Objective 2: Clinical Decision Support
Clinical Quality Measures (Modified Stage 2)

Clinical quality measures (CQMs) are tools that help measure and track the quality of health care services that eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) provide. Measuring and reporting CQMs helps to ensure that our health care system is delivering effective, safe, efficient, patient-centered, equitable, and timely care. CQMs measure many aspects of patient care, including:

  • Patient and Family Engagement
  • Patient Safety
  • Care Coordination
  • Population/Public Health
  • Efficient Use of Healthcare Resources
  • Clinical Process/Effectiveness

EPs must select 6 approved Clinical Quality measures. For the EHR reporting period in 2018, providers will attest to any continuous 90-day period of CQM data regardless of submission method. Submission methods available are electronically submitting via a QRDA file format or manually entering numerator and denominators at the time of attestation.

During Meaningful Use attestation, providers are required to submit CQM data from their EHR. Beginning CY 2018, CQM data must be reported electronically (except in certain circumstances where electronic reporting is not feasible).



of Health Care


Heath Care

Lower Cost

  • Promote evidence-based clinical processes
  • Measure preventing and treating priority conditions
  • Improve outcomes by identifying deficiencies in safety and accessibility


  • Reduce provider burden (e.g., administrative time by streamlining measurement)
  • Improve functional assessment of chronic conditions
  • Facilitate care coordination across settings


  • Reduce preventable hospital readmissions
  • Decrease medication errors
  • Promote appropriate usage of diagnostic testing and screening
Modified Stage 2 vs Stage 3
Objective Measures Modified Stage 2 Stage 3
Objective 2: Clinical Decision Support 5 rules related to 4 CQM’s No change


Clinical Quality Measures: Reporting Requirements from 2017 through 2018

eCQI Resource Center

eCQM Library

Electronic Clinical Quality Measures (eCQM) Annual Update for 2019 Reporting/Performance