 2017 and Sept 2017, TRNs updated Oct 2017 Version Detail
Version Compare
Discharged on Statin Medication Stroke6 CMS105v5 Effective Clinical Care 0439 Value Set content updated, Jan 2017 and Sept 2017 Version Detail
Version Compare
Exclusive Breast Milk Feeding BF CMS9v5 Effective Clinical Care 0480 Value Set content updated Sept 2017 Version Detail
Version Compare
Hearing Screening Prior To Hospital Discharge EHDI_1a CMS31v5 Effective Clinical Care 1354 Version Detail
Version Compare
Elective Delivery PC01 CMS113v5 Effective Clinical Care 0469 Value Set content updated, Jan 2017 and Sept 2017 Version Detail
Version Compare
Primary PCI Received Within 90 Minutes of Hospital Arrival AMI8a CMS53v5 Effective Clinical Care 0163 Value Set content updated, Jan 2017 and Sept 2017 Version Detail
Version Compare

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Last Updated: December 7, 2018