Costs and Considerations

Product/Version

Certification Date

12/31/2018

Certification Number

15.04.04.2696.Clin.05.00.0.181231

Certification Criteria & Functionality

170.315(b)(10): Electronic Health Information (EHI) export for both single and patient populations
170.315(c)(1-3): recording, calculating and reporting clinical quality measures (CQMs)
170.315(d)(1-3, 5, 12-13): user authentication, access control, and audit trail
170.315(g)(4-5): quality management system and accessibility-centered design

Clinical Quality Measures Certified

1. CMS2v7: Preventive Care and Screening: Screening for Depression and Follow-Up Plan
2. CMS22v6: Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
3. CMS50v6: Closing the Referral Loop: Receipt of Specialist Report
4. CMS52v6: HIV/AIDS: Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis
5. CMS56v6: Functional Status Assessment for Total Hip Replacement
6. CMS65v7: Hypertension: Improvement in Blood Pressure
7. CMS66v6: Functional Status Assessment for Total Knee Replacement
8. CMS68v7: Documentation of Current Medications in the Medical Record
9. CMS69v6: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
10. CMS74v7: Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists
11. CMS75v6: Children Who Have Dental Decay or Cavities
12. CMS82v5: Maternal Depression Screening
13. CMS90v7: Functional Status Assessments for Congestive Heart Failure
14. CMS117v6: Childhood Immunization Status
15. CMS122v6: Diabetes: Hemoglobin A1c (HbA1c) Poor Control (> 9%)
16. CMS123v6: Diabetes: Foot Exam
17. CMS124v6: Cervical Cancer Screening
18. CMS125v6: Breast Cancer Screening
19. CMS127v6: Pneumococcal Vaccination Status for Older Adults
20. CMS128v6: Anti-depressant Medication Management
21. CMS129v7: Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients
22. CMS130v6: Colorectal Cancer Screening
23. CMS131v6: Diabetes: Eye Exam
24. CMS132v6: Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures
25. CMS133v6: Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
26. CMS134v6: Diabetes: Medical Attention for Nephropathy
27. CMS135v6: Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD)
28. CMS136v7: Follow-Up Care for Children Prescribed ADHD Medication (ADD)
29. CMS137v6: Initiation and Engagement of Alcohol and Other Drug Dependence Treatment
30. CMS138v6: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
31. CMS139v6: Falls: Screening for Future Fall Risk
32. CMS142v6: Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
33. CMS143v6: Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
34. CMS144v6: Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)
35. CMS145v6: Coronary Artery Disease (CAD): Beta-Blocker Therapy-Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <40%)
36. CMS146v6: Appropriate Testing for Children with Pharyngitis
37. CMS147v7: Preventive Care and Screening: Influenza Immunization
38. CMS149v6: Dementia: Cognitive Assessment
39. CMS153v6: Chlamydia Screening for Women
40. CMS154v6: Appropriate Treatment for Children with Upper Respiratory Infection (URI)
41. CMS155v6: Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
42. CMS156v6: Use of High-Risk Medications in the Elderly
43. CMS157v6: Oncology: Medical and Radiation - Pain Intensity Quantified
44. CMS158v6: Pregnant women that had HBsAg testing
45. CMS159v6: Depression Remission at Twelve Months
46. CMS160v6: Depression Utilization of the PHQ-9 Tool
47. CMS161v6: Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
48. CMS164v6: Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic
49. CMS165v6: Controlling High Blood Pressure
50. CMS167v6: Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy
51. CMS169v6: Bipolar Disorder and Major Depression: Appraisal for alcohol or chemical substance use
52. CMS177v6: Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment
53. CMS347v1: Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
54. CMS645v1: Bone density evaluation for patients with prostate cancer and receiving androgen deprivation therapy

Additional Software Relied Upon

N/A

ONC Disclaimer

This Health IT Module is compliant with the ONC Certification Criteria for Health IT and has been certified by an ONC-ACB in accordance with the applicable certification criteria adopted by the Secretary of Health and Human Services. This certification does not represent an endorsement by the U.S. Department of Health and Human Services.

Costs & Considerations

Clinigence offers clinical quality measure (CQM) analytics, including recording, calculating, and reporting (170.314(c)(1-3)) on an annual software-as-a-service (SaaS) contract. The service allows healthcare providers to aggregate patient data from various sources, including electronic health record (EHR) systems, track performance at the organization, practice and individual provider level in near real-time, and report to different outside agencies. Service costs are based on organization size (e.g. number of providers, patients, etc.) and the number of CQMs and are charged on a periodical basis (annual, monthly, etc.) One-time setup fees may be charged based on the number and type of data sources.

There are no technical or practical considerations associated with this service.