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2016 Performance Period EP eCQMs

Clinical Quality Measures info-icon and their electronic specifications as defined in the 2015 update for Eligible Professionals.

Measure Name	CMS eCQM ID	Quality Domain	NQF ID	Measure Steward	USHIK Version Links
ADE Prevention and Monitoring: Warfarin Time in Therapeutic Range	CMS179v4	Patient Safety	Not Applicable	Centers for Medicare and Medicaid Services	Version Detail Version Compare
Anti-depressant Medication Management	CMS128v4	Effective Clinical Care	0105	National Committee for Quality Assurance	Version Detail Version Compare
Appropriate Treatment for Children with Upper Respiratory Infection (URI)	CMS154v4	Efficiency and Cost Reduction	0069	National Committee for Quality Assurance	Version Detail Version Compare
Bipolar Disorder and Major Depression: Appraisal for alcohol or chemical substance use	CMS169v4	Effective Clinical Care	Not Applicable	Centers for Medicare and Medicaid Services	Version Detail Version Compare
Breast Cancer: Hormonal Therapy for Stage IC-IIIC Estrogen Receptor/Progesterone Receptor (ER/PR) Positive Breast Cancer	CMS140v4	Effective Clinical Care	0387	American Medical Association-convened Physician Consortium for Performance Improvement(R) (AMA-PCPI)	Version Detail Version Compare
Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery	CMS133v4	Effective Clinical Care	0565	American Medical Association-convened Physician Consortium for Performance Improvement(R) (AMA-PCPI)	Version Detail Version Compare
Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures	CMS132v4	Patient Safety	0564	American Medical Association-convened Physician Consortium for Performance Improvement(R) (AMA-PCPI)	Version Detail Version Compare
Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment	CMS177v4	Patient Safety	1365	American Medical Association-convened Physician Consortium for Performance Improvement(R) (AMA-PCPI)	Version Detail Version Compare
Chlamydia Screening for Women	CMS153v4	Community/Population Health	0033	National Committee for Quality Assurance	Version Detail Version Compare
Closing the Referral Loop: Receipt of Specialist Report	CMS50v4	Communication and Care Coordination	Not Applicable	Centers for Medicare and Medicaid Services	Version Detail Version Compare
Controlling High Blood Pressure	CMS165v4	Effective Clinical Care	0018	National Committee for Quality Assurance	Version Detail Version Compare
Coronary Artery Disease (CAD): Beta-Blocker Therapy-Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <40%)	CMS145v4	Effective Clinical Care	0070	American Medical Association-convened Physician Consortium for Performance Improvement(R) (AMA-PCPI)	Version Detail Version Compare
Dementia: Cognitive Assessment	CMS149v4	Effective Clinical Care	Not Applicable	American Medical Association-convened Physician Consortium for Performance Improvement(R) (AMA-PCPI)	Version Detail Version Compare
Depression Remission at Twelve Months	CMS159v4	Effective Clinical Care	0710	MN Community Measurement	Version Detail Version Compare
Diabetes: Low Density Lipoprotein (LDL) Management	CMS163v4	Effective Clinical Care	Not Applicable	National Committee for Quality Assurance	Version Detail Version Compare
Diabetes: Urine Protein Screening	CMS134v4	Effective Clinical Care	0062	National Committee for Quality Assurance	Version Detail Version Compare
Documentation of Current Medications in the Medical Record	CMS68v5	Patient Safety	0419	Centers for Medicare and Medicaid Services	Version Detail Version Compare
Falls: Screening for Future Fall Risk	CMS139v4	Patient Safety	0101	National Committee for Quality Assurance	Version Detail Version Compare
Functional Status Assessment for Complex Chronic Conditions	CMS90v5	Person and Caregiver-Centered Experience and Outcomes	Not Applicable	Centers for Medicare and Medicaid Services	Version Detail Version Compare
Functional Status Assessment for Hip Replacement	CMS56v4	Person and Caregiver-Centered Experience and Outcomes	Not Applicable	Centers for Medicare and Medicaid Services	Version Detail Version Compare
Functional Status Assessment for Knee Replacement	CMS66v4	Person and Caregiver-Centered Experience and Outcomes	Not Applicable	Centers for Medicare and Medicaid Services	Version Detail Version Compare
Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD)	CMS135v4	Effective Clinical Care	0081	American Medical Association-convened Physician Consortium for Performance Improvement(R) (AMA-PCPI)	Version Detail Version Compare
Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)	CMS144v4	Effective Clinical Care	0083	American Medical Association-convened Physician Consortium for Performance Improvement(R) (AMA-PCPI)	Version Detail Version Compare
Hemoglobin A1c Test for Pediatric Patients	CMS148v4	Effective Clinical Care	0060	National Committee for Quality Assurance	Version Detail Version Compare
HIV/AIDS: Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis	CMS52v4	Effective Clinical Care	0405	National Committee for Quality Assurance	Version Detail Version Compare
Hypertension: Improvement in Blood Pressure	CMS65v5	Effective Clinical Care	Not Applicable	Centers for Medicare and Medicaid Services	Version Detail Version Compare
Initiation and Engagement of Alcohol and Other Drug Dependence Treatment	CMS137v4	Effective Clinical Care	0004	National Committee for Quality Assurance	Version Detail Version Compare
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	CMS164v4	Effective Clinical Care	0068	National Committee for Quality Assurance	Version Detail Version Compare
Maternal Depression Screening	CMS82v3	Community/Population Health	Not Applicable	National Committee for Quality Assurance	Version Detail Version Compare
Oncology: Medical and Radiation - Pain Intensity Quantified	CMS157v4	Person and Caregiver-Centered Experience and Outcomes	0384	American Medical Association-convened Physician Consortium for Performance Improvement(R) (AMA-PCPI)	Version Detail Version Compare
Pregnant women that had HBsAg testing	CMS158v4	Effective Clinical Care	Not Applicable	OptumInsight	Version Detail Version Compare
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	CMS69v4	Community/Population Health	0421	Centers for Medicare and Medicaid Services	Version Detail Version Compare
Preventive Care and Screening: Risk-Stratified Cholesterol -Fasting Low Density Lipoprotein (LDL-C)	CMS64v5	Effective Clinical Care	Not Applicable	Centers for Medicare and Medicaid Services	Version Detail Version Compare
Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan	CMS2v5	Community/Population Health	0418	Centers for Medicare and Medicaid Services	Version Detail Version Compare
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	CMS22v4	Community/Population Health	Not Applicable	Centers for Medicare and Medicaid Services	Version Detail Version Compare
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	CMS138v4	Community/Population Health	0028	American Medical Association-convened Physician Consortium for Performance Improvement(R) (AMA-PCPI)	Version Detail Version Compare
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation	CMS143v4	Effective Clinical Care	0086	American Medical Association-convened Physician Consortium for Performance Improvement(R) (AMA-PCPI)	Version Detail Version Compare
Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients	CMS129v5	Efficiency and Cost Reduction	0389	American Medical Association-convened Physician Consortium for Performance Improvement(R) (AMA-PCPI)	Version Detail Version Compare
Use of High-Risk Medications in the Elderly	CMS156v4	Patient Safety	0022	National Committee for Quality Assurance	Version Detail Version Compare

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Last Updated: September 25, 2017