| Implementation Checklist eCQM Annual Update |
Implementation checklist The eCQM Implementation Checklist provides the necessary technical steps health information technology developers, implementers, and healthcare organizations must take to update their systems and processes with the eCQM Annual Update for the upcoming reporting and performance periods. The most recent eCQM Annual Update should be applied to your system for use in electronic quality reporting. |
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| Telehealth Guidance for eCQMs for Eligible Clinician 2021 Quality Reporting |
List of eCQMs eligible clinicians can use for a telehealth visit
This document provides supplemental information related to the allowance of telehealth encounters for eligible professional/eligible clinician eCQMs.
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Sep 2020 |
| Guide for Reading eCQMs v6.0 |
Assists implementers and measured entities with how to read eCQM specifications The Guide for Reading eCQMs is a resource to assist stakeholders in interpreting and understanding eCQMs. The guide provides information on eCQMs such as file naming conventions, understanding an eCQM human-readable rendition, value sets, QDM data criteria, and more. |
May 2020 |
| Eligible Clinicians Table of eCQMs v2 |
List of eCQMs available for use
This table contains a list of eCQMs that are to be used to electronically report clinical quality measure data to CMS for a given quality program’s reporting/performance period.
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Jun 2020 |
| eCQM Specifications for Eligible Clinicians |
eCQM technical specifications
This zip file contains individual zip files for each eCQM that may be used to report clinical quality measure data to CMS. Each individual zip file contains html, xml, cql, and json technical specifications for use with a specific eCQM version for a given quality program’s reporting/performance period.
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May 2020 |
| eCQM and Hybrid Measure Value Sets |
Value sets used with eCQMs and Hybrid Measures
The eCQM and hybrid measure value sets specify terminology codes such as ICD-10-CM/PCS, CPT, SNOMED CT, required for use with each eCQM or hybrid measure.
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May 2020 |
| eCQM Direct Reference Codes List |
eCQM Direct Reference Codes used in eCQMs The eCQM Direct Reference Codes list is a list of direct reference codes used in eCQMs for a given quality program’s reporting/performance period. These codes are referenced directly in eCQM logic to describe a data element or one of its attributes. The list includes the description of the code, the code system from which the code is derived, and the version of that code system. |
May 2020 |
| Binding Parameter Specification (BPS) (ZIP) |
Value set metadata
The value set Binding Parameter Specification (BPS) is a record of the value set metadata that defines the code lists specified by current CMS eCQMs. Measure implementers and vendors use the BPS to track versions and other parameters that define the code lists for each eCQM Annual Update year.
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May 2020 |
| eCQM Logic and Implementation Guidance v4.0 |
Assists implementers and measured entities with information on how to use eCQMs and report issues The eCQM Logic and Implementation Guidance is a resource document that provides guidance for understanding, using, and/or implementing eCQMs. |
May 2020 |
| Technical Release Notes |
Year over year changes to eCQM logic and terminology The Technical Release Notes are resource files which provide an overview of technical changes, e.g., logic and terminology, to each eCQM in the most recent eCQM Annual Update for CMS reporting/performance periods. |
May 2020 |
| Technical Release Notes |
Year over year changes to eCQM logic and terminology
The Technical Release Notes are resource files which provide an overview of technical changes, e.g., logic and terminology, to each eCQM in the most recent eCQM Annual Update for CMS reporting/performance periods.
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May 2020 |
| Standards and tool versions used for performance period |
Tools and standards versions measure developers used to create eCQMs and versions of standards and tools used for their reporting The standards and tools versions listed for each reporting/performance period are the versions used to create and/or support the implementation of the specific reporting/performance period specifications. |
May 2020 |
| eCQM Flows |
Assists implementers and measured entities with steps to take to calculate an eCQM The eCQM flows provide a graphical and narrative description of the descisions to calculate an eCQM performance rate. |
Aug 2020 |
| 2021 Quality Benchmarks |
What CMS uses to calculate MIPS measure scores
Quality measure benchmarks are the point of comparison CMS uses to score the measures eligible clinicians submit. When eligible clinicians submit measures for the Merit-Based Incentive Payment System (MIPS) Quality performance category, the eligible clinician's performance on each measure is assessed against its benchmark to determine how many points the measure earns.
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Jun 2021 |
| 2021 CMS QRDA III Implementation Guide for Eligible Clinicians |
Format for reporting eCQMs to CMS
The CMS Quality Reporting Document Architecture (QRDA) III Implementation Guide for Eligible Clinicians constrains the HL7 QRDA Category III Implementation Guide (HL7 QRDA III IG). The CMS QRDA Category III IG is used for reporting aggregated quality measure data to CMS. Note: IGs, Schematrons and sample files may be updated after initial publication to address stakeholder or policy requirements. Revisit the eCQI Resource Center for updated resources prior to use.
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May 2021 |
| 2021 CMS QRDA III Schematrons and Sample Files |
Rules to validate eCQM reports with samples The CMS Quality Reporting Document Architecture (QRDA) III Schematrons and Sample Files provide technical guidance for implementing the HL7 QRDA III standard for reporting aggregate data to CMS quality programs. The Schematron files contain a list of rules used to validate that generated QRDA III reports conform to the requirements specified in the Implementation Guides. Note: IGs, Schematrons and sample files may be updated after initial publication to address stakeholder or policy requirements. Revisit the eCQI Resource Center for updated resources prior to use. |
May 2021 |
| eCQM Annual Update Pre-Publication Document |
Standards and code system versions for the eCQM Annual Update The eCQM Annual Update Pre-Publication Document describes the versions of the standards and code systems used in conjunction with the updated eCQMs for potential use in the CMS quality programs for a given reporting/performance period. It is designed to help health information technology/electronic health record developers, Eligible Clinicians, and Eligible Hospitals/Critical Access Hospitals prepare for reporting through transparent pre-release of the expected standards and code system versions. |
Oct 2020 |
