Thank you for your interest in hybrid measure reporting. The Hybrid Measures Issue Tracker is used to track issues related to hybrid measures used in CMS quality reporting programs including technical questions on implementation (e.g., the specifications, logic, value sets, QRDA).

To submit a question regarding measure implementation and methodology (e.g., previous measure testing and development, the cohort inclusions, measure exclusions, approach to risk adjustment, assessment of the outcome, and the planned readmission algorithm), please follow the below instructions: (1) Access the Quality Q and A tool at (2) Select “IQR – Inpatient Quality Reporting” in the Program field (3) Select “Hybrid Measures in the Topic” field.

Reminders: The Hybrid Hospital-Wide Readmission measure is NOT an electronic clinical quality measure (eCQM). Do not include any Protected Health Information(PHI) in JIRA.

Here's how to use ONC JIRA:
  • Create an Account (Optional): You will need an account to create a new issue or to track (watch) an existing issue, but you don't need one to search for a public issue.
  • Search for an Issue: Have a question? Search by keyword or project, see if others have submitted the same question, and review the responses.
  • Track an Issue: Find an issue that you're interested in? Keep track of changes or comments on a ticket by clicking 'Start watching this issue' on the right-hand side of the issue. You will need to be logged into your JIRA account.
  • Create an Issue: Can't find your issue? Make sure you're logged in - create an issue by clicking the orange “Create Issue” button at the top of the screen.
  • Be sure to select the correct project and issue type from the dropdown menu in the form. Reminder: Do not include any Protected Health Information (PHI).
  • Review your Issue: Once you create an issue, you will be listed as a reporter of that issue. You can make comments, edits, change, add attachments, and communicate with assigned subject matter experts via the comments feature. Additionally, you will receive an email notification of any status changes to your issue.
  • Send questions about the JIRA system to and/or review the ONC JIRA Learning Resources
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