The eCQM tools and resources referenced in this section are openly available and are provided for stakeholder use. They provide a foundation for the development, testing, certification, implementation, reporting, and continuous evaluation of quality measures and their improvement.
This user group is a community of Bonnie users that benefit from one another’s experience and questions, and allows the development team to easily reach out to the community regarding new releases, proposed features, and focus group opportunities. Follow these instructions to join:
The Certified Health IT Product List (CHPL) is the authoritative and comprehensive listing of Health IT certified through the ONC Health IT Certification Program.
This interactive tool details the different aspects of multiple QRDA validation tools that are available to submitters. It is intended to give users a single point of reference for these tools and assist them in selecting the most appropriate tool to meet their individual needs. The tool covers:
- Cypress QRDA Validation Utility
- Pre-Submission Validation Application (PSVA)
- CMS Secure Portal: For Hospital Reporting via QualityNet
- Submission Engine Validation Tool (SEVT)
CQL Online is a tool developed by ESAC, Inc. to provide a "sandbox" where Electronic Clinical Quality Measure (eCQMs) developers and implementers can "play" around with the Clinical Quality Language (CQL). The tools allows users to get a feel for what CQL looks like and how to write proper expressions in this new and powerful language.
More specifically, CQL Online is a syntax directed editor for writing expressions in CQL. It is open source and intended for educational purposes.
Cypress is an open source certification testing tool for evaluating the accuracy of clinical quality measure calculations in electronic health records (EHRs) systems and EHR modules. Cypress enables testing of an EHR’s ability to accurately calculate eCQMs. Cypress serves as the official eCQM testing tool for the 2014 EHR Certification program by the Office of the National Coordinator for Health IT (ONC). View slides from Cypress 101 session.
Cypress Tech Talks are an open forum for discussing technical implementation and tool issues with the Cypress team.
The Cypress QRDA Validator provides implementers with the ability to validate the conformance of QRDA Category I and Category III documents to the following implementation guides (IGs):2015 CMS QRDA Combined IG and the HL7 QRDA Errata IG for 2014.
A data element is a clinical concept such as a diagnosis, lab value or gender that is coded using standardized terminologies and collected in EHRs. The DEC is a list of all the data elements required by each clinical quality measure used by CMS for certain quality measure programs and by ONC for health IT systems to certify that they can capture. The DEC is maintained by NLM and available through the VSAC.
The AEGIS Developers Integration Lab (DIL) is an Infrastructure as a Service (IaaS) and Testing as a Service (TaaS) Open Access Solution for health information exchange gateway, interoperability, and compatibility testing. The DIL provides an easy-to-use system for performing conformance and interoperability tests against published specifications, standards, and profiles, including templates and implementation guides.
This webpage designed to support the eCQI implementation activities of the entire care team.
This website providing eCQI resources and connection with the community of professionals who are dedicated to clinical quality improvement for better health. Provides eCQM electronic specifications and their updates along with tool and resource links. “The one-stop shop for the most current resources to support electronic clinical quality improvement.”
This CMS webpage provides QRDA implementation guides for eCQM reporting.
These Igs are developed by CMS to support Quality Reporting Document Architecture (QRDA) Implementation for Eligible Professionals, Eligible Clinician and Eligible Hospitals for eCQM reporting.
These IGs are developed and published to provide a standard structure to construct a quality measure including metadata, data criteria, population criteria, etc. based on the QDM.
JIRA is a tool that allows stakeholders to submit issues with eCQM implementation and tools and receive feedback. Users with technical questions use JIRA to ask questions and report issues rather than submitting email, telephone or paper issues. Key topic areas covered include the CQM Issue Tracker (eCQM implementation), QDM Issue Tracker (QDM measure logic), QRDA Issue Tracker (QRDA implementation), Bonnie Issue Tracker (eCQM testing), and USHIK feedback. Policy questions are not covered in JIRA.
Kaizen, or continuous improvement, is a long-term approach to work that systematically seeks to achieve incremental changes in order to improve efficiency and quality. It focuses on removing process waste and maximizing value to the customer (in this case the patient). CMS and ONC have focused on eCQM development and implementation.
The MAT is a web-based tool that allows measure developers to author eCQMs using the Quality Data Model (QDM). The tool provides the capability to express measure logic and export measures in several formats, including a human-readable document that can be viewed in a web browser (HTML), the eCQM XML syntax (SimpleXML), and an eCQM HQMF XML document for integration with electronic health records (EHRs). Measure developers use both Bonnie and MAT to promote test driven development.