The Centers for Medicare & Medicaid Services (CMS) has published the 2020 reporting period electronic clinical quality measure (eCQM) flows for eligible hospitals and critical access hospitals (CAHs) to the Electronic Clinical Quality Improvement (eCQI) Resource Center.
The eCQM flows are designed to assist in interpretation of the eCQM logic and calculation methodology for reporting rates. These flows provide an overview of each of the population criteria components and associated data elements that lead to the inclusion or exclusions into the eCQM’s quality action (numerator).
The eCQM flows supplement eCQM specifications for eligible hospitals and CAHs for the following programs:
- Hospital Inpatient Quality Reporting (IQR) Program
- Medicaid Promoting Interoperability Program for Eligible Hospitals and Critical Access Hospitals
- Medicare Promoting Interoperability Program for Eligible Hospitals and Critical Access Hospitals
These flows are intended to be used as an additional resource when implementing eCQMs and should not be used in place of the eCQM specification or for reporting purposes. A “Read Me First” guide to understanding the flows is also available to assist users as they navigate the flows. The guide can be found on the eCQI Resource Center website within the eCQM flows zip file.