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Eligible Professional / Eligible Clinician eCQMs

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2020 Performance Period Eligible Professional / Eligible Clinician Resources
For Use eCQM Implementation Resources Published
Jan 1 – Dec 31 2020 Implementation Checklist eCQM Annual Update
Jan 1 – Dec 31 2020 *NEW* Telehealth Guidance for eCQMs for Eligible Professional/Eligible Clinician 2020 Quality Reporting Sep 2020
Jan 1 – Dec 31 2020 Guide for Reading eCQMs v5.0 May 2019
Jan 1 – Dec 31 2020 Eligible Clinicians and Eligible Professionals Table of eCQMs v3 Jun 2020
Jan 1 – Dec 31 2020 eCQM Specifications for Eligible Clinicians and Eligible Professionals v3 Aug 2020
Jan 1 – Dec 31 2020 eCQM Value Sets May 2019
Jan 1 – Dec 31 2020 eCQM Direct Reference Codes List May 2019
Jan 1 – Dec 31 2020 Binding Parameter Specification (BPS) May 2019
Jan 1 – Dec 31 2020 eCQM Logic and Implementation Guidance v3.1 Nov 2019
Jan 1 – Dec 31 2020 Technical Release Notes v2 Nov 2019
Jan 1 – Dec 31 2020 Technical Release Notes v2 Nov 2019
Jan 1 – Dec 31 2020 Standards and tool versions used for performance period May 2019
Jan 1 – Dec 31 2020 eCQM Flows Dec 2019
Jan 1 – Dec 31 2020 2020 Quality Benchmarks Feb 2020
Jan 1 – Dec 31 2020 2020 CMS QRDA III Implementation Guide for Eligible Clinicians and Eligible Professionals Aug 2020
Jan 1 – Dec 31 2020 2020 CMS QRDA III Schematrons and Sample Files Nov 2019
Jan 1 – Dec 31 2020 eCQM Annual Update Pre-Publication Document Mar 2019
2020 Performance Period Eligible Professional / Eligible Clinician eCQMs
Total number of EP/EC eCQMs: 47
Measure Name CMS eCQM ID Quality Domain NQF ID MIPS Quality ID Meaningful Measure Area Notes Telehealth Eligible*
Adult Major Depressive Disorder (MDD): Suicide Risk Assessment CMS161v8 Effective Clinical Care 0104e 107 Prevention, Treatment, and Management of Mental Health Yes
Anti-depressant Medication Management** CMS128v8 Effective Clinical Care Not Applicable 009 Prevention, Treatment, and Management of Mental Health **Note: CMS128v8.zip updated August 2020. See issue EKI-5 on the ONC eCQM Known Issues Dashboard for details. Yes
Appropriate Testing for Children with Pharyngitis** CMS146v8 Efficiency and Cost Reduction Not Applicable 066 Appropriate Use of Healthcare **Note: CMS146v8.zip updated August 2020. See issue EKI-6 on the ONC eCQM Known Issues Dashboard for details. Yes
Appropriate Treatment for Children with Upper Respiratory Infection (URI) CMS154v8 Efficiency and Cost Reduction Not Applicable 065 Appropriate Use of Healthcare Yes
Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture CMS249v2 Efficiency and Cost Reduction Not Applicable 472 Appropriate Use of Healthcare Yes
Bone density evaluation for patients with prostate cancer and receiving androgen deprivation therapy CMS645v3 Effective Clinical Care Not Applicable 462 Management of Chronic Conditions Yes
Breast Cancer Screening CMS125v8 Effective Clinical Care Not Applicable 112 Preventive Care Yes
Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery CMS133v8 Effective Clinical Care 0565e 191 Management of Chronic Conditions No
Cervical Cancer Screening CMS124v8 Effective Clinical Care Not Applicable 309 Preventive Care Yes
Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment CMS177v8 Patient Safety 1365e 382 Prevention, Treatment, and Management of Mental Health Yes
Childhood Immunization Status CMS117v8 Community/Population Health Not Applicable 240 Preventive Care Yes
Children Who Have Dental Decay or Cavities CMS75v8 Community/Population Health Not Applicable 378 Preventive Care Yes
Chlamydia Screening for Women CMS153v8 Community/Population Health Not Applicable 310 Preventive Care Yes
Closing the Referral Loop: Receipt of Specialist Report CMS50v8 Communication and Care Coordination Not Applicable 374 Transfer of Health Information and Interoperability Yes
Colorectal Cancer Screening CMS130v8 Effective Clinical Care Not Applicable 113 Preventive Care Yes
Controlling High Blood Pressure CMS165v8 Effective Clinical Care Not Applicable 236 Management of Chronic Conditions Yes
Coronary Artery Disease (CAD): Beta-Blocker Therapy-Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <40%) CMS145v8 Effective Clinical Care 0070e 007 Management of Chronic Conditions Yes
Dementia: Cognitive Assessment CMS149v8 Effective Clinical Care 2872e 281 Prevention, Treatment, and Management of Mental Health Yes
Depression Remission at Twelve Months CMS159v8 Effective Clinical Care 0710e 370 Prevention, Treatment, and Management of Mental Health Yes
Diabetes: Eye Exam CMS131v8 Effective Clinical Care Not Applicable 117 Management of Chronic Conditions Yes
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (> 9%) CMS122v8 Effective Clinical Care Not Applicable 001 Management of Chronic Conditions Yes
Diabetes: Medical Attention for Nephropathy CMS134v8 Effective Clinical Care Not Applicable 119 Management of Chronic Conditions Yes
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care CMS142v8 Communication and Care Coordination 0089e 019 Transfer of Health Information and Interoperability Yes
Documentation of Current Medications in the Medical Record CMS68v9 Patient Safety 0419e 130 Medication Management Yes
Falls: Screening for Future Fall Risk CMS139v8 Patient Safety Not Applicable 318 Preventable Healthcare Harm Yes
Follow-Up Care for Children Prescribed ADHD Medication (ADD) CMS136v9 Effective Clinical Care Not Applicable 366 Prevention, Treatment, and Management of Mental Health Yes
Functional Status Assessment for Total Hip Replacement** CMS56v8 Person and Caregiver-Centered Experience and Outcomes Not Applicable 376 Functional Outcomes **Note: CMS56v8.zip updated August 2020. See issue EKI-7 on the ONC eCQM Known Issues Dashboard for details. Yes
Functional Status Assessment for Total Knee Replacement CMS66v8 Person and Caregiver-Centered Experience and Outcomes Not Applicable 375 Functional Outcomes Yes
Functional Status Assessments for Congestive Heart Failure CMS90v9 Person and Caregiver-Centered Experience and Outcomes Not Applicable 377 Functional Outcomes Yes
Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD) CMS135v8 Effective Clinical Care 0081e 005 Management of Chronic Conditions Yes
Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) CMS144v8 Effective Clinical Care 0083e 008 Management of Chronic Conditions Yes
HIV Screening CMS349v2 Community/Population Health Not Applicable 475 Preventive Care Yes
Initiation and Engagement of Alcohol and Other Drug Dependence Treatment CMS137v8 Effective Clinical Care Not Applicable 305 Prevention and Treatment of Opioid and Substance Use Disorders **Note: There is known issue on CMS137v8. See issue EKI-4 on the ONC eCQM Known Issues Dashboard for details. Yes
International Prostate Symptom Score (IPSS) or American Urological Association-Symptom Index (AUA-SI) Change 6-12 Months After Diagnosis of Benign Prostatic Hyperplasia CMS771v1 Person and Caregiver-Centered Experience and Outcomes Not Applicable 476 Functional Outcomes Yes
Oncology: Medical and Radiation - Pain Intensity Quantified CMS157v8 Person and Caregiver-Centered Experience and Outcomes 0384e 143 Management of Chronic Conditions No
Pneumococcal Vaccination Status for Older Adults CMS127v8 Community/Population Health Not Applicable 111 Preventive Care Yes
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan CMS69v8 Community/Population Health 0421e 128 Preventive Care No
Preventive Care and Screening: Influenza Immunization CMS147v9 Community/Population Health 0041e 110 Preventive Care Yes
Preventive Care and Screening: Screening for Depression and Follow-Up Plan CMS2v9 Community/Population Health 0418e 134 Prevention, Treatment, and Management of Mental Health Yes
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented CMS22v8 Community/Population Health Not Applicable 317 Preventive Care No
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS138v8 Community/Population Health 0028e 226 Prevention and Treatment of Opioid and Substance Use Disorders Yes
Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists CMS74v9 Effective Clinical Care Not Applicable 379 Preventive Care Yes
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation CMS143v8 Effective Clinical Care 0086e 012 Management of Chronic Conditions Yes
Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients CMS129v9 Efficiency and Cost Reduction 0389e 102 Appropriate Use of Healthcare No
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS347v3 Effective Clinical Care Not Applicable 438 Management of Chronic Conditions Yes
Use of High-Risk Medications in the Elderly CMS156v8 Patient Safety Not Applicable 238 Medication Management Yes
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents CMS155v8 Community/Population Health Not Applicable 239 Preventive Care Yes

Each year, CMS updates the eCQMs for potential use in CMS quality reporting programs and publishes them on the eCQI Resource Center. CMS updates the specifications to align with current clinical guidelines and code systems so they remain relevant and actionable within the clinical care setting. CMS requires the use of most current version of the eCQMs for the applicable performance/reporting periods for all quality reporting programs.

Performance period for eligible clinicians is defined as the measure data capture period of the calendar year between January 1 and December 31. The updated eCQMs are to be used by eligible clinicians and eligible professionals to electronically report 2021 clinical quality measure data for CMS quality reporting programs. Measures will not be eligible for 2021 reporting unless and until they are proposed and finalized through notice-and-comment rulemaking for each applicable program.

CMS has updated eCQMs for potential inclusion in these programs

  eCQM Implementation Checklist
eCQM Implementation Checklist
Use the eCQM Resources and follow the eCQM Implementation Checklist to update your electronic health record and processes for eCQM use and reporting.