Summary of key points:
- Programs affected by the eCQMs updates
- eCQMs impact on certified Health IT
- Resources for the updated measures
Electronic clinical quality measures (eCQMs) are updated annually by the Centers for Medicare & Medicaid Services (CMS). CMS requires that eligible professionals and hospitals use the most current versions of the eCQMs to be eligible for the Promoting Interoperability (PI) programs. The annual CQMchanges are due to their inclusion of updated codes, logic corrections, and clarifications.
The CMS recently published their annual update of eCQMs for 2019 reporting by Eligible Hospitals (EH), Critical Access Hospitals (CAH), Eligible Professionals (EP), and Eligible Clinicians. These eCQMs are expected to be adopted by various quality reporting programs, including:
- The Medicare Promoting Interoperability Program (formerly known as the Medicare Electronic Health Record (EHR) Incentive Program)
- The Hospital Inpatient Quality Reporting (IQR) Program
- Quality Payment Program: The Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (Advanced APMs)
- Comprehensive Primary Care Plus (CPC+)
Note that the eCQMs will need to be adopted through a notice and comment rulemaking for each program in order for EH/CAH/EPs to report.
How does this impact you?
If you have certified Health IT, you will need to review the updated eCQMs and revise your software to support the new reporting measures. Hospitals, providers, and Promoting Interoperability programs will likely need the updated eCQMs available to them at the beginning of their performance/reporting period.
Where to find the details
The updated measures are available at the eCQI Resource Center and the following links:
- Medicaid Promoting Interoperability Program for Eligible Hospitals and Critical Access Hospitals (formerly the Medicaid Electronic Health Record (EHR) Incentive Program)
- Eligible Hospitals and Critical Access Hospitals: https://ecqi.healthit.gov/eligible-hospital-critical-access-hospital-ecqms
- Eligible Professionals and Eligible Clinicians: https://ecqi.healthit.gov/eligible-professional-eligible-clinician-ecqms
CMS provides an Implementation Checklist, Reading Guide, and many other resources that explain the eCQMs.
How does UL help?
UL is here to help verify that you have implemented the measures correctly. We can perform testing and certification to confirm correct functionality and to assure your clients that the Certified Health IT will meet their needs.