Now Available: 2019 Eligible Clinician Electronic Clinical Quality Measure Flows

August 27, 2018 - 9:48am

The Centers for Medicare & Medicaid Services (CMS) developed and published the 2019 performance period electronic clinical quality measureinfo-icon (eCQMinfo-icon) flows for eligible cliniciansinfo-icon and eligible professionalsinfo-icon (EPs) to the eCQI Resource Center. The eCQM flows are designed to assist in interpretation of the eCQM logic and calculation methodology for performance rates. eCQM flows provide an overview of each of the population criteria components and associated data elements that lead to the inclusion or exclusions into the eCQM’s quality action (numeratorinfo-icon).

eCQM flows supplement eCQM specificationsinfo-icon for eligible clinicians and EPs for the following programs:

  • Quality Payment Program: Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (Advanced APMs)
  • Comprehensive Primary Care Plus (CPC+)
  • The Promoting Interoperability Program

These flows are intended to be used as an additional resource when implementing eCQMsinfo-icon and should not be used in place of the eCQM specificationinfo-icon or for reporting purposes. 

CMS plans to publish flows for eligible hospitalinfo-icon and critical access hospital (CAH) eCQMs in September. This will be a new resource for EH and CAH eCQMs for 2019 reporting, developed in response to stakeholder feedback.

Questions on the eCQM flows should be directed to the ONC eCQM Issue Tracker.

Last Updated: August 27, 2018