Measure Methodology
Background
CMS has been developing hospital measures for hospital quality improvement, public reporting and payment purposes. In adherence to the transparent policy, CMS is making measure methodology on the measures available through this website.
Downloads
Each of the measure methodology reports have been categorized by specific condition and stored in a zip file. Within each specific condition zip file reviewers will find various types of reports, for example measure methodology reports, and measure updates and specifications reports. The file name of each pdf document is formatted so that reviewers will quickly note the:
- Version number,
- Type of outcome measure (i.e., readmission, mortality, cost, etc.),
- Specific condition (i.e., acute myocardial infection, chronic obstructive pulmonary disease, etc.)
- Specific type of report (i.e., measure methodology, updates, and specification, etc.), and
- Date of the report.
Example file name: Version 1.0_Readmission_COPD_Measure Methodology_01.12.2008.
Downloads
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Patient Understanding of Key Information Related to Recovery After a Facility-Based Outpatient Procedure or Surgery, Patient-Reported Outcome-Based Performance Measure (PRO-PM) (PDF) -
Version 1.0_Hospital Visits_Orthopedic ASC Procedures_Supplemental File_05.2017 (XLSX) -
Version 1.0_Hospital Visits_General Surgery ASC Procedures_Measure Technical Report_09.2017 (ZIP) -
Hybrid Hospital-Wide Readmission Measure with Electronic Health Record Extracted Risk Factors (PDF) -
Hybrid Hospital-Wide (All-Condition, All-Procedure) Risk-Standardized Mortality Measure with Electronic Health Record Extracted Risk Factors Methodology Report (PDF) -
2022 Measure Updates Procedure-Specific Complication Measure Updates and Specifications Report (PDF) -
2022 Payment Measures Updates and Specifications Report (PDF) -
2022 Measure Updates: Procedure-Specific Mortality Measure Updates and Specifications Report (PDF) -
2022 Condition-Specific Mortality Measures Updates and Specifications Report (PDF) -
Maternal Morbidity Structural Measure Specifications (PDF) -
Core Clinical Data Elements and Hybrid Measures (ZIP) -
Hip and Knee Arthroplasty Readmission (ZIP) -
Hospital Wide All Cause Readmission (ZIP) -
Acute Myocardial Infarction (AMI) Payment Updates (ZIP) -
Ambulatory Surgery Colonoscopy (ZIP) -
AMI Excess Days in Acute Care (ZIP) -
Pneumonia (Pn) Payment (ZIP) -
Hip and Knee Arthroplasty and Coronary Artery Bypass Graft (CABG) Readmission Updates (ZIP) -
Hip and Knee Arthroplasty Readmission Updates (ZIP) -
Coronary Artery Bypass Graft (CABG) Mortality Updates (ZIP) -
Hip and Knee Arthroplasty Payment (ZIP) -
Hip and Knee Arthroplasty Complications (ZIP) -
AMI, HF, PN, COPD, and Stroke Mortality Update (ZIP) -
Hospital Wide All Cause Readmission Updates (ZIP) -
Hospital Outpatient Colonoscopy (ZIP) -
PY6 CJR PRO CMS.gov Materials (ZIP) -
PY7 CJR PRO CMS.gov Materials (ZIP) -
PY8 CJR PRO CMS.gov Materials (ZIP) -
Hip and Knee Arthroplasty Patient-Reported Outcomes (ZIP) -
Chronic Obstructive Pulmonary Disease (COPD) Mortality Updates (ZIP) -
Stroke Readmission (ZIP) -
Chronic Obstructive Pulmonary Disease (COPD) Readmission Updates (ZIP) -
AMI, HF, Pneumonia (PN) Readmission Updates (ZIP) -
Chronic Obstructive Pulmonary Disease (COPD) Mortality (ZIP) -
Chronic Obstructive Pulmonary Disease (COPD) Readmission (ZIP) -
Heart Failure (HF) Payment (ZIP) -
Acute Myocardial Infarction (AMI) Payment (ZIP) -
Stroke Mortality Updates (ZIP) -
Coronary Artery Bypass Graft (CABG) Readmission (ZIP) -
Planned Readmission Algorithm (ZIP) -
Coronary Artery Bypass Graft (CABG) Mortality (ZIP) -
AMI, HF, Pneumonia (PN) Mortality Updates (ZIP) -
Stroke Mortality (ZIP) -
Stroke Readmission Updates (ZIP) -
Hospital Harm Opioid eCQM (ZIP) -
Hospital Harm Pressure Injury eCQM (ZIP) -
Hospital Harm Hypoglycemia eCQM (ZIP) -
Inpatient Psychiatric Facility Medication Continuation Measure (ZIP) -
HF Excess Days in Acute Care (ZIP) -
Inpatient Psychiatric Facility Readmission Measure (ZIP) -
Colonoscopy Update Report May2016 ASCQR (PDF) -
Pneumonia Excess Days in Acute Care (ZIP) -
AMI, HF, and PN Payment Updates (ZIP) -
AMI, HF, PN, and Hip and Knee Arthroplasty Payment Updates (ZIP) -
2016 Measure Updates and Specifications Report: Hospital Visits after Hospital Outpatient Surgery Measure (PDF) -
Admissions and Emergency Department Visits for Patients Receiving Outpatient Chemotherapy Measure Technical Report (ZIP) -
Quality of Informed Consent Documents (ZIP) -
AMI, HF Excess Days in Acute Care (ZIP) -
Version 1.0_Hospital Visits_Orthopedic ASC Procedures_Measure Technical Report_05.2017 (PDF) -
Version 1.0_Hospital Visits_Urology ASC Procedures_Measure Technical Report_05.2017 (PDF) -
Colonoscopy Update Report May2016 OQR (PDF)