Below are the nine recommended CQMs (out of 64) for the adult patient

Here are brief explanations of the nine recommended Clinical Quality Measures (CQMs) for adult patients:

a. Controlling High Blood Pressure

This measure tracks the percentage of adult patients aged 18–85 with a diagnosis of hypertension whose blood pressure was adequately controlled (<140/90 mmHg) during the measurement period. Effective management reduces risks of heart disease, stroke, and kidney damage.

b. Use of High-Risk Medications in the Elderly

This measure focuses on reducing the prescription of potentially harmful medications for patients aged 65 and older. It aims to minimize risks like falls, confusion, and adverse drug interactions by encouraging safer alternatives.

c. Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

It evaluates the percentage of patients aged 18 and older who were screened for tobacco use at least once during the measurement period and received cessation counseling if they were identified as tobacco users. The goal is to reduce smoking-related illnesses through timely interventions.

d. Use of Imaging Studies for Low Back Pain

This measure ensures that imaging studies (like X-rays or MRIs) are used appropriately for patients aged 18–50 with low back pain. It discourages unnecessary imaging unless there are “red-flag” symptoms, reducing exposure to radiation and healthcare costs.

e. Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan

This measure tracks the percentage of patients aged 12 and older who were screened for depression using a standardized tool and had a documented follow-up plan if depression was identified. It promotes early diagnosis and treatment of mental health conditions.

f. Documentation of Current Medications in the Medical Record

This measure ensures that healthcare providers document a comprehensive list of medications for patients aged 18 and older during each outpatient visit. Accurate documentation prevents medication errors and improves patient safety.

g. Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

It evaluates whether patients aged 18 and older had their BMI measured during an office visit and received a follow-up plan if their BMI indicated they were overweight or underweight. This measure supports early intervention for weight-related health issues.

h. Closing the Referral Loop: Receipt of Specialist Report

This measure focuses on ensuring that primary care providers receive reports from specialists after patient referrals. It emphasizes communication and coordination of care to improve patient outcomes and reduce duplication of services.

i. Functional Status Assessment for Complex Chronic Conditions

This measure tracks the use of standardized tools to assess the functional status of patients with complex chronic conditions, such as arthritis or heart failure. Regular assessments help monitor disease progression and guide care plans.

These measures align with improving care quality and outcomes by focusing on prevention, communication, and safety in medical practices