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Eligible Professionals Clinical Quality Measures (CQMs)

Clinical Quality Measures (CQMs) are tools that help measure and track the quality of health care services that Eligible Professionals (EPs), Eligible Hospitals (EHs), and Critical Access Hospitals (CAHs) provide. 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 EHR Provider Incentive Payment Program, health care providers are required to submit eCQM data from certified Electronic Health Record technology (CEHRT) via the attestation process.

For Stage 3, there are 47 CQMs available in Program Year (PY) 2020. All participating EPs are required to report 6 CQMs relevant to their scope of practice. In addition, Medicaid EPs are required to report at least one outcome or high-priority measure.  If there are no outcome or high priority measures relevant to an EP’s scope of practice, EP may report any six relevant measures. All EPs may attest to a 90-day CQM reporting period for 2020 and 2021. The steps to selecting outcome and high priority CQMs are as follows:

Step 1: choose from 6 outcome measures

Step 2: choose from 9 high priority measures

Step 3: choose the remaining measures for a total of 6

  • relevant to your scope of practice and
  • measures that do not have zero denominators.

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