Criteria for Reporting Clinical Quality Measures

Criteria for Reporting Clinical Quality Measures 

Beginning in 2014, the reporting of clinical quality measures (CQMs) will change for all providers. EHR technology that has been certified to the 2014 standards and capabilities will contain new CQM criteria, and eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) will report using the new 2014 criteria regardless of whether they are participating in Stage 1 or Stage 2 of the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs. Although clinical quality measure (CQM) reporting has been removed as a core objective for both EPs and eligible hospitals and CAHs, all providers are required to report on CQMs in order to demonstrate meaningful use.

2013

Eligible Professionals (EPs), will continue to report from the 44 measures finalized for Stage 1 in the same schema laid out for Stage 1 -  3 core/alternate core 3 additional measures for EPs

Eligible hospitals and CAHs will continue to report the 15 measures finalized for Stage 1

Beginning in 2012 and continuing in 2013, there are two reporting methods available for reporting the Stage 1

eReporting Pilots: Physician Quality Reporting System EHR Incentive Program Pilot for EPs

eReporting Pilot for eligible hospitals and CAHs

 

2014 and Beyond  

EPs must report on 9 of the 64 approved CQMs Recommended core CQMs – encouraged but not required 9 CQMs for the adult population 9 CQMs for the pediatric population NQF 0018 strongly encouraged since controlling blood pressure is high priority goal in many national health initiatives, including the Million Hearts campaign  

Selected CQMs must cover at least 3 of the National Quality Strategy domains

Eligible Hospitals and CAHs must report on 16 of the 29 approved CQMs Selected CQMs must cover at least 3 of the National Quality Strategy domains  

Beginning in 2014, all Medicare-eligible providers beyond their first year of demonstrating meaningful use must electronically report their CQM data to CMS. (Medicaid EPs and hospitals that are eligible only for the Medicaid EHR Incentive Program will electronically report their CQM data to their state.)