Table 5.

Core Set CQMs (must complete three core or alternate core)

Hypertension: blood pressure measurement Preventive care and screening measure pair: (a) tobacco use assessment, (b) tobacco cessation intervention Adult weight screening and follow-up

Alternate core set CQMs

Weight assessment and counseling for children and adolescents Preventive care and screening: Influenza immunization for patients 50 years old or older Childhood immunization status

Additional set CQM (must complete three of 38)

Diabetes: hemoglobin Alc poor control* Diabetes: low-density lipoprotein (LDL) management and control* Diabetes: blood pressure management Heart failure (HF): angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) therapy for left ventricular systolic dysfunction (LVSD) Coronary artery disease (CAD): beta-blocker therapy for CAD patients with prior myocardial infarction (MI) Pneumonia vaccination status for older adults Breast cancer screening Colorectal cancer screening* Coronary artery disease (CAD): oral antiplatelet therapy prescribed for patients with CAD Heart failure (HF): beta-blocker therapy for left ventricular systolic dysfunction (LVSD) Anti-depressant medication management: (a) effective acute phase treatment, (b) effective continuation phase treatment Primary open angle glaucoma (POAG): optic nerve evaluation Diabetic retinopathy: documentation of presence or absence of macular edema and level of severity of retinopathy Diabetic retinopathy: communication with the physician managing ongoing diabetes care Asthma pharmacologic therapy Asthma assessment Appropriate testing for children with pharyngitis* Oncology breast cancer: hormonal therapy for Stage IC–IIIC estrogen receptor/progesterone receptor (ER/PR) positive breast cancer* Oncology colon cancer: chemotherapy for Stage III colon cancer patients Prostate cancer: avoidance of overuse of bone scan for staging low-risk prostate cancer patients Smoking and tobacco use cessation, medical assistance: (a) advising smokers and tobacco users to quit, (b) discussing smoking and tobacco use cessation medications, (c) discussing smoking and tobacco use cessation strategies Diabetes: eye exam Diabetes: urine screening* Diabetes: foot exam Coronary artery disease (CAD): drug therapy for lowering LDL-cholesterol Heart failure (HF):Warfarin therapy patients with atrial fibrillation Ischemic vascular disease (IVD): blood pressure management Ischemic vascular disease (IVD): use of aspirin or another antithrombotic Initiation and engagement of alcohol and other drug dependence treatment: (a) initiation, (b) engagement Prenatal care: screening for human immunodeficiency virus (HIV)* Prenatal care: anti-D immune globulin* Controlling high-blood pressure Cervical cancer screening* Chlamydia screening for women* Use of appropriate medications for asthma Low-back pain: use of imaging studies Ischemic vascular disease (IVD): complete lipid panel and LDL control* Diabetes: hemoglobin Alc control (<8.0%)*

^*CQMs that include or depend on laboratory testing; CQMs - Clinical quality measures; EHRs - electronic health records. (Source: Medicare and Medicaid EHR Incentive Program Meaningful Use Stage 1 Requirements Overview at www.cms.gov/EHRIncentivePrograms/Downloads/MU_Stage1_ReqOverview.pdf; reference[1])