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Glossary

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eCQI implementer

An electronic clinical quality improvement (eCQI) implementer does many things to prepare processes and systems such as

  • Putting measure data components into systems and workflow
  • Using measures when conducting healthcare activities
  • Providing information from measures to inform quality improvement (e.g., health information technology implementer, quality analyst, quality reporting validator).

Efficiency measure

An efficiency measure is the cost of care (inputs to the health system in the form of expenditures and other resources) associated with a specified level of health outcome.

Electronic clinical quality improvement

Electronic clinical quality Improvement (eCQI) is the use of health information technology, the functionality, and data in an EHR and/or other health information technology, along with clinical best practices to support, leverage, and advance quality improvement initiatives. (Adapted from the Health Information Technology Enabled eCQI Toolkit).

Electronic clinical quality measure

An electronic clinical quality measure (eCQM) is a clinical quality measure expressed and formatted to use data from electronic health records (EHR) and/or health information technology systems to measure healthcare quality, ideally data captured in structured form during the process of patient care. For the eCQM to be reported from an EHR, the Health Quality Measure Format (HQMF) is used to format the eCQM content using the Quality Data Model (QDM) to define the data elements and Clinical Quality Language (CQL) to express the logic needed to evaluate a provider or organization’s performance.

Electronic health record

Electronic health record (EHR) is also known as the electronic patient record, electronic medical record, or computerized patient record. The International Social Security Association defines EHR as “longitudinal electronic record of patient health information generated by one or more encounters in any care delivery setting. Included in this information are patient demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data, diagnoses and treatment, medications, allergies, immunizations as well as radiology images and laboratory results.”

Eligible clinician

An eligible clinician refers to a clinician who is eligible to participate in the Quality Payment Program (QPP) through the Merit-based Incentive Payment System (MIPS) and similar participants of other CMS programs using electronic clinical quality measures (eCQMs) for quality reporting such as Alternative Payment Model (APM) participants.

Eligible hospital

An eligible hospital is an acute care facility, e.g., Subsection (d) hospitals in the 50 states or District of Columbia paid under the Inpatient Prospective Payment System (IPPS) and critical access hospitals, meeting eligibility requirements for EHR incentive payments by adopting, implementing, or updating certified electronic health record technology.

Eligible professional

An eligible professional is a healthcare professional that reports eCQMs and Medicaid Promoting Interoperability Program data through their state-based systems.

Expression Logical Model

The Expression Logical Model (ELM) is a machine-readable representation of an electronic clinical quality measure's logic and provides the information needed to automatically retrieve data from an electronic health record. The ELM file can be in XML (.xml) or JavaScript Object Notation (JSON) (.json).