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 Jun 2018 pdf
2019 Q1-Q4 Feb 2018 pdf
2019 Q1-Q4 May 2018 pdf
2019 Q1-Q4 May 2018 pdf
2019 Q1-Q4 May 2018 pdf
2019 Q1-Q4 May 2018 link
2019 Q1-Q4 May 2018 link
*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 Quality Domain NQF ID Meaningful Measure Area Notes USHIK Version Links
Exclusive Breast Milk Feeding BF CMS9v3 Effective Clinical Care 0480 Version Detail
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Exclusive Breast Milk Feeding BF CMS9v4 Effective Clinical Care 0480 Version Detail
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Exclusive Breast Milk Feeding BF CMS9v5 Effective Clinical Care 0480 Value Set content updated Sept 2017 Version Detail
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Exclusive Breast Milk Feeding BF CMS9v6 0480 Version Detail
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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 HMPC CMS26v2 Person and Caregiver-Centered Experience Outcomes None Version Detail
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Home Management Plan of Care (HMPC) Document Given to Patient/Caregiver HMPC CMS26v3 Person and Caregiver-Centered Experience Outcomes None 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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Home Management Plan of Care (HMPC) Document Given to Patient/Caregiver HMPC CMS26v5 None 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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Statin Prescribed at Discharge AMI10 CMS30v4 Effective Clinical Care 0639 Version Detail
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Statin Prescribed at Discharge AMI10 CMS30v5 Effective Clinical Care 0639 Version Detail
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Hearing Screening Prior To Hospital Discharge EHDI_1a CMS31v3 Effective Clinical Care 1354 Version Detail
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Hearing Screening Prior To Hospital Discharge EHDI_1a CMS31v4 Effective Clinical Care 1354 Version Detail
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Hearing Screening Prior To Hospital Discharge EHDI_1a CMS31v5 Effective Clinical Care 1354 Version Detail
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Hearing Screening Prior To Hospital Discharge EHDI_1a CMS31v6 1354 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 ED3 CMS32v4 Communication and Care Coordination 0496 Version Detail
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Median Time from ED Arrival to ED Departure for Discharged ED Patients ED3 CMS32v5 Communication and Care Coordination 0496 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 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 CMS32v7 0496 Value Set content updated Sept 2017 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 AMI8a CMS53v3 Effective Clinical Care 0163 Version Detail
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Primary PCI Received Within 90 Minutes of Hospital Arrival AMI8a CMS53v4 Effective Clinical Care 0163 Version Detail
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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
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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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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 ED1 CMS55v3 Person and Caregiver-Centered Experience Outcomes 0495 Version Detail
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Median Time from ED Arrival to ED Departure for Admitted ED Patients ED1 CMS55v4 Person and Caregiver-Centered Experience Outcomes 0495 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 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 CMS55v6 0495 Value Set content updated Sept 2017 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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Fibrinolytic Therapy Received Within 30 Minutes of Hospital Arrival AMI7a CMS60v3 Effective Clinical Care 0164 Version Detail
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Fibrinolytic Therapy Received Within 30 Minutes of Hospital Arrival AMI7a CMS60v4 Effective Clinical Care 0164 Version Detail
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Anticoagulation Therapy for Atrial Fibrillation/Flutter Stroke3 CMS71v4 Effective Clinical Care 0436 Version Detail
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Anticoagulation Therapy for Atrial Fibrillation/Flutter Stroke3 CMS71v5 Effective Clinical Care 0436 Version Detail
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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
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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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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 Stroke5 CMS72v3 Effective Clinical Care 0438 Version Detail
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Antithrombotic Therapy By End of Hospital Day 2 Stroke5 CMS72v4 Effective Clinical Care 0438 Version Detail
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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
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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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Antithrombotic Therapy By End of Hospital Day 2 STK-05 CMS72v7 None Preventive Care Version Detail
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Venous Thromboembolism Patients with Anticoagulation Overlap Therapy VTE3 CMS73v3 Effective Clinical Care 0373 Version Detail
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Venous Thromboembolism Patients with Anticoagulation Overlap Therapy VTE3 CMS73v4 Effective Clinical Care 0373 Version Detail
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Thrombolytic Therapy Stroke4 CMS91v4 Effective Clinical Care 0437 Version Detail
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Thrombolytic Therapy Stroke4 CMS91v5 Effective Clinical Care 0437 Version Detail
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Aspirin Prescribed at Discharge AMI2 CMS100v3 Effective Clinical Care 0142 Version Detail
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Aspirin Prescribed at Discharge AMI2 CMS100v4 Effective Clinical Care 0142 Version Detail
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Assessed for Rehabilitation Stroke10 CMS102v3 Communication and Care Coordination 0441 Version Detail
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Assessed for Rehabilitation Stroke10 CMS102v4 Communication and Care Coordination 0441 Version Detail
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Assessed for Rehabilitation Stroke10 CMS102v5 Communication and Care Coordination 0441 Value Set content updated, Jan 2017 and Sept 2017 Version Detail
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Assessed for Rehabilitation Stroke10 CMS102v6 None 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 Stroke2 CMS104v3 Effective Clinical Care 0435 Version Detail
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Discharged on Antithrombotic Therapy Stroke2 CMS104v4 Effective Clinical Care 0435 Version Detail
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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
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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 Antithrombotic Therapy STK-02 CMS104v7 None Preventive Care Version Detail
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Discharged on Statin Medication Stroke6 CMS105v3 Effective Clinical Care 0439 Version Detail
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Discharged on Statin Medication Stroke6 CMS105v4 Effective Clinical Care 0439 Version Detail
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Discharged on Statin Medication Stroke6 CMS105v5 Effective Clinical Care 0439 Value Set content updated, Jan 2017 and 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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Discharged on Statin Medication STK-06 CMS105v7 None Preventive Care Version Detail
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Stroke Education Stroke8 CMS107v3 Person and Caregiver-Centered Experience Outcomes None Version Detail
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Stroke Education Stroke8 CMS107v4 Person and Caregiver-Centered Experience Outcomes 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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Stroke Education Stroke8 CMS107v6 None Version Detail
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Stroke Education STK-08 CMS107v7 None Preventive Care Version Detail
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Venous Thromboembolism Prophylaxis VTE1 CMS108v3 Patient Safety 0371 Version Detail
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Venous Thromboembolism Prophylaxis VTE1 CMS108v4 Patient Safety 0371 Version Detail
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Venous Thromboembolism Prophylaxis VTE1 CMS108v5 Patient Safety 0371 Value Set content updated Jan 2017 and Sept 2017, TRNs updated Oct 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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Venous Thromboembolism Prophylaxis VTE-1 CMS108v7 0371 Preventive Care Version Detail
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Venous Thromboembolism Patients Receiving Unfractionated Heparin with Dosages/Platelet Count Monitoring by Protocol or Nomogram VTE4 CMS109v3 Effective Clinical Care None Version Detail
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Venous Thromboembolism Patients Receiving Unfractionated Heparin with Dosages/Platelet Count Monitoring by Protocol or Nomogram VTE4 CMS109v4 Effective Clinical Care None Version Detail
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Venous Thromboembolism Discharge Instructions VTE5 CMS110v3 Person and Caregiver-Centered Experience Outcomes None Version Detail
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Venous Thromboembolism Discharge Instructions VTE5 CMS110v4 Person and Caregiver-Centered Experience Outcomes None Version Detail
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Median Admit Decision Time to ED Departure Time for Admitted Patients ED2 CMS111v3 Person and Caregiver-Centered Experience Outcomes 0497 Version Detail
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Median Admit Decision Time to ED Departure Time for Admitted Patients ED2 CMS111v4 Person and Caregiver-Centered Experience Outcomes 0497 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
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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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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 PC01 CMS113v3 Effective Clinical Care 0469 Version Detail
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Elective Delivery PC01 CMS113v4 Effective Clinical Care 0469 Version Detail
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Elective Delivery PC01 CMS113v5 Effective Clinical Care 0469 Value Set content updated, Jan 2017 and 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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Elective Delivery PC-01 CMS113v7 0469 Preventive Care Version Detail
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Incidence of Potentially-Preventable Venous Thromboembolism VTE6 CMS114v3 Patient Safety None Version Detail
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Incidence of Potentially-Preventable Venous Thromboembolism VTE6 CMS114v4 Patient Safety None Version Detail
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Prophylactic Antibiotic Received Within One Hour Prior to Surgical Incision SCIPInf1 CMS171v4 Patient Safety 0527 Version Detail
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Prophylactic Antibiotic Received Within One Hour Prior to Surgical Incision SCIPInf1 CMS171v5 Patient Safety 0527 Version Detail
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Prophylactic Antibiotic Selection for Surgical Patients SCIPInf2 CMS172v4 Efficiency and Cost Reduction Use of Healthcare Resources 0528 Version Detail
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Prophylactic Antibiotic Selection for Surgical Patients SCIPInf2 CMS172v5 Efficiency and Cost Reduction Use of Healthcare Resources 0528 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 CMS178v4 Patient Safety 0453 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 CMS178v5 Patient Safety 0453 Version Detail
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Healthy Term Newborn CMS185v3 Patient Safety 0716 Version Detail
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Healthy Term Newborn CMS185v4 Patient Safety 0716 Version Detail
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Initial Antibiotic Selection for Community-Acquired Pneumonia (CAP) in Immunocompetent Patients PN6 CMS188v4 Efficiency and Cost Reduction Use of Healthcare Resources 0147 Version Detail
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Initial Antibiotic Selection for Community-Acquired Pneumonia (CAP) in Immunocompetent Patients PN6 CMS188v5 Efficiency and Cost Reduction Use of Healthcare Resources 0147 Version Detail
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Intensive Care Unit Venous Thromboembolism Prophylaxis VTE2 CMS190v3 Patient Safety 0372 Version Detail
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Intensive Care Unit Venous Thromboembolism Prophylaxis VTE2 CMS190v4 Patient Safety 0372 Version Detail
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Intensive Care Unit Venous Thromboembolism Prophylaxis VTE2 CMS190v5 Patient Safety 0372 Value Set content updated, Jan 2017 and 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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Intensive Care Unit Venous Thromboembolism Prophylaxis VTE-2 CMS190v7 0372 Preventive Care Version Detail
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