In the final rule for Stage 2 of Meaningful Use (MU), CMS outlined the timeline for reviewing and publishing updates to the Clinical Quality Measures (CQMs) specifications used in the EHR Incentive Program. CMS determined that the specifications should be updated more frequently than the rulemaking cycle for the EHR Incentive Program in order to ensure that specifications maintain alignment with current clinical guidelines and ensure that the CQM remains relevant and actionable within the clinical care setting.
CMS strongly encourages the implementation and use of the updates to the electronic specifications of the CQMs finalized in the Stage 2 rule since those updates include new codes and logic corrections and clarifications. However, CMS will accept all versions of the CQMs for MU, beginning with those finalized in the December 4, 2012 CMS-ONC Interim Final Rule and including all annual updates until the Stage 3 rulemaking and the establishment of a new edition of certification criteria for EHR technology.
- December 2012 – Interim Final Rule and eCQM Publication.
Publication of finalized specifications for 2014 CQMs for use in the Medicare and Medicaid EHR Incentive Program by both eligible professionals and eligible hospitals. These are the specifications which represent the minimum requirement for a system to receive certification for the EHR Incentive Program
- April 2013 – Annual Update for Eligible Hospital Electronic Specifications.
- June 2013 – Annual Update for Eligible Professional Electronic Specifications
2014 CQM EP
December 2012 Release:
June 2013 Release:
- Table of 2014 EP Measure Versions
- 2014 eCQM Specifications for EP Release June 2013
- Technical Release Notes 2014 eCQM for EP Release June 2013
- 2014 eCQM Measure Logic Guidance v1.5 Release June 2013
- 2014 eCQM Measure Logic Flows for EPs June 2013 1 of 2
- 2014 eCQM Measure Logic Flows for EPs June 2013 2 of 2
2014 CQM EH
December 2012 Release:
April 2013 Release:
Includes information related to the 2013 Annual Updates to eCQMs
Includes information for the Physician Quality Reporting System (PQRS), Comprehensive Primary Care (CPC) initiative, CMS EHR Incentive Program, and Pioneer ACO Program.
Value Set Authority Center
The National Library of Medicine (NLM) maintains the NLM Value Set Authority Center (VSAC). The VSAC provides downloadable access to all official versions of vocabulary value sets contained in the 2014 Clinical Quality Measures. Access to the Value Set Authority Center requires a free Unified Medical Language System® Metathesaurus License (available at https://uts.nlm.nih.gov/license.html). It is expected that any use of value sets is consistent with these licensing requirements and copyright protections.
For a one-stop shop, see the USHIK meaningful use portal where you can readily view, easily download, and accurately compare the 2014 CQMs, data elements, value sets, and codes released in December 2012 with those released in April 2013. Each release is available in one file, formatted in Excel, csv, or XML. This site is produced by the Agency for Healthcare Research and Quality in partnership with CMS and the National Library of Medicine.
JIRA Clinical Quality Measure specification Feedback System
CMS and ONC have developed a tool for vendors to use to submit issues with eCQM logic, review FAQs, obtain clarification on specifications, and ask questions regarding eCQM certification.
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