CMS-10210 Hospital Inpatient Quality Reporting Program Denominator

Hospital Reporting Initiative--Hospital Quality Measures (CMS-10210)

13. Denominator Declaration_vFINAL(508)

OMB: 0938-1022

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Hospital Inpatient Quality Reporting Program
Denominator Declaration
Please Note: A data collection tool available within the Hospital Quality Reporting system via the Hospital
Quality Reporting Secure Portal allows hospitals to complete and submit their denominator declaration
data. This document is a representation of the text contained in the denominator declaration data form
and is for reference purposes only.

Denominator Declaration

Discharge Quarter

If your total cases are 5 or less for your reporting quarter please
use the drop down below to identify Zero Denominator Declaration or
Case Threshold Exemptions.
[*] Select if there was no denominator patient population for the
certified measure for the selected date range.
[**] Enter 0-5 for quarter selection. Leave blank if eCQM is to be
submitted.
Successful QRDA production submissions that meet the program
requirements for the selected reporting quarter will override
corresponding denominator declaration entries and are displayed
on the Program Credit Report and Export.
Measure
STK-2

Zero Denominator Declaration*/Case Threshold Exemption**
Discharge on Antithrombotic Therapy

STK-3

Anticoagulation Therapy for Atrial Fibrillation/Flutter

STK-5

Antithrombotic Therapy by End of Hospital Day 2

VTE-1

Venous Thromboembolism Prophylaxis

VTE-2

Intensive Care Unit Venous Thromboembolism
Prophylaxis
Safe Use of Opioids – Concurrent Prescribing

Safe Use of
Opioids
ePC-02

Cesarean Birth

ePC-07

Severe Obstetrics Complications

HH-01

Hospital Harm – Severe Hypoglycemia Measure

HH-02

Hospital Harm – Severe Hyperglycemia Measure

HH-ORAE

Hospital Harm – Opioid-Related Adverse Event

GMCS

Global Malnutrition Composite Score
I’m ready to submit

Hospital Inpatient Quality Reporting Program
Denominator Declaration
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listed on this form will not be reviewed, forwarded, or retained. If you have questions or concerns regarding where to
submit your documents, please contact the Inpatient Value, Incentives, and Quality Reporting Outreach and Education
Support Contractor at (844) 472-4477.


File Typeapplication/pdf
File TitleDenominatorDeclaration
SubjectHospital Inpatient Quality Reporting Program, Denominator Declaration
AuthorCMS
File Modified2023-06-13
File Created2023-06-13

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