An eCQI implementer does many things to prepare processes and systems such as
An eCQM union is specified using the CQL union operator, which is used to combine two or more data elements, arguments, or expressions onto a list, such that any item contained in the combined list fulfills the criteria of the union.
An efficiency measure is a measure that evaluates the resource use (or cost) associated with a specific level of performance with respect to the aims of quality. For example, a provider in the healthcare system would be efficient if it was able to maximize output for a given set of inputs or to minimize inputs used to produce a given output.
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 https://mpqhf.com/corporate/wp-content/uploads/2016/05/1-DPHHS-HTS-eCQI-Toolkit-Verion-4.pdf)
An electronic clinical quality measure (eCQM) is a clinical quality measure that is expressed and formatted to use data from electronic health records (EHR) and/or health information technology systems to measure healthcare quality, specifically data captured in structured form during the process of patient care. So they can 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 (EHR) is also known as the electronic patient record, electronic medical record, or computerized patient record. As defined by Healthcare Information Management and Systems Society, “the electronic health record (EHR) is a 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, and imaging reports.”
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 eCQM’s for quality reporting such as Alternative Payment Model (APM) participants.
An eligible hospital is a medical facility that reports eCQMs and Promoting Interoperability Program data through the CMS QualityNet Secure Portal such as Medicaid-eligible hospitals, Medicare-eligible hospitals, dual-eligible hospitals (both Medicare and Medicaid), and critical access hospitals.
An eligible professional is a healthcare professional that reports eCQMs and Medicaid Promoting Interoperability Program data through their state-based systems.
The Expression Logical Model (ELM) XML document (.xml) provides a machine-readable representation of an electronic clinical quality measure's logic in XML. The ELM file is intended for machine processing and provides the information needed to automatically retrieve data from an electronic health record.
eXtensible Markup Language (XML) is a markup language that defines a set of rules for encoding documents in a format which is both human-readable and machine-readable.