What are the Meaningful Use Stage 1 Clinical Quality Measures?
What are the Meaningful Use Stage 1 Clinical Quality Measures?
An important objective set forth in the Meaningful Use Stage 1 final rule is that eligible professionals and hospitals who participate in the program must be able to record, store, and report clinical quality measures (CQM). In the Meaningful Use Stage 1 final rule, CMS defines CQM as the “processes, experience, and/or outcomes of patient care, observations or treatment that relate to one or more quality aims for health care such as effective, safe, efficient, patient-centered, equitable, and timely care.”
Below is information on how CQM affect various safety net providers found on CMS's Electronic Health Record Incentive Program CQM website.
- Eligible Hospitals and Critical Access Hospitals (CAH)
Below are the Meaningful Use Stage 1 CQM objectives for EPs and hospitals.
- Eligible Professionals
Eligible professionals must report from the table of 44 clinical quality measures which includes, 3 Core, 3 Alternate Core, and 38 additional CQM. - Some of the Meaningful Use Stage 1 CQMs for Eligible Professionals are taken from CMS’s Physician Quality Reporting Initiative (PQRI).
- Core CQMs – Eligible professionals must report on 3 required core CQMs, and if the denominator of 1 or more of the required core measures is 0, then eligible professionals are permitted to report results for up to 3 alternate core measures.
- Eligible Professionals must also select 3 additional CQMs from a set of 38 CQMs (excluding the core/alternate core measures). For these additional measures, it is acceptable to have a '0' denominator provided the EP does not have an applicable population.
Please refer to the diagram below that shows the process for how EPs select Meaningful Use Stage 1 CQMs
