CQM Overview

2015 CQM Overview

There have been no changes from 2014 to 2015 CQM reporting scheme.

2014/2015 Criteria

The criteria requires that eligible professionals (EP's) report on a total of 9 clinical quality measures. CMS has created a list of recommended core criteria for both adult and pediatric practices; however it is not required that the provider select all of these recommended criteria for reporting.

Each EP is required to select 9 clinical quality measures and they must cover at least 3 of the National Quality Strategy domains.

Domains

CMS has now assigned domains, established by the National Quality Strategy, in an effort to better align CQM's with other incentive programs, DHS and HIT Policy committees.

Providers must select criteria from at least 3 different National Quality Strategy domains. Each CQM has been assigned one of six different domains, the domain for each criteria is listed within the SOAPware 2014 CQM Manual lesson for each specific measure.

These domains include:

  • Efficient Use of Healthcare Resources
  • Clinical Process/Effectiveness
  • Patient Safety
  • Population/Public Health
  • Patient and Family Engagement
  • Care Coordination

The measures included in the recommended core adult CQM's and recommended core pediatric CQM's contain the required 3 different domains.

Recommended Core: Adult

  • NQF 0018: Controlling High Blood Pressure
  • NQF 0022: Use of High-Risk Medications in the Elderly
  • NQF 0028: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
  • NQF 0052: Use of Imaging Studies for Low Back Pain
  • NQF 0418: Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan
  • NQF 0419: Documentation of Current Medications in the Medical Record
  • NQF 0421:Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up
  • CMS 50v1: Closing the referral loop: receipt of specialist report
  • CMS 90v2: Functional status assessment for complex chronic conditions

Recommended Core: Pediatric

  • NQF 0002: Appropriate Testing for Children with Pharyngitis
  • NQF 0024: Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
  • NQF 0033: Chlamydia Screening for Women
  • NQF 0036: Use of Appropriate Medications for Asthma
  • NQF 0038: Childhood Immunization Status
  • NQF 0069: Appropriate Treatment for Children with Upper Respiratory Infection (URI)
  • NQF 0108: ADHD: Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
  • NQF 0418: Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan
  • CMS 75v1: Children who have dental decay or cavities

2014 CQM Resources

For more detailed information on 2014 CQMs and electronic reporting options, click to view the CMS 2014 Clinical Quality Measures Tipsheet.

SOAPware Meaningful Use 2014 Resource Center

Please contact our Training Department to obtain access to our Meaningful Use 2014 Resource Center that includes SOAPware's comprehensive step-by-step Meaningful Use 2014 Roadmaps and Clinical Quality Measures Roadmap, along with other helpful resources. To request access to our Meaningful Use 2014 Resource Center, please contact our Training Department by submitting at ticket: Training Ticket.