2025 Reporting Period Hospital - Inpatient Resources for eCQMs

eCQM Resources	Short Description	Published
Implementation Checklist eCQM Annual Update	Implementation checklist	May 2024
Guide for Reading eCQMs	Assists implementers and measured entities with information on how to read eCQM specifications	May 2024
Hospital Quality Reporting Table of eCQMs	List of eCQMs available for use	May 2024
eCQM Specifications for Hospital Quality Reporting	eCQM technical specifications	May 2024
eCQM and Hybrid Measure Value Sets	Value sets used with eCQMs and Hybrid Measures	May 2024
eCQM Direct Reference Codes List	eCQM Direct Reference Codes used in eCQMs	May 2024
Binding Parameter Specification (BPS)	Value set metadata	May 2024
eCQM Logic and Implementation Guidance	Assists implementers and measured entities with how to use eCQMs and report issues	May 2024
Standards and tool versions used for reporting/performance period	Tools and standards versions measure developers used to create eCQMs and versions of standards and tools used for their reporting	May 2024
Measure Authoring Tool (MAT) Global Common Library (GCL) Technical Release Notes	Year over year changes to the MAT GCL	May 2024
Measure Authoring Tool (MAT) Global Common Library (GCL) Technical Specifications	MAT-CGL specifications	May 2024
Technical Release Notes	Year over year changes to eCQMs, including logic and terminology	May 2024
Technical Release Notes	Year over year changes to eCQMs, including logic and terminology	May 2024
eCQM Flows	Assists implementers and measured entities with steps to take to calculate an eCQM	Feb 2025
CMS QRDA I Implementation Guide for Hospital Quality Reporting	Format for reporting eCQMs to CMS	May 2025
CMS QRDA I Schematrons and Sample Files	Rules to validate eCQM reports with samples	May 2024
eCQM Annual Update Pre-Publication Document	Standards and code system versions for the eCQM Annual Update	Feb 2024

The 2025 Reporting Period has 15 Hospital - Inpatient eCQMs:

Title	Short Name	CMS eCQM ID	CBE ID*	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	There is a known issue on CMS1074v2. See issue EKI-36 on the ONC eCQM Known Issues Dashboard for details. Beginning with the Calendar Year 2025 performance period, hospitals and clinicians who choose to report this… Read more
Global Malnutrition Composite Score	GMCS	CMS986v4	3592e
Hospital Harm - Acute Kidney Injury	HH-AKI	CMS832v2	3713e	This is a risk adjusted measure; Risk Adjustment Methodology Report: Acute Kidney Injury's Risk Adjustment Methodology Report (Updated June 20, 2023) There is a known issue on CMS832v2. See issue EKI-35 on the… Read more
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… Read more
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.

Hospital - Inpatient eCQMs

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