Now Available: 2020 Eligible Clinician Electronic Clinical Quality Measure Flows

The Centers for Medicare & Medicaid Services (CMS) developed and published the 2020 performance period electronic clinical quality measure (eCQM) flows for eligible clinicians and eligible professionals 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 eligible professionals for the following programs:

  • Quality Payment Program: The Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (Advanced APMs)
  • Advanced APM: Comprehensive Primary Care Plus (CPC+)
  • Medicaid Promoting Interoperability Program for Eligible Professionals

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.

Questions on the eCQM flows should be directed to the ONC Project Tracking System eCQM Issue Tracker.

About Author

Healthcentric Advisors
As the New England Quality Payment Program Support Center, Healthcentric Advisors assists New England-based physician and other eligible clinical practices to prepare for and participate in the new Quality Payment Program (QPP), established by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).