Program Information

How to Participate

To participate in the Hospital OQR Program initiative, please visit qualitynet.cms.gov.

How to Withdraw

To withdraw from participation in the Hospital OQR Program initiative, please visit qualitynet.cms.gov.

Timelines

Important upcoming deadlines associated with the Hospital OQR Program reporting program are available in the Hospital OQR Important Dates document. Click the following links to download the Hospital OQR Important Dates as a PDF for CY 2025 Payment Determination.

Please Note: Dates are subject to change. Please verify Population & Sampling and Data Submission Deadlines on the QualityNet website.

Voluntary Reporting of Data for Non-Outpatient Prospective Payment System (OPPS) Hospitals

Critical Access Hospitals (CAHs) and other non-OPPS hospitals may voluntarily submit data. The program provides a unique opportunity for hospitals to report outpatient quality data as a means to improve quality of care and performance. The registration for non-OPPS hospitals is the same as it is for OPPS hospitals. For more information on how to register, please visit QualityNet: How to Participate.

Hospitals that decide to participate agree to the same reporting requirements as the OPPS hospitals.

More information on data reporting may be found at https://qualitynet.cms.gov/ under the Hospitals-Outpatient tile.

Measure Sets

The current measure sets and OP measure numbers are presented below, according to measure set (they are not in order according to measure number).

Electronic Clinical Quality Measure

OP-40: ST-Elevation Myocardial Infarction (STEMI)*

ED – Throughput

OP-18: Median Time from ED Arrival to ED Departure for Discharged ED Patients
OP-22: Left Without Being Seen

Stroke

OP-23: Head CT or MRI Scan Results for Acute Ischemic Stroke or Hemorrhagic Stroke Patients who Received Head CT or MRI Scan Interpretation Within 45 minutes of ED Arrival

Imaging Efficiency

OP-8: MRI Lumbar Spine for Low Back Pain
OP-10: Abdomen CT-Use of Contrast Material
OP-13: Cardiac Imaging for Preoperative Risk Assessment for Non-Cardiac Low-Risk Surgery

Measures Submitted via a Web-Based Tool

OP-29: Appropriate Follow-up Interval for Normal Colonoscopy in Average Risk Patients
OP-31: Cataracts – Improvement in Patient’s Visual Function within 90 days Following Cataract Surgery (voluntary)
OP-38: COVID-19 Vaccination Coverage Among Health Care Personnel

Outcome Measures

OP-32: Facility 7-Day Risk-Standardized Hospital Visit Rate after Outpatient Colonoscopy
OP-35: Admissions and Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy
OP-36: Hospital Visits after Hospital Outpatient Surgery

Outpatient and Ambulatory Surgery Consumer Assessment

OP-37: Outpatient and Ambulatory Surgery Consumer Assessment (OAS CAHPS)*

For more information on the chart-abstracted and web-based (structural) measures, please refer to Section 1 of the Hospital OQR Program Specifications Manual. Further information on the Imaging Efficiency Measures specifications is available at QualityNet – Imaging Measures.