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FLAACOs panel with great conversation featuring David Clain, David Klebonis, Marsha Boggess, and Tim Koelher. CMS Measures - Fiscal Year 2022 Measure ID Measure Name. If a measure can be reliably scored against abenchmark, it means: Six bonus points are added to the Quality performance category score for clinicians who submit at least 1 APP quality measure. Lawrence Memorial Hospital Snf: Data Analysis and Ratings The current nursing home quality measures are: Short Stay Quality Measures Percent of Short-Stay Residents Who Were Re-Hospitalized after a Nursing Home Admission Percent of Short-Stay Residents Who Have Had an Outpatient Emergency Department Visit Percent of Residents Who Newly Received an Antipsychotic Medication ) Other eCQM resources, including the Guide for Reading eCQMs, eCQM Logic and Implementation Guidance, tables of eCQMs, and technical release notes, are also available at the same locations. Each measure is awarded points based on where your performance falls in comparison to the benchmark. It is not clear what period is covered in the measures. Dear State Medicaid Director: The Centers for Medicare & Medicaid Services (CMS) and states have worked for decades to . Admission Rates for Patients Over time, it will be necessary to present more than one version of the manual on this Web page so that a specific data collection time period (i.e., based on . 0000108827 00000 n
A unified approach brings us all one step closer to the health care system we envision for every individual. The success of this Strategy relies on coordination, innovative thinking, and collaboration across all entities. We have also recalculated data for the truncated measures. 07.11.2022 The Centers for Medicare and Medicaid Services ("CMS") issued its 2022 Strategic Framework ("CMS Strategic Framework") on June 8, 2022[1]. Today, the Core Quality Measures Collaborative (CQMC) released four updated core measure sets covering specific clinical areas as part of its mission to provide useful quality metrics as the nation's health care system moves from one that pays based on volume of services to one that pays for value. 749 0 obj
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You can decide how often to receive updates. The 1,394 page final rule contains many changes that will take place in the 2022 ASCQR performance year and beyond. Measure specifications are available by clicking on Downloads or Related Links Inside CMS below. Share sensitive information only on official, secure websites. CMS is looking for your feedback and participation in the quality measurement community, so please join us during the webinar to learn what we are doing and how you can be a part of the process! A digital version of a patients paper chart, sometimes referred to as an electronic medical record (EMR). Official websites use .govA Choose and report 6 measures, including one Outcome or other High Priority measure for the . CMS manages quality programs that address many different areas of health care. If youre submitting eCQMs, both EHR systems must meet the 2015 EditionCEHRTcriteria, the 2015 Edition Cures Update criteria, or a combination of both. The key objectives of the project are to: In addition to maintenance of previously developed medication measures, the new measures to be developed under this special project support QIO patient safety initiatives by addressing topics, such as the detection and prevention of medication errors, adverse drug reactions, and other patient safety events. Quality: Traditional MIPS Requirements - QPP - Centers For Medicare . lock Now available! These coefficients were previously contained in Chapter 4 of the MDS QM Users Manual V14.0 but have been moved to the Risk Adjustment Appendix File forMDS 3.0 Quality Measure Users Manual V15.0. 0000134916 00000 n
CMS Measures Under Consideration 2022 Call For Measures This is not the most recent data for St. Anthony's Care Center. We determine measure achievement points by comparing performance on a measure to a measure benchmark. A measure benchmark is a point of reference used for comparing your Quality or Cost performance to that of other clinicians on a given Quality or Cost measure. Maintain previously developed medication measures and develop new medication measures with the potential for National Quality Forum (NQF) endorsement; Adapt/specify existing NQF-endorsed medication measures and develop new measures for implementation in CMS reporting programs, such as: The Hospital Inpatient Quality Reporting (IQR) Program. Data date: April 01, 2022. After announcing the FY 2022 Hospice Final Rule, CMS hosted an online forum to provide details and need-to-know info on the Hospice Quality Reporting Program (HQRP) - specifically addressing the new Hospice Quality Measure Specifications User's Manual v1.00 (QM User Manual) and the forthcoming changes to two of the program's four quality metrics endstream
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PDF 2022 Electronic Clinical Quality Measures for Eligible Professionals One file related to the MDS 3.0 QM Users Manual has been posted: The current nursing home quality measures are: * These measures are not publicly reported but available for provider preview. To learn about Quality requirements under the APM Performance Pathway (APP), visitAPP Quality Requirements. standardized Hospital This table shows measures that are topped out. 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Reports, https://battellemacra.webex.com/battellemacra/onstage/g.php?MTID=ea6790ccacf388df754e44783d623fc7f, https://battellemacra.webex.com/battellemacra/onstage/g.php?MTID=eeb8a20586920854654d3d5a73bbdedba, End-Stage Renal Disease (ESRD) Quality Initiative, Electronic Prescribing (eRx) Incentive Program. For the most recent information, click here. 66y% The time period for which CMS assesses a clinician, group, virtual group, or APM Entitys performance in MIPS. There are 6 collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs) MIPS Clinical Quality Measures (CQMs) We are excited to offer an opportunity to learn about quality measures. 2022 COLLECTION TYPE: MIPS CLINICAL QUALITY MEASURES (CQMS) MEASURE TYPE: Process . The Centers for Medicare & Medicaid Services (CMS) first adopted the measures and scoring methodology for the Hospital-Acquired Condition (HAC) Reduction Program in the fiscal year (FY) 2014 Inpatient Prospective Payment System (IPPS)/Long-Term Care Hospital Prospective Payment System (LTCH PPS) final rule. 414 KB. Click on Related Links below for more information. 0000008598 00000 n
Users of the site can compare providers in several categories of care settings. Preventive Care and Screening: Tobacco Use: Screening and Cessation APM Entities (SSP ACOs) will not need to register for CAHPS. The Centers for Medicare & Medicaid Services (CMS) has contracted with FMQAI to provide services for the Medication Measures Special Innovation Project. Westfield Quality Care of Aurora: Data Analysis and Ratings Performance Year Select your performance year. Heres how you know. & IXkj 8e!??LL _3fzT^AD!WqZVc{RFFF%PF
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7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, MDS 3.0 for Nursing Homes and Swing Bed Providers, The Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program, MDS_QM_Users_Manual_V15_Effective_01-01-2022 (ZIP), Quality-Measure-Identification-Number-by-CMS-Reporting-Module-Table-V1.8.pdf (PDF), Percent of Short-Stay Residents Who Were Re-Hospitalized after a Nursing Home Admission, Percent of Short-Stay Residents Who Have Had an Outpatient Emergency Department Visit, Percent of Residents Who Newly Received an Antipsychotic Medication, Changes in Skin Integrity Post-Acute Care: Pressure Ulcer/Injury, Percent of Residents Who Made Improvements in Function, Percent of Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine, Percent of Residents Who Received the Seasonal Influenza Vaccine*, Percent of Residents Who Were Offered and Declined the Seasonal Influenza Vaccine*, Percent of Residents Who Did Not Receive, Due to Medical Contraindication, the Seasonal Influenza Vaccine*, Percent of Residents Who Were Assessed and Appropriately Given the Pneumococcal Vaccine, Percent of Residents Who Received the Pneumococcal Vaccine*, Percent of Residents Who Were Offered and Declined the Pneumococcal Vaccine*, Percent of Residents Who Did Not Receive, Due to Medical Contraindication, the Pneumococcal Vaccine*, Number of Hospitalizations per 1,000 Long-Stay Resident Days, Number of Outpatient Emergency Department Visits per 1,000 Long-Stay Resident Days, Percent of Residents Who Received an Antipsychotic Medication, Percent of Residents Experiencing One or More Falls with Major Injury, Percent of High-Risk Residents with Pressure Ulcers, Percent of Residents with a Urinary Tract Infection, Percent of Residents who Have or Had a Catheter Inserted and Left in Their Bladder, Percent of Residents Whose Ability to Move Independently Worsened, Percent of Residents Whose Need for Help with Activities of Daily Living Has Increased, Percent of Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine, Percent of Residents Assessed and Appropriately Given the Pneumococcal Vaccine, Percent of Residents Who Were Physically Restrained, Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder, Percent of Residents Who Lose Too Much Weight, Percent of Residents Who Have Symptoms of Depression, Percent of Residents Who Used Antianxiety or Hypnotic Medication. When organizations, such as physician specialty societies, request that CMS consider . (December 2022 errata) . The guidance is available on theeCQI Resource Center under the 2022 Performance Period in theTelehealth Guidance for eCQMs for Eligible Professional/Eligible Clinician 2022 Quality Reporting document and with the Eligible Professionals and Eligible Clinicians table of eCQMs on the Eligible Professionals and Eligible Clinician page for the 2022 Performance Period. CMIT is an interactive web-based application with intuitive and user-friendly functions for quickly searching through the CMS Measures Inventory. As finalized in the CY 2022 Physician Fee Schedule Final Rule, the 2022 performance period will be the last year the CMS Web Interface will be available for quality measure reporting through traditional MIPS. As CMS moves forward with the Universal Foundation, we will be working to identify foundational measures in other specific settings and populations to support further measure alignment across CMS programs as applicable. CMS eCQM ID. 0000009240 00000 n
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Controlling High Blood Pressure. (This measure is available for groups and virtual groups only). or This bonus is not added to clinicians or groups who are scored under facility-based scoring. 0000000016 00000 n
Lawrence Memorial Hospital Snf Violations, Complaints and Fines These are complaints and fines that are reported by CMS. ( CMS122v10. Management | Business Analytics | Project Management | Marketing | Agile Certified | Tableau Passionate about making the world a better place, I love . 2022 Performance Period. You can also download a spreadsheet of the measure specifications for 2022. QualityNet Home support increased availability and provision of high-quality Home and Community-Based Services (HCBS) for Medicaid beneficiaries. To report questions or comments on the eCQM specifications, visit the eCQM Issue Tracker.
The eCQI Resource Center includes information about CMS hybrid measures for Eligible Hospitals and CAHs. Controlling High Blood Pressure | eCQI Resource Center Where to Find the 2022 eCQM Value Sets, Direct Reference Codes, and Terminology. Build a custom email digest by following topics, people, and firms published on JD Supra. 0000134663 00000 n
These updated eCQMs are to be used to electronically report 2022 clinical quality measure data for CMS quality reporting programs. Sign up to get the latest information about your choice of CMS topics. Crucial, Up-to-date Data for Verrazano Nursing and Post-Acute Center (For example, electronic clinical quality measures or Medicare Part B claims measures.). It meets the data completeness requirement standard, which is generally 70%. The updated eCQM specifications are available on the Electronic Clinical Quality Improvement (eCQI) Resource Center for Eligible Hospitals and CAHs and Eligible Professionals and Eligible Clinicians pages under the 2022 Reporting/Performance Year. This rule will standardize when and how hospitals report inpatient hyperglycemia and inpatient hypoglycemia and will directly impact how hospitals publicly rank according to these . RM?.I?M=<=7fZnc[i@/E#Z]{p-#5ThUV -N0;D(PT%W;'G\-Pcy\cbhC5WFIyHhHu
The Centers for Medicare & Medicaid Services (CMS) has posted the electronic clinical quality measure ( eCQM) specifications for the 2022 reporting period for Eligible Hospitals and Critical Access Hospitals (CAHs), and the 2022 performance period for Eligible Professionals and Eligible Clinicians. To further the goals of the CMS National Quality Strategy, CMS leaders from across the Agency have come together to move towards a building-block approach to streamline quality measure across CMS quality programs for the adult and pediatric populations. 0000109498 00000 n
Updated eCQM Specifications and eCQM Materials for 2022 Reporting Now Available, Eligible Hospital / Critical Access Hospital eCQMs, FHIR - Fast Healthcare Interoperability Resources, QRDA - Quality Reporting Document Architecture, Eligible Professionals and Eligible Clinicians. Practices (groups) reporting through the APM Performance Pathway must register for the CAHPS for MIPS survey. Address: 1313 1ST STREET. CMS has updated eCQMs for potential inclusion in these programs: Where to Find the Updated eCQM Specifications and Materials. Clinical Process of Care Measures (via Chart-Abstraction) . Children's Health Care Quality Measures | Medicaid Idriss LAOUALI ABDOU - Vice President - LinkedIn Read more. Quality includes ensuring optimal care and best outcomes for individuals of all ages and backgrounds as well as across service delivery systems and settings. Association of Days Alive and Out of the Hospital After Ventricular This is not the most recent data for Clark Nursing and Rehab Cntr. Learn more. CMS manages quality programs that address many different areas of health care. This page reviews Quality requirements for Traditional MIPS. The maintenance of these measures requires the specifications to be updated annually; the specifications are provided in the Downloads section below. These measures will not be eligible for CMS quality reporting until they are proposed and finalized through notice-and-comment rulemaking for each applicable program. PDF 2022 - HEDIS Quality Measures Reference Guide (version 1 04.11.2022) You must collect measure data for the 12-monthperformance period(January 1 - December 31, 2022). Updated eCQM Specifications and eCQM Materials for 2022 Reporting Now If a measure can be reliably scored against a benchmark, it generally means: As finalized in the CY 2022 Physician Fee Schedule Final Rule, were removing bonus points for end-to-end electronic reporting and reporting additional outcome/high priority measures. You may also earn up to 10 additional percentage points based on your improvement in the quality performance category from the previous year. 0000002856 00000 n
Technical skills: Data Aggregation, Data Analytics, Data Calculations, Data Cleaning, Data Ethics, Data Visualization and Presentations . Heres how you know. If your APM Entity (non-SSP ACO) only reports Traditional MIPS, reporting the CAHPS for MIPS measure is optional. Qualifying hospitals must file exceptions for Healthcare-Associated . If your group, virtual group, or APM Entity participating in traditional MIPS registers for and meets the sampling requirements for theCAHPSfor MIPS Survey, this may count as 1 of the 6 required measures or can be reported in addition to the 10 measures required for the CMS Web Interface. The development and implementation of the Preliminary Adult and Pediatric Universal Foundation Measures will promote the best, safest, and most equitable care for individuals as we all come together on these critical quality areas. This bonus isnt added to clinicians or groups who are scored under facility-based scoring. .gov This will allow for a shift towards a more simplified scoring standard focused on measure achievement. CMS Measures Inventory | CMS - Centers For Medicare & Medicaid Services Quality measures are based both on patient survey information and on the results of actual claims that are filed with CMS. https:// Click for Map. Key Quality Payment Program Changes in 2022 PFS Proposed Rule A hybrid measure is a quality measure that uses both claims data and clinical data from electronic health records (EHRs) for calculating the measure. These measures are populated using measure developer submissions to the MIDS Resource Library and measures submitted for consideration in the pre-rulemaking process, but have not been accepted into a program at this time. For information on how CMS develops quality measures, please click on the "Measure Management System" link below for more information. 898 0 obj
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2022 trends: Quality measures in Medicare - Pyx Health You must collect measure data for the 12-monthperformance period(January 1 - December 31, 2022) on one of the following sets of pre-determined quality measures: Quality ID: 001 CMS pre-rulemaking eCQMs include measures that are developed, but specifications are not finalized for reporting in a CMS program. Clinician Group Risk- https:// An official website of the United States government https:// Quality Measures: APP Requirements PY 2022 | Quality Payment Program 2170 0 obj
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A federal government website managed and paid for by the U.S Centers for Medicare & Medicaid Services. Quality Measures Requirements: Traditional MIPS Requirements PY 2022 To learn which EHR systems and modules are certified for the Promoting Interoperability programs, please visit the Certified Health IT Product List (CHPL) on the ONC website. 0000004665 00000 n
These programs encourage improvement of quality through payment incentives, payment reductions, and reporting information on health care quality on government websites. The goal of QualityNet is to help improve the quality of health care for Medicare beneficiaries by providing for the safe, efficient exchange of information regarding their care. Merit-based Incentive Payment System (MIPS) Quality Measure Data You must collect measure data for the 12-month performance period (January 1 - December 31, 2022). Start with Denominator 2. Phone: 732-396-7100. Measures on the MUD List are not developed enough to undergo a final determination of any kind with respect to inclusion into a CMS program. You must collect measure data for the 12-month performance period (January 1 - December 31, 2022). CMS implements quality initiatives to assure quality health care for Medicare Beneficiaries through accountability and public disclosure. The Specifications Manual for National Hospital Inpatient Quality Measures . Final Changes to 2022 ASC Quality Reporting - MarsdenAdvisors Percentage of patients 18-75 years of age with diabetes who had hemoglobin A1c > 9.0% during the measurement period. CMS is committed to improving quality, safety, accessibility, and affordability of healthcare for all. @
F(|AM Description. The CMS Quality Measures Inventory contains pipeline/Measures under Development (MUD), which are measures that are in the process of being developed for eventual consideration for a CMS program. Claims, Measure #: 484 MDS 3.0 QM Users Manual Version 15.0 Now Available. If you transition from oneEHRsystem to another during the performance year, you should aggregate the data from the previous EHR and the new EHR into one report for the full 12 months prior to submitting the data. Official websites use .govA A federal government website managed and paid for by the U.S Centers for Medicare & Medicaid Services. In February, CMS updated its list of suppressed and truncated MIPS Quality measures for the 2022 performance year. CMS Quality Reporting and Value-Based Programs & Initiatives Official websites use .govA We are offering an Introduction to CMS Quality Measures webinar series available to the public. umSyS9U]s!~UUgf]LeET.Ca;ZMU@ZEQ\/ ^7#yG@k7SN/w:J
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7500 Security Boulevard, Baltimore MD 21244, Alternative Payment Model (APM) Entity participation, The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey, Number of Clinicians in Group, Virtual Group, or APM Entity, Electronic Clinical Quality Measures(eCQMs), Qualified Clinical Data Registry(QCDR) Measures. 0
Click for Map. lock Secure .gov websites use HTTPSA Ranking: Westfield Quality Care of Aurora is ranked #2 out of 2 facilities within a 10 mile radius and #16 out of 19 facilities within a 25 mile radius. You can decide how often to receive updates. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. CMS updated the Guide to Reading eCQMs and eCQM Logic and Implementation Guidance based on end user feedback and continues to update these guides to assist stakeholders in understanding and implementing eCQMs. Implementing the CMS National Quality Strategy, The CMS National Quality Strategy: A Person-Centered Approach to Improving Quality, CMS National Quality Strategy FactSheet (April 2022), CMS Cross Cutting Initiatives Fact Sheet (April 2022) (PDF), Aligning Quality Measures Across CMS - the Universal Foundation. However, these APM Entities (SSP ACOs) must hire a vendor. endstream
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You can submit measures for different collection types (except CMS Web Interface measures) to fulfill the requirement to report a minimum of 6 quality measures. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Submission Criteria One: 1. It is important to note that any changes to measures (data, use, status, etc), are validated through Federal Rules and/or CMS Program/Measure Leads. Version 5.12 - Discharges 07/01/2022 through 12/31/2022. hb```l@( "# 8'0>b8]7'FCYV{kE}v\Rq9`y?9,@j,eR`4CJ.h
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Assessing the quality and efficiency impact of the use of endorsed measures and making that assessment available to the public at least every three . This Universal Foundation of quality measure will focus provider attention, reduce burden, identify disparities in care, prioritize development of interoperable, digital quality measures, allow for cross-comparisons across programs, and help identify measurement gaps. All 2022 CMS MIPS registry and EHR quality measures can be reported with MDinteractive. As the largest payer of health care services in the United States, CMS continuously seeks ways to improve the quality of health care. These goals include: effective, safe, efficient, patient-centered, equitable, and timely care. MBA in Business Analytics and Info. UPDATED: Clinician and 0000007903 00000 n
hLQ Please check 2022 Clinical Quality Measure (CQM) Specifications to see changes to existing measures made since the release of the 2022 MIPS Measure Specifications. Share sensitive information only on official, secure websites. #B91~PPK > S2H8F"!s@H$HA(P8DbI""`w\`^q0s6M/6nOOa(`K?H$5EtjtfD%2Lrc S,x?nK,4{2aP[>Tg$T,y4kA48i0%/K"Lj c,0).,rdnOMsgT$xBqa?XR7O,W,
|Q"tv1|Ire6TY"S /RU|m[p8}>4V6PQJ9$HP Uvr.\)v&q^W+kL Falls: Screening for Future Fall Risk | eCQI Resource Center CMS Five Star Rating(2 out of 5): 7501 BAGBY AVE. WACO, TX 76712 254-666-8003. Under the CY 2022 Physician Fee Schedule Notice of Proposed Rule Making (NPRM), CMS has proposed seven MVPs for the 2023 performance year to align with the following clinical areas: rheumatology, heart disease, stroke care and prevention, lower extremity joint repair, anesthesia, emergency medicine, and chronic disease management. trailer
NQF 0543: Adherence to Statin Therapy for Individuals with Coronary Artery Disease, NQF 0545: Adherence to Statins for Individuals with Diabetes Mellitus, NQF 0555: INR Monitoring for Individuals on Warfarin, NQF 0556: INR for Individuals Taking Warfarin and Interacting Anti-infective Medications, NQF 1879: Adherence to Antipsychotic Medications for Individuals with Schizophrenia, NQF 1880: Adherence to Mood Stabilizers for Individuals with Bipolar I Disorder, NQF 2362: Glycemic Control Hyperglycemia, NQF 2363: Glycemic Control Severe Hypoglycemia, NQF 2379: Adherence to Antiplatelet Therapy after Stent Implantation, NQF 2467: Adherence to ACEIs/ARBs for Individuals with Diabetes Mellitus, NQF 2468: Adherence to Oral Diabetes Agents for Individuals with Diabetes Mellitus. An official website of the United States government These measures will not be eligible for CMS quality reporting until they are proposed and finalized through notice-and-comment rulemaking for each applicable program. 0000004936 00000 n
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You must collect measure data for the 12-month performance period (January 1 - December 31, 2022) on one of the following sets of pre-determined quality measures: View Option 1: Quality Measures Set Download Option 1: Quality Measures Set View Option 2: Quality Measures Set (SSP ACOs only) Download Option 2: Quality Measures Set CAHPS for MIPS 0000009959 00000 n
Patients 18 . If you register for the CAHPS for MIPS Survey, you will need to hire a vendor to administer the survey for you. Quality measure specifications are available in the QM Users Manual download file, which can be found under theDownloadssection below. endstream
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<. This blog post breaks down the finalized changes to the ASCQR. Heres how you know. Hybrid Measures page on the eCQI Resource Center, Telehealth Guidance for eCQMs for Eligible Professional/Eligible Clinician 2022 Quality Reporting, Eligible Professionals and Eligible Clinicians table of eCQMs on the Eligible Professionals and Eligible Clinician page for the 2022 Performance Period, Aligning Quality Measures Across CMS - The Universal Foundation, Materials and Recording for Performance Period 2023 Eligible Clinician Electronic Clinical Quality Measure (eCQM) Education and Outreach Webinar, Submission of CY 2022 eCQM Data Due February 28, 2023, Call for eCQM Public Comment: Diagnostic Delay in Venous Thromboembolism (DOVE) Electronic Clinical Quality Measure (eCQM), Now Available: eCQM Annual Update Pre-Publication Document, Now Available: Visit the eCQM Issue Tracker to Review eCQM Draft Measure Packages for 2024 Reporting/Performance Periods, Hospital Inpatient Quality Reporting (IQR) Program, Medicare Promoting Interoperability Programs for Eligible Hospitals and CAHs, Quality Payment Program (QPP): The Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (Advanced APMs).
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