CBE ID
2579
1.5 Project
Endorsement Status
1.0 New or Maintenance
1.1 Measure Structure
Previous Endorsement Cycle
Is Under Review
No
Next Maintenance Cycle
Spring 2026
1.6 Measure Description
This measure estimates hospital-level, risk-standardized payment for an eligible pneumonia episode of care starting with inpatient admission to a short term acute-care facility and extending 30 days post-admission for Medicare fee-for-service (FFS) patients who are 65 years or older with a principal discharge diagnosis of pneumonia or principal discharge diagnosis of sepsis (not including severe sepsis) that have a secondary discharge diagnosis of pneumonia coded as present on admission (POA) and no secondary diagnosis of severe sepsis coded as POA.
Measure Specs
General Information
1.7 Measure Type
1.3 Electronic Clinical Quality Measure (eCQM)
1.8 Level of Analysis
1.20 Types of Data Sources
Measure Record
Most Recent Endorsement Activity
Endorsed Cost and Efficiency Spring Cycle 2021
Initial Endorsement
Last Updated
Point of Contact
Steward Organization
Centers for Medicare & Medicaid Services
Steward POC email
james.poyer@cms.hhs.gov
Steward Organization Copyright
N/A
Importance
Equity
Feasibility
Scientific Acceptability
Risk Adjustment
Risk Adjustment
Use & Usability
Use
Planned Use
6.1.2 Current or Planned Use(s)
6.1.3 Current Use(s)
Use In Federal Program
Public Comments