{"id":20638,"date":"2018-12-18T13:34:09","date_gmt":"2018-12-18T18:34:09","guid":{"rendered":"http:\/\/www.carecloud.com\/continuum\/?p=20638"},"modified":"2025-10-24T14:45:54","modified_gmt":"2025-10-24T14:45:54","slug":"electronic-clinical-quality-measures-ecqms","status":"publish","type":"post","link":"https:\/\/carecloud.com\/continuum\/electronic-clinical-quality-measures-ecqms\/","title":{"rendered":"Electronic Clinical Quality Measures (eCQMs) Updates for 2019"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">The Centers for Medicare &amp; Medicaid Services (CMS) have posted the 2019 eCQMs updates including the 2019 reporting period for <\/span><span style=\"font-weight: 400;\">Eligible Hospitals<\/span><span style=\"font-weight: 400;\"> and <\/span><span style=\"font-weight: 400;\">Critical Access Hospitals (CAH)<\/span><span style=\"font-weight: 400;\">, and the 2019 performance period for <\/span><span style=\"font-weight: 400;\">Eligible Professionals<\/span><span style=\"font-weight: 400;\"> and<\/span> <span style=\"font-weight: 400;\">Eligible Clinicians<\/span><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">According to the <\/span><span style=\"font-weight: 400;\">eCQI Resource Center<\/span><span style=\"font-weight: 400;\">: <\/span><\/p>\n<p><span style=\"font-weight: 400;\">eCQMs use detailed clinical data to assess the outcomes of treatment by healthcare providers and organizations, reduce the burden of manual abstraction and reporting for provider organizations and foster the goal of access to real-time data for bedside quality improvement and clinical decision support.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The eCQMs are updated annually by CMS to align with current clinical guidelines to remain useful in the clinical care setting. The updated eCQMs are to be used to report 2019 clinical quality measure data for CMS quality reporting programs. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Per the <\/span><span style=\"font-weight: 400;\">eCQI Resource Center<\/span><span style=\"font-weight: 400;\">, CMS has updated eCQMs for potential inclusion in the following programs:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Comprehensive Primary Care Plus (CPC+)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">The Hospital Inpatient Quality Reporting (IQR) Program<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">The Medicaid Promoting Interoperability Program (formerly known as the Medicaid EHR Incentive Program)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">The Medicare Promoting Interoperability Program (formerly known as the Medicare Electronic Health Record (<\/span><span style=\"font-weight: 400;\">EHR<\/span><span style=\"font-weight: 400;\">) Incentive Program)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Quality Payment Program: The Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (Advanced APMs)<\/span><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400;\">Changes for 2019 Reporting\/Performance \u00a0<\/span><\/h2>\n<h4><strong>Clinical Quality Language Use<\/strong> (CQL)<\/h4>\n<p><span style=\"font-weight: 400;\">in 2019, the reporting CQMs will be expressed with the new CQL standard for logic expression. The <\/span><span style=\"font-weight: 400;\">Quality Data Model<\/span><span style=\"font-weight: 400;\"> will continue to be used as the conceptual model to convey clinical concepts. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Take a look at the current version of the <\/span><span style=\"font-weight: 400;\">CQL standard <\/span><span style=\"font-weight: 400;\">and the <\/span><span style=\"font-weight: 400;\">QDM v5.3 Annotated version<\/span> <span style=\"font-weight: 400;\">to get a feel for how these programs work together to provide eCQMs that can be read by humans and structured for electronic processing. <\/span><\/p>\n<h4><strong>eCQM Reading Guide<\/strong><\/h4>\n<p><span style=\"font-weight: 400;\">Use <\/span><span style=\"font-weight: 400;\">this resource <\/span><span style=\"font-weight: 400;\">to understand eCQMs as it provides information on eCQMs like file naming conventions, QDM data criteria, value sets, and so much more. <\/span><\/p>\n<h2><span style=\"font-weight: 400;\">2019 eCQM Value Set Updates \u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">CMS along with the National Library of Medicine (NLM) will release updates to the electronic clinical quality measure (eCQM) value sets to align with the most recent terminology releases including, but not limited to: <\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Current Procedural Terminology (CPT)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">International Classification of Diseases (ICD)-10 Clinical Modification (CM) <\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">LOINC<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Procedure Coding System (PCS)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">RxNorm<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">SNOMED CT<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">What programs will be affected by the addendum? <\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The addendum was published in September 2018 to update relevant eCQM value sets for the 2019 reporting\/performance year. The following programs will be affected: <\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">CMS Hospital Inpatient Quality Reporting (IQR)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Comprehensive Primary Care Plus (CPC+)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Medicare and Medicaid Promoting Interoperability (PI) programs<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">The Quality Payment Program: Merit-based Incentive Payment System<a href=\"https:\/\/www.carecloud.com\/continuum\/the-top-5-mips-questions-answered\/\"> (MIPS)<\/a> and Advanced Alternative Payment Models (Advanced APMs)<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">What changes are included in the addendum? <\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The changes in the addendum will affect the value sets for eCQMs only. The <\/span><span style=\"font-weight: 400;\">Health Quality Measure Format (HQMF)<\/span><span style=\"font-weight: 400;\"> specifications, the value set object identifiers (OIDs), and the 2019 measure version numbers for eCQM reporting will not change.<\/span> <span style=\"font-weight: 400;\">Changes to the value sets consist of the following:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Deletion of expired codes<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Addition of relevant replacement codes <\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Addition of new codes representing consistent concepts with the intent of the value set and corresponding measures<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">Where to find the addendum \u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The eCQM value set changes are available through the<\/span> <a href=\"https:\/\/vsac.nlm.nih.gov\/download\/\"><span style=\"font-weight: 400;\">NLM\u2019s Value Set Authority Center.<\/span><\/a> <span style=\"font-weight: 400;\">You\u2019ll find the value sets as a complete set, as well as value sets per measure. You can find updated measure information on the<\/span> <span style=\"font-weight: 400;\">eCQI Resource Center<\/span> <span style=\"font-weight: 400;\">website.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">What do I need to do?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Review the changes to assure submissions comply with the updated requirements.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Where do I go for assistance?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Questions about the addendum, eCQM value sets, and mapping appropriateness can be sent to the<\/span> <a href=\"http:\/\/jira.oncprojectracking.org\/browse\/CQM\/\"><span style=\"font-weight: 400;\">ONC eCQM Issue Tracker<\/span><\/a><span style=\"font-weight: 400;\">. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">For more<\/span> <span style=\"font-weight: 400;\">frequently asked questions and answers<\/span> <span style=\"font-weight: 400;\">regarding the addendum, visit the <\/span><a href=\"https:\/\/ecqi.healthit.gov\/\"><span style=\"font-weight: 400;\">eCQI Resource Center<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Where to Find the Measure Specification Updates <\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The 2019 updates can be found on the eCQI Resource Center: <\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/ecqi.healthit.gov\/eligible-hospital-critical-access-hospital-ecqms\"><span style=\"font-weight: 400;\">Eligible Hospitals\/ Critical Access Hospitals<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Eligible Professionals and Eligible Clinicians <\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">2019 eCQM Value Sets can be found on the National Library of Medicines <\/span><a href=\"https:\/\/vsac.nlm.nih.gov\/\"><span style=\"font-weight: 400;\">Value Set Authority Center (VSA). <\/span><\/a><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If you\u2019d like to offer feedback on the updated measures, you can visit the<\/span> <a href=\"https:\/\/oncprojectracking.healthit.gov\/support\/projects\/CQM\/issues\/CQM-3393?filter=allissues\"><span style=\"font-weight: 400;\">eCQM Issue Tracker<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><span style=\"font-weight: 400;\">set up an account, and ask questions or make comments. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Visit the<\/span> <a href=\"https:\/\/ecqi.healthit.gov\/\"><span style=\"font-weight: 400;\">eCQI Resource Center <\/span><\/a><span style=\"font-weight: 400;\">f<\/span><span style=\"font-weight: 400;\">or more information.<\/span><\/p>\n<h4><span style=\"display: none;\" data-sumome-listbuilder-embed-id=\"63167955acecc7c017d1349e21976b34c69d1681cdcbe88c9a25211c5006fd11\">DUMMYTEXT<\/span><strong>Sources: <\/strong><\/h4>\n<ul>\n<li><a href=\"https:\/\/ecqi.healthit.gov\/\"><span style=\"font-weight: 400;\">https:\/\/ecqi.healthit.gov\/<\/span><\/a><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>The Centers for Medicare &amp; Medicaid Services (CMS) have posted the 2019 eCQMs updates including the 2019 reporting period for Eligible Hospitals and Critical Access Hospitals (CAH), and the 2019 performance period for Eligible Professionals and Eligible Clinicians. According to the eCQI Resource Center: eCQMs use detailed clinical data to assess the outcomes of treatment [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":43741,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[389],"tags":[],"class_list":["post-20638","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-resources"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Electronic Clinical Quality Measures (eCQMs) Updates<\/title>\n<meta name=\"description\" content=\"Electronic clinical quality measures (eCQMs) are updated annually by CMS to align with current clinical guidelines to remain useful in the clinical care setting.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/carecloud.com\/continuum\/electronic-clinical-quality-measures-ecqms\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Electronic Clinical Quality Measures (eCQMs) Updates - CareCloud\" \/>\n<meta property=\"og:description\" content=\"The eCQMs are updated annually by CMS to align with current clinical guidelines to remain useful in the clinical care setting. 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