Meaningful Use Measures and Metadata
Please note: The CQM's and Value Sets defined in the final rule for stage 2 of meaningful use are not linked to a specific stage of meaningful use but rather to an implementation year (2014) and they are therefore referenced as 2014 CQMs or 2014 eCQMs. All participants in the EHR Incentive Program must report on the 2014 CQMs beginning in 2014 whether they are in stage 1 or stage 2 of meaningful use.
Meaningful Use
Objectives
2011-2013 Clinical Quality
Measures
2014 Clinical Quality
Measures
Eligible Professionals
(E.P.)
  • Must report on the following:
    • 15 core objectives
    • 5 objectives out of 10 from menu set
  • Reporting is done through attestation
  • To meet certain objectives, 80% of patients must have records in the certified EHR technology
  • Must report on the following:
    • 6 Clinical Quality Measures (NQF Quality Measures)
      • 3 core measures required: 0013 Add to Saved Item List, 0028a Add to Saved Item List/ 0028b Add to Saved Item List, 0421 Add to Saved Item List (if denominator is zero for any of the required measures, EPs must choose from an alternate core measure: 0024 Add to Saved Item List, 0038 Add to Saved Item List, 0041 Add to Saved Item List)
      • 3 measures from remaining 38
  • EPs must report on 9 out of 64 total CQMs
  • Must select CQMs from at least 3 of the 6 key health care policy domains recommended by the DHHS National Quality Strategy:
  1. Patient and Family Engagement
  2. Patient Safety
  3. Care Coordination
  4. Population and Public Health
  5. Efficient Use of Healthcare Resources
  6. Clinical Processes/Effectiveness
Eligible
Hospitals
(E.H.)
  • Must report on the following:
    • 14 core objectives
    • 5 objectives out of 10 from menu set
  • Reporting is done through attestation
  • To meet certain objectives, 80% of patients must have records in the certified EHR technology
  • Must report on all 15 of the Clinical Quality Measures from the HITSP Technical Note 906 (TN906)
  • EHs must report on 16 out of 29 total CQMs
  • Must select CQMs from at least 3 of the 6 key health care policy domains recommended by the DHHS National Quality Strategy:
  1. Patient and Family Engagement
  2. Patient Safety
  3. Care Coordination
  4. Population and Public Health
  5. Efficient Use of Healthcare Resources
  6. Clinical Processes/Effectiveness
Federal Register: Meaningful Use Stage 1 Final Rule
Please note: The CQM's and Value Sets defined in the final rule for stage 2 of meaningful use are not linked to a specific stage of meaningful use but rather to an implementation year (2014) and they are therefore referenced as 2014 CQMs or 2014 eCQMs. All participants in the EHR Incentive Program must report on the 2014 CQMs beginning in 2014 whether they are in stage 1 or stage 2 of meaningful use.
Meaningful Use
Objectives
Clinical Quality
Measures
Eligible Professionals
(E.P.)
  • Must report on the following:
    • 17 core objectives
    • 3 objectives out of 6 from menu set
  • EPs must report on 9 out of 64 total CQMs
  • Must select CQMs from at least 3 of the 6 key health care policy domains recommended by the DHHS National Quality Strategy:
  1. Patient and Family Engagement
  2. Patient Safety
  3. Care Coordination
  4. Population and Public Health
  5. Efficient Use of Healthcare Resources
  6. Clinical Processes/Effectiveness
Eligible
Hospitals
(E.H.)
  • Must report on the following:
    • 16 core objectives
    • 3 objectives out of 6 from menu set
  • EHs must report on 16 out of 29 total CQMs
  • Must select CQMs from at least 3 of the 6 key health care policy domains recommended by the DHHS National Quality Strategy:
  1. Patient and Family Engagement
  2. Patient Safety
  3. Care Coordination
  4. Population and Public Health
  5. Efficient Use of Healthcare Resources
  6. Clinical Processes/Effectiveness
Federal Register: Meaningful Use Stage 2 Final Rule


  • Expected to be implemented in 2016
  • CMS anticipates that Stage 3 meaningful use criteria will focus on: promoting improvements in quality, safety and efficiency leading to improved health outcomes; focusing on decision support for national high priority conditions; patient access to self-management tools; access to comprehensive patient data through robust, secure, patient-centered health information exchange; and improving population health. For Stage 3, CMS currently intends to propose higher standards for meeting meaningful use. For example, CMS intends to propose that every objective in the menu set for Stage 2 be included in Stage 3 as part of the core set. While the use of a menu set allows providers flexibility in setting priorities for EHR implementation and takes into account their unique circumstances, CMS maintains that all of the objectives are crucial to building a strong foundation for health IT and to meeting the objectives of the HITECH Act. In addition, as the capabilities of HIT infrastructure increase, CMS may raise the thresholds for these objectives in both Stage 2 and Stage 3. (from Stage 2 Meaningful Use Final Rule) External link [www.ofr.gov]