United States Health Information Knowledgebase

 
National Learning Consortium Logo

Clinical Quality Measures:
A Stage 1 and Stage 2/2014 Comparison by Clinical Category


Stage 2 of Meaningful Use has many changes related to eligible Clinical Quality Measures (CQMs). Stage 1 CQMs will only be applicable through 2013. For 2014 and beyond, only the CQMs announced in Stage 2 will be applicable, regardless of the Meaningful Use Stage to which the eligible professional is attesting.

Overall, 12 CQMs from Stage 1 have been dropped from the 2014 set; 32 CQMs have been added to the 2014 set; and 32 CQMs have stayed the same between Stage 1 and 2014. The following tables illustrate how CQMs vary in Stage 1 and in 2014.

For further information on CQMs and Meaningful Use, please visit: http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/index.html?redirect=/ehrincentiveprograms/

A measure may be listed in more than one category. For example, Hemoglobin A1c Test for Pediatric Patients can be found in both the Diabetes table and the Pediatrics table. Each Stage 1 and 2014 Measure is represented in at least one table.

See the Appendix for additional information on all clinical quality measures.

Asthma Measures

Stage 1 CQM 2014 CQM Change
  • Not Available
  • Stage 1 CQM Dropped
  • Not Available
  • Stage 1 CQM Dropped
  • Use of Appropriate Medications for Asthma (NQF# 0036)
  • No Change

Cancer Screening and Oncology Measures

Stage 1 CQM 2014 CQM Change
  • No Change
  • No Change
  • No Change
  • Oncology Breast Cancer: Hormonal Therapy for Stage IC-IIIC ER/PR Positive Breast Cancer (NQF# 0387)
  • Oncology Breast Cancer: Hormonal Therapy for Stage IC-IIIC Estrogen Receptor/Progesterone Receptor (ER/PR) Positive Breast Cancer (NQF# 0387; CMS140v5)
  • No Change
  • Oncology Colon Cancer: Chemotherapy for Stage III Colon Cancer Patients (NQF# 0385)
  • Oncology Colon Cancer: Chemotherapy for Stage III Colon Cancer Patients (NQF# 0385; CMS141v6)
  • No Change
  • Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients (NQF# 0389)
  • Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients (NQF# 0389; CMS129v8)
  • No Change
  • Not Available
  • 2014 CQM Added

Cardiovascular Care Measures

Stage 1 CQM 2014 CQM Change
  • Hypertension: Blood Pressure Management (NQF# 0013)
  • Not Available
  • Stage 1 CQM Dropped
  • Heart Failure (HF): Warfarin Therapy Patients with Atrial Fibrillation (NQF# 0084)
  • Not Available
  • Stage 1 CQM Dropped
  • Coronary Artery Disease (CAD): Oral Antiplatelet Therapy Prescribed for Patients with CAD (NQF# 0067)
  • Not Available
  • Stage 1 CQM Dropped
  • Coronary Artery Disease (CAD): Drug Therapy for Lowering LDL-Cholesterol (NQF# 0074)
  • Not Available
  • Stage 1 CQM Dropped
  • Ischemic Vascular Disease (IVD): Blood Pressure Management (NQF# 0073)
  • Not Available
  • Stage 1 CQM Dropped
  • Coronary Artery Disease (CAD): Beta-Blocker Therapy for CAD Patients with Prior Myocardial Infarction (MI) (NQF# 0070)
  • Coronary Artery Disease (CAD): Beta-Blocker Therapy for CAD Patients with Prior Myocardial Infarction (MI) (NQF# 0070; CMS145v7)
  • No Change
  • Heart Failure (HF) : Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD) (NQF# 0081)
  • Heart Failure (HF) : Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD) (NQF# 0081; CMS135v7)
  • No Change
  • Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) (NQF# 0083)
  • Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) (NQF# 0083; CMS144v7)
  • No Change
  • Ischemic Vascular Disease (IVD): Use of Aspirin or another Antithrombotic (NQF# 0068)
  • Ischemic Vascular Disease (IVD): Use of Aspirin or another Antithrombotic (NQF# 0068; CMS164v7)
  • No Change
  • Ischemic Vascular Disease (IVD): Complete Lipid Panel and LDL Control (NQF# 0075)
  • No Change
  • Controlling High Blood Pressure (NQF# 0018)
  • No Change
  • Not Available
  • 2014 CQM Added
  • Not Available
  • 2014 CQM Added
  • Not Available
  • 2014 CQM Added
  • Not Available
  • 2014 CQM Added
  • Not Available
  • Preventive Care and Screening: Risk-Stratified Cholesterol-Fasting Low Density Lipoprotein (LDL-C) Test Performed (NQF# Not Applicable; CMS64v6)
  • 2014 CQM Added

Coordination of Care Measures

Stage 1 CQM 2014 CQM Change
  • Not Available
  • 2014 CQM Added

Core/Alternate Core Measures

Stage 1 CQM 2014 CQM Change
  • Hypertension: Blood Pressure Management (NQF# 0013)
  • Not Available
  • Stage 1 CQM Dropped
  • Preventive Care and Screening: Influenza Immunization for Patients 50 Years Old or Older (NQF# 0041)
  • Not Recommended as a Core Clinical Quality Measure
  • Dropped Core Recommendation
  • Preventive Care and Screening Measure Pair: a)(NQF# 0028a) Tobacco Use Assessment b) Tobacco Cessation Intervention (NQF# 0028b)
  • Preventive Care and Screening Measure Pair: a) Tobacco Use Assessment b) Tobacco Cessation Intervention (NQF# 0028; CMS138v7)
  • No Change
  • Adult Weight Screening and Follow-up (NQF# 0421)
  • No Change
  • Weight Assessment and Counseling for Children and Adolescents (NQF# 0024)
  • No Change
  • No Change
  • Not Available as a Core or Alternate Core Clinical Quality Measure
  • Added Core Recommendation
  • Not Available as a Core or Alternate Core Clinical Quality Measure
  • Added Core Recommendation
  • Not Available as a Core or Alternate Core Clinical Quality Measure
  • Added Core Recommendation
  • Not Available as a Core or Alternate Core Clinical Quality Measure
  • Added Core Recommendation
  • Not Available as a Core or Alternate Core Clinical Quality Measure
  • Added Core Recommendation
  • Not Available
  • Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan (NQF# 0418; CMS2v8)
  • 2014 CQM Added
  • Not Available
  • 2014 CQM Added
  • Not Available
  • 2014 CQM Added
  • Not Available
  • Appropriate Treatment for Children with Upper Respiratory Infection (URI) (NQF# 0069; CMS154v7)
  • 2014 CQM Added
  • Not Available
  • ADHD: Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication (NQF# 0108; CMS136v8)
  • 2014 CQM Added
  • Not Available
  • 2014 CQM Added

Dental Care Measures

Stage 1 CQM 2014 CQM Change
  • Not Available
  • 2014 CQM Added
  • Not Available
  • 2014 CQM Added

Diabetes Measures

Stage 1 CQM 2014 CQM Change
  • Diabetes: HbA1c Control (<8.0%) (NQF# 0575)
  • Not Available
  • Stage 1 CQM Dropped
  • Diabetes: Blood Pressure Management (NQF# 0061)
  • Not Available
  • Stage 1 CQM Dropped
  • No Change
  • Diabetes: LDL Management and Control (NQF# 0064)
  • No Change
  • No Change
  • No Change
  • No Change
  • Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy (NQF# 0088)
  • Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy (NQF# 0088; CMS167v7)
  • No Change
  • Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care (NQF# 0089)
  • Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care (NQF# 0089; CMS142v7)
  • No Change
  • Not Available
  • 2014 CQM Added

Measures For Elderly Patients

Stage 1 CQM 2014 CQM Change
  • Preventive Care and Screening: Influenza Immunization for Patients 50 Years Old or Older (NQF# 0041)
  • Preventive Care and Screening: Influenza Immunization for Patients 50 Years Old or Older (NQF# 0041; CMS147v8)
  • No Change
  • Pneumonia Vaccination Status for Older Adults (NQF# 0043)
  • No Change
  • Not Available
  • 2014 CQM Added
  • Not Available
  • 2014 CQM Added

Measures For Elderly Patients

Stage 1 CQM 2014 CQM Change
  • Not Available
  • 2014 CQM Added
  • Not Available
  • 2014 CQM Added
  • Not Available
  • 2014 CQM Added

Imaging Measures

Stage 1 CQM 2014 CQM Change
  • Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients (NQF# 0389)
  • Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients (NQF# 0389; CMS129v8)
  • No Change
  • Low Back Pain: Use of Imaging Studies (NQF# 0052)
  • No Change

Infectious Disease Measures

Stage 1 CQM 2014 CQM Change
  • Prenatal Care: Screening for HIV (NQF# 0012)
  • Not Available
  • Stage 1 CQM Dropped
  • No Change
  • Pneumonia Vaccination for Older Adults (NQF# 0043)
  • No Change
  • Preventive Care and Screening: Influenza Immunization for Patients 50 Years Old or Older (NQF# 0041)
  • Preventive Care and Screening: Influenza Immunization for Patients ≥ 50 Years Old (NQF# 0041; CMS147v8)
  • No Change
  • No Change
  • Not Available
  • 2014 CQM Added
  • Not Available
  • 2014 CQM Added
  • Not Available
  • 2014 CQM Added

Mental Health and Substance Abuse Measures

Stage 1 CQM 2014 CQM Change
  • 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 (NQF# 0027)
  • Not Available
  • Stage 1 CQM Dropped
  • Initiation and Engagement of Alcohol and Other Drug Dependence Treatment: a) Initiation, b) Engagement (NQF# 0004)
  • Initiation and Engagement of Alcohol and Other Drug Dependence Treatment: (a) Initiation, (b) Engagement (NQF# 0004; CMS137v7)
  • No Change
  • Anti-depressant medication management: (a) Effective Acute Phase Treatment, (b) Effective Continuation Phase Treatment (NQF# 0105)
  • Anti‐depressant medication management: (a) Effective Acute Phase Treatment, (b) Effective Continuation Phase Treatment (NQF# 0105; CMS128v7)
  • No Change
  • Preventive Care and Screening Measure Pair: a.Tobacco Use Assessment (NQF# 0028a)
  • No Change
  • Preventive Care and Screening Measure Pair: b.Tobacco Cessation Intervention (NQF# 0028b)
  • Preventive Care and Screening Measure Pair: b.Tobacco Cessation Intervention (NQF# 0028; CMS138v7)
  • No Change
  • Not Available
  • 2014 CQM Added
  • Not Available
  • 2014 CQM Added
  • Not Available
  • Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan (NQF# 0418; CMS2v8)
  • 2014 CQM Added
  • Not Available
  • 2014 CQM Added
  • Not Available
  • 2014 CQM Added
  • Not Available
  • 2014 CQM Added
  • Not Available
  • ADHD: Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication (NQF# 0108; CMS136v8)
  • 2014 CQM Added
  • Not Available
  • Child and Adolescent Major Depressive Disorder: Suicide Risk Assessment (NQF# 1365; CMS177v7)
  • 2014 CQM Added
  • Not Available
  • 2014 CQM Added

Mental Health and Substance Abuse Measures

Stage 1 CQM 2014 CQM Change
  • Appropriate Testing of for Children with Pharyngitis (NQF# 0002)
  • No Change
  • Weight Assessment and Counseling for Children and Adolescents (NQF# 0024)
  • No Change
  • No Change
  • Not Available
  • Appropriate Treatment for Children with Upper Respiratory Infection (URI) (NQF# 0069; CMS154v7)
  • 2014 CQM Added
  • Not Available
  • ADHD: Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication (NQF# 0108; CMS136v8)
  • 2014 CQM Added
  • Not Available
  • Child and Adolescent Major Depressive Disorder: Suicide Risk Assessment (NQF# 1365; CMS177v7)
  • 2014 CQM Added
  • Not Available
  • 2014 CQM Added
  • Not Available
  • 2014 CQM Added
  • Not Available
  • 2014 CQM Added

Prenatal Measures

Stage 1 CQM 2014 CQM Change
  • Prenatal Care: Screening for HIV (NQF# 0012)
  • Not Available
  • Stage 1 CQM Dropped
  • Prenatal Care: Anti-D Immune Globulin (NQF# 0014)
  • Not Available
  • Stage 1 CQM Dropped
  • Not Available
  • 2014 CQM Added
  • Not Available
  • 2014 CQM Added

Preventative Care Measures

Stage 1 CQM 2014 CQM Change
  • No Change
  • No Change
  • No Change
  • Pneumonia Vaccination for Older Adults (NQF# 0043)
  • No Change
  • No Change
  • No Change
  • Adult Weight Screening and Follow-up (NQF# 0421)
  • No Change
  • Weight Assessment and Counseling for Children and Adolescents (NQF# 0024)
  • No Change
  • Preventive Care and Screening: Influenza Immunization for Patients 50 Years Old or Older (NQF# 0041)
  • Preventive Care and Screening: Influenza Immunization for Patients ≥ 50 Years Old (NQF# 0041; CMS147v8)
  • No Change
  • Preventive Care and Screening Measure Pair: a) Tobacco Use Assessment (NQF# 0028a)
  • No Change
  • Preventive Care and Screening Measure Pair: b) Tobacco Cessation Intervention (NQF# 0028b)
  • Preventive Care and Screening Measure Pair: b.Tobacco Cessation Intervention (NQF# 0028; CMS138v7)
  • No Change
  • Not Available
  • Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan (NQF# 0418; CMS2v8)
  • 2014 CQM Added
  • Not Available
  • 2014 CQM Added
  • Not Available
  • 2014 CQM Added
  • Not Available
  • Preventive Care and Screening: Risk-Stratified Cholesterol-Fasting Low Density Lipoprotein (LDL-C) Test Performed (NQF# Not Applicable; CMS64v6)
  • 2014 CQM Added
  • Not Available
  • 2014 CQM Added

Vaccination Measures

Stage 1 CQM 2014 CQM Change
  • Pneumonia Vaccination for Older Adults (NQF# 0043)
  • No Change
  • Preventive Care and Screening: Influenza Immunization for Patients ≥ 50 Years Old (NQF# 0041; CMS147v8)
  • No Change
  • No Change

Vision Care Measures

Stage 1 CQM 2014 CQM Change
  • No Change
  • Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy (NQF# 0088)
  • Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy (NQF# 0088; CMS167v7)
  • No Change
  • Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care (NQF# 0089)
  • Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care (NQF# 0089; CMS142v7)
  • No Change
  • No Change
  • Not Available
  • Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures (NQF# 0564; CMS132v7)
  • 2014 CQM Added
  • Not Available
  • Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery (NQF# 0565; CMS133v7)
  • 2014 CQM Added

Women's Health Measures

Stage 1 CQM 2014 CQM Change
  • Prenatal Care: Screening for HIV (NQF# 0012)
  • Not Available
  • Stage 1 CQM Dropped
  • Prenatal Care: Anti-D Immune Globulin (NQF# 0014)
  • Not Available
  • Stage 1 CQM Dropped
  • No Change
  • No Change
  • No Change
  • Not Available
  • 2014 CQM Added
  • Not Available
  • 2014 CQM Added

Clinical Quality Information for Stage 1 2013 to Stage 1 & 2 2014

*All tables list measures alphabetically

Stage 1 2013: Core/Alternate Core Clinical Quality Measures (3 of 6)

Core Clinical Quality Measures Alternate Core Clinical Measures
  • Adult Weight Screening and Follow-up (NQF# 0421)
  • Hypertension: Blood Pressure Management (NQF# 0013)
  • Preventive Care and Screening: Influenza Immunization for Patients 50 Years Old or Older (NQF# 0041)
  • Preventive Care and Screening Measure Pair: a) Tobacco Use Assessment (NQF# 0028a) b) Tobacco Cessation Intervention (NQF# 0028b)
  • Weight Assessment and Counseling for Children and Adolescents (NQF# 0024)

Stage 1 2013: Menu Clinical Quality Measures (3 of 38)

  • Appropriate Testing of for Children with Pharyngitis (NQF# 0002)
  • Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care (NQF# 0089)
  • Anti-depressant medication management: (a) Effective Acute Phase Treatment, (b) Effective Continuation Phase Treatment (NQF# 0105)
  • Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy (NQF# 0088)
  • HF: ACE Inhibitor or ARB Therapy for LVSD (NQF# 0081)
  • HF: β-Blocker Therapy for LVSD (NQF# 0083)
  • HF: Warfarin Therapy Patients with Atrial Fibrillation (NQF# 0084)
  • Initiation and Engagement of Alcohol and Other Drug Dependence Treatment: a) Initiation, b) Engagement (NQF# 0004)
  • IVD: Complete Lipid Panel and LDL Control (NQF# 0075)
  • Controlling High Blood Pressure (NQF# 0018)
  • IVD: Use of Aspirin or Another Antithrombotic (NQF# 0068)
  • CAD: β-Blocker Therapy for Patients with Prior MI (NQF# 0070)
  • Low Back Pain: Use of Imaging Studies (NQF# 0052)
  • CAD: Drug Therapy for Lowering LDL-Cholesterol (NQF# 0074)
  • Oncology Breast Cancer: Hormonal Therapy for Stage IC-IIIC ER/PR Positive Breast Cancer (NQF# 0387)
  • CAD: Oral Antiplatelet Therapy Prescribed for Patients with CAD (NQF# 0067)
  • Oncology Colon Cancer: Chemotherapy for Stage III Colon Cancer Patients (NQF# 0385)
  • Diabetes: Blood Pressure Management (NQF# 0061)
  • Pneumonia Vaccination for Older Adults (NQF# 0043)
  • Pneumonia Vaccination Status for Older Adults (NQF# 0043)
  • Prenatal Care: Anti-D Immune Globulin (NQF# 0014)
  • Prenatal Care: Screening for HIV (NQF# 0012)
  • Diabetes: HbA1c Control (<8.0%) (NQF# 0575)
  • Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients (NQF# 0389)
  • Diabetes: LDL Management and Control (NQF# 0064)
  • 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 (NQF# 0027)
  • Use of Appropriate Medications for Asthma (NQF# 0036)

Stage 1 and 2 2014 Clinical Quality Measures

Clinical Process/Effectiveness Domain

Efficient Use of Health Care Resources Domain

  • Appropriate Treatment for Children with Upper Respiratory Infection (URI) (NQF# 0069; CMS154v7)
  • Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients (NQF# 0389; CMS129v8)

Patient & Family Engagement Domain

Patient Safety Domain

  • Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures (NQF# 0564; CMS132v7)
  • Child and Adolescent Major Depressive Disorder: Suicide Risk Assessment (NQF# 1365; CMS177v7)

Population/Public Health Domain

  • Preventive Care and Screening Measure Pair: b.Tobacco Cessation Intervention (NQF# 0028; CMS138v7)
  • Preventive Care & Screening: Screening for Clinical Depression & Follow-up Plan (NQF# 0418; CMS2v8)
  • Preventive Care and Screening: Influenza Immunization for Patients ≥ 50 Years Old (NQF# 0041; CMS147v8)
Scroll To Top