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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 2025, hospitals are required to submit 7 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 2025
Calendar Year 2025 Required Data Submission
For CY 2025, HSCRC will require submission of QRDA I files for the eCQM’s listed below (unchanged from CY 2024).
- 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
- Two additional eCQM measures of the hospital’s choosing (from the “self-selected” measures listed in Appendix A)
Hospitals that do not qualify for the PC-02 and PC-07 obstetric measures must select two alternate “self-selected” from the Measures List below, or Appendix A in the full 2025 memo. Data submissions will be required in accordance with the options listed below. In the case of “self-selected” measures, hospitals must commit to reporting the same optional measures for each of the four quarters in the reporting period.
eCQM Measures Reporting Timeline
eCQM CY 2025 Performance Period Submission Windows for Hospitals to be Eligible for the $150K Expedited Reporting Bonus for RY 2027
| Data Quarter | Open | Close |
|---|---|---|
| Q1 2025 Data | 7/15/2025 | 9/30/2025 |
| Q2 2025 Data | 7/15/2025 | 9/30/2025 |
| Q3 2025 Data | 10/15/2025 | 12/31/2025 |
| Q4 2025 Data | 1/15/2026 | 3/31/2026 |
eCQM CY 2025 Performance Period Submission Windows Required for HSCRC Reporting Compliance
For hospitals that do not opt for the expedited reporting bonus, they must report all required eCQM measures data consistent with the CMS CY 2025 reporting timeline as follows:
| Data Quarter | Open | Close |
|---|---|---|
| Q1-Q4 CY 2025 | 1/15/2026 | 3/31/2026 |
Hybrid Measures Submission Requirements
Hybrid HWR and HWM CCDE Reporting
(1) UPDATE: RY 2026 Hybrid HWM Core Clinical Data Elements (CCDE):
Hospitals must submit CCDE measures for all payer hospitalizations for patients aged 18 and older for July 1, 2024 to June 30, 2025 reporting period; hospitals must submit an ECE request for HSCRC consideration if they are unable to comply with the reporting requirement. Hospitals must notify HSCRC of their reporting timeline (Quarterly or Annual as outlined below).
| Data Quarter | Open | Close |
|---|---|---|
| Q3 2024 Data | 1/15/2025 | 3/31/2025 |
| Q4 2024 Data | 1/15/2025 | 3/31/2025 |
| Q1 2025 Data | 4/15/2025 | 6/30/2025 |
| Q2 2025 Data | 7/15/2025 | 9/30/2025 |
| Annual Time Period | Open | Close |
|---|---|---|
| Q3 2025 - Q2 2026 | 7/15/2026 | 9/30/2026 |
(2) RY 2027 Hybrid HWR and HWM Core Clinical Data Elements (CCDE):
HSCRC requires hospitals to submit CCDE for the HWR and HWM hybrid measures for all payer hospitalizations for patients aged 18 and older for the July 1, 2025 to June 30, 2026 reporting period.
Hybrid Measures CCDE Reporting Timeline Options (July 1, 2025-June 30, 26 reporting period)
(1) Reporting of the CCDE is required in accordance with the timeline below for Hospitals to be Eligible for the $150K Expedited Reporting Bonus for RY 2027:
| Data Quarter | Open | Close |
|---|---|---|
| Q3 2025 Data | 1/15/2026 | 3/31/2026 |
| Q4 2025 Data | 1/15/2026 | 3/31/2026 |
| Q1 2026 Data | 4/15/2026 | 6/30/2026 |
| Q2 2026 Data | 7/15/2026 | 9/30/2026 |
(2) Reporting of the CCDE is required in accordance with the timeline below for Hospitals to comply with HSCRC Reporting Requirements:
For hospitals that do not opt for expedited reporting bonus, they must report all required CCDE data consistent with the CMS July1, 2025 to June 30, 2026 Hybrid Measures reporting timeline as follows
| Data Quarters | Open | Close |
|---|---|---|
| Q3 2025 - Q2 2026 | 7/15/2026 | 9/30/2026 |
CCDE Data Completeness
HSCRC has noted CMS’ previous publication of completeness standards, however these standards have been on hold. The Commission will reevaluate data completeness standards as all-payer CCDE is received and analyzed.
For additional technical information regarding the Hybrid Measures CCDE submission requirements, HSCRC, CRISP and Medisolv conducted and recorded a webinar on February 6, 2024, that is available at the end of this page (click on “Webinar” in the top bar of the page or scroll down).
CMS CY 2025 eCQMs: List of Measures
What if our hospital needs an Exception?
For hospitals unable to comply with the data submission requirements (including the measures and the timelines) for reasons beyond their control and who wish to seek an exception from the requirements, they must submit an Extraordinary Circumstance Exception (ECE) request in accordance with the Maryland Hospital Extraordinary Circumstances Exception (ECE) Policy for HSCRC consideration.
During this webinar, HSCRC reviews the timeline and regulatory requirements and Medisolv offers expertise on how to effectively collect this data. HSCRC now requires all hospitals to submit the core clinical data elements needed to calculate the following hybrid measures: Hospital-Wide 30-day Readmission (HWR) and Hospital-Wide All-Cause Risk Standardized Mortality Measure (HWR).
