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Clinical Quality Measures through 2013

In 2013, reporting requirements for CQMs for the EHR Incentive Program will remain the same .  

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  

In 2012 and 2013, there will be two options for CQM reporting:

Electronic Reporting Pilots
Participation in the electronic reporting pilots is voluntary and enables EPs, eligible hospitals, and CAHs to satisfy the Medicare EHR Incentive Program requirements for reporting CQMs for the 2012 and 2013 payment years. EPs, eligible hospitals, and CAHs that choose not to participate in one of the pilots will be able to continue to use attestation for reporting CQMs for payment years 2012 and 2013.

Using Certified EHR Technology (CEHRT) Certified to the 2014 Edition Certification Criteria in 2013

EPs, eligible hospitals, and CAHs have the flexibility to implement CEHRT certified to the 2014 Edition certification criteria finalized by the Office of the National Coordinator for Health IT (ONC) for the 2013 EHR reporting period. EPs, eligible hospitals, and CAHs can report via attestation CQMs included in both Stage 1 and Stage 2 final rules.

  • For eligible hospitals and CAHs, this includes all 15 CQMs included in the Stage 1 final rule. Therefore, all 15 CQMs could be available to the eligible hospitals and CAHs for reporting for FY2013 if the CEHRT certified to the 2014 Edition certification criteria has been certified for each of those 15 CQMs.
  • For EPs, only 32 of the 44 CQMs included in the Stage 1 final rule are included in the Stage 2 final rule. Therefore, EPs who implement CEHRT certified to the 2014 Edition certification criteria in CY2013 have 12 fewer CQMs from which to select. Therefore, EPs can only select from the 32 CQMs that are included in both the Stage 1 and Stage 2 final rules, and the CEHRT must be specifically certified for each CQM that the EP will report.
    • The 12 CQMs that will not be available in CY2013 for EPs that implement CEHRT certified to the 2014 Edition certification criteria are:
      • NQF 0013, 0027, 0084 (retired)
      • NQF 001, 0012, 0014, 0047, 0061, 0067, 0073, 0074, 0575 (not finalized based on public comment)
    • Since NQF 0013 is a core CQM in the Stage 1 final rule, an alternate core CQM must be reported instead since it will not be certified based on 2014 Edition certification criteria.