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Recommended Core Measures

For 2014, CMS is not requiring the submission of a core set of CQMs.  Instead we identify two recommended core sets of CQMs, one for adults and one for children.  We encourage eligible professionals to report from the recommended core set to the extent those CQMs are applicable to your scope of practice and patient population.

Measure Selection Process
CMS selected the recommended core set of CQMs for EPs based on analysis of several factors:

  • Conditions that contribute to the morbidity and mortality of the most Medicare and Medicaid beneficiaries
  • Conditions that represent national public health priorities
  • Conditions that are common to health disparities
  • Conditions that disproportionately drive healthcare costs and could improve with better quality measurement
  • Measures that would enable CMS, States, and the provider community to measure quality of care in new dimensions, with a stronger focus on parsimonious measurement
  • Measures that include patient and/or caregiver engagement

 

Adult Recommended Core Measures

  • Controlling High Blood Pressure
  • Use of High-Risk Medications in the Elderly
  • Preventive Care and Screening:  Tobacco Use:  Screening and Cessation Intervention
  • Use of Imaging Studies for Low Back Pain
  • Preventive Care and Screening:  Screening for Clinical Depression and Follow-Up Plan
  • Documentation of Current Medications in the Medical Record
  • Preventive Care and Screening:  Body Mass Index (BMI) Screening and Follow-Up
  • Closing the referral loop: receipt of specialist report
  • Functional status assessment for complex chronic conditions

Full Table of Recommended Adult Measures

Pediatric Recommended Core Measures

  • Appropriate Testing for Children with Pharyngitis
  • Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
  • Chlamydia Screening for Women
  • Use of Appropriate Medications for Asthma
  • Childhood Immunization Status
  • Appropriate Treatment for Children with Upper Respiratory Infection (URI)
  • ADHD:  Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
  • Preventive Care and Screening:  Screening for Clinical Depression and Follow-Up Plan 
  • Children who have dental decay or cavities

Full Table of Recommended Pediatric Measures