Hospital Reporting of Electronic Clinical Quality Measures (eCQMs) and Hybrid Measures
Each year, the Health Services Cost Review Commission requires Maryland hospitals to submit digital quality measures. CRISP and Medisolv work in partnership to support the HSCRC to collect the Electronic Clinical Quality Measures (eCQMs) and data elements needed to calculate hybrid quality measures. For CY 2024, hospitals are required to submit 6 eCQMs and data elements for two hybrid measures. All eCQM data is being submitted in the Quality Reporting Document Architecture (QRDA) I format to Medisolv ENCOR portal via CRISP Portal. While these measures align with federal IQR measures, it does not replace IQR Reporting requirements for Maryland hospitals.
For documentation see:
eCQM Reporting Schedule for MD Hospitals CY 2024
Calendar Year 2024 Required Data Submission
- At this time, the HSCRC will require submission of QRDA-1 files for the following measures:
- eOPI-1: Safe Use of Opioids – Concurrent Prescribing
- PC-02: Cesarean Birth
- PC-07: Severe Obstetric Complications (risk adjusted)
- HH-01: Hospital Harm- Severe Hypoglycemia
- HH-02: Hospital Harm- Severe Hyperglycemia
- 2 additional eCQMs of the hospital’s choice, chosen from the 2024 measure list below
- Please read this important announcement from HSCRC about new requirements to include facility MRN in your QRDA 1 submissions as well as information on locking annual data submissions 90 days following the last quarter of the previous year.
- For hospitals that do not qualify for the PC-02 and PC-07 measures, you must submit QRDA-1 files for two of the other CMS 2024 specified eCQMs to CRISP (see Appendix A). Data submissions will generally be due quarterly within approximately 90 days of the end of the quarter. The first two quarters are combined and due following the second quarter for eCQMs in order to allow for hospitals to update their EHR data specifications.
Hybrid Measures Submission Requirements
HSCRC now requires submission of the Core Clinical Data Elements (CCDE)
- Hybrid HWR: Hospital-Wide 30-day Readmission
- Hybrid HWM: Hospital-Wide 30-day All-Cause Risk Standardized Mortality Measure
- 2023 All Payer Hybrid Measure eCQM Specifications (July 1 2023 to June 30 2024 Performance Period)
- 2024 All Payer Hybrid Measure eCQM Specifications (July 1 2024 to June 30 2025 Performance Period)
Performance Period Submission Windows for eCQMs
| Data Quarter | Open | Close |
|---|---|---|
| Q4 2023 | 1/15/2024 | 4/01/2024 |
| Q1 2024 | 7/15/2024 | 9/30/2024 |
| Q2 2024 | 7/15/2024 | 9/30/2024 |
| Q3 2024 | 10/15/2024 | 12/30/2024 |
| Q4 2024 | 1/15/2025 | 3/31/2025 |
July 1 2023-June 30 2024 Performance Period Submission Windows for Hybrid Measures CCDE
| Data Quarter | Open | Close |
|---|---|---|
| Q3 2023 | 1/15/2024 | 3/31/2024 |
| Q4 2023 | 1/15/2024 | 3/31/2024 |
| Q1 2024 | 4/15/2024 | 6/30/2024 |
| Q2 2024 | 7/15/2024 | 9/30/2024 |
July 1 2024 -June 30 2025 Performance Period Submission Windows for Hybrid Measures CCDE
| Data Quarter | Open | Close |
|---|---|---|
| Q3 2024 | 1/15/2025 | 3/31/2025 |
| Q4 2024 | 1/15/2025 | 3/31/2025 |
| Q1 2025 | 4/15/2025 | 6/30/2025 |
| Q2 2025 | 7/15/2025 | 9/30/2025 |
Hospital eCQM Project: 2024 List of Measures
For a complete list of eCQMs that hospitals can report on, please go here:
What if our hospital needs an Extension?
If your organization needs to request an extension or exemption from eCQM reporting, please see additional information about the Maryland Extraordinary Circumstances Exemption policy and request form here: Maryland Hospital Extraordinary Circumstances Quality Reporting Exceptions (MECE) Policy
