Year 4 Specifications- Clinical conditions and measures for
reporting and incentives
The CMS/Premier HQID Extension for Year 4 of the project includes quality measures are based on clinical evidence and industry recognized metrics. The measures include:
- All required measures for Reporting Hospital Quality Data for Annual Payment Update.
- Where applicable, the project uses the National Hospital Quality Manual specifications.
- Agency for Healthcare Research and Quality (AHRQ) patient safety indicators.
Year 4 overview of measures
- Clinical conditions and measures effective October 1, 2006 discharges (.pdf)
- Year 4 Measure Grid (.pdf)
Extension Measure Comparison Years 4 - 6
- Provides comparison across all 3 years of payment, test, research and Appropriate Care Score measures.
Clinical
measure algorithm flowcharts by Focus Area
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The following files are zipped versions of all measures, see below for individual conditions.
v10 = Version 10: Discharges after April 1, 2007 (.zip)
Current version is linked with each measure's name. If older version exists, it will be linked to the right of the measure's name.
Flowchart appendices v10 (.zip): Includes ICD-9-CM codes, risk factor definitions, and medication tables.