eCQMs Impacted – CMS1028/PC-07, Severe Obstetric Complications

Issue – Data from the 2024 reporting period for CMS1028v2 suggest that hospitals are not consistently reporting Present on Admission (POA) indicators for patients’ coded diagnoses when reporting this measure.

The omission of POA indicators may result in (1) the measure undercounting inpatient delivery hospitalizations that meet the numerator criteria and (2) the measure’s risk-adjustment model not appropriately accounting for inpatient delivery hospitalizations for patients with pre-existing conditions considered as risk-adjustment variables.