2024 Hybrid About page

Hybrid measures - A hybrid measure is a quality measure that uses more than one source of data for measure calculation. Current hybrid measures use claims data and electronic clinical data from electronic health records. Hybrid measures merge electronic health record data elements with claims data to calculate measure results. 

CMS updated the electronic specifications for the Hybrid Hospital-Wide Readmission (HWR) and the Hybrid Hospital-Wide Mortality (HWM) Measures for the reporting period from July 1, 2023 through June 30, 2024 for the Hospital Inpatient Quality Reporting (IQR) Program. Hospitals that submit data for these measures during the voluntary reporting period will receive confidential hospital-specific reports that detail submission results from the reporting period, as well as the Hybrid HWR or Hybrid HWM measure results. CMS will begin the public reporting of the Hybrid HWR and the Hybrid HWM measures results beginning with data collected from the July 1, 2023 through June 30, 2024 reporting period.

Each year, CMS makes updates to the hybrid measures adopted for reporting in the Hospital Inpatient Quality Reporting (IQR) program. Hybrid measures require updates to the electronic specifications and to claims-based specifications, available on QualityNet. CMS requires the use of updated electronic specifications for all its quality programs because they include updated codes, logic corrections, and clarifications. Reporting data for the hybrid measures to the Hospital IQR program requires that a hospital or electronic health record vendor use the most current version of the electronic measure specifications for the applicable reporting period.

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

Across the eCQI Resource Center, for brevity, we use the term eCQM to encompass eCQMs and hybrid measures unless specified in a filter.