SIM CQM MEASURE SIMPLIFICATION

Measure Condition Primary CQMs Depression Diabetes: Hemoglobin A1c Hypertension Obesity: Adult Substance Use Disorder: Alcohol and Other Drug Dependence Substance Use Disorder: Tobacco Secondary CQM Asthma

SIM Metric Title

Citation

Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan Diabetes: Hemoglobin A1c Poor Control

NQF 0418 CMS 2v6 NQF 0059 CMS 122v5 Controlling High Blood Pressure NQF 0018 CMS 165v5 Preventive Care and Screening: Body Mass Index (BMI) NQF 0421 Screening and Follow-up Plan CMS 69v5 Initiation & Engagement of Alcohol & Other Drug NQF 0004 Dependence Treatment CMS 137v5 Preventive Care and Screening: Tobacco Use: Screening and NQF 0028 Cessation Intervention CMS 138v5

Medication Management for People with Asthma (replaced NQF 1799 to align with QPP) CMS n/a Fall Safety Falls: Screening for Future Fall Risk NQF 0101 CMS 139v5 Maternal Depression Maternal Depression Screening NQF 1401 CMS 82v4 Substance Use Disorder: Alcohol Preventive Care and Screening: Unhealthy Alcohol Use: NQF 2152 Screening & Brief Counseling CMS n/a Measures reported via APCD claims data automatically Breast Cancer Breast Cancer Screening NQF 2372 CMS 125v5 Colorectal Cancer Colorectal Cancer Screening NQF 0034 CMS 130v5

CPC+

QPP

Depression Remission at 12 Months











No obesity measure (not required for SIM if in CPC+)











No asthma measure







No maternal depression measure



Alcohol & Other Drug Dependence measure (above)



 (clinical)

 (clinical)

 (clinical)

 (clinical) 2

Measure Condition

Metric Title

Citation

QPP

Primary CQMs Depression

Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

NQF 0418 CMS 2v6

Development Screening

Developmental Screening in the First Three Years of Life (developed by Mathematica)

NQF 1448 CMS – under development

Maternal Depression

Maternal Depression Screening

NQF 1401 CMS 82v4



Obesity: Adolescent

Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents

NQF 0024 CMS 155v5



Medication Management for People with Asthma (replaced to align with QPP)

NQF 1799 CMS n/a



 No developmental screening measure

Secondary CQM Asthma

3

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