dQM CMS Content Implementation Guide
2026.1.0 - CI Build

dQM CMS Content Implementation Guide, published by cqframework. This guide is not an authorized publication; it is the continuous build for version 2026.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/dqm-content-cms-2026/ and changes regularly. See the Directory of published versions

Measure:

Official URL: https://madie.cms.gov/Measure/HOBExample Version: 2026.1.0
Draft as of 2026-08-19 Computable Name:
Metadata
Version 2026.1.0
Status Draft
Contents Metadata
Contents
Measure Rates (Groups)
Supplemental Data
Measure Logic
Measure Rates (Groups)
Measure Rate (Group) (ID: o-cob-prevalence-rate)
Summary O-COB Prevalence Rate
Basis Encounter
Scoring Proportion
Initial Population ID: o-cob-ip
Description:

Outpatient (ED/OBS) encounters occurring within the measurement period

Criteria: O-COB Prevalence Rate Initial Population
Denominator ID: o-cob-denom
Description:

Outpatient (ED/OBS) encounters occurring within the measurement period

Criteria: O-COB Prevalence Rate Denominator
Numerator ID: o-cob-numer
Description:

Number of outpatient O-COB events occurring within the measurement period

Criteria: Numerator
Measure Rate (Group) (ID: cob-prevalence-rate)
Summary COB Prevalence Rate
Basis Encounter
Scoring Proportion
Initial Population ID: cob-ip
Description:

Inpatient stays where at least one of the first three inpatient calendar days falls within the measurement period

Criteria: COB Prevalence Rate Initial Population
Denominator ID: cob-denom
Description:

Inpatient stays where at least one of the first three inpatient calendar days falls within the measurement period

Criteria: COB Prevalence Rate Denominator
Numerator ID: cob-numer
Description:

Inpatient COB events occurring within the measurement period

Criteria: Numerator
Measure Rate (Group) (ID: hob-crude-risk)
Summary HOB Crude Risk
Basis Encounter
Scoring Proportion
Initial Population ID: hob-crude-ip
Description:

Number of inpatient stays where there are any inpatient days eligible for a hospital-onset event during the measurement period

Criteria: HOB Crude Risk Initial Population
Denominator ID: hob-crude-denom
Description:

Number of inpatient stays where there are any inpatient days eligible for a hospital-onset event during the measurement period

Criteria: HOB Crude Risk Denominator
Numerator ID: hob-crude-numer
Description:

Number of inpatient stays with at least one HOB event occurring within the measurement period

Criteria: Numerator
Measure Rate (Group) (ID: hob-incidence)
Summary HOB Incidence Density
Basis Encounter
Scoring Ratio
Scoring Unit per 100 eligible patient days
Initial Population ID: hob-incidence-ip
Description:

Inpatient stay with days eligible for a hospital-onset event during the measurement period

Criteria: HOB Incidence Initial Population
Denominator ID: hob-incidence-denom
Description:

Inpatient stay with days eligible for a hospital-onset event during the measurement period

Criteria: Denominator
Input population: hob-incidence-ip
Numerator ID: hob-incidence-numer
Description:

HOB Event

Criteria: HOB Incidence Numerator
Input population: hob-incidence-ip
Measure Observation ID: hob-incidence-denom-obs
Description:

Number of inipatient days eligible for a hospital-onset event during the measurement period

Criteria: HOB Incidence Denominator Observation
Input population: hob-incidence-denom Aggregate method: Sum
Measure Observation ID: hob-incidence-numer-obs
Description:

Number of HOB Events

Criteria: HOB Incidence Numerator Observation
Input population: hob-incidence-numer Aggregate method: Sum
Supplemental Data Elements
Measure Logic
Primary Library HOB Elements and Logic
Generated using version 0.5.6 of the sample-content-ig Liquid templates