2018 Quality Measure Certification

Following is the list of 2018 performance period e-clinical quality measures (EP/EC eCQMs):

2018 Quality MeasureCMS referenceDomainStatusDH Release
Closing the Referral Loop: Receipt of Specialist ReportCMS050v6Comm. and Care Coord.In progresstbd
Childhood Immunization StatusCMS117v6Community/Pop. HealthIn progresstbd
Chlamydia Screening for WomenCMS153v6Community/Pop. HealthIn progresstbd
Maternal Depression ScreeningCMS082v5Community/Pop. HealthCertified3.17
Pneumococcal Vaccination Status for Older AdultsCMS127v6Community/Pop. HealthCertified3.17
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up PlanCMS69v6Community/Pop. HealthIn progresstbd
Preventive Care and Screening: Influenza ImmunizationCMS147v7Community/Pop. HealthIn progresstbd
Preventive Care and Screening: Screening for Depression and Follow-Up PlanCMS2v7Community/Pop. HealthCertified3.23
Preventive Care and Screening: Tobacco Use: Screening and Cessation InterventionCMS138v6Community/Pop. HealthCertified3.33
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and AdolescentsCMS155v6Community/Pop. HealthCertified3.24
Anti-depressant Medication ManagementCMS128v6Effective Clinical CareCertified3.17
Breast Cancer ScreeningCMS125v6Effective Clinical CareCertified3.17
Cervical Cancer ScreeningCMS124v6Effective Clinical CareCertified3.17
Colorectal Cancer ScreeningCMS130v6Effective Clinical CareCertified3.17
Controlling High Blood PressureCMS165v6Effective Clinical CareCertified3.23
Coronary Artery Disease (CAD): Beta-Blocker Therapy-Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <40%)CMS145v6Effective Clinical CareIn progresstbd
Dementia: Cognitive AssessmentCMS149v6Effective Clinical CareIn progresstbd
Depression Remission at Twelve MonthsCMS159v6Effective Clinical CareIn progresstbd
Depression Utilization of the PHQ-9 ToolCMS160v6Effective Clinical CareIn progresstbd
Diabetes: Eye ExamCMS131v6Effective Clinical CareCertified3.17
Diabetes: Foot ExamCMS123v6Effective Clinical CareCertified3.17
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (> 9%)CMS122v6Effective Clinical CareCertified3.17
Diabetes: Medical Attention for NephropathyCMS134v6Effective Clinical CareCertified3.23
Follow-Up Care for Children Prescribed ADHD Medication (ADD)CMS136v7Effective Clinical CareIn progresstbd
Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD)CMS135v6Effective Clinical CareIn progresstbd
Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)CMS144v6Effective Clinical CareCertified3.24
Hypertension: Improvement in Blood PressureCMS65v7Effective Clinical CareIn progresstbd
Initiation and Engagement of Alcohol and Other Drug Dependence TreatmentCMS137v6Effective Clinical CareIn progresstbd
Ischemic Vascular Disease (IVD): Use of Aspirin or Another AntiplateletCMS164v6Effective Clinical CareIn progresstbd
Primary Caries Prevention Intervention as Offered by Primary Care Providers, including DentistsCMS74v7Effective Clinical CareCertified3.17
Appropriate Testing for Children with PharyngitisCMS146v6Efficiency and Cost ReductionIn progresstbd
Appropriate Treatment for Children with Upper Respiratory Infection (URI)CMS154v6Efficiency and Cost ReductionCertified3.33
Use of Imaging Studies for Low Back PainCMS166v7Efficiency and Cost ReductionIn progresstbd
Documentation of Current Medications in the Medical RecordCMS68v7Patient SafetyIn progresstbd
Falls: Screening for Future Fall RiskCMS139v6Patient SafetyCertified3.33
Use of High-Risk Medications in the ElderlyCMS156v6Patient SafetyIn progresstbd
Functional Status Assessments for Congestive Heart FailureCMS90v7Person and Caregiver Exp. and Out.In progresstbd

In addition, Diameter Health is working with the NCQA to co-develop 2 new measures:

  • cms 633 v1 – Diabetes Care for People with Serious Mental Illness; Hemoglobin A1c (HbA1c) Poor Control (>9.0%)
  • cms 635 v1 – Controlling High Blood Pressure for People with Serious Mental Illness
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