2020 Hospital eCQM Reporting

IQR eCQM Requirements

For 2020 there’s good news: CMS has reduced the number of eCQMs you can choose from. In 2019, there were 16, now only 8. Participants must report on 4 CQMs from the list below:

Infographic outlining the 2020 hospital eCQM reporting measures and their changes.

The reporting period continues to be one self-selected quarter of the 2020 calendar year. While you are only required to submit 4 eCQMs, your EHR must be certified for all 8 eCQMs listed above.

More good news! The Quality Net site has been totally re-done. Hands-on users report that the new site is much easier to use than the old.

Timeline with arrows showing 2019 and 2020 hospital eCQM submission deadlines: February 29, 2020, and February 28, 2021, respectively.

Joint Commission

Here’s a quick overview of eCQM submission for the Joint Commision (TJC):

  • Hospitals are now required to submit via the Direct Data Submission (DDS) platform, which was optional last year.
  • Report for a minimum of one self-selected calendar quarter of data for calendar year 2020.
  • Submission deadline for 2020 data is 3/15/2021. For the 2019 reporting year, the deadline is 3/16/2020.
  • For 2020, TJC is keeping ePC-01 (Elective Delivery) in their eCQM portfolio although this measure has been sunset by CMS.
  • More excitement: TJC has a new eCQM not included in the IQR list.

Comparison table of hospital quality measures by topic for CMS and Joint Commission in CY 2020, showing which eCQMs were removed, retired, or retained for reporting, including measures for AMI, asthma, VTE, stroke, ED, immunization, psychiatric services, tobacco, substance use, perinatal care, outpatient, and early hearing detection.

ePC-02 (Cesarean Birth)

ePC-02 is a new measure not available under the CMS IQR program. ePC-02 reports the rate of Cesarean Births among pregnant women who have never delivered a baby before and where the baby presents in a normal position. So, getting a bit more technical:

Numerator = Nulliparous women with a term, singleton baby in a vertex position delivered by cesarean birth

Denominator = Inpatient hospitalizations for nulliparous patients delivered of a live term singleton newborn >= 37 weeks’ gestation

Any DHIT clients interested in reporting ePC-02 should let us know ASAP.

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