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Eligible Professional / Eligible Clinician eCQMs

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2021 Performance Period Eligible Professional / Eligible Clinician Resources
For Use eCQM Implementation Resources Published
Jan 1 - Dec 31 2021 Implementation Checklist eCQM Annual Update
Jan 1 - Dec 31 2021 *NEW* Telehealth Guidance for eCQMs for Eligible Professional/Eligible Clinician 2021 Quality Reporting Sep 2020
Jan 1 – Dec 31 2021 Guide for Reading eCQMs v6.0 May 2020
Jan 1 - Dec 31 2021 Eligible Clinicians and Eligible Professionals Table of eCQMs v2 Jun 2020
Jan 1 - Dec 31 2021 eCQM Specifications for Eligible Clinicians and Eligible Professionals May 2020
Jan 1 - Dec 31 2021 eCQM Value Sets May 2020
Jan 1 - Dec 31 2021 eCQM Direct Reference Codes List May 2020
Jan 1 - Dec 31 2021 Binding Parameter Specification (BPS) May 2020
Jan 1 – Dec 31 2021 eCQM Logic and Implementation Guidance v4.0 May 2020
Jan 1 - Dec 31 2021 Technical Release Notes May 2020
Jan 1 - Dec 31 2021 Technical Release Notes May 2020
Jan 1 - Dec 31 2021 Standards and tool versions used for performance period May 2020
Jan 1 – Dec 31 2021 eCQM Flows Aug 2020
Jan 1 – Dec 31 2021 2021 Quality Benchmarks Feb 2021
Jan 1 – Dec 31 2021 2021 CMS QRDA III Implementation Guide for Eligible Clinicians and Eligible Professionals Jan 2021
Jan 1 – Dec 31 2021 2021 CMS QRDA III Schematrons and Sample Files Jan 2021
Jan 1 - Dec 31 2021 eCQM Annual Update Pre-Publication Document Oct 2020
2021 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 Telehealth Eligible*
Adult Major Depressive Disorder (MDD): Suicide Risk Assessment CMS161v9 Effective Clinical Care 0104e 107 Prevention, Treatment, and Management of Mental Health Yes
Anti-depressant Medication Management CMS128v9 Effective Clinical Care Not Applicable 009 Prevention, Treatment, and Management of Mental Health Yes
Appropriate Testing for Pharyngitis CMS146v9 Efficiency and Cost Reduction Not Applicable 066 Appropriate Use of Healthcare Yes
Appropriate Treatment for Upper Respiratory Infection (URI) CMS154v9 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 CMS249v3 Efficiency and Cost Reduction 3475e 472 Appropriate Use of Healthcare Yes
Bone density evaluation for patients with prostate cancer and receiving androgen deprivation therapy CMS645v4 Effective Clinical Care Not Applicable 462 Management of Chronic Conditions Yes
Breast Cancer Screening CMS125v9 Effective Clinical Care Not Applicable 112 Preventive Care Yes
Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery CMS133v9 Effective Clinical Care 0565e 191 Management of Chronic Conditions No
Cervical Cancer Screening CMS124v9 Effective Clinical Care Not Applicable 309 Preventive Care Yes
Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment CMS177v9 Patient Safety 1365e 382 Prevention, Treatment, and Management of Mental Health Yes
Childhood Immunization Status CMS117v9 Community/Population Health Not Applicable 240 Preventive Care Yes
Children Who Have Dental Decay or Cavities CMS75v9 Community/Population Health Not Applicable 378 Preventive Care No
Chlamydia Screening for Women CMS153v9 Community/Population Health Not Applicable 310 Preventive Care Yes
Closing the Referral Loop: Receipt of Specialist Report CMS50v9 Communication and Care Coordination Not Applicable 374 Transfer of Health Information and Interoperability Yes
Colorectal Cancer Screening CMS130v9 Effective Clinical Care Not Applicable 113 Preventive Care Yes
Controlling High Blood Pressure CMS165v9 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%) CMS145v9 Effective Clinical Care 0070e 007 Management of Chronic Conditions Yes
Dementia: Cognitive Assessment CMS149v9 Effective Clinical Care 2872e 281 Prevention, Treatment, and Management of Mental Health Yes
Depression Remission at Twelve Months CMS159v9 Effective Clinical Care 0710e 370 Prevention, Treatment, and Management of Mental Health Yes
Diabetes: Eye Exam CMS131v9 Effective Clinical Care Not Applicable 117 Management of Chronic Conditions Yes
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (> 9%) CMS122v9 Effective Clinical Care Not Applicable 001 Management of Chronic Conditions Yes
Diabetes: Medical Attention for Nephropathy CMS134v9 Effective Clinical Care Not Applicable 119 Management of Chronic Conditions Yes
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care CMS142v9 Communication and Care Coordination Not Applicable 019 Transfer of Health Information and Interoperability No
Documentation of Current Medications in the Medical Record CMS68v10 Patient Safety 0419e 130 Medication Management Yes
Falls: Screening for Future Fall Risk CMS139v9 Patient Safety Not Applicable 318 Preventable Healthcare Harm Yes
Follow-Up Care for Children Prescribed ADHD Medication (ADD) CMS136v10 Effective Clinical Care Not Applicable 366 Prevention, Treatment, and Management of Mental Health Yes
Functional Status Assessment for Total Hip Replacement CMS56v9 Person and Caregiver-Centered Experience and Outcomes Not Applicable 376 Functional Outcomes Yes
Functional Status Assessment for Total Knee Replacement CMS66v9 Person and Caregiver-Centered Experience and Outcomes Not Applicable 375 Functional Outcomes Yes
Functional Status Assessments for Congestive Heart Failure CMS90v10 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) CMS135v9 Effective Clinical Care 0081e 005 Management of Chronic Conditions Yes
Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) CMS144v9 Effective Clinical Care 0083e 008 Management of Chronic Conditions Yes
HIV Screening CMS349v3 Community/Population Health Not Applicable 475 Preventive Care Yes
Initiation and Engagement of Alcohol and Other Drug Dependence Treatment CMS137v9 Effective Clinical Care Not Applicable 305 Prevention and Treatment of Opioid and Substance Use Disorders Yes
Oncology: Medical and Radiation - Pain Intensity Quantified CMS157v9 Person and Caregiver-Centered Experience and Outcomes 0384e 143 Management of Chronic Conditions Yes
Pneumococcal Vaccination Status for Older Adults CMS127v9 Community/Population Health Not Applicable 111 Preventive Care Yes
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan CMS69v9 Community/Population Health Not Applicable 128 Preventive Care No
Preventive Care and Screening: Influenza Immunization CMS147v10 Community/Population Health 0041e 110 Preventive Care Yes
Preventive Care and Screening: Screening for Depression and Follow-Up Plan CMS2v10 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 CMS22v9 Community/Population Health Not Applicable 317 Preventive Care No
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS138v9 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 CMS74v10 Effective Clinical Care Not Applicable 379 Preventive Care Yes
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation CMS143v9 Effective Clinical Care 0086e 012 Management of Chronic Conditions No
Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients CMS129v10 Efficiency and Cost Reduction 0389e 102 Appropriate Use of Healthcare No
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS347v4 Effective Clinical Care Not Applicable 438 Management of Chronic Conditions Yes
Urinary Symptom Score Change 6-12 Months After Diagnosis of Benign Prostatic Hyperplasia CMS771v2 Person and Caregiver-Centered Experience and Outcomes Not Applicable 476 Functional Outcomes No
Use of High-Risk Medications in Older Adults CMS156v9 Patient Safety Not Applicable 238 Medication Management Yes
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents CMS155v9 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.