The percentage of episodes for patients 3 years and older with a diagnosis of pharyngitis that resulted in an antibiotic order on or three days after the episode date and a group A streptococcus (strep) test in the seven-day period from three days prior to the episode date through three days after the episode date

Percentage of women 40-74 years of age who had a mammogram to screen for breast cancer in the 27 months prior to the end of the Measurement Period

Nulliparous patients with a term, singleton baby in a vertex position delivered by cesarean birth

Percentage of adults 45-75 years of age who had appropriate screening for colorectal cancer

Percentage of patients 18-85 years of age who had a diagnosis of essential hypertension starting before and continuing into, or starting during the first six months of the measurement period, and whose most recent blood pressure was adequately controlled (<140/90 mmHg) during the measurement period

Percentage of patients 18-75 years of age with diabetes who had a glycemic status assessment (hemoglobin A1c [HbA1c] or glucose management indicator [GMI]) > 9.0% during the measurement period

This measure assesses the variation in access and timeliness of emergency care to support rural emergency hospital (REH) quality improvement for patients requiring emergency care in an emergency department (ED). This measure is designed to align with incentives to promote improved care both in EDs and the broader health system to help identify where patients do not receive timely access to emergency care. Emergency care access and timeliness gaps are inclusive of several concepts pertaining to boarding and crowding in an ED, including significantly longer ED wait times, higher left without being seen rates, longer boarding times, and longer total length of stay in the ED.

This measure is an episode of care measure that provides a standardized method for monitoring the performance of diagnostic CT to discourage unnecessarily high radiation doses, a risk factor for cancer, while preserving image quality. This measure is expressed as a percentage of CT exams that are out-of-range based on having either excessive radiation dose or inadequate image quality relative to evidence-based thresholds based on the clinical indication for the exam. All diagnostic CT exams of specified anatomic sites performed in hospital non-inpatient care settings (including emergency settings) are eligible. This dQM requires the use of additional software to access primary data elements stored within radiology electronic health records and translate them into data elements that can be ingested by this dQM. Additional details are included in the Guidance (Usage) field.

Percentage of patients aged 18 years and older with a diagnosis of heart failure (HF) with a current or prior left ventricular ejection fraction (LVEF) \<=40% who were prescribed or already taking ACE inhibitor or ARB or ARNI therapy during the measurement period

All inpatient encounters (including ED/Observation visits that end within 1 hour of the start of the inpatient encounter) for patients of all ages where at least one diabetes medication was ordered or administered during the encounter that is during the measurement period.

Percentage of patients aged 12 years and older screened for depression on the date of the encounter or up to 14 days prior to the date of the encounter using an age-appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of or up to two days after the date of the qualifying encounter

This measure assesses the number of patients who received Venous Thromboembolism (VTE) prophylaxis or have documentation why no VTE prophylaxis was given between the day of arrival to the day after hospital admission or surgery end date for surgeries that end the day after hospital admission

This version of the AHAOverall library is patterned after HFCommonDefinitionsQDM library version ‘3.0.000’

This library contains a definition used to identify denominator qualifying encounters.

This library contains definitions used to exclude patients 66 and older with an indication of frailty who also meet advanced illness criteria, and patients 66 and older who are living long term in a nursing home.

Provides common functions used in the Alara CT measures for determining qualifying scans and extracting noise and dose values.

This library contains functions used to exclude patients with a history of comorbid conditions, competing diagnoses, or antibiotic medications.

CMS0334FHIRPCCesareanBirth

CMS108FHIRVTEProphylaxis

CMS1206FHIRCTOQR

CMS122FHIRDiabetesAssessGT9Pct

CMS125FHIRBreastCancerScreen

CMS1264FHIRECATREHQR

CMS130FHIRColorectalCancerScrn

CMS135FHIRACEIorARBorARNIforHF

CMS146FHIRApproTestPharyngitis

CMS165FHIRControllingHighBP

CMS2FHIRPCSDepScreenAndFollowUp

CMS986FHIRMalnutritionScore

This library contains declarations that are commonly used in eCQMs and shared across the logic of multiple measures, such as the Encounter Inpatient value set, and the Inpatient Encounter population criteria definition. This library also contains functions for calculating hospitalization duration as well as hospital arrival and departure times.

This library contains a definition used to exclude patients who are in hospice care for any part of the measurement period.

NHSNGlycemicControlHypoglycemiaInitialPopulation

This library specifies common data elements used by PC01, PC02, PC07.

This library contains a definition used to exclude patients receiving palliative care for any part of the measurement period.

This library contains functions used to constrain FHIR resource elements for measures authored by NCQA, based on QICore 6.0.0 resources including IG and authoring patterns. The functions may appear similar to some QICoreCommon functions but differ in that they have constraints that are relevant for measures authored by NCQA.

This is the QI-Core 6.0.0-derived version of the Supplemental Data Elements library containing the CMS SDE definitions for Payer, Race, Ethnicity and Sex

Common functions and definitions used by TJC measures

Common terminologies and functions used in US Quality Core-based CQL artifacts

Definitions and functions used for VTE measures, including VTE Initial Population.

The input expansion parameters resource for this implementation guide, specifying SNOMED Edition and version. This resource will be contained within the published implementation guide with all pinned references.