The 2027 Annual Update draft measure specifications are now available. Question and comment on Eligible Clinician eCQMs, Hospital - Inpatient eCQMs, and Hospital - Outpatient eCQM until December 19, 2025.
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Now Available: CMS QRDA I Conformance Statement Resource for 2020 Hospital Quality Reporting and New QRDA Known Issues ONC Project Tracking System (Jira) Project
The Centers for Medicare & Medicaid Services (CMS) has updated the Quality Reporting Document Architecture (QRDA) Category I Conformance Statement Resource to support calendar year (CY) 2020 electronic clinical quality measure (eCQM) reporting for the:
- Hospital Inpatient Quality Reporting (IQR) Program
- Medicare and Medicaid Promoting Interoperability Programs for Eligible Hospitals and Critical Access Hospitals
QRDA error messages are identified with a conformance (CONF) statement, or system-requirement specification, and corresponding CONF number which provides a high-level explanation of why a test or production QRDA I file was rejected and unable to be processed by the Hospital Quality Reporting (HQR) System.
The Conformance Statement Resource assists data submitters by providing detailed information on how to troubleshoot the most common conformance errors and how to resolve the errors causing rejection of the file.
Testing QRDA I Files:
- HQR System – The HQR System will begin receiving test and production file submissions for the 2020 reporting period this Fall.
- Cypress provides implementers with the ability to validate the conformance of QRDA Category I and Category III documents.
CMS has created a new Quality Reporting Document Architecture (QRDA) Known Issues project for both QRDA I and QRDA III on the Office of National Coordinator for Health Information Technology (ONC) Project Tracking System (Jira) website. QRDA Known Issues provide supplemental implementation information for QRDA Implementation Guides (IGs) or supporting documents with known technical issues for which a solution is under development but may not yet be available. This includes issues such as discrepancies between conformance assertions and message text, non-critical conformance assertion errors, and typographical errors.
Jira serves as a collaborative workspace for users to log, prioritize, and discuss issues. Stakeholders can submit issues for review by subject matter experts. You must have a Jira account to create content or to track existing issues.
Additional QRDA-Related Resources:
To find out more about QRDA and eCQMs, visit the Electronic Clinical Quality Improvement (eCQI) Resource Center.
For questions related to the QRDA Implementation Guides and/or Schematrons, visit the ONC Project Tracking System (Jira) QRDA project.
For questions about the HQR System, contact the QualityNet Help Desk or call (866) 288-8912, Monday through Friday, 8 a.m. – 8 p.m. ET.