Clinical Quality Measures
EHs in their first year of MU Stage 1 must attest to 16 CQMs of the 29 available found in the Stage 2 Final Rule, and cover 3 of 6 National Quality Domains, and do this for the full fiscal year of 2015 (October 1, 2014 - September 30, 2015.)
In their second year, EHs have two options for meeting the CQM reporting requirements:
OPTION 1: EHs may attest to 16 CQMs covering 3 of the 6 National Quality Domains of the 29 available CQMs found in the Stage 2 Final Rule for the full year of FY15 (October 1, 2014 - September 30, 2015.)
OPTION 2: Per the 2015 IPPS Final Rule, EHs may electronically report patient level data using reporting standard QRDA for 16 CQMs covering 3 of the 6 National Quality Domains of the 29 available CQMs found in the Meaningful Use Stage 2 Final Rule. EHs successfully reporting and meeting all other Meaningful Use and IQR requirements may enter one submission to meet the CQM requirement for both programs.
For this option, CQM Data will be publicly reported on www.HospitalCompare.gov
For this option, EHs must:
Use 2014 CEHRT featuring the latest CQM specification updates. If errors are found in the latest specification updates, EHs must revert to the previous published CQM specifications.
Report CQM data on any of the first three quarters of calendar year 2015, with a submission deadline of November 30th, 2015.
Quarter 1: January 1st -March 30th, 2015
Quarter 2: April 1st June 30th, 2015
Quarter 3: July 1st September 30th, 2015
For this option EHs must submit CQM data as patient level data using the QRDAI transmission standard found in 2014 CEHRT, as prescribed in the CMS IQR Program eReporting System.