Clinical Quality Measures
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Quality Measures Requirements
Eligible participants must report data on any six quality measures related to their scope of practice, including one outcome measure or one high-priority measure. If no outcome or high priority measures are relevant, they may report on any six relevant measures.
The reporting period is the full calendar year, except for first time participants whom are required to attest for any continuous 90 days within the first year of their participation. Attestation and submission options vary by state, therefore, eligible providers should check with their state for submission requirements and deadlines.
Quality Measures:
- CMS 128 - Anti-depressant Medication Management
- CMS 146 - Appropriate Testing for Children with Pharyngitis
- CMS 154 - Appropriate Treatment for Children with Upper Respiratory Infection (URI)
- CMS 125 - Breast Cancer Screening
- CMS 117 - Childhood Immunization Status
- CMS 75 - Children Who Have Dental Decay or Cavities
- CMS 153 - Chlamydia Screening for Women
- CMS 50 - Closing the Referral Loop: Receipt of Specialist Report
- CMS 130 - Colorectal Cancer Screening
- CMS 165 - Controlling High Blood Pressure
- CMS 131 - Diabetes: Eye Exam
- CMS 122 - Diabetes: Hemoglobin A1c (HbA1c) Poor Control (9.0%)
- CMS 68 - Documentation of Current Medications in the Medical Record
- CMS 135 - Heart Failure: Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic
- CMS 144 - Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)
- CMS 127 - Pneumonia Vaccination Status for Older Adults
- CMS 147 - Preventive Care & Screening: Influenza Immunization
- CMS 2 - Preventive Care & Screening: Screening for Clinical Depression and Follow-up Plan
- CMS 138 - Preventive Care & Screening: Tobacco Use: Screening and Cessation Intervention
- CMS 69 - Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-up Plan
- CMS 156 - Use of High-Risk Medications in Older Adults
- CMS 155 - Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents