Measures and Milestones

Foundations

Milestone 1: Engaging Leadership & Creating a Quality Improvement Team

  • Clarifying the role of leadership
  • Purpose and design of a QI Team
  • Understanding team development and dynamics
  • Strategies for effective teams
  • Rules for successful meetings
  • Building capacity for improvement

Milestone 2: Model for Improvement

  • Foundations of quality improvement
  • The Model for Improvement
  • Quality improvement tools

Milestone 3: Team-based Care

  • Team-based care
  • Empanelment
  • Continuity of care
  • Considerations for pediatric populations

Milestone 4: Sustainability and Spread

  • Building the case for sustainability
  • The Juran Trilogy
  • Creating a high performing management system
  • Developing your plan for sustainability and spread

Milestone 5: Measurement to Support QI

  • Run charts
  • Clinical Quality Measures
  • Quarterly Reporting

Primary Care Clinical Quality Measures (CQMs)  Review the measure specifications in the CMS eCQM Library.

NQF CMS Description
0018 165  Controlling High Blood Pressure
0024 155  Childhood BMI, Nutrition Counseling, and Physical Activity Counseling
0028 138  Tobacco Screening and Cessation
0031 125  Breast Cancer Screening
0034 130  Colorectal Cancer Screening
0036 126  Use of Appropriate Asthma Medications
0038 117  Childhood Immunizations
0041 147  Influenza Immunization
0043 127  Pneumococcal Vaccine
0059 122  Diabetes HgA1c Control
0064 163  Diabetes LDL Control
0075 182  IVD LDL Control
0083 144  Beta-Blocker Therapy
0101 139  Falls Screening
0418 2  Depression Screening and Follow-up
0419 68  Medication Reconciliation
0421 69  Adult BMI Screening and Follow-up

 

Pediatric Clinical Quality Measures (CQMs)  Review the measure specifications in the CMS eCQM Library.

NQF CMS Description
0002 146  Testing for Pharyngitis in Children
0004 137  Alcohol and Drug Dependence Treatment
0024 155  Childhood BMI, Nutrition Counseling, and Physical Activity Counseling
0033 153  Chlamydia Screening for Women
0036 126  Use of Appropriate Asthma Medications
0038 117  Childhood Immunizations
0041 147  Influenza Immunization
0069 154  Upper Respiratory Treatment in Children
0108 136  Follow-up Care for Children Prescribed ADHD Medication
0418 2  Depression Screening and Follow-up
0576    Hospital Follow-up After Mental Illness Diagnosis
1346    Secondhand Smoke Exposure to Children
1365 177  Child and Adolescent Suicide Risk
1392    Well-Child Visits in the First 15 Months
  82  Maternal Depression Screening
1448    Developmental Screening in the First Three Years
1516    Well-Child Visits (Ages 3-6)