Continuous Evaluation/Feedback

Clinical Decision Support (CDS) Connect is a tool that is a web-based repository service which enables the CDS community to identify evidence-based standards of care, translate and codify information into an interoperable standard, and leverage tooling to promote a collaborative model of CDS development.

The Clinical Quality Framework is a collaborative community of participants from the public and private sectors focused on providing tools, services and guidance to facilitate the harmonization of standards for clinical decision support (CDS) and electronic clinical quality measures (eCQM) use in clinical quality improvement.

CMS Help Desks used by various eCQM quality reporting programs are linked from the Contact Us page. 

The Cypress Tech Talks are an open forum for discussing technical implementation and tool issues with the Cypress support team.

The eCQM Calculations Libraries and Technical Services are open source libraries which provide support for loading and calculating eCQMs, generating Quality Data Model (QDM) types, and other libraries related to Clinical Quality Language (CQL) and Fast Healthcare Interoperability Resources (FHIR). Many of the libraries listed below are used within the Bonnie and Cypress tools and are actively supported. 

CQM Models: A software library containing auto generated models based off of QDM.
 
CQM Execution: NPM module for calculating eCQMS written in CQL, using the CQM-Models library
 
CQM Reports: A library for import and export of reports for use with eCQMs.
 
CQM Parsers : A library for parsing CQL-based HQMF documents and parsing Measure Authoring Tool (MAT) eCQM packages into models based off of the CQM-Models library.
 
CQM Validators: A library for QRDA validation. It contains Schematron validators, and validators for QRDA-specific features (measure IDs, performance rates, result extraction, etc).
 
CQM Execution Service: A Dockerized Node-based service for calculating eCQMs which uses the CQM Execution module.
 
CQL Execution: A JavaScript CQL Execution framework that can execute CQL artifacts expressed as JSON ELM.
 
CQL to ELM Translation Service: A microservice wrapper for the CQL to ELM conversion library.
 
CQL Exec FHIR: A FHIR-based data source module for use with the CQL Execution Engine.

The Federal Register is the official daily publication for rules, proposed rules, and notices of federal agencies and organizations, as well as executive orders and other presidential documents. The Federal Register is published by the Office of the Federal Register, National Archives and Records Administration (NARA). 

The Measures Management System (MMS) Blueprint is a guidance document which provides a standardized system for developing and maintaining the quality measures used in various quality initiatives and programs. The Blueprint includes information on Measure Development Concepts, Measure Lifecycle, eCQM Lifecycle, as well as Tools, Appendices, and Forms.

Jira is a collaboration platform hosted by the HHS’s Office of National Coordinator for Health Information Technology (ONC) which supports the implementation of health information technology. It provides internal and external users with a common place to transparently log, prioritize, and discuss issues with appropriate subject matter experts on many topics. CMS uses Jira during most phases of the eCQM measure lifecycle, including development, implementation, and maintenance.

Public comment ensures that measures are developed using a transparent process with balanced input from relevant stakeholders. The public comment period provides an opportunity for the widest array of interested parties to provide input on the measures under development and can provide critical suggestions not previously considered by the measure contractor or its Technical Expert Panel (TEP).