Graphium QCDR · 2026 Improvement Activity · Emergency Response and Preparedness
IA_ERP_2 · Participation in a 60-day or greater effort to support domestic or international humanitarian needs
Subcategory: Emergency Response and Preparedness
Activity Description: Participation in domestic or international humanitarian volunteer work for a continuous period of 60 days or greater. Activities that involve only registration are not sufficient.
Remember the ground rules: generally at least 90 consecutive days unless the activity specifies otherwise. For group attestation, at least 50% of the clinicians must perform the same activity, but their periods do not need to overlap. Retain documentation for six years after submission. Details on the activities overview.
CMS references
For the 2026 performance year. Use current CMS guidance alongside these Graphium educational materials.