PCMH Standardized Measurement

Practices pursuing or maintaining PCMH Recognition are encouraged to report on standardized measures whenever possible in the Quality Improvement concept. Standardized measures are measures which are validated by a measure steward and have specific parameters for reporting. For PCMH, practices should utilize the specifications of electronic clinical quality measures (eCQMs) which were designed to be applied at the practice or clinician level of reporting.

PCMH Supported Measures


MeasureCMS eCQM #Measure Steward
Influenza ImmunizationCMS 147NCQA
Pneumococcal Vaccination Status for Older AdultsCMS 127NCQA
Childhood Immunization Status: Combination 10 (CIS)CMS 117NCQA


MeasureCMS eCQM #Measure Steward
Cervical Cancer ScreeningCMS 124NCQA
Colorectal Cancer ScreeningCMS 130NCQA
Breast Cancer ScreeningCMS 125NCQA
Body Mass Index Screening and Follow-Up PlanCMS 69CMS
Tobacco Use: Screening and Cessation InterventionCMS 138NCQA

Behavioral Health

MeasureCMS eCQM #Measure Steward
Follow-Up Care for Children Prescribed ADHD Medication (ADD)CMS 136NCQA
Screening for Depression and Follow-Up PlanCMS 2CMS


Chronic or Acute Care

MeasureCMS eCQM #Measure Steward
Controlling High Blood PressureCMS 165NCQA
Diabetes HbA1C Poor Control (>9%)CMS 122NCQA
Diabetes Eye ExamCMS 131NCQA


Care Coordination

MeasureCMS eCQM #Measure Steward
Closing the Referral LoopCMS 50CMS
Documentation of Current Medications in the Medical RecordCMS 68CMS


Health Care Costs

MeasureCMS eCQM #Measure Steward
Appropriate Testing for PharyngitisCMS 146NCQA
Appropriate Treatment for Upper Respiratory Infection (URI)CMS 154NCQA



The following resource may be used to explore measure specifications.

eCQI Resource Center: A resource website from The Office of the National Coordinator for Health Information Technology. Contains the most current resources to support electronic clinical quality improvement (eCQI).

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