eCQMs for 2020 Performance Period CMS2v9 CMS22v8 CMS50v8 CMS56v8 CMS66v8 CMS68v9 CMS69v8 CMS74v9 CMS75v8 CMS90v9 CMS117v8 CMS122v8 CMS124v8 CMS125v8 CMS127v8 CMS128v8 CMS129v9 CMS130v8 CMS131v8 CMS133v8 CMS134v8 CMS135v8 CMS136v9 CMS137v8 CMS138v8 CMS139v8 CMS142v8 CMS143v8 CMS144v8 CMS145v8 CMS146v8 CMS147v9 CMS149v8 CMS153v8 CMS154v8 CMS155v8 CMS156v8 CMS157v8 CMS159v8 CMS161v8 CMS165v8 CMS177v8 CMS249v2 CMS347v3 CMS349v2 CMS645v3 CMS771v1 CMS Measure ID CMS122v8 Version 8 NQF Number Not Applicable Measure Description Percentage of patients 18-75 years of age with diabetes who had hemoglobin A1c > 9.0% during the measurement period Initial Population Patients 18-75 years of age with diabetes with a visit during the measurement period Denominator Statement Equals Initial Population Denominator Exclusions Exclude patients whose hospice care overlaps the measurement period. Exclude patients 66 and older who are living long term in an institution for more than 90 days during the measurement period. Exclude patients 66 and older with advanced illness and frailty because it is unlikely that patients will benefit from the services being measured. Numerator Statement Patients whose most recent HbA1c level (performed during the measurement period) is >9.0% Numerator Exclusions Not Applicable Denominator Exceptions None Measure Steward National Committee for Quality Assurance Domain Effective Clinical Care Previous Version CMS122v7 Measure Scoring Proportion Measure Type Outcome Improvement Notation Lower score indicates better quality Guidance Patient is numerator compliant if most recent HbA1c level >9%, the most recent HbA1c result is missing, or if there are no HbA1c tests performed and results documented during the measurement period. If the HbA1c test result is in the medical record, the test can be used to determine numerator compliance. Only patients with a diagnosis of Type 1 or Type 2 diabetes should be included in the denominator of this measure; patients with a diagnosis of secondary diabetes due to another condition should not be included. Quality ID 1 Meaningful Measure Management of Chronic Conditions Specifications Attachment Size CMS122v8.html 64.96 KB CMS122v8.zip 87.29 KB CMS122v8-TRN.xlsx 23.24 KB Data Element Repository Data Elements contained within CMS122v8 Release Notes Header Updated eCQM version number. Measure Section: eCQM Version number Source of Change: Measure Lead Updated NQF number to 'Not Applicable.' Measure Section: NQF Number Source of Change: Standards Update Updated endorsed by field to 'None.' Measure Section: Endorsed By Source of Change: Standards Update Updated copyright. Measure Section: Copyright Source of Change: Annual Update Updated rationale. Measure Section: Rationale Source of Change: Measure Lead Updated clinical recommendation statement. Measure Section: Clinical Recommendation Statement Source of Change: Measure Lead Updated references to align with American Psychological Association (APA) style. Measure Section: Reference Source of Change: Measure Lead Updated references. Measure Section: Reference Source of Change: Measure Lead Updated denominator exclusions statement with addition of patients 66 years of age and older who are living in a long-term institutional setting, such as a nursing home, for more than 90 days in the measurement period to align with the HEDIS parent measure exclusion. Measure Section: Denominator Exclusions Source of Change: Measure Lead Updated denominator exclusions statement with addition of patients with advanced illness and frailty because it is unlikely that patients will need the services being measured. Measure Section: Denominator Exclusions Source of Change: Measure Lead Updated parenthetical citations to align with American Psychological Association (APA) style. Measure Section: Multiple Sections Source of Change: Measure Lead Logic Revised logic to include new exclusion for patients with advanced illness and frailty. The new logic excludes patients who are 80 or older, use of frailty devices, dementia medications and encounters with diagnosis of advance illness encompassing the measurement period or encounter. Measure Section: Denominator Exclusions Source of Change: Measure Lead Revised logic to include new exclusion for patients 66 years of age and older who are living in a long-term institutional setting, such as a nursing home, for more than 90 days in the measurement period to align with the HEDIS parent measure exclusion. Measure Section: Denominator Exclusions Source of Change: Measure Lead Updated the sort order for the most recent HBA1c to the end of the relevant period to ensure only the last test is being evaluated. Measure Section: Numerator Source of Change: ONC Project Tracking System (JIRA): CQM-3186 Updated the names of Clinical Quality Language (CQL) definitions, functions, and/or aliases for clarification and to align with CQL Style Guide. Measure Section: Definitions and Functions Source of Change: Standards Update Added new CQL library with advanced illness and frailty exclusion definitions (AdvancedIllnessandFrailtyExclusionECQM-4.0.000). Measure Section: Multiple Sections Source of Change: Measure Lead Updated Clinical Quality Language (CQL) expression to conform with the HL7 Standard: Clinical Quality Language Specification, Release 1 STU 3 (CQL 1.3). Measure Section: Multiple Sections Source of Change: Standards Update Updated definitions and functions in the Measure Authoring Tool (MAT) Global Common Functions Library to align with standards changes, Clinical Quality Language (CQL) Style Guide, and to include two new functions related to calculating hospital stays. Measure Section: Multiple Sections Source of Change: Standards Update Updated version number of the Adult_Outpatient_Encounters Library (Adult_Outpatient_Encounters-1.2.000). Measure Section: Multiple Sections Source of Change: Measure Lead Updated version number of the Hospice Library (Hospice-2.0.000). Measure Section: Multiple Sections Source of Change: Measure Lead Updated version number of the Measure Authoring Tool (MAT) Global Common Functions Library (MATGlobalCommonFunctions-4.0.000). Measure Section: Multiple Sections Source of Change: Standards Update Value Set The VSAC is the source of truth for the value set content, please visit the VSAC for downloads of current value sets. Value set Annual Wellness Visit (2.16.840.1.113883.3.526.3.1240): Added SNOMED CT extensional value set (2.16.840.1.113883.3.526.2.1772) including 2 codes. Measure Section: Terminology Source of Change: Annual Update Value set Diabetes (2.16.840.1.113883.3.464.1003.103.12.1001): Added 32 SNOMED CT codes and deleted 69 SNOMED CT codes. Measure Section: Terminology Source of Change: Annual Update Value set Acute Inpatient (2.16.840.1.113883.3.464.1003.101.12.1083): Added Acute Inpatient. Measure Section: Terminology Source of Change: Annual Update Value set Advanced Illness (2.16.840.1.113883.3.464.1003.110.12.1082): Added Advanced Illness. Measure Section: Terminology Source of Change: Annual Update Value set Nonacute Inpatient (2.16.840.1.113883.3.464.1003.101.12.1084): Added Nonacute Inpatient. Measure Section: Terminology Source of Change: Annual Update Value set ED (2.16.840.1.113883.3.464.1003.101.12.1085): Added ED. Measure Section: Terminology Source of Change: Annual Update Value set Observation (2.16.840.1.113883.3.464.1003.101.12.1086): Added Observation. Measure Section: Terminology Source of Change: Annual Update Value set Outpatient (2.16.840.1.113883.3.464.1003.101.12.1087): Added Outpatient. Measure Section: Terminology Source of Change: Annual Update Value set Frailty Device (2.16.840.1.113883.3.464.1003.118.12.1300): Added Frailty Device. Measure Section: Terminology Source of Change: Annual Update Value set Frailty Encounter (2.16.840.1.113883.3.464.1003.101.12.1088): Added Frailty Encounter. Measure Section: Terminology Source of Change: Annual Update Value set Frailty Symptom (2.16.840.1.113883.3.464.1003.113.12.1075): Added Frailty Symptom. Measure Section: Terminology Source of Change: Annual Update Value set Frailty Diagnosis (2.16.840.1.113883.3.464.1003.113.12.1074): Added Frailty Diagnosis. Measure Section: Terminology Source of Change: Annual Update Value set Dementia Medications (2.16.840.1.113883.3.464.1003.196.12.1510): Added Dementia Medications. Measure Section: Terminology Source of Change: Annual Update Value set Nursing Facility Visit (2.16.840.1.113883.3.464.1003.101.12.1012): Added Nursing Facility Visit. Measure Section: Terminology Source of Change: Annual Update Value set Care Services in Long-Term Residential Facility (2.16.840.1.113883.3.464.1003.101.12.1014): Added Care Services in Long-Term Residential Facility. Measure Section: Terminology Source of Change: Annual Update Direct reference code for Birth date (LOINC Code (21112-8)) now displayed in Human Readable. Measure Section: Terminology Source of Change: Annual Update Removed code system versions from direct reference codes. Please refer to Appendix A of the Electronic Clinical Quality Measure Logic and Implementation Guidance document for a list of code system versions used in the eCQM specifications for 2020 reporting/performance. Measure Section: Terminology Source of Change: Standards Update Standardized purpose statement language in value sets across eCQMs. Value set purpose statements are visible in the Value Set Authority Center (VSAC) as well as the downloadable eCQM value set files. Measure Section: Terminology Source of Change: Measure Lead Value set Diabetes (2.16.840.1.113883.3.464.1003.103.12.1001): Deleted three extensional value sets (2.16.840.1.113883.3.464.1003.103.11.1001 (ICD-9-CM), 2.16.840.1.113883.3.464.1003.103.11.1002 (ICD-10-CM), and 2.16.840.1.113883.3.464.1003.103.11.1003 (SNOMED CT)). Added eight extensional value sets (2.16.840.1.113883.3.464.1003.103.11.1025 (ICD-9-CM), 2.16.840.1.113883.3.464.1003.103.11.1026 (ICD-10-CM), 2.16.840.1.113883.3.464.1003.103.11.1027 (SNOMED CT), 2.16.840.1.113883.3.464.1003.103.11.1030 (SNOMED CT), 2.16.840.1.113883.3.464.1003.103.11.1031 (ICD-10-CM), 2.16.840.1.113883.3.464.1003.103.11.1032 (ICD-10-CM), 2.16.840.1.113883.3.464.1003.103.11.1033 (ICD-9-CM), 2.16.840.1.113883.3.464.1003.103.11.1034 (ICD-9-CM)). Measure Section: Terminology Source of Change: Measure Lead External Resources United States Health Information Knowledgebase NLM Value Set Authority Center (VSAC)