2017 Performance Period EP/EC eCQMs

Clinical Quality Measures and their electronic specifications as defined in the 2016 update for Eligible Professionals.

Measure Name CMS eCQM ID Domain NQF ID Measure Steward MIPS Quality ID Addendum Notes USHIK Version Links
Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment CMS177v5 Patient Safety 1365 PCPI(R) Foundation (PCPI[R]) 382 Version Detail
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Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures CMS132v5 Patient Safety 0564 PCPI(R) Foundation (PCPI[R]) 192 Value Set content updated Version Detail
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Documentation of Current Medications in the Medical Record CMS68v6 Patient Safety 0419 Centers for Medicare and Medicaid Services (CMS) 130 Version Detail
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Falls: Screening for Future Fall Risk CMS139v5 Patient Safety 0101 National Committee for Quality Assurance 318 Version Detail
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Use of High-Risk Medications in the Elderly CMS156v5 Patient Safety 0022 National Committee for Quality Assurance 238 Version Detail
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Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care CMS142v5 Communication and Care Coordination 0089 PCPI(R) Foundation (PCPI[R]) 19 Value Set content updated Version Detail
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Closing the Referral Loop: Receipt of Specialist Report CMS50v5 Communication and Care Coordination None Centers for Medicare and Medicaid Services (CMS) 374 Version Detail
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Colorectal Cancer Screening CMS130v5 Effective Clinical Care 0034 National Committee for Quality Assurance 113 Version Detail
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Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation CMS143v5 Effective Clinical Care 0086 PCPI(R) Foundation (PCPI[R]) 12 Value Set content updated Version Detail
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Pregnant women that had HBsAg testing CMS158v5 Effective Clinical Care None Optum 369 Value Set content updated Version Detail
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Diabetes: Eye Exam CMS131v5 Effective Clinical Care 0055 National Committee for Quality Assurance 117 Value Set content updated Version Detail
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Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) CMS144v5 Effective Clinical Care 2908 PCPI(R) Foundation (PCPI[R]) 8 Version Detail
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Depression Remission at Twelve Months CMS159v5 Effective Clinical Care 0710 MN Community Measurement 370 Version Detail
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Coronary Artery Disease (CAD): Beta-Blocker Therapy-Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <40%) CMS145v5 Effective Clinical Care None PCPI(R) Foundation (PCPI[R]) 7 Version Detail
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Depression Utilization of the PHQ-9 Tool CMS160v5 Effective Clinical Care 0712 MN Community Measurement 371 Version Detail
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Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery CMS133v5 Effective Clinical Care 0565 PCPI(R) Foundation (PCPI[R]) 191 Value Set content updated Version Detail
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HIV/AIDS: Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis CMS52v5 Effective Clinical Care 0405 National Committee for Quality Assurance 160 Version Detail
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Adult Major Depressive Disorder (MDD): Suicide Risk Assessment CMS161v5 Effective Clinical Care 0104 PCPI(R) Foundation (PCPI[R]) 107 Version Detail
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Diabetes: Hemoglobin A1c (HbA1c) Poor Control (> 9%) CMS122v5 Effective Clinical Care 0059 National Committee for Quality Assurance 1 Value Set content updated Version Detail
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Diabetes: Medical Attention for Nephropathy CMS134v5 Effective Clinical Care 0062 National Committee for Quality Assurance 119 Value Set content updated Version Detail
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Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet CMS164v5 Effective Clinical Care 0068 National Committee for Quality Assurance 204 Value Set content updated Version Detail
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Diabetes: Foot Exam CMS123v5 Effective Clinical Care 0056 National Committee for Quality Assurance 163 Value Set content updated Version Detail
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Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD) CMS135v5 Effective Clinical Care 2907 PCPI(R) Foundation (PCPI[R]) 5 Value Set content updated Version Detail
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Hypertension: Improvement in Blood Pressure CMS65v6 Effective Clinical Care None Centers for Medicare and Medicaid Services (CMS) 373 Value Set content updated Version Detail
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Dementia: Cognitive Assessment CMS149v5 Effective Clinical Care None PCPI(R) Foundation (PCPI[R]) 281 Version Detail
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Controlling High Blood Pressure CMS165v5 Effective Clinical Care 0018 National Committee for Quality Assurance 236 Value Set content updated Version Detail
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Cervical Cancer Screening CMS124v5 Effective Clinical Care 0032 National Committee for Quality Assurance 309 Version Detail
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ADHD: Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication CMS136v6 Effective Clinical Care 0108 National Committee for Quality Assurance 366 Value Set content updated Version Detail
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Breast Cancer Screening CMS125v5 Effective Clinical Care 2372 National Committee for Quality Assurance 112 Version Detail
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Initiation and Engagement of Alcohol and Other Drug Dependence Treatment CMS137v5 Effective Clinical Care 0004 National Committee for Quality Assurance 305 Version Detail
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Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy CMS167v5 Effective Clinical Care 0088 PCPI(R) Foundation (PCPI[R]) 18 Value Set content updated Version Detail
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Bipolar Disorder and Major Depression: Appraisal for alcohol or chemical substance use CMS169v5 Effective Clinical Care None Centers for Medicare and Medicaid Services (CMS) 367 Value Set content updated Version Detail
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Anti-depressant Medication Management CMS128v5 Effective Clinical Care 0105 National Committee for Quality Assurance 9 Version Detail
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Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists CMS74v6 Effective Clinical Care None Centers for Medicare and Medicaid Services (CMS) 379 Version Detail
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Oncology: Medical and Radiation - Pain Intensity Quantified CMS157v5 Person and Caregiver-Centered Experience and Outcomes 0384 PCPI(R) Foundation (PCPI[R]) 143 Value Set content updated Version Detail
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Functional Status Assessments for Congestive Heart Failure CMS90v6 Person and Caregiver-Centered Experience and Outcomes None Centers for Medicare and Medicaid Services (CMS) 377 Value Set content updated Version Detail
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Functional Status Assessment for Total Hip Replacement CMS56v5 Person and Caregiver-Centered Experience and Outcomes None Centers for Medicare and Medicaid Services (CMS) 376 Value Set content updated Version Detail
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Functional Status Assessment for Total Knee Replacement CMS66v5 Person and Caregiver-Centered Experience and Outcomes None Centers for Medicare and Medicaid Services (CMS) 375 Value Set content updated Version Detail
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Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients CMS129v6 Efficiency and Cost Reduction 0389 PCPI(R) Foundation (PCPI[R]) 102 Version Detail
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Appropriate Testing for Children with Pharyngitis CMS146v5 Efficiency and Cost Reduction None National Committee for Quality Assurance 66 Version Detail
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Use of Imaging Studies for Low Back Pain CMS166v6 Efficiency and Cost Reduction 0052 National Committee for Quality Assurance 312 Value Set content updated Version Detail
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Appropriate Treatment for Children with Upper Respiratory Infection (URI) CMS154v5 Efficiency and Cost Reduction 0069 National Committee for Quality Assurance 65 Value Set content updated Version Detail
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Children Who Have Dental Decay or Cavities CMS75v5 Community/Population Health None Centers for Medicare and Medicaid Services (CMS) 378 Version Detail
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Preventive Care and Screening: Screening for Depression and Follow-Up Plan CMS2v6 Community/Population Health 0418 Centers for Medicare and Medicaid Services (CMS) 134 Value Set content updated Version Detail
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Maternal Depression Screening CMS82v4 Community/Population Health None National Committee for Quality Assurance 372 Version Detail
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Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented CMS22v5 Community/Population Health None Centers for Medicare and Medicaid Services (CMS) 317 Value Set content updated Version Detail
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Childhood Immunization Status CMS117v5 Community/Population Health 0038 National Committee for Quality Assurance 240 Value Set content updated Version Detail
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Preventive Care and Screening: Influenza Immunization CMS147v6 Community/Population Health 0041 PCPI(R) Foundation (PCPI[R]) 110 Version Detail
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Chlamydia Screening for Women CMS153v5 Community/Population Health 0033 National Committee for Quality Assurance 310 Value Set content updated Version Detail
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Pneumococcal Vaccination Status for Older Adults CMS127v5 Community/Population Health 0043 National Committee for Quality Assurance 111 Version Detail
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Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS138v5 Community/Population Health 0028 PCPI(R) Foundation (PCPI[R]) 226 Version Detail
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Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents CMS155v5 Community/Population Health 0024 National Committee for Quality Assurance 239 Value Set content updated Version Detail
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Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan CMS69v5 Community/Population Health 0421 Centers for Medicare and Medicaid Services (CMS) 128 Value Set content updated Version Detail
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