Eligible Clinician eCQMs

eCQM Resources
EC eCQMs
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2021 Performance Period Eligible Clinician Resources

eCQM Resources	Short Description	Published
Implementation Checklist eCQM Annual Update	Implementation checklist	--
Telehealth Guidance for eCQMs for Eligible Clinician 2021 Quality Reporting	List of eCQMs eligible clinicians can use for a telehealth visit	Sep 2020
Guide for Reading eCQMs v6.0	Assists implementers and measured entities with how to read eCQM specifications	May 2020
Eligible Clinicians Table of eCQMs v2	List of eCQMs available for use	Jun 2020
eCQM Specifications for Eligible Clinicians	eCQM technical specifications	May 2020
eCQM and Hybrid Measure Value Sets	Value sets used with eCQMs and Hybrid Measures	May 2020
eCQM Direct Reference Codes List	eCQM Direct Reference Codes used in eCQMs	May 2020
Binding Parameter Specification (BPS) (ZIP)	Value set metadata	May 2020
eCQM Logic and Implementation Guidance v4.0	Assists implementers and measured entities with information on how to use eCQMs and report issues	May 2020
Technical Release Notes	Year over year changes to eCQM logic and terminology	May 2020
Technical Release Notes	Year over year changes to eCQM logic and terminology	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	May 2020
eCQM Flows	Assists implementers and measured entities with steps to take to calculate an eCQM	Aug 2020
2021 Quality Benchmarks	What CMS uses to calculate MIPS measure scores	Jun 2021
2021 CMS QRDA III Implementation Guide for Eligible Clinicians	Format for reporting eCQMs to CMS	May 2021
2021 CMS QRDA III Schematrons and Sample Files	Rules to validate eCQM reports with samples	May 2021
eCQM Annual Update Pre-Publication Document	Standards and code system versions for the eCQM Annual Update	Oct 2020

2021 Performance Period Eligible Clinician eCQMs
Total number of EC eCQMs: 47

Title	CMS eCQM ID	NQF Number	MIPS Quality ID	Telehealth Eligible*	Notes
Adult Major Depressive Disorder (MDD): Suicide Risk Assessment	CMS161v9	0104e	107	Yes
Anti-depressant Medication Management	CMS128v9	Not Applicable	009	Yes
Appropriate Testing for Pharyngitis	CMS146v9	Not Applicable	066	Yes
Appropriate Treatment for Upper Respiratory Infection (URI)	CMS154v9	Not Applicable	065	Yes
Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture	CMS249v3	3475e	472	Yes
Bone density evaluation for patients with prostate cancer and receiving androgen deprivation therapy	CMS645v4	Not Applicable	462	Yes
Breast Cancer Screening	CMS125v9	Not Applicable	112	Yes
Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery	CMS133v9	0565e	191	No
Cervical Cancer Screening	CMS124v9	Not Applicable	309	Yes
Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment	CMS177v9	1365e	382	Yes
Childhood Immunization Status	CMS117v9	Not Applicable	240	Yes
Children Who Have Dental Decay or Cavities	CMS75v9	Not Applicable	378	No
Chlamydia Screening for Women	CMS153v9	Not Applicable	310	Yes
Closing the Referral Loop: Receipt of Specialist Report	CMS50v9	Not Applicable	374	Yes
Colorectal Cancer Screening	CMS130v9	Not Applicable	113	Yes
Controlling High Blood Pressure	CMS165v9	Not Applicable	236	Yes
Coronary Artery Disease (CAD): Beta-Blocker Therapy-Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF less than 40%)	CMS145v9	0070e	007	Yes	*Note: There is a known issue on CMS145v9. See issue EKI-12 on the ONC eCQM Known Issues Dashboard for details.
Dementia: Cognitive Assessment	CMS149v9	2872e	281	Yes
Depression Remission at Twelve Months	CMS159v9	0710e	370	Yes
Diabetes: Eye Exam	CMS131v9	Not Applicable	117	Yes
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (> 9%)	CMS122v9	Not Applicable	001	Yes
Diabetes: Medical Attention for Nephropathy	CMS134v9	Not Applicable	119	Yes
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care	CMS142v9	Not Applicable	019	No
Documentation of Current Medications in the Medical Record	CMS68v10	0419e	130	Yes
Falls: Screening for Future Fall Risk	CMS139v9	Not Applicable	318	Yes
Follow-Up Care for Children Prescribed ADHD Medication (ADD)	CMS136v10	Not Applicable	366	Yes
Functional Status Assessment for Total Hip Replacement	CMS56v9	Not Applicable	376	Yes
Functional Status Assessment for Total Knee Replacement	CMS66v9	Not Applicable	375	Yes
Functional Status Assessments for Congestive Heart Failure	CMS90v10	Not Applicable	377	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	0081e	005	Yes
Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)	CMS144v9	0083e	008	Yes
HIV Screening	CMS349v3	Not Applicable	475	Yes
Initiation and Engagement of Alcohol and Other Drug Dependence Treatment	CMS137v9	Not Applicable	305	Yes
Oncology: Medical and Radiation - Pain Intensity Quantified	CMS157v9	0384e	143	Yes
Pneumococcal Vaccination Status for Older Adults	CMS127v9	Not Applicable	111	Yes
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	CMS69v9	Not Applicable	128	No	*Note: There is a known issue on CMS69v9. See issue EKI-13 on the ONC eCQM Known Issues Dashboard for details. See CMS 2021 Suppressed MIPS Quality Measure for guidance.
Preventive Care and Screening: Influenza Immunization	CMS147v10	0041e	110	Yes
Preventive Care and Screening: Screening for Depression and Follow-Up Plan	CMS2v10	0418e	134	Yes
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	CMS22v9	Not Applicable	317	No
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	CMS138v9	0028e	226	Yes
Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists	CMS74v10	Not Applicable	379	Yes
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation	CMS143v9	0086e	012	No
Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients	CMS129v10	0389e	102	No
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	CMS347v4	Not Applicable	438	Yes
Urinary Symptom Score Change 6-12 Months After Diagnosis of Benign Prostatic Hyperplasia	CMS771v2	Not Applicable	476	No
Use of High-Risk Medications in Older Adults	CMS156v9	Not Applicable	238	Yes
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents	CMS155v9	Not Applicable	239	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 as specified and intended for the applicable performance/reporting periods for all quality reporting programs.

CMS defines the performance period for eligible clinicians as the measure data capture period of the calendar year between January 1 and December 31. Eligible clinicians should use the updated eCQMs 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.

In 2021, CMS updated eCQMs for these programs:

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