Table 1. 2014 Centers for Medicare and Medicaid Services Clinical Quality Measures Relevant to Primary Care and Included in Performance Assessment
Measure TitleMeasure DescriptionUsed among Practices (Mean %)Standard Deviation
Clinical process/effectiveness
    Antidepressant medication managementPercentage of patients ≥18 years old who were diagnosed with major depression and treated with antidepressant medication and who remained on antidepressant medication treatment59.98.7
    Asthma: use of appropriate medicationsPercentage of patients 5–64 years old who were identified as having persistent asthma and were appropriately prescribed controller medication48.09.8
    BP controlPercentage of patients 18–85 years old with a diagnosis of hypertension and whose BP was <140/90 mm Hg69.910.7
    Cancer screening
        BreastPercentage of women 50–75 years old who had a mammogram to screen for breast cancer60.215.6
        CervicalPercentage of women 21–64 years old who received one or more Papanicolaou tests to screen for cervical cancer48.516.3
        ColorectalPercentage of adults 50–75 years old who had appropriate screening for colorectal cancer54.216.7
    Diabetes
        Poor control of hemoglobin A1CPercentage of patients 18–75 years old with diabetes without a recent hemoglobin A1C or hemoglobin A1C >9.0%40.712.9
        LDL-C managementPercentage of patients 18–75 years old with diabetes whose LDL-C was <100 mg/dL62.110.2
        Urine protein screeningPercentage of patients 18–75 years old with diabetes who had a nephropathy screening test or evidence of nephropathy78.411.0
    Heart failure
        ACE inhibitor or ARB therapyPercentage of patients aged ≥18 years with a diagnosis of heart failure who were prescribed an ACE inhibitor or ARB therapy55.411.9
        β-Blocker therapyPercentage of patients aged ≥18 years with a diagnosis of heart failure who were prescribed β-blocker therapy57.914.0
    Ischemic vascular disease
        Use of aspirin or another antithromboticPercentage of patients 20–79 years old or older with a diagnosis of ischemic vascular disease who had documentation of use of aspirin or another antithrombotic50.119.5
        LDL controlPercentage of patients 20–79 years old or older with a diagnosis of ischemic vascular disease whose LDL-C was <100 mg/dL65.48.5
Efficient use of health care resources
    Appropriate Treatment for Children with Upper Respiratory Infection (URI)Percentage of children 3 months to 18 years old who were diagnosed with upper respiratory infection and were not dispensed an antibiotic prescription on the day of or 3 days after the episode62.526.0
Patient safety
    Use of high-risk medications in the elderlyPercentage of patients ≥66 years old who were not ordered high-risk medications80.16.6
    Warfarin time in therapeutic rangeAverage percentage of time in which patients aged ≥18 years with atrial fibrillation on warfarin therapy have an INR within the therapeutic range in the past 45 days38.817.7
Population/public health
    Chlamydia screening for womenPercentage of women 16–24 years old who were identified as sexually active and who had at least one test for chlamydia12.915.0
    Depression screeningPercentage of patients aged ≥18 years who were screened for clinical depression36.327.1
    Influenza immunizationPercentage of patients aged ≥6 months seen for a visit in the past year who received an influenza immunization or who reported previous receipt of an influenza immunization29.512.3
    Pneumococcal immunization for older adultsPercentage of patients ≥65 years old who have ever received a pneumococcal vaccine63.020.9
    Tobacco use screening and cessation interventionPercentage of patients aged ≥18 years who were screened for tobacco use within 24 months and who received cessation counseling intervention if identified as a tobacco user89.88.7

  • ACE, angiotensin-converting enzyme; ARB, angiotensin receptor blocker; BP, blood pressure; LDL-C, low-density lipoprotein cholesterol.