EHR Clinical Quality Measure Descriptions

See EHR Dashboard.

The nine EHR Clinical Quality Measures (CQMs) tracked and reported by Open Dental are described below. CQM denominators are based on eligible Encounters. Also see EHR Report Clinical Quality Measures (CQMs).

#68 Document Current Meds

Percentage of encounters for patients aged 18 years and older for which the EP attests to documenting a list of current medications to the best of his/her knowledge and ability.

Calculation Info: Document Current Medications

#69 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up

Percentage of patients aged 18 years and older with a documented BMI during an encounter or during the previous six months, AND when the BMI is outside of normal parameters, a follow-up plan is documented during the encounter or during the previous six months of the encounter.

Calculation Info: There are two BMI Screening and Follow-Up calculations based on age.

#74 Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists

Percentage of children, age 0-20 years, who received a fluoride varnish application during an eligible encounter in the reporting period. Calculations are divided into 4 age categories:

Calculation Info: There are four Caries Prevention calculations based on age.

#75 Children Who Have Dental Decay or Cavities

Percentage of children, ages 0-20, who have had a diagnosis of caries with an eligible code within the reporting period.

Calculation Info: Child Dental Decay, 0-20

#127 Pneumonia Vaccination Status for Older Adults

Percentage of patients 65 years of age and older, with an eligible encounter during the reporting period, who have ever received a pneumococcal vaccine. See EHR Vaccine Data


Calculation Info: Pneumococcal Vaccination, 65+

#138 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received cessation counseling intervention if identified as a tobacco user.

Calculation Info: Tobacco Cessation Intervention

#147 Preventive Care and Screening: Influenza Immunization

Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization.

Calculation Info: Influenza Immunization, 6 months+

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

Percentage of patients 3-17 years of age, who had eligible encounters during the reporting period, and who had evidence of the following:

Calculation Info: Calculations are further categorized by age (3-17, 3-11, 12-17). Patients with a documented Exclusion from BMI exam due to pregnancy are excluded.

#165 Controlling High Blood Pressure

Percentage of patients 18-85 years of age who had a diagnosis of hypertension and whose blood pressure was adequately controlled (<140/90mmHg) during the reporting period.

CQM numerator affected when a hypertension Problem with an eligible SNOMED CT code (used by CQM 165) is added to the patient's Problem List.

Calculation Info: Controlling High BP