2020 Eligible Clinician Electronic Clinical Quality Measure Flows

The Centers for Medicare & Medicaid Services (CMS) published the 2020 performance period electronic Clinical Quality Measure (eCQM) flows for eligible clinicians and eligible professionals, which provide:

• An additional resource to help you interpret the logic and calculation methodology for performance rates when implementing eCQMs 
• An overview of each population criteria component and associated data elements that lead to inclusion or exclusion into the eCQM’s quality action (numerator)

eCQM flows supplement eCQM specifications for the following programs; do not use them in place of the eCQM specification or for reporting purposes:

• Quality Payment Program: The Merit-based Incentive Payment System and Advanced Alternative Payment Models (Advanced APMs)
• Advanced APM: Comprehensive Primary Care Plus
• Medicaid Promoting Interoperability Program for Eligible Professionals

For more information:

• eCQI Resource Center website
• Direct questions to the eCQM Issue Tracker