#179 - Rheumatoid Arthritis (RA): Assessment and Classification of Disease Prognosis. To view the list of certified. CMS Aims to Reduce Physician Burden While Improving Quality. • Data for measures submitted via a web-based tool for CY 2021 (ASC-9, ASC-13, and ASC-14) must be submitted to CMS via the QualityNet Secure Portal during the submission period ending May 15, 2020. A measure that is listed as an intermediate outcome measure or a patient-reported outcome measure would suffice. The remaining 20 MCAS performance To search the measure inventory, enter one or more terms in the search box and hit enter or click the search button. CMS compiles the star ratings by assessing hospitals in five sets of quality measures: mortality, safety of care, readmissions, patient experience, and timeliness and effectiveness of care. List of Measures under Consideration for December 21, 2020 Centers for Medicare & Medicaid Services Page 9 of 85 list had to fill a quality and efficiency measurement need and were assessed for alignment across CMS programs when applicable. 2020 Core Set of Behavioral Health Measures for Medicaid and CHIP (Behavioral Health Core Set) To support CMS’s efforts to improve behavioral health in Medicaid and CHIP, CMS identified a core set of 18 behavioral health measures for voluntary reporting by CMS defines a topped-out measure as one whose median performance score is 95% or higher and whose performance is “so high and unvarying that meaningful distinctions and improvement in performance can no longer be made.” Cancer registry data elements are nationally standardized and considered open source. The federal government last week advised nursing homes that a variety of COVID-related freezes on updates to the public Nursing Home Compare database will end soon after the start of the new year. CMS will host a webinar on Wednesday December 9, 2020 to provide an overview of the final rule for the 2021 performance year. The Centers for Medicare & Medicaid Services’ (CMS’s) EDAC measures capture excess days that a hospital’s patients spent in acute care within 30 days after discharge. CMS have also announced plans to retire the eight original compare tools – Nursing Home Compare, Hospital Compare, Physician Compare, Home Health Compare, Dialysis Compare, IRF Compare, LTCH Compare and Hospice Compare – on December 1st. 2021 QCDRs Qualified Posting – Included in this posting is a list of QCDRs who have been approved to participate in reporting QCDR measures and/or MIPS measures and activities for the 2021 performance period. 09/2020 v1.05 Certification And Survey Provider Enhanced Reports MDS 3.0 QM 11-5 CASPER Reporting MDS Provider User’s Guide 1. 2020 MIPS Quality Measures List. Measure Description. 6/30/2018. AHRQ = Agency for Healthcare Research & Quality; CMS = Centers for Medicare & Medicaid Services; EHR = Electronic Health Record; HRSA = Health Box 2393 AHRQ Quality IndicatorsTM QUALITY INDICATOR USER GUIDE: PATIENT SAFETY INDICATORS (PSI) COMPOSITE MEASURES Version 2020 Prepared for: U.S. Department of Health and Human Quality Performance Expected Performance Rates for 2020 Surveys Are Based on 2016 Standards 4.4 and 4.5. At the end of the day, CMS must curtail the runaway train that is the government’s healthcare cost vertical. You can also access 2020 measures. Guide for Reading Electronic Clinical Quality Measures (eCQMs) Version 6.0 iii May 2020 List of Figures Figure 1. eCQM Standards ..... 5 Figure 2. 2020 Qualified Registries Qualified Posting – A Qualified Registry is a CMS-approved entity that collects clinical data from an individual MIPS-eligible clinician, group, and/or virtual group and submits the data to CMS on their behalf for purposes of MIPS. Hospitals participating in the Hospital Inpatient Quality Reporting (IQR) Program are required to complete Web-based Measure data collection. This content is excerpted from EyeNet ’s MIPS 2020; also see the Academy’s MIPS hub page. 6 Required HEDIS and CAHPS Measures for Reporting Year 2020 Measure Name Web Display Name Weight* MSC Medical Assistance With Smoking and Tobacco Use Cessation—Advising Smokers and Tobacco Users to Quit Smoking advice 1 Mental and There are two eCQMs in the 2020 measureCPC+ measure set; both are outcome measures used in previous CPC+ Report at least six quality measures (including the one mentioned above). Each CAHPS survey produces several measures of patient experience. Please check 2020 Clinical Quality Measure (CQM) Specifications to see changes to existing measures made since the release of the 2019 MIPS Measure Specifications. PQA Measure Overview COPYRIGHT 2020 PQA, INC. ALL RIGHTS RESERVED Seven measures in the PQA Opioid Measure Set provide important tools to address the opioid epidemic. Description. These measures are capped at 7 points for the 2020 performance period. 2020 Core Set of Behavioral Health Measures for Medicaid and CHIP (Behavioral Health Core Set) To support CMS’s efforts to improve behavioral health in Medicaid and CHIP, CMS identified a core set of 18 behavioral health measures for voluntary reporting by state To achieve The quality measures span four quality domains: Patient/Caregiver Experience, Care Coordination/Patient Safety, Preventive 2020 Core Set of Maternal and Perinatal Health Measures for Medicaid and CHIP (Maternity Core Set) To support CMS’s maternal and perinatal health-focused efforts, CMS identified a core set of 11 measures for voluntary reporting by state Medicaid and CHIP QDM Structure – Building a Quality Data 182 KB. Osteoporosis Screening measure (Potential HEDIS measure for CY 2020) Cardiac Rehabilitation (Potential HEDIS measure for CY 2020) Diabetes Overtreatment (Potential HEDIS measure for CY 2021) Home Health Services (Potential HEDIS measure for CY In June 2020, CMS identified 42 telehealth-eligible CQMs for the 2020 performance period. The collaboration between CMS and the ACC to link the NCDR measures to the BPCI Advanced program reflects a shared interest in ensuring that new value-based payment models for cardiovascular care use clinically relevant and actionable quality measures. CMS used 2018 performance data to try and establish 2020 benchmarks for quality measures. 1100 13th Street NW, Third Floor Washington, DC 20005 phone 202.955.3500 fax 202.955.3599 www.ncqa.org Required HEDIS® and CAHPS® Measures for HEDIS Reporting Year 20202 Required HEDIS and CAHPS Measures for HEDIS Reporting Year 2020 It’s for planning purposes only and will not submit anything to CMS. Most quality measures are 1 of 3 types: structure, process, or outcome. SIMILAR MEASURES. We will not make further updates to MY 2020/MY 2021 measure specifications. To get the most out of the tool, follow the steps below: Explore (Search, browse, or filter) available measures. For the 2020 performance year, CMS will measure quality of care using 23 quality measures. CMS listened and implemented the Ambulatory Surgical Center Quality Reporting (ASCQR) Program on October 1, 2012. In 2020, the percentage of contracts earning 4+ stars is projected to increase (from 45% to 52%). The overarching goals of the BPCI Advanced Model are: Care Redesign, Health Care Provider Engagement, Patient and Caregiver Engagement, Data Analysis/Feedback and Financial Accountability. MIPS APM Scoring Standard- Overview. STS measures have either been endorsed or are being considered for endorsement by the National Quality Forum. A detailed list of the 2020 MIPS Quality Measures from CMS. CMS plans to use formal rulemaking this year to propose any specific changes. We support CMS for its interest to enhance the MTM program. UDS Clinical Quality Measure Healthy People 2020 Objective Healthy People 2020 Goal Diabetes Control (HbA1C > 9%) D-5.1 16.20% Hypertension BP Control (BP < 140/90) HDS-12 61.20% Access to Prenatal Care (First Prenatal Visit in 1st Trimester Advance Care Plan -NQF #0326; CMS Quality ID #047 Participants are also required to submit clinical data elements for five cancer types (bone, brain, breast, lung, prostate) biannually. The measure set includes a subset of NCQA’s HEDIS measures and PQA measure s. The survey measures in the QRS measure 2OCM-7 was retired effective with the March 2018 reporting period. 1 CROSS CUTTING [1] Eligible professionals with a specialty that has less than 9 measures or less than 3 domains would be subject to the Measure-Applicability Validation (MAV), but could still avoid the payment adjustment. Title: 2021 Quality Payment Program Final Rule , Percentage of patients 18-75 years of age with diabetes who had hemoglobin A1c > 9.0% during the measurement period. Numerator. • 8 objectives and their related measures must be met. Denominator Exclusions. Measure 437: Rate of Surgical Conversation from Lower … Individual Measures: Report nine (9) individual measures, across at least three (3) NQS domains for fifty percent (50%) of eligible Medicare patients. 2020 MIPS Quality Measure Benchmarks Overview Purpose: This resource provides an overview of how we establish MIPS Quality ... We use benchmarks from the Medicare Shared Savings Program to assess and score CMS Web Interface measures. MIPS Quality Component. CMS is currently testing the submission of quality measures data from Electronic Health Records for physicians and other health care professionals and will soon be testing with hospitals. Click on the "Electronic Specification" link to the left for more information. To support increased use of telehealth, NCQA updated telehealth guidance in 40 HEDIS measures for MY 2020 and MY 2021. • Medication Therapy Management (MTM). The clinical data requirements will be provided to RO participants prior to the start of PY1. CMS Aims to Reduce Physician Burden While Improving Quality. Measure Type. CMS defines a topped-out measure as one whose median performance score is 95% or higher and whose performance is “so high and unvarying that meaningful distinctions and improvement in performance can no longer be made.”. During this webinar, CMS will answer questions from attendees at time permits. Here’s how you can maximize your quality score. MIPS 2020—Quality: Reporting Quality Measures. Measure Name Web Display Name Weight* TREATMENT Asthma AMR Asthma Medication Ratio —Total Asthma control 1 1 17) ASC Impact : Including beneficiary cost sharing and estimated changes in enrollment, utilization and case-mix) and changes in the proposed rule, Medicare ASC payments for CY 2020 would be Eligible clinicians meet the intent of this measure by making their best effort to document a current, complete and accurate medication list during each encounter. Equals Initial Population. CMS Measures - Fiscal Year 2021 Centers for Medicare & Medicaid Services (CMS) Quality Improvement Program Measures for Acute Care Hospitals - Fiscal Year (FY) 2021 Payment Update Measure Name NQF # Hospital Compare Release* Hospital Compare Scoresheet Instructional Video. High Priority. In that Press Release, CMS revealed the 2020 list, which includes a number of new measures, as well as several updates to modernize or replace existing measures: Five outcome measures (measures that focus on the results of health care provided through Medicare), such as the rate of health care-associated infections requiring hospitalization for residents of skilled nursing facilities; View the new CQMC Implementation Guide (PDF) and a list of public comments (XLSX) on the Guide. A full list of NQF-endorsed measures is available through NQF’s Quality Positioning System, better known as QPS. 2020 Topped Out MIPS Quality Measures: CQMs These measures are capped at 7 points for the 2020 performance period. A federal government website managed by the Centers for Medicare & Medicaid Services, 7500 Security Boulevard, Baltimore, MD 21244 CMS listened and implemented the Ambulatory Surgical Center Quality Reporting (ASCQR) Program on October 1, 2012. There is no diagnosis associated with this measure. 2020 COLLECTION TYPE: MIPS CLINICAL QUALITY MEASURES (CQMS) MEASURE TYPE: Process – High Priority DESCRIPTION: Percentage of patients 65 years of age and older who were ordered high-risk medications. If there isn’t enough 2018 performance data to establish a reliable benchmark for a measure, or if the measure didn’t exist in 2018, CMS will try to establish a benchmark retroactively using 2020 performance data. All 2020 CMS MIPS registry and EHR quality measures can be reported with MDinteractive. Please check 2020 Clinical Quality Measure (CQM) Specifications to see changes to existing measures made since the release of the 2019 MIPS Measure Specifications. We anticipate CMS will issue its proposals for the ASC quality measure reporting system in the summer of 2011. A list of the MDS 3.0 Quality Measure Downloads Users-Manuals-Updated-10-19-2020 (ZIP) NAACOS letter to CMS urges 2020 MSSP quality scoring changes due to pandemic CMS Posts New APM Performance Pathway (APP) Factsheet CMS releases final 2021 Physician Fee Schedule rule including major quality changes for ACOs in 2021 and 2022 creating a new APM Performance Pathway (APP) for ACO quality assessment April 1, 2019-March 31, 2020 June 1, 2019-May 30, 2020 October 1, 2019-September 30, 2020 Yes January 1, 2019-December 31, 2019 No N/A No N/A No N/A No N/A Sepsis Severe Sepsis and Septic Shock: Management Bundle (Composite Measure) 0500 center quality reporting (ASCQR) program 3 CMS Ambulatory Surgical Center Quality Reporting Program • CMS ASC Quality Reporting Program Quality Measures Specifications Manual • Verify you have the latest versions – 8.0a 1Q19-4Q19 (released 12/18) 2020 eCQM: Pneumococcal Vaccination Status for Older Adults (CMS 127v8) Review this article to understand the measure specifications and EHR workflows for the 2020 Pneumococcal Vaccination Status for Older Adults eCQM (CMS 127v8). Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) yes. Better health. Four measures evaluate use of opioids at high dosage (≥90 MME/day), from In November of 2003, CMS and the Joint Commission began to work to precisely and completely align these common measures so that they are identical. Measures include a patient experience of care survey, controlling high blood pressure, diabetes hemoglobin A1c poor control For this week’s tip, our Executive Director of Education, Patricia Maccariella-Hafey, RHIA, CDIP, CCS, CCS-P, CIRCC explores the “Social Determinants of Health… In a statement, AHA Executive Vice President Tom Nickels said, “AHA is disappointed that CMS continues to publish hospital star ratings that are plagued by longstanding A federal government website managed by the Centers for Medicare & Medicaid Services, 7500 Security Boulevard, Baltimore, MD 21244 In this article we will highlight the most important changes you need to know for the 2020 performance year … NAACOS document with ACO survey results urges CMS to indefinitely delay mandatory ACO reporting of eCQMs and MIPS CQMs. This tool has been created to help you get familiar with the available measures and activities for each performance category under traditional MIPS. quarter 2020, the data will (need to) be entered by May 15, 2020. Death rate for coronary artery … Quality Measures. 2020 MIPS Quality Measures. For reporting in 2021, there are six measures required for eligible Medicare-certified facilities* to avoid Medicare payment reductions in 2022. CAHPS Measures of Patient Experience. 2 Summary Table of Measures, Product Lines and Changes HEDIS MY 2020 & MY 2021, Volume 2 HEDIS MY 2020 & MY 2021 Measures Applicable to: • Updated General Guideline 49: Mapping Proprietary or Other Codes (formerly General Guideline 50) to allow CMS listened and implemented the Ambulatory Surgical Center Quality Reporting (ASCQR) Program on October 1, 2012. Department - CMS OP-3 (KS MBQIP 2020-2021) • Aspirin at Arrival in the Emergency Department - CMS OP-4 & MBQIP Phase 2 & (MBQIP 2015-2018) (MBQIP 2018-2021) (KU CC) (Removed by CMS) 1 of 27 Quality Health Indicators: Measure List At WellCare, we value everything you do to deliver quality care to our members Read more: Patients who are pregnant. This update documents the trends and high-level summary of performance associated with key Part D measures. Mortality (7) Death rate for heart attack patients. CMS removed some quality measures. Alternative high-priority quality measures include appropriate use, care coordination, efficiency, patient experience, patient safety, and opioid-related measures. This means that for the 2021 program year, the final clinical quality measures for the Quality performancecategory published inthe “Federal Register” will be available November1, 2020. Osteoporosis Screening measure (Potential HEDIS measure for CY 2020) Cardiac Rehabilitation (Potential HEDIS measure for CY 2020) Diabetes Overtreatment (Potential HEDIS measure for CY 2021) Home Health Services (Potential HEDIS measure for CY For 2020, CMS removed dozens of quality measures, including three that had been available for reporting via the IRIS Registry: The QPP is a significantly positive step forward because: • Reporting is easier with fewer requisite measures. Two rates are submitted. Five of the below listed measures are National Quality Forum (NQF) endorsed. These measures were selected to be actionable, clinically meaningful, and aligned with CMS’s broader quality measurement strategy. electronic clinical quality measures (eCQMs) reporting for the 2020 CPC+ Measurement Period, January 1, 2020, to December 31, 2020. For 2020, the IRIS Registry had developed some new QCDR measures, and also had plans to withdraw four QCDR measures, but at time of press was waiting for CMS to approve these changes. ENVIRONMENTAL SCAN. However, these measures will continue to be Our Coding & Quality Measures Series discusses how coding may adversely affect your quality statistics and bottom line. Since it began in 2017, CMS has attempted to ease people into the MIPS program by increasing the minimum score gradually from 3 points in 2017, to 15 points in 2018, 30 points in 2019 and now 45 points in 2020. CMIT searches all fields in the inventory and is not case-sensitive. 2020. Select the MDS 3.0 QM Reports link from the Report Categories frame on the left. Denominator Statement. By Alex Spanko | December 8, 2020. The eCQM ID’s two parts The following 19 MCAS performance measures are held to a minimum performance level (MPL) that is set by DHCS. Updated June 2020 The table below titled “Electronic Clinical Quality Measures for Eligible Professionals and Eligible Clinicians: 2021 Reporting” contains additional up-to-date information for electronic clinical quality measures (eCQMs) that are to be used to impact clinical quality measures for the ABCS (Aspirin when appropriate, Blood pressure control, Cholesterol management, and Smoking cessation) and align these measures across public and private national programs. 7/1/2015. 2020 NIPM-QCDR Measures – Measure Detail. Outcome Measures EPs must report on at least one outcome measure. In 2020, a newly formed Implementation Workgroup developed strategies for facilitating core set adoption across payers and programs to promote measure alignment. A penalty will be applied if the score is below the threshold. There are 6 collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs) MIPS Clinical Quality Measures (CQMs) Qualified Clinical Data Registry (QCDR) Measures Medicare Part B claims measures CMS Web Interface measures Data for measures submitted via a web-based tool for 2020 MIPS Extreme and Uncontrollable Circumstances Application Resources (ZIP 917KB) Quality Payment Program COVID-19 Response (PDF 607KB) 2021 Qualifying APM Participant (QP) Quick Start Guide (PDF 491KB) Access individual 2021 quality measures for MIPS by clicking the links in the table below. For 2020, the IRIS Registry had developed some new QCDR measures, and also had plans to withdraw four QCDR measures, but at time of press was waiting for CMS to approve these changes. At this time, there is no requirement for ASCs to report quality measures. reporting quality data in these years. Acute Care Hospital Quality Improvement Program Measures - FY 2022 (12/2019) PDF. • Quality result percentage ranges used to determine each of the measure’s Star Rating year 2020 Star levels • For HEDIS measures: the service(s) needed and coding guidance to ensure measure compliance • For HOS and CAHPS measures: applicable CMIT searches all fields in the inventory and is not case-sensitive. For 2020, CMS removed dozens of quality measures, including three that had been available for reporting via the IRIS Registry: The complete list of 2020 Behavioral Health Core Set measures is available at https://www.medicaid.gov/medicaid/quality-of-care/downloads/performance-measurement/2020-bh-core-set.pdf. Anesthesiologists may elect to submit quality measures through any of the following mechanisms. The Specifications Manual for National Hospital Inpatient Quality Measures (Specifications Manual) is the result of the collaborative efforts of the Centers for Medicare & Medicaid Services (CMS) and The Joint Commission to publish a uniform set of national hospital quality measures. The overall star rating is determined through numerous performance measures across several domains of performance. This approach places more emphasis on an organization’s performance on accountability measures — quality measures that meet four criteria designed to identify measures that produce the greatest positive impact on patient outcomes when hospitals demonstrate improvement: Patients with elective vaginal deliveries or elective cesarean sections at >= 37 and < 39 weeks of gestation completed. In that Press Release, CMS revealed the 2020 list, which includes a number of new measures, as well as several updates to modernize or replace existing measures: Five outcome measures (measures that focus on the results of health care provided through Medicare), such as the rate of health care-associated infections requiring hospitalization for residents of skilled nursing facilities; Clinical Quality Measures Specifications Each measure is assigned a unique number. CMS also has other initiatives that relate to children’s quality measures, including a Pediatric Quality Measures Program (PQMP) and the Pediatric Electronic Health Record Format. Measure numbers for 2021 QPP represent a continuation in numbering from the 2020 QPP measures. Version 5.7 – Discharges 01/01/2020 through 06/30/2020. All patients 18 and older on the date of the encounter with at least one eligible encounter during the measurement period. In that Press Release, CMS revealed the 2020 list, which includes a number of new measures, as well as several updates to modernize or replace existing measures: Five outcome measures (measures that focus on the results of health care provided through Medicare), such as the rate of health care-associated infections requiring hospitalization for residents of skilled nursing facilities; Find a complete list of these measures on our website. When reviewing this list of eCQMs, please note there may be instances Our original post from April 2, 2019, regarding the 2020 Star Ratings draft changes from CMS: At the end of January 2019, CMS released notice of impending changes to the methodology of Medicare Advantage (MA) “Capitation Rates and Part D Payment Policies.”. The Final Rule continues to gradually increase the reporting requirements under the MIPS program. claims measures). 2021 quality measures for MIPS reporting. Exhibit 1 includes the list of QRS measures required for 2020. Initial Population. As a reminder, the HAI measures, which are CAUTI, CLABSI, SSI, MRSA Bacteremia, and CDI, have been removed from the Hospital IQR Program. The measures incorporate the full range of post-discharge use of care (emergency department visits, observation stays, and … the quality measures Reporting system Applies to Level and type of measures Use Number of asthma measures CMS Physician Quality Reporting System and Value Modifier (PQRS) Individual or groups of eligible practitioners (EPs) submitting to of patients Frequently Asked Questions about HPR vs CMS Star Ratings. UPDATED LIST: Medicare Advantage star ratings for 2020 show more 4 star or higher plans There are 1,200 more MA plans than in 2018 and in 2020 a greater number rate 4 stars or more, CMS says. 1 Version 4.0 2020 Quality Payment Program (QPP) Measure Specification and Measure Flow Guide for MIPS Clinical Quality Measures (CQMs) Utilized by Merit -based Incentive Payment System (MIPS) Eligible Clinicians, Groups, or Third-Party Intermediaries The Centers for Medicare & Medicaid Services (CMS) creates plan ratings that indicate the quality of Medicare plans on a scale of 1 to 5 stars with 5 stars being the highest rating. If you search for multiple terms, CMIT will return all measures containing at least one of the terms. Intermediate Outcome. NAACOS letter to CMS urges 2020 MSSP quality scoring changes due to pandemic CMS Posts New APM Performance Pathway (APP) Factsheet CMS releases final 2021 Physician Fee Schedule rule including major quality changes for ACOs in 2021 and 2022 creating a new APM Performance Pathway (APP) for ACO quality assessment Quality measures finalized for removal in 2020 reporting year. The Core Quality Measures Collaborative (CQMC) is a broad-based coalition of healthcare leaders working to facilitate cross-payer measure alignment through the development of core sets of measures to assess the quality of healthcare in the United States. For reporting in 2021, there are six measures required for eligible Medicare-certified facilities* to avoid Medicare payment reductions in 2022. - Opens in new browser tab. Providers who participate in the National Interventional Pain Management – Qualified Clinical Data Registry (NIPM-QCDR) to meet MIPS reporting requirements under the CMS Quality Payment Program can choose from 43 standard MIPS measures and 7 QCDR measures, which were specially designed by ASIPP for interventional pain physicians. Medicare Advantage CAHPS Guidance. Better choices. These approved Qualified Registries report data (measures and/or activities) for the Quality, Promoting Interoperability, and Improvement Activities performance categories. This resulted in the creation of one common set of measure specifications documentation known as the Specifications Manual for National Hospital Inpatient Quality Measures to be used by both organizations. list of measures enables plans to better focus their resources. 1The composite measure, OCM-4, is comprised of two measures: OCM-4a, Oncology: Medical and Radiation – Pain Intensity Quantified (PQRS 143, NQF 0384), and OCM-4b, Oncology: Medical and Radiation – Plan of Care for Pain (PQRS 144, NQF 0383). If you search for multiple terms, CMIT will return all measures containing at least one of the terms. 2020 Methodology: How we will calculate the ratings for 2020. These groups would be able to report the same quality measures using the eCQM and/or MIPS-CQM equivalent of the Web Interface Quality measures. Agency for Healthcare Research and Quality P.O. 2020 HEDIS® AT-A-GLANCE GUIDE STAR MEASURES This guide alerts you to important preventive care and services that you can provide to patients to help boost Star Ratings. Chapter 2 MDS 3.0 Quality Measures Logical Specifications .....15 Section 1: Short Stay (SS) Quality Measures .....16 Table 2-1 Changes in Skin Integrity Post-Acute Care: Pressure Specifications Manual for National Hospital Inpatient Quality Measures Discharges 07-01-19 (3Q19) through 12-31-19 (4Q19) - iii-Table of Contents (continued) Section 10: CMS Outcome/ Inpatient Web-Based Measures 10.1 - Outcome Measures clinician eCQMs for the 2020 performance period, whether the encounter was provided in person or via telehealth. The Joint Commission categorizes its process performance measures into accountability and non-accountability measures. Quality measures are used for a variety of purposes in health care, including clinical care improvement, regulation, accreditation, public reporting, surveillance, and maintenance of certification. Quality measures are used to evaluate or quantify specific health care processes, outcomes, patient perceptions, or other factors related to health care delivery. Measure Name. Not available. The NIPM-QCDR will submit the following measures on behalf of its eligible professionals for the 2020 reporting period starting on January 1, 2020 and ending on December 31, 2020.