Qualified Registry Measures

Measure TitleeMeasure IDQuality Number (Q#)NQS Domain
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) CMS122v6 001 Effective Clinical Care
Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD)  CMS135v6 005 Effective Clinical Care
Coronary Artery Disease (CAD): Beta-Blocker Therapy – Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) CMS145v6 007 Effective Clinical Care
Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) CMS144v6 008 Effective Clinical Care
Anti-Depressant Medication Management CMS128v6 009 Effective Clinical Care
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation CMS143v6 012 Effective Clinical Care
Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy CMS167v6 018 Effective Clinical Care
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care CMS142v6 019 Communication and Care Coordination 
Appropriate Treatment for Children with Upper Respiratory Infection (URI) CMS154v6 065 Efficiency and Cost Reduction
Appropriate Testing for Children with Pharyngitis CMS146v6 066 Efficiency and Cost Reduction
Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients CMS129v7 102 Efficiency and Cost Reduction
Adult Major Depressive Disorder (MDD): Suicide Risk Assessment CMS161v6 107 Effective Clinical Care
Preventive Care and Screening: Influenza Immunization  CMS147v7 110 Community/Population Health
Pneumococcal Vaccination Status for Older Adults CMS127v6 111 Community/Population Health
Breast Cancer Screening CMS125v6 112 Effective Clinical Care
Colorectal Cancer Screening CMS130v6 113 Effective Clinical Care
Diabetes: Eye Exam CMS131v6 117 Effective Clinical Care
Diabetes: Medical Attention for Nephropathy CMS134v6 119 Effective Clinical Care
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan CMS69v6 128 Community/Population Health
Documentation of Current Medications in the Medical Record CMS68v7 130 Patient Safety
Preventive Care and Screening: Screening for Depression and Follow-Up Plan CMS2v7 134 Community/Population Health
Oncology: Medical and Radiation – Pain Intensity Quantified CMS157v6 143 Person and Caregiver-Centered Experience and Outcomes
HIV/AIDS: Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis CMS52v6 160 Effective Clinical Care
Diabetes: Foot Exam CMS123v6 163 Effective Clinical Care
Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery CMS133v6 191 Effective Clinical Care
Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures CMS132v6 192 Patient Safety
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic CMS164v6 204 Effective Clinical Care
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS138v6 226 Community/Population Health
Controlling High Blood Pressure CMS165v6 236 Effective Clinical Care
Use of High-Risk Medications in the Elderly CMS156v6 238 Patient Safety
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents CMS155v6 239 Community/Population Health
Childhood Immunization Status CMS117v6 240 Community/Population Health
Dementia: Cognitive Assessment CMS149v6 281 Effective Clinical Care
Initiation and Engagement of Alcohol and Other Drug Dependence Treatment CMS137v6 305 Effective Clinical Care
Cervical Cancer Screening CMS124v6 309 Effective Clinical Care
Chlamydia Screening for Women CMS153v6 310 Community/Population Health
Use of Imaging Studies for Low Back Pain CMS166v7 312 Efficiency and Cost Reduction
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented CMS22v6 317 Community/Population Health
Falls: Screening for Future Fall Risk CMS139v6 318 Patient Safety
Follow-Up Care for Children Prescribed ADHD Medication (ADD) CMS136v7 366 Effective Clinical Care
Bipolar Disorder and Major Depression: Appraisal for alcohol or chemical substance use CMS169v6 367 Effective Clinical Care
Pregnant women that had HBsAg testing CMS158v6 369 Effective Clinical Care
Depression Remission at Twelve Months CMS159v6 370 Effective Clinical Care
Depression Utilization of the PHQ-9 Tool CMS160v6 371 Effective Clinical Care
Maternal Depression Screening CMS82v5 372 Community/Population Health
Hypertension: Improvement in Blood Pressure CMS65v7 373 Effective Clinical Care
Closing the Referral Loop: Receipt of Specialist Report CMS50v6 374 Communication and Care Coordination
Functional Status Assessment for Total Knee Replacement CMS66v6 375 Person and Caregiver-Centered Experience and Outcomes
Functional Status Assessment for Total Hip Replacement CMS56v6 376 Person and Caregiver-Centered Experience and Outcomes
Functional Status Assessments for Congestive Heart Failure CMS90v7 377 Person and Caregiver-Centered Experience and Outcomes
Children Who Have Dental Decay or Cavities CMS75v6 378 Community/Population Health
Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists CMS74v7 379 Effective Clinical Care
Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment CMS177v6 382 Patient Safety