Thank you for your inquiry regarding CMS816v4 (Hospital Harm- Severe Hypoglycemia). The eCQM does NOT to assess treatment for a hypoglycemic event but rather assesses hypoglycemia as an outcome in the hospital inpatient setting, indicating an adverse drug-related event. Specifically, CMS816v4 assesses the number of inpatient hospitalizations for patients age 18 and older who were administered at least one hypoglycemic medication during the encounter and who suffer the harm of a severe hypoglycemic event during the encounter.