Choose Clinical Quality Measures
CMS Attestation Considerations
A sum total of up to 9 CQMs; 3 core, up to 3 alternate core, and 3 additional CQMs. If an EP
reports a denominator of 0 for any of the 3 core measures, the EP must record for an alternate
core CQM to supplement the core measure. Therefore, an EP may report a minimum of 6 and
a maximum of 9 CQMs depending on the resulting values in the denominators for the core
measures as reported from their certified EHR.
Directions for choosing your CQM
You will be given access to run your CQM reports on any measure you believe your patient population may fall under. This will allow you to report to CMS the quality measures that are relevant to your scope of practice. Therefore, by default you will be granted access to all core and alternative core and you only need to inidcate ANY additional clinical quality measures that are relevant to your scope of practice. Choose a minimum of 3(The additional 3 CANNOT be from the Core or Alternative Core list, only from the list of 38 additional quality Measures.)