Now Available: Sample Hybrid Hospital-Wide Readmission Measure QRDA I File for Hospital IQR Voluntary Reporting

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The Centers for Medicare & Medicaid Services (CMS) has released a sample Quality Reporting Document Architecture (QRDA) I file for reporting the voluntary Hybrid Hospital-Wide Readmission (HWR) Measure under the Hospital Inpatient Quality Reporting (IQR) Program. The Hybrid HWR measure was developed to address complex and critical aspects of care that cannot be derived through claims data alone. Hospitals can voluntarily submit data for this measure and participation will not impact payments to hospitals. To calculate the Hybrid HWR measure, hospitals submit a set of core clinical data elements (CCDEs) extracted from electronic health records (including vital signs and laboratory test results) for risk-adjustment in calculating hospital-wide readmission rates.

This sample file conforms to the 2018 CMS QRDA I Implementation Guide (IG) for Hospital Quality Reporting (HQR) and recently published addendum to the 2018 CMS QRDA I IGand contains the 13 CCDEs and six linking variables required by hybrid measure/CCDE submissions. The sample QRDA Category I file for the Hybrid HWR measure, 2018 CMS QRDA I IG and addendum are available for download on the Electronic Clinical Quality (eCQI) Resource Center QRDA page. More information about the voluntary hybrid HWR measure can be found on the QualityNet website.

Additional QRDA-Related Resources:

For more information about QRDA and eCQMs, visit the eCQI Resource Center.

For questions related to the QRDA IGs and/or Schematrons, visit the ONC Project Tracking System (JIRA) QRDA project.

The 2018 QRDA I Conformance Statement Resource is available on the eCQI Resource Center for information and guidance on commonly occurring QRDA conformance errors.

For questions about the QualityNet Secure Portal, contact the QualityNet Help Desk or call (866) 288-8912, Monday through Friday, 7 a.m. – 7 p.m. CT.