eCQMs

About electronic Clinical Quality Measures (eCQMs)

What are clinical quality measures (CQMs)?

CQMs measure health care:

  • Processes
  • Observations
  • Treatments
  • Outcomes

CQMs quantify quality in our health care system. Measuring and reporting CQMs helps to ensure care is delivered safely, effectively, equitably, and timely. A compilation of measures used by CMS in various quality reporting and incentive programs is located on the CMS Measures Inventory Page.

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What are electronic clinical quality measures (eCQMs)?

eCQMs use data from electronic health records (EHR) and/or health information technology systems to measure health care quality. The Centers for Medicare & Medicaid Services (CMS) use eCQMs in a variety of quality reporting and incentive programs.

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Where can I find eCQMs?

Eligible Hospital (EH) eCQMs and supporting documentation are on the EH page of this website. 

Eligible Professional (EP) and Eligible Clinician (EC) eCQMs and supporting documentation are on the EP page of this website.

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Why are eCQMs used?

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Where are eCQMs used?

  • At the point of care delivery in the electronic health record (EHR)
  • In reporting to CMS, the Joint Commission, and insurance payers
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How are electronic clinical quality measures (eCQMs) structured?

    So they can be reported from an EHR, eCQMs are made of electronic specifications. Health Quality Measure Format (HQMF), a Health Level Seven (HL7) standard, is used for electronically documenting eCQM content. These electronic specifications include:
    • XML—Contains important details about the measure, how the data elements are defined, and the underlying logic of the measure calculation. The file uses HQMF XML syntax. The XML includes a Header and a Body. The Header identifies and classifies the document and provides important metadata about the measure. The HQMF Body contains eCQM sections, e.g., data criteria, population criteria, and supplemental data elements.
    • Hyper Text Markup Language (HTML) file (.html) that displays the eCQM content in a human-readable format directly in a Web browser. This file does not include the underlying HQMF syntax
    • Value sets—Convey what specific coded values are to be allowed for the data elements within the eCQM. Value sets are identified by an object identifier (OID), and include a number of metadata elements. This specifies a list of codes (i.e., the value set “expansion code set”), descriptions of those codes, and the code system from which the codes are derived, and the version of that code system.
    • Direct Referenced Codes – Convey specific codes that are referenced directly in the eCQM logic to describe a data element or one of its attributes. Direct referenced code metadata include the description of the code, the code system from which the code is derived and the version of that code system
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What are the eCQM naming conventions?

    CMS created a unique “CMS eMeasure Identifier” to name eCQM files. The naming convention adds the eCQM/eMeasure identifier assigned to the eCQM in the Measure Authoring Tool (MAT) with the “eMeasure Version Number”. eMeasure is an old term that has since been replaced with eCQM. “CMS” is placed in front. The eCQM Version Number is used to indicate the published version of the eCQM. Based on this naming convention, Eligible Professional measure (NQF0056-Diabetes: Foot Exam) would be CMS123v1 for the first version of the measure.
    eCQM Information Value
    eCQM Identifier (MAT) 123
    eCQM Version number 1
    CMS eCQM identifier CMS123v1
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Who develops and uses eCQMs?

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How are eCQMs reported?

An Eligible Hospital, Eligible Clinician, and/or Eligible Professional must use the version of eCQMs identified by the specific program when reporting eCQMs. Visit Quality Net for eCQM reporting guidance and the Quality Reporting Center for specific program reporting education. 

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How are eCQMs submitted to Registries?

Individual eligible professionals (EPs) eligible clinician and group practices participating in CMS quality programs may be required to report eCQMs to a qualified registry. Visit the Registry Reporting page for more information.

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How are eCQMs developed?

Information on the CQM and eCQM development lifecycle is available in the Blueprint for the CMS Measures Management System (Blueprint) and on the eCQM Lifecycle webpage.

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How is health IT certified for eCQM use?

The Office of the National Coordinator for Health Information Technology (ONC) certifies health information technology (IT) and eCQM reporting capabilities. Read more at Health IT Certification for eCQM Reporting.

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Why are eCQMs updated annually?

CMS updates the eCQMs approved for CMS programs to reflect changes in:

  • Evidence-based medicine
  • Code sets
  • Measure logic
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How can I get involved in eCQM development and their updates?

CMS provides several opportunities to provide input on eCQM development and updates: public calls for measures, comments on measures under development, and participation on technical expert panels. Visit the CMS Measures Management System webpage and the Engagement webpage for a list of current opportunities.   

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How can I provide feedback on eCQM development and implementation?

CMS and ONC provide JIRA tracker tools to allow stakeholders to submit issues with eCQM implementation and development and receive feedback. Submit eCQM technical questions to the CQM Issue Tracker.

CMS program policy questions are not covered in JIRA and must be reported to the appropriate program helpdesk.

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Where can I get help with eCQMs reporting and program issues?

For questions on the Hospital Inpatient Quality Reporting (IQR) Program requirements, policy and alignment, refer to the Inpatient Support Team (844) 472-4477 (8:00am – 8:00pm ET) or submit questions via the Q&A Tool: https://cms-ip.custhelp.com

For questions on the Medicare and Medicaid EHR Incentive Program (“Meaningful Use”), please contact the QualityNet Help Desk at qnetsupport@hcqis.org or call (866) 288-8912, Monday through Friday 7am - 7pm CT

For questions on the Quality Payment Program (QPP), please contact QPP@cms.hhs.gov or (866) 288-8292 

For questions related to eCQM implementation, specifications, logic, date elements, standards or tools, please go to JIRA (online tracking tool): https://oncprojectracking.healthit.gov

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Where can I learn more about eCQMs?

Resources and presentations on eCQMs and the standards and tools used in eCQI are located on the Education page.  

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Recent Activity

Friday, April 21

Wednesday, April 19

Tuesday, April 18

Thursday, April 13

  • 10:37am EDT
    Event Reminder: CMS Measures under Consideration 2017 Open Forum #2 Webinar : Apr 13 2017 - 11:00am Reminder: CMS Measures under Consideration 2017 Open Forum #2 Webinar : Apr 13 2017 - 11:00am On Thursday, April 13, 2017, from 11:00 am to 12:00 noon Eastern Time, CMS is hosting a second open forum to provide a live demonstration of JIRA and to address remaining questions.  The webinar login and dial-in instructions are below.To register for this webinar: When you click the link shown below by “Event address for attendees,” an Event Information page will open. If you click the “Register” link, you will see a pre-registration page. Once you have completed that page, you will receive a separate confirmation email message that contains detailed information about joining the event. This email will also have an Outlook calendar appointment attachment that allows you to add the session information to your personal electronic calendar.  Until you complete the pre-registration form and click on the attachment, the meeting will not appear on your calendar.-------------------------------------------------------Topic: CMS Measures under Consideration 2017 Open Forum #2 WebinarDate and Time: Thursday, April 13, 2017 11:00 am, Eastern Daylight Time (New York, GMT-04:00)Event address for attendees: https://battelle.webex.com/battelle/onstage/g.php?MTID=ecd38a73cad2b36678db71947ba445b0a-------------------------------------------------------Audio conference informationTo receive a call back, provide your phone number when you join the event, or call the number below and enter the access code.US Toll Free: +1 844 712 3247Global call-in numbers: https://battelle.webex.com/battelle/globalcallin.php?serviceType=EC&ED=533977227&tollFree=1Access code: 593 043 909Have questions about the MUC List or any other part of the Measure Management process?  Send us an email at MMSSupport@battelle.org.  We're here to help!

    Event Reminder: CMS Measures under Consideration 2017 Open Forum #2 Webinar : Apr 13 2017 - 11:00am

    Reminder: CMS Measures under Consideration 2017 Open Forum #2 Webinar : Apr 13 2017 - 11:00am

    On Thursday, April 13, 2017, from 11:00 am to 12:00 noon Eastern Time, CMS is hosting a second open forum to provide a live demonstration of JIRA and to address remaining questions.  The webinar login and dial-in instructions are below.

    To register for this webinar: 

    When you click the link shown below by “Event address for attendees,” an Event Information page will open. If you click the “Register” link, you will see a pre-registration page. Once you have completed that page, you will receive a separate confirmation email message that contains detailed information about joining the event. This email will also have an Outlook calendar appointment attachment that allows you to add the session information to your personal electronic calendar.  Until you complete the pre-registration form and click on the attachment, the meeting will not appear on your calendar.

    -------------------------------------------------------

    Topic: CMS Measures under Consideration 2017 Open Forum #2 Webinar

    Date and Time: Thursday, April 13, 2017 11:00 am, Eastern Daylight Time (New York, GMT-04:00)

    Event address for attendees: https://battelle.webex.com/battelle/onstage/g.php?MTID=ecd38a73cad2b36678db71947ba445b0a

    -------------------------------------------------------

    Audio conference information

    To receive a call back, provide your phone number when you join the event, or call the number below and enter the access code.

    US Toll Free: +1 844 712 3247

    Global call-in numbers:...

    Read more

Tuesday, April 11

  • 9:37am EDT
    Event Reminder: CMS Measures under Consideration 2017 Program Measurement Needs and Priorities Webinar : Apr 11 2017 - 10:00am Reminder: CMS Measures under Consideration 2017 Program Measurement Needs and Priorities Webinar : Apr 11 2017 - 10:00am CMS is hosting a webinar on Program Measurement Needs and Priorities on Tuesday, April 11, 2017, from 10:00 AM to 12 noon Eastern Time.The purpose of the meeting is to bring all stakeholders together (including Federal and non-Federal organizations) to ensure that everyone understands CMS’s program-specific measure priorities and needs.  During this session, CMS will provide refreshers for the following topics:  pre-rulemaking, an introduction of the current cycle’s milestone dates and future meetings, as well as CMS program needs and priorities.  Early in the cycle, CMS also wants to create awareness and emphasize the importance across the Federal agencies of attending and actively participating in the August 3 Federal-only stakeholder meeting.  Please add this meeting to your Outlook calendar.   Please stay tuned for more information…Michelle GeppiCenters for Medicare & Medicaid ServicesTel: 410-786-48447500 Security Boulevard, Baltimore, MD  21244Or contact:  MMSsupport@battelle.org

    Event Reminder: CMS Measures under Consideration 2017 Program Measurement Needs and Priorities Webinar : Apr 11 2017 - 10:00am

    Reminder: CMS Measures under Consideration 2017 Program Measurement Needs and Priorities Webinar : Apr 11 2017 - 10:00am

    CMS is hosting a webinar on Program Measurement Needs and Priorities on Tuesday, April 11, 2017, from 10:00 AM to 12 noon Eastern Time.

    The purpose of the meeting is to bring all stakeholders together (including Federal and non-Federal organizations) to ensure that everyone understands CMS’s program-specific measure priorities and needs.  During this session, CMS will provide refreshers for the following topics:  pre-rulemaking, an introduction of the current cycle’s milestone dates and future meetings, as well as CMS program needs and priorities.  Early in the cycle, CMS also wants to create awareness and emphasize the importance across the Federal agencies of attending and actively participating in the August 3 Federal-only stakeholder meeting.  Please add this meeting to your Outlook calendar.   

    Please stay tuned for more information…

    Michelle Geppi

    Centers for Medicare & Medicaid Services

    Tel: 410-786-4844

    7500 Security Boulevard, Baltimore, MD  21244

    Or contact:  MMSsupport@battelle.org

Thursday, April 6

  • 10:37am EDT
    Event Reminder: CMS Measures under Consideration 2017 Open Forum #1 Webinar : Apr 6 2017 - 11:00am Reminder: CMS Measures under Consideration 2017 Open Forum #1 Webinar : Apr 6 2017 - 11:00am On Thursday, April 6, 2017 from 11:00 AM to 12:00 noon Eastern Time, CMS is hosting an open forum to provide a live demonstration of JIRA and to address questions remaining after CMS’ Pre-rulemaking kickoff session.  The webinar login and dial-in instructions are below.  To register for this webinar: When you click the link shown below by “Event address for attendees,” an Event Information page will open. If you click the “Register” link, you will see a pre-registration page. Once you have completed that page, you will receive a separate confirmation email message that contains detailed information about joining the event. This email will also have an Outlook calendar appointment attachment that allows you to add the session information to your personal electronic calendar.  Until you complete the pre-registration form and click on the attachment, the meeting will not appear on your calendar.-----------------------------------------------------------------------------------------Topic: CMS Measures under Consideration 2017 Open Forum #1 WebinarDate and Time:  Thursday, April 6, 2017 11:00 am, Eastern Daylight Time (New York, GMT-04:00)Event address for attendees: https://battelle.webex.com/battelle/onstage/g.php?MTID=e764f3773bdafc8f8d2a456152015aaa0-------------------------------------------------------Audio conference informationTo receive a call back, provide your phone number when you join the event, or call the number below and enter the access code.US Toll Free: +1 844 712 3247Global call-in numbers: https://battelle.webex.com/battelle/globalcallin.php?serviceType=EC&ED=533976602&tollFree=1Access code: 597 611 336--------------------------------------------------------------------------------------Have questions about the MUC List or any other part of the Measure Management process?  Send us an email at MMSSupport@battelle.org.  We're here to help!

    Event Reminder: CMS Measures under Consideration 2017 Open Forum #1 Webinar : Apr 6 2017 - 11:00am

    Reminder: CMS Measures under Consideration 2017 Open Forum #1 Webinar : Apr 6 2017 - 11:00am

    On Thursday, April 6, 2017 from 11:00 AM to 12:00 noon Eastern Time, CMS is hosting an open forum to provide a live demonstration of JIRA and to address questions remaining after CMS’ Pre-rulemaking kickoff session.  The webinar login and dial-in instructions are below.  

    To register for this webinar: 

    When you click the link shown below by “Event address for attendees,” an Event Information page will open. If you click the “Register” link, you will see a pre-registration page. Once you have completed that page, you will receive a separate confirmation email message that contains detailed information about joining the event. This email will also have an Outlook calendar appointment attachment that allows you to add the session information to your personal electronic calendar.  Until you complete the pre-registration form and click on the attachment, the meeting will not appear on your calendar.

    -----------------------------------------------------------------------------------------

    Topic: CMS Measures under Consideration 2017 Open Forum #1 Webinar

    Date and Time:  Thursday, April 6, 2017 11:00 am, Eastern Daylight Time (New York, GMT-04:00)

    Event address for attendees: https://battelle.webex.com/battelle/onstage/g.php?MTID=e764f3773bdafc8f8d2a456152015aaa0

    -------------------------------------------------------

    Audio conference information

    To receive a call back, provide your phone number when you...

    Read more

Tuesday, April 4

  • 9:37am EDT
    Event Reminder: CMS Measures under Consideration 2017 Kickoff Webinar : Apr 4 2017 - 10:00am Reminder: CMS Measures under Consideration 2017 Kickoff Webinar : Apr 4 2017 - 10:00am It’s that time of year again!  CMS is gearing up to kick off the 2017 pre-rulemaking season! The kickoff webinar will be held on Tuesday, April 4, 2017, from 10:00 AM to 12 noon Eastern Time. The purpose of this meeting is to refresh us regarding pre-rulemaking, introduce milestone dates for this cycle, and offer JIRA training. The webinar login and dial-in instructions are below. To Register for this webinar:When you click the link shown below by “Event address for attendees,” an Event Information page will open. If you click the “Register” link, you will see a pre-registration page. Once you have completed that page, you will receive a separate confirmation email message that contains detailed information about joining the event. This email will also have a calendar link that allows you to add the session information to your personal electronic calendar.  Until you complete the pre-registration form and click on the link to submit it, the meeting will not appear on your calendar.-------------------------------------------------------Topic: CMS Measures under Consideration 2017 Kickoff Webinar Date and Time: Tuesday, April 4, 2017 10:00 am, Eastern Daylight Time (New York, GMT-04:00) Event address for attendees: https://battelle.webex.com/battelle/onstage/g.php?MTID=ef2d62cc96676fe070f0e246513f230bd-------------------------------------------------------Audio conference information To receive a call back, provide your phone number when you join the event, or call the number below and enter the access code. US Toll Free: +1 844 712 3247 Global call-in numbers: https://battelle.webex.com/battelle/globalcallin.php?serviceType=EC&ED=533976102&tollFree=1 Access code: 599 997 970-------------------------------------------------------Have questions about the MUC List or any other part of the Measure Management process?  Send us an email at MMSSupport@battelle.org.  We're here to help!

    Event Reminder: CMS Measures under Consideration 2017 Kickoff Webinar : Apr 4 2017 - 10:00am

    Reminder: CMS Measures under Consideration 2017 Kickoff Webinar : Apr 4 2017 - 10:00am

    It’s that time of year again!  CMS is gearing up to kick off the 2017 pre-rulemaking season! The kickoff webinar will be held on Tuesday, April 4, 2017, from 10:00 AM to 12 noon Eastern Time. 

    The purpose of this meeting is to refresh us regarding pre-rulemaking, introduce milestone dates for this cycle, and offer JIRA training. The webinar login and dial-in instructions are below. 

    To Register for this webinar:

    When you click the link shown below by “Event address for attendees,” an Event Information page will open. If you click the “Register” link, you will see a pre-registration page. Once you have completed that page, you will receive a separate confirmation email message that contains detailed information about joining the event. This email will also have a calendar link that allows you to add the session information to your personal electronic calendar.  Until you complete the pre-registration form and click on the link to submit it, the meeting will not appear on your calendar.

    -------------------------------------------------------

    Topic: CMS Measures under Consideration 2017 Kickoff Webinar
    Date and Time: Tuesday, April 4, 2017 10:00 am, Eastern Daylight Time (New York, GMT-04:00)
    Event address for attendees: https://battelle.webex.com/battelle/onstage/g.php?MTID=ef2d62cc96676fe070f0e246513f230bd

    -------------------------------------------------------

    Audio conference information
    To receive a call back, provide your phone number when you join the event, or call the number below and enter the access code.
    US Toll Free: +1 844 712 3247
    Global call-in numbers:...

    Read more

Friday, March 31

Thursday, March 23

Wednesday, March 22