Which is NOT a CMS eCQM domain measured for quality improvement?

• A. Patient and Family Engagement
• B. Patient Safety
• C. Care Coordination
• D. Cost Containment

Answer: (D)

CMS eCQMs focus on measuring the quality of clinical care across domains that reflect safe, patient-centered, and coordinated care. These domains include areas like patient safety, care coordination, and patient and family engagement, which are tied to how care is delivered and experienced. Cost containment, while important for overall performance, is not an eCQM domain used for quality improvement because it centers on financial aspects rather than the clinical quality of care. Therefore, cost containment is not part of the CMS eCQM domains used to drive quality improvement.