What is it?
"eCQMs are tools that help measure and track the quality of health care services…as generated by a provider’s EHR."
-Center for Medicare and Medicaid Services website
The Promoting Interoperability (PI) program requires Medicare hospitals to submit electronic clinical quality measure (eCQM) data. CMS sets the annual eCQM requirements for eligible hospitals (EHs) and critical access hospitals (CAHs).
Technology to support eCQM reporting
Hospitals must use certified EHR technology (CEHRT) to generate eCQM data for submission. CMS works with the Office of the National Coordinator for Health IT (ONC) to establish CEHRT requirements. Since 2019, CMS has required hospitals to use 2015 Edition CEHRT.
eCQM reporting is one part of PI program participation
Successful PI program participation requires more than eCQM reporting alone. Hospitals must also meet reporting requirements for measures that assess whether a hospital is a “meaningful user” of CEHRT.
Alignment across CMS programs
The eCQM reporting requirement is aligned between the hospital PI program and the Inpatient Quality Reporting (IQR) program. Hospitals can submit eCQM data to the CMS QualityNet secure portal to simultaneously satisfy the eCQM reporting component under both programs. CMS has required electronic submission of eCQM data since 2018 for the PI program and 2016 for the IQR program.