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The Specifications Manual for National Hospital Inpatient Quality Measures includes the measure sets: ED, IMM, STK, SUB, TOB, and VTE. The aligned manual represents the result of efforts by the Centers for Medicare & Medicaid Services and the Joint Commission to achieve identity 1 Oct 2010 Guidelines for Using Release Notes. Release Notes 3.2a provide modifications to the Specifications Manual for National. Hospital Inpatient 2 Apr 2015 Version 5.0 of the Specifications Manual for National Hospital Inpatient Quality Measures is now posted to QualityNet for the National Hospital1 Apr 2010 Guidelines for Using Release Notes. Release Notes 3.1 provide modifications to the Specifications Manual for National Hospital Inpatient