The Centers for Medicare & Medicaid Services (CMS) (@CMSGov) developed and published the 2019 performance period electronic clinical quality measure (eCQM) flows for eligible clinicians and eligible professionals (EPs) to the eCQI Resource Center. The eCQM flows are designed to assist in interpretation of the eCQM logic and calculation methodology for performance rates. eCQM flows provide an overview of each of the population criteria components and associated data elements that lead to the inclusion or exclusions into the eCQM’s quality action (numerator).
eCQM flows supplement eCQM specifications for eligible clinicians and EPs for the following programs:
- Quality Payment Program: Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (Advanced APMs)
- Comprehensive Primary Care Plus (CPC+)
- The Promoting Interoperability Programs
These flows are intended to be used as an additional resource when implementing eCQMs and should not be used in place of the eCQM specification or for reporting purposes.
CMS plans to publish flows for eligible hospital and critical access hospital (CAH) eCQMs in September. This will be a new resource for EH and CAH eCQMs for 2019 reporting, developed in response to stakeholder feedback.
Questions on the eCQM flows should be directed to the ONC eCQM Issue Tracker.