Meaningful Use Requires Reporting Clinical Quality Measures

Physicians must report on nine (of 64) clinical quality measures (CQMs) as part of meaningful use. During Stage 1, this was listed as one of the core measures. For Stage 2, it is no longer listed as a separate measure, but it is still required. 

Physicians can use various reporting options for submission: 

Options that apply only for the electronic health record (EHR) incentive program  

Options that align with other quality programs   

  • Option 3: Report individual eligible professionals' CQMs through the PQRS portal
  • Option 4: Report group's CQMs through the PQRS Portal
  • Option 5: Report group's CQMs through Pioneer ACO participation or Comprehensive Primary Care Initiative participation 

The nine CQMs must be selected from at least three of the six National Quality Strategy domains: 

  • Patient and family engagement (PFE)
  • Patient safety (PS)
  • Care coordination (CC)
  • Population and public health (PPH) 
  • Efficient use of health care resources (HCR)
  • Clinical processes/effectiveness (CPE) 

The Centers for Medicare and Medicaid Services (CMS) has a recommended core set of adult CQMs that may help practices decide which CQMs to report:  

  • Controlling high blood pressure
  • Use of imaging studies for low back pain
  • Preventive care and screening: body mass index screening
  • Use of high-risk medications in the elderly
  • Preventive care and screening: screening for clinical depression
  • Closing the referral loop: receipt of specialist report
  • Preventive care and screening: tobacco use screening and cessation
  • Document of current medications in the medical record
  • Functional status assessment for complex chronic conditions  

More detail about CQMs, including a complete list of the 64 measures and their respective National Quality Strategy domain, may be found on the CMS website

If you have questions related to the EHR meaningful use program, contact TMA's Health Information Technology Department by calling (800) 880-5720 or emailing hit[at]texmed[dot]org.  

Action, Nov. 14, 2014

Last Updated On

October 16, 2015

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