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Glossary

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 Case Reporting

Electronic case reporting (eCR) is the automated generation and electronic submission of reportable diseases and conditions from an EHR to public health agencies. Each state has public health reporting requirements and relies on healthcare providers to report on certain conditions.

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.

Electronic clinical quality measure

An electronic clinical quality measure (eCQM) is a clinical quality measure expressed and formatted to use data from EHRs and/or health information technology systems to measure healthcare quality, ideally data captured in structured form during the process of patient care. For the measured entity to report an eCQM from an EHR, eCQM developers format the Health Quality Measure Format (HQMF) using the Quality Data Model (QDM) to define the data elements and 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. An 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, diagnoses and treatment, medications, allergies, immunizations as well as radiology images and laboratory results.” International Social Security Association. (n.d.). Information and communication technology- Guideline 92 electronic health record system. Retrieved September  21, 2021, from https://ww1.issa.int/guidelines/ict/180156

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 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.

End user

An end user (sometimes end-user) is a person who ultimately uses or intends to ultimately use a guideline, measure, or its derivative products.

Environmental Scan

An environmental scan is the process of systematically reviewing and interpreting data to identify issues and opportunities that will influence prioritization of current or future plans.

Evaluation activities

Evaluation activities are a systematic collection of information about a guideline. It involves collecting and analyzing information about a guideline's activities, characteristics, and outcomes to make judgments about the guideline, to improve its effectiveness, and/or inform decisions about future guideline development.

Expression Logical Model

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