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Clinical Quality Measures Basics

Clinical quality measures, or CQMs, are tools that help measure and track the quality of health care services provided by eligible professionals, eligible hospitals and critical access hospitals (CAHs) within our health care system. These measures use data associated with providers’ ability to deliver high-quality care or relate to long term goals for quality health care. CQMs measure many aspects of patient care including:

  • health outcomes
  • clinical processes
  • patient safety
  • efficient use of health care resources
  • care coordination
  • patient engagements
  • population and public health
  • adherence to clinical guidelines

Measuring and reporting CQMs helps to ensure that our health care system is delivering effective, safe, efficient, patient-centered, equitable, and timely care.

To participate in the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs and receive an incentive payment, providers are required to submit CQM data from certified EHR technology.

To participate in the Medicare and Medicaid EHR Incentive Programs and receive an incentive payment, providers are required to submit CQM data from certified EHR technology.

2014 Clinical Quality Measure Options

In May 2014, CMS released an NPRM that would grant flexibility to providers who are experiencing difficulties fully implementing 2014 Edition certified EHR technology (CEHRT) to attest for the 2014 EHR reporting period. The different 2014 CQM submission options are outlined below.

2011 CEHRT
Providers scheduled to demonstrate Stage 1 or Stage 2 who are still using 2011 Edition CEHRT would use 2013 CQMs.

2011 & 2014 CEHRT
Providers scheduled to demonstrate Stage 1 who are using a combination of 2011 and 2014 Editions would submit 2013 CQMs or 2014 CQMs, depending on which Edition of Stage 1 core and menu objectives they choose to report.

Providers scheduled to demonstrate Stage 2 using combination of 2011 and 2014 Editions could submit 2013 CQMs or 2014 CQMs, depending on which Edition of Stage 1 or Stage 2 core and menu objectives they choose to report.

2014 CEHRT
Providers scheduled to demonstrate Stage 1 or Stage 2 in 2014 who have fully implemented 2014 CEHRT would use 2014 CQMs.

2013 and 2014 CQM Pages

Visit the 2014 Clinical Quality Measure page to learn more about 2014 CQMs and 2014 reporting options.

Visit the 2013 Clinical Quality Measure page to learn more about 2013 CQMs and 2013 reporting options.