CQMsolution®



CQMsolution® is a user-friendly web-browser-based application for calculating, displaying and generating clinical quality measures. For the latest edition of Cypress (3.0), CQMsolution® is certified on all 93 CQMs and supports all 64 aligned PQRS measures for EPs and Hospital Quality Reporting Program eCQMs (IQR and EHR). Additional PQRS/MIPS measures will be supported in 2017.

CQMsolution can be used with the latest edition of ONC Certification (2015 Edition) to meet measures (c)(1-4) and validates with the latest CMS Schematron for quality measure submission. Our software has been tested rigorously against Cypress and BONNIE to ensure measure logic is met as expected for a robust sample of test patients.

Please find the supported measures listed in the tables below.


Dashboard

 


Patient List

 


CQM Logic

 


Data Review


Ambulatory CQMs

CMS ID Description Cypress Category NQS Domain
CMS 002 Preventive care/screening: screening for clinical depression and f/u plan Core Population/Public Health
CMS 022 Preventive care/screening: screening for high BP and f/u documented General Practice Adult Population/Public Health
CMS 050 Closing the referral loop: receipt of specialist report Core Care Coordination
CMS 052 HIV/AIDS: PCP prophylaxis HIV Clinical Process/ Effectiveness
CMS 056 Functional status assessment for hip replacement Orthopedics Patient/Family Engagement
CMS 061 Preventive care/screening: cholesterol - fasting LDL test performed General Practice Adult Clinical Process/ Effectiveness
CMS 062 HIV/AIDS: medical visit HIV Clinical Process/ Effectiveness
CMS 064 Preventive care/screening: risk-stratified cholesterol - fasting LDL General Practice Adult Clinical Process/ Effectiveness
CMS 065 Hypertension: improvement in BP General Practice Adult Clinical Process/ Effectiveness
CMS 066 Functional status assessment for knee replacement Orthopedics Patient/Family Engagement
CMS 068 Documentation of current medications in medical record Core Patient Safety
CMS 069 Preventive care/screening: BMI screening and f/u Core Population/Public Health
CMS 074 Primary caries prevention intervention as offered by PCPs, including dentists Dental Clinical Process/ Effectiveness
CMS 075 Children who have dental decay or cavities Core Clinical Process/ Effectiveness
CMS 077 HIV/AIDS: RNA control for patients with HIV HIV Clinical Process/ Effectiveness
CMS 082 Maternal depression screening Behavioral Health Adult Population/Public Health
CMS 090 Functional status assessment for complex chronic conditions Core Patient/Family Engagement
CMS 117 Childhood immunization status Core Population/Public Health
CMS 122 Diabetes: hemoglobin A1c poor control Diabetes Clinical Process/ Effectiveness
CMS 123 Diabetes: foot exam Diabetes Clinical Process/ Effectiveness
CMS 124 Cervical cancer screening General Practice Adult Clinical Process/ Effectiveness
CMS 125 Breast cancer screening General Practice Adult Clinical Process/ Effectiveness
CMS 126 Use of appropriate meds for asthma Core Clinical Process/ Effectiveness
CMS 127 Pneumonia vaccination status for older adults General Practice Adult Clinical Process/ Effectiveness
CMS 128 Anti-depressant medication management Behavioral Health Adult Clinical Process/ Effectiveness
CMS 129 Prostate cancer: avoidance of overuse of bone scan for staging low risk prostate cancer patients Cancer Efficient Use of Healthcare Resources
CMS 130 Colorectal cancer screening General Practice Adult Clinical Process/ Effectiveness
CMS 131 Diabetes: eye exam Eye Clinical Process/ Effectiveness
CMS 132 Cataracts: complications w/n 30 days following cataract surgery requiring additional surgical procedures Eye Patient Safety
CMS 133 Cataracts: 20/40 or better visual acuity w/n 90 days following cataract surgery Eye Clinical Process/ Effectiveness
CMS 134 Diabetes: urine protein screening Diabetes Clinical Process/ Effectiveness
CMS 135 Heart failure: ACE inhibitor or ARB therapy for LVSD Heart Clinical Process/ Effectiveness
CMS 136 ADHD: f/u care for children prescribed ADHD medication Core Clinical Process/ Effectiveness
CMS 137 Initiation/engagement of alcohol/other drug dependence treatment Behavioral Health Adult Clinical Process/ Effectiveness
CMS 138 Preventive care/screening, tobacco use: screening/cessation intervention Core Population/Public Health
CMS 139 Falls: screening for future fall risk General Practice Adult Patient Safety
CMS 140 Breast cancer: hormone therapy for Stage IC-IIIC ER/PR positive breast cancer Cancer Clinical Process/ Effectiveness
CMS 141 Colon cancer: chemotherapy for AJCC Stage III colon cancer patients Cancer Clinical Process/ Effectiveness
CMS 142 Diabetic retinopathy: communication w/ the physician managing ongoing diabetes care Diabetes Clinical Process/ Effectiveness
CMS 143 POAG: optic nerve evaluation Eye Clinical Process/ Effectiveness
CMS 144 Heart failure: beta-blocker therapy for LVSD Heart Clinical Process/ Effectiveness
CMS 145 CAD: beta-blocker therapy - prior MI or LVEF <40% Heart Clinical Process/ Effectiveness
CMS 146 Appropriate testing for children w/ pharyngitis Core Efficient Use of Healthcare Resources
CMS 147 Preventive care/screening: influenza immunization General Practice Pediatric Population/Public Health
CMS 148 Hemoglobin A1c test for pediatric patients Diabetes Clinical Process/ Effectiveness
CMS 149 Dementia: cognitive assessment Behavioral Health General Clinical Process/ Effectiveness
CMS 153 Chlamydia screening for women Core Population/Public Health
CMS 154 Appropriate treatment for children w/ URI Core Efficient Use of Healthcare Resources
CMS 155 Weight assessment/counseling for nutrition/physical activity for children/adolescents Core Population/Public Health
CMS 156 Use of high-risk medications in the elderly Core Patient Safety
CMS 157 Oncology: medical and radiation - pain intensity quantified Cancer Patient/Family Engagement
CMS 158 Pregnant women that had HBsAg testing Pregnancy Clinical Process/ Effectiveness
CMS 159 Depression remission at 12 months Behavioral Health Adult Clinical Process/ Effectiveness
CMS 160 Depression utilization of the PHQ-9 tool Behavioral Health Adult Clinical Process/ Effectiveness
CMS 161 Major depressive disorder: suicide risk assessment Behavioral Health Adult Clinical Process/ Effectiveness
CMS 163 Diabetes: LDL management Diabetes Clinical Process/ Effectiveness
CMS 164 IVD: use of aspirin or another antithrombotic Heart Clinical Process/ Effectiveness
CMS 165 Controlling high BP Core Clinical Process / Effectiveness
CMS 166 Use of imaging studies for low back pain Core Efficient Use of Healthcare Resources
CMS 167 Diabetic retinopathy: documentation of presence/absence of macular edema/level of severity of retinopathy Diabetes Clinical Process/ Effectiveness
CMS 169 Bipolar disorder and major depression: appraisal for alcohol/chemical substance abuse Behavioral Health Adult Clinical Process/ Effectiveness
CMS 177 Child/adolescent major depressive disorder: suicide risk assessment Behavioral Health Pediatric Patient Safety
CMS 179 ADE prevention/monitoring: warfarin time in therapeutic range Heart Patient Safety
CMS 182 IVD: complete lipid panel and LDL control Heart Clinical Process/ Effectiveness

Inpatient CQMs

CMS ID Description Cypress Category NQS Domain
CMS 009 Exclusive breast milk feeding Newborn Clinical Process/Effectiveness
CMS 026 Home management plan of care document given to patient/caregiver Asthma Patient/Family Engagement
CMS 030 AMI-10 statin prescribed at discharge Acute Myocardial Infarction Clinical Process/ Effectiveness
CMS 031 EHDI-1a hearing screening before hospital discharge Newborn Clinical Process/ Effectiveness
CMS 032 ED-3 median time from ED arrival to ED departure for discharged ED patients Emergency Department Care Coordination
CMS 053 AMI-8a primary PCI received w/n 90 minutes of hospital arrival Acute Myocardial Infarction Clinical Process/ Effectiveness
CMS 055 ED-1 throughput - median time from ED arrival to ED department for admitted ED patients Emergency Department Patient/Family Engagement
CMS 060 AMI-7a fibrinolytic therapy received w/n 30 minutes of hospital arrival Acute Myocardial Infarction Clinical Process/ Effectiveness
CMS 071 Stroke-3 Ischemic stroke - anticoagulation therapy for atrial fibrillation/flutter Stroke Clinical Process/ Effectiveness
CMS 072 Stroke-5 Ischemic stroke - antithrombotic therapy by end of hospital day 2 Stroke Clinical Process/ Effectiveness
CMS 073 VTE-3 VTE patients w/ anticoagulation overlap therapy Venous Thromboembolism Clinical Process/ Effectiveness
CMS 091 Stroke-4 Ischemic stroke - thrombolytic therapy Stroke Clinical Process/ Effectiveness
CMS 100 AMI-2 - aspirin prescribed at discharge for AMI Acute Myocardial Infarction Clinical Process/ Effectiveness
CMS 102 Stroke-10 Ischemic or hemorrhagic stroke - assessed for rehabilitation Stroke Care Coordination
CMS 104 Stroke-2 Ischemic stroke - discharged on anti-thrombotic therapy Stroke Clinical Process/ Effectiveness
CMS 105 Stroke-6 Ischemic stroke - discharged on statin medication Stroke Clinical Process/ Effectiveness
CMS 107 Stroke-8 Ischemic or hemorrhagic stroke - stroke education Stroke Patient/Family Engagement
CMS 108 VTE-1 VTE prophylaxis Venous Thromboembolism Patient Safety
CMS 109 VTE-4 VTE patients receiving UFH w/ dosages/platelet count monitoring by protocol/nomogram Venous Thromboembolism Clinical Process/ Effectiveness
CMS 110 VTE-5 VTE discharge instructions Venous Thromboembolism Patient/Family Engagement
CMS 111 ED-2 throughput - admitted patients - admit decision time to ED departure time for admitted patients Emergency Department Patient/Family Engagement
CMS 113 PC-01 elective delivery prior to 39 completed weeks gestation Pregnancy Clinical Process/ Effectiveness
CMS 114 VTE-6 Incidence of potentially preventable VTE Venous Thromboembolism Patient Safety
CMS 171 SCIP-INF-1 prophylactic antibiotic received w/n 1 hour prior to surgical incision Surgical Care Improvement Project Patient Safety
CMS 172 SCIP-INF-2 prophylactic antibiotic selection for surgical patients Surgical Care Improvement Project Efficient Use of Healthcare Resources
CMS 178 SCIP-INF-9 urinary catheter removed on POD1 or POD2 with day of surgery being day zero Surgical Care Improvement Project Patient Safety
CMS 185 Healthy term newborn Newborn Patient Safety
CMS 188 PN-6 initial antibiotic selection for CAP in immunocompetent patients Community Acquired Pneumonia Efficient Use of Healthcare Resources
CMS 190 VTE-2 ICU VTE prophylaxis Venous Thromboembolism Patient Safety