The Change Review Process (CRP) provides electronic clinical quality measure (eCQM) users the opportunity to review and comment on draft changes to the eCQM specifications and supporting resources under consideration by the measure steward. The CRP is conducted through the ONC Project Tracking System (Jira) website. The goal of the CRP is for eCQM implementers to comment on the potential impact of changes to measures so the Centers for Medicare & Medicaid Services (CMS) and measure stewards can make improvements to meet CMS’s intent of minimizing provider and vendor burden in the collection, capture, calculation, and reporting of eCQMs. To participate in the CRP, users must have a Jira account and log into the eCQM Issue Tracker where specific CRP tickets are posted for public comment and voting. Users can sign up for an account on the login in page.