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Hospital - Inpatient eCQMs

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Find older eCQM specifications in the eCQM Standards and Tools Version table.

2025 Reporting Period Hospital - Inpatient Resources for eCQMs
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eCQM Resources Short Description Published
Implementation checklist The eCQM Implementation Checklist provides the necessary technical steps health information technology developers, implementers, and health care organizations must take to update their systems and processes with the eCQM Annual Update for the upcoming reporting and performance periods. The most recent eCQM Annual Update should be applied to your system for use in electronic quality reporting. May 2024
Assists implementers and measured entities with information on how to read eCQM specifications The Guide for Reading eCQMs is a resource to help measured entities, including clinicians, providers, hospitals, quality analysts, implementers, and health information technology vendors, understand eCQMs. The Guide provides background on eCQM packages, which are the building blocks of eCQMs, and an overview for a user to understand the human-readable format of eCQMs. The Guide also provides information related to file naming convention, value sets, QDM data criteria, and more. May 2024
List of eCQMs available for use This table contains a list of eCQMs that measured entities may use to electronically report clinical quality measure data to CMS for a given quality program’s reporting period. May 2024
eCQM technical specifications This zip file contains individual zip files for each eCQM that measured entities may use to report clinical quality measure data to CMS. Each individual zip file contains html, xml, cql, and json technical specifications for use with a specific eCQM version for a given quality program’s reporting period. May 2024
MAT-CGL specifications This zip file contains the MAT GCL html, xml, cql, and json files for use with eCQMs for a given quality program's reporting/performance period. May 2024
Value sets used with eCQMs and Hybrid Measures The eCQM and hybrid measure value sets specify terminology codes such as ICD-10-CM/PCS, CPT, SNOMED CT, required for use with each eCQM or hybrid measure. May 2024
eCQM Direct Reference Codes used in eCQMs The eCQM Direct Reference Codes List is a list of direct reference codes (DRCs) used in eCQMs or hybrid measures for a given quality program’s reporting/performance period. These codes are referenced directly in the logic to describe a data element or one of its attributes. The list includes the description of the code, the code system from which the code is derived, and the version of that code system. May 2024
Value set metadata The value set Binding Parameter Specification (BPS) is a record of the value set metadata that defines the code lists specified by current CMS eCQMs and hybrid measures. Measure implementers and vendors use the BPS to track versions and other parameters that define the code lists for each eCQM or hybrid measure for each Annual Update. May 2024
Assists implementers and measured entities with how to use eCQMs and report issues The eCQM Logic and Implementation Guidance is a resource that provides guidance for understanding, using, and/or implementing eCQMs. May 2024
Tools and standards versions measure developers used to create eCQMs and versions of standards and tools used for their reporting The standards and tools versions listed for each reporting/performance period are the versions used to create and/or support the implementation of the specific reporting/performance period specifications. May 2024
Year over year changes to the MAT GCL The MAT CGL Technical Release Notes are resource files which provide an overview of technical changes to the MAT GCL used in development of eCQMs. May 2024
Year over year changes to eCQMs, including logic and terminology The Technical Release Notes are resource files which provide an overview of technical changes, e.g., logic and terminology, to each eCQM in the most recent eCQM Annual Update for the CMS reporting period. May 2024
Year over year changes to eCQMs, including logic and terminology The Technical Release Notes are resource files which provide an overview of technical changes, e.g., logic and terminology, to each eCQM in the most recent eCQM Annual Update for the CMS reporting period. May 2024
Assists implementers and measured entities with steps to take to calculate an eCQM The eCQM flows provide a graphical and narrative description of the descisions to calculate an eCQM performance rate. Feb 2025
Format for reporting eCQMs to CMS The CMS Quality Reporting Document Architecture (QRDA) I Implementation Guide for Hospital Quality Reporting constrains the HL7 QRDA Category I Implementation Guide (HL7 QRDA I IG). The CMS QRDA Category I IG is used for reporting individual-patient-level quality measure data to CMS. Note: IGs, Schematrons, and sample files may be updated after initial publication to address stakeholder or policy requirements. Revisit the eCQI Resource Center for updated resources prior to use. May 2024
Rules to validate eCQM reports with samples The CMS Quality Reporting Document Architecture (QRDA) I Schematrons and Sample Files provide technical guidance for implementing the HL7 QRDA I standard for reporting patient level data to CMS quality programs. The Schematron files contain a list of rules used to validate that generated QRDA I reports conform to the requirements specified in the Implementation Guides (IGs). Note: IGs, Schematrons, and sample files may be updated after initial publication to address stakeholder or policy requirements. Revisit the eCQI Resource Center for updated resources prior to use. May 2024
Standards and code system versions for the eCQM Annual Update The eCQM Annual Update Pre-Publication Document describes the versions of the standards and code systems used in conjunction with the updated eCQMs for potential use in CMS programs. It is designed to help health information technology/electronic health record developers, Eligible Clinicians, and Eligible Hospitals/Critical Access Hospitals prepare for reporting through transparent pre-release of the expected standards and code system versions. Feb 2024
The 2025 Reporting Period has 15 Hospital - Inpatient eCQMs:
Title Short Name CMS eCQM ID CBE ID* Download Specifications Notes
Anticoagulation Therapy for Atrial Fibrillation/Flutter

STK-3

CMS71v14 Not Applicable
Antithrombotic Therapy by End of Hospital Day 2

STK-5

CMS72v13 Not Applicable
Cesarean Birth

PC-02

CMS334v6 0471e
Discharged on Antithrombotic Therapy

STK-2

CMS104v13 Not Applicable
Excessive Radiation Dose or Inadequate Image Quality for Diagnostic Computed Tomography (CT) in Adults (Facility IQR)

IP-ExRad

CMS1074v2 3663e
  1. There is a known issue on CMS1074v2. See issue EKI-36 on the ONC eCQM Known Issues Dashboard for details.
  2. Beginning with the Calendar Year 2025 performance period, hospitals and clinicians who choose to report this…

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Global Malnutrition Composite Score

GMCS

CMS986v4 3592e
Hospital Harm - Acute Kidney Injury

HH-AKI

CMS832v2 3713e
  1. This is a risk adjusted measure; Risk Adjustment Methodology Report: Acute Kidney Injury's Risk Adjustment Methodology Report (Updated June 20, 2023)
  2. There is a known issue on CMS832v2. See issue EKI-35 on the…
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Hospital Harm - Opioid-Related Adverse Events

HH-ORAE

CMS819v3 3501e
Hospital Harm - Pressure Injury

HH-PI

CMS826v2 3498e
Hospital Harm - Severe Hyperglycemia

HH-Hyper

CMS871v4 3533e
Hospital Harm - Severe Hypoglycemia

HH-Hypo

CMS816v4 3503e
Intensive Care Unit Venous Thromboembolism Prophylaxis

VTE-2

CMS190v13 Not Applicable
Safe Use of Opioids - Concurrent Prescribing None CMS506v7 3316e

There is a known issue on CMS506v7. See issue EKI-31 on the ONC eCQM Known Issues Dashboard for details.

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Severe Obstetric Complications

PC-07

CMS1028v3 Not Applicable

This is a risk adjusted measure: Severe Obstetric Complications Methodology Report and Appendix E

Venous Thromboembolism Prophylaxis

VTE-1

CMS108v13 Not Applicable

Each year, CMS updates the electronic clinical quality measures (eCQMs) for potential use in CMS quality reporting programs and publishes them on the eCQI Resource Center. CMS updates the specifications annually to align with current clinical guidelines and code systems so they remain relevant and actionable within the clinical care setting. CMS requires the use of the most current version of the eCQMs as specified and intended for the applicable reporting periods for all quality reporting programs.

Hospitals are to use the updated eCQMs to electronically report 2025 clinical quality measure data for CMS quality reporting programs. 

For hospital inpatient reporting guidance, visit QualityNet and the Quality Reporting Center for specific program reporting education.

For Medicare Promoting Interoperability Program guidance, refer to the CMS Promoting Interoperability Program webpage.

For Medicaid Promoting Interoperability guidance, refer to your state Medicaid agency, https://www.medicaid.gov.

Submit questions related to the eCQM specifications, logic, data elements, standards, or resources in the eCQM Issue Tracker - ONC Project Tracking System (Jira).

Find Information regarding reporting exceptions here.

Last Updated: Feb 06, 2025