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Electronic clinical quality measuresinfo-icon (eCQMsinfo-icon) use data electronically extracted from electronic health records (EHRsinfo-icon) and/or health information technologyinfo-icon systems to measure the quality of health care provided. The Centers for Medicare & Medicaid Services (CMS) use eCQMs in a variety of quality reporting and value-based purchasing programs.

There are several benefits of using eCQMs

  •  eCQMs use detailed clinical data to assess the outcomes of treatment by healthcare providers and organizations
  •  eCQMs reduce the burden of manual abstraction and reporting for provider organizations
  •  eCQMs foster the goal of access to real-time data for bedside quality improvement and clinical decision support

Hospitals and providers use eCQMs to provide feedback on their care systems and to help them identify opportunities for clinical quality improvement. eCQMs are also used in reporting to CMS, The Joint Commission, and commercial insurance payers in programs that reimburse providers based on quality reporting.

Find eCQMs:

Eligible hospitalinfo-icon (EH) and critical access hospital (CAHinfo-icon) eCQMs and supporting materials are on the eligible hospital/critical access hospital page of this website.  

Eligible professionalinfo-icon (EP) and eligible clinicianinfo-icon eCQMs and supporting materials are on the eligible professional/eligible clinician page of this website.

Report eCQMs:

For current CMS programs, eligible hospitalsinfo-icon, critical access hospitals, eligible cliniciansinfo-icon, and/or eligible professionalsinfo-icon must use the most current version of eCQMs when reporting eCQMs. For hospital reporting guidance, visit QualityNet  and the Quality Reporting Center for specific program reporting education. For clinician reporting guidance, visit the Quality Payment Programwebsite and the Quality Payment Program Resource Library. For information about the Promoting Interoperability Program, refer to the CMS Promoting Interoperability Program webpage.

For HHS programs using eCQMs, refer to specific program requirements.eCQI Graphic for Healthcare Goals

Many different organizations may participate in the development and maintenance of eCQMsinfo-icon.The CMS Measures Management Systeminfo-icon is a standardized system and provides details on the process for developing and maintaining the quality measuresinfo-icon used in CMS's various quality reporting and initiative programs. Information on the CQMinfo-icon and eCQMinfo-icon development lifecycle is available in the Blueprint for the CMS Measures Management System (Blueprint) and on the eCQM Lifecycle webpage. The CQL Style Guide is for use by measure developersinfo-icon. It provides examples to standardize expression of measure concepts across eCQMs and define a uniform “look and feel” to eCQM logic using CQLinfo-iconThe Guide provides a set of common best practices for implementation across CQL-based eCQMs used in CMS quality reporting programs. 

eCQM Lifecycle:

The eCQM Lifecycle is a series of phases eCQMs progress through when being developed, tested, implemented, and updated. CMS provides several opportunities for stakeholders to engage throughout the measure lifecycle. 

Updates to eCQMs:  

CMS requires eCQMs approved for CMS programs to be updated annually to reflect changes in evidence-based medicine, code sets, and measure logic. CMS works with measure stewardsinfo-icon, measure developers, and users of the eCQMs to ensure necessary changes are reflected in the Annual Update. Additionally, CMS may provide addenda to the eCQM Annual Update periodically within the year to ensure updated code systems are reflected in the eCQM specificationsinfo-icon and supporting materials.

Structure of eCQMs:

To be reported from an EHRinfo-icon, eCQMs are made of electronic specifications. Health Quality Measure Format (HQMF), a Health Level Seven International (HL7info-icon) standard, is used for electronically documenting eCQM content. These electronic specifications include:

  • Computable representation of the eCQM: Contains important details about the measure, how the data elements are defined, and the underlying logic of the measure calculation. The files include
    • HQMFinfo-icon XMLinfo-icon syntax. The HQMF includes a Header and a Body. The header identifies and classifies the document and provides important metadata about the measure. The body contains eCQM sections (e.g., definitions, population criteria, supplemental data elements).
    • Clinical Quality Language (CQL)
    • Expression Logical Model (ELM) XML document
    • ELM JavaScript Object Notation (JSON)

  • The Human-readable representation of the eCQM displays the eCQM content in a human-readable format directly in a web browser, Hyper Text Markup Language (HTML) file (.html). This file does not include the underlying HQMF syntax, but the narrative content at the top of the HTML is extracted from the HQMF header.

  • A value setinfo-icon and a direct reference code (DRCinfo-icon) convey specific coded values that are allowed for the data elements within the eCQM. Value setsinfo-icon are identified by an object identifier (OID) and include several metadata elements. The value set includes a list of codes (i.e., the value set “expansion code set”) acceptable or valid for a specific data element in the measure, descriptors of those codes, the code systeminfo-icon from which the codes are derived, and the version of that code system. DRCsinfo-icon are specific codes that are referenced directly in the eCQM logic to describe a data element or one of its attributes. Value sets and DRCs are found in the  Value Set Authority Center (VSAC)

Naming eCQMs:

CMS created a unique “CMS eCQM Identifier” to name eCQM files. The naming convention adds the eCQM identifier assigned to the eCQM in the Measure Authoring Tool (MATinfo-icon) with the “eCQM Version Number”. “CMS” is placed in front of the number. The eCQM Version Number is used to indicate the published version of the eCQM. For example, based on this naming convention, eligible professionalinfo-icon measure (NQF0056-Diabetes: Foot Exam) would be CMS123v1 for the first version of the measure.

eCQM Information


eCQM Identifier (MAT)


eCQM Version number


CMS eCQM identifier


The eCQMinfo-icon tools and resources provide a foundation for the development, testing, certification, publication, implementation, reporting, and continuous evaluation of quality measuresinfo-icon and their improvement. You can refine the tool list by selecting a category of interest and/or a role that best describes your needs, or you can also click a specific tool from the list below to view additional details.


Category: Development, Testing

Software tool that allows eCQMinfo-icon developers to test and verify the behavior of their eCQM logic. The main goal of the Bonnieinfo-icon application is to reduce the number of defects in eCQMsinfo-icon by providing a robust and automated testing framework. The Bonnie application allows measure developersinfo-icon to independently load measures that they have constructed using the MATinfo-icon. Developers can then use the measure metadata to build a synthetic patient test deck for each measure from the clinical elements defined during the measure development process. By using measure metadata as a basis for building synthetic patients, developers can quickly and efficiently create a test deck for a measure. The Bonnie application helps measure developers execute the measure logic against the constructed patient test deck and evaluate whether the logic aligns with the intent of the measure.

Bonnie User Group

Category: Development, Testing

Community of Bonnieinfo-icon users that benefit from one another’s experience and questions, and allows the development team to easily reach out to the community regarding new releases, proposed features, and focus group opportunities.  Follow these instructions to join:

  • Navigate to!forum/bonnie
  • Sign into a google account, or create one
    • You can create a google account tied to an existing email address: under “Choose your username” click “I prefer to use my current email address.”
  • Click “Join group”
  • Adjust your preferred settings in the pop-up dialog to indicate how you wish to receive group messages. You can change these settings later


Category: Implementation

The value setinfo-icon Binding Parameter Specificationinfo-icon (BPSinfo-icon) is generated by the National Library of Medicine (NLM).  It is a record of the value set metadata information that defines the value set code lists specified by published CMS eCQMsinfo-icon. Measure implementers and vendors can use the BPS to track versions and other parameters that define the value set code lists for each eCQMinfo-icon release. The BPS contains the same information as its predecessor, the discontinued Data Element Catalog (DEC), as well as additional parameters. Users can access the BPS metadata file, for any released set of CMS eCQM value set files, through the NLM's Value Set Authority Center Downloadable Resources.

CDS Connect

Category: Continuous Evaluation/Feedback, Development, Implementation

Web-based repository service which enables the Clinical Decision Support (CDSinfo-icon) 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. 


Category: Certification

Comprehensive and authoritative listing of all certified Health Information Technologyinfo-icon which have been certified by the ONC Health ITinfo-icon Certification program. All products listed on the CHPLinfo-icon have been tested by an ONC-Authorized Testing Labs (ONC-ATLs) and certified by an ONC-Authorized Certification Body (ONC-ACB) to meet criteria adopted by the Secretary of the Department of Health and Human Services (HHS).

For additional information on how to navigate the CHPL, please refer to the CHPL Public User Guide.

Clinical Quality Framework

Category: Continuous Evaluation/Feedback

Collaborative community of participants from the public and private sectors focused on providing tools, services and guidance to facilitate the harmonizationinfo-icon of standards for clinical decision support (CDSinfo-icon) and electronic clinical quality measuresinfo-icon (eCQMinfo-icon) use in clinical quality improvement.


Category: Development, Implementation

Repository of record for information about CMS measures used to promote healthcare quality and quality improvement. CMS and its partners use this measure inventory to inform stakeholders, to manage its measure portfolio, and to guide measure development. The inventory contains information describing each of the measures including title, numeratorinfo-icon, denominatorinfo-icon, exclusions, various identifiers, type, status, usage by program, steward, healthcare priorities, and other attributes. The intuitive and user-friendly functions allow you to find measures quickly and to compile and refine sets of related measures. The tool increases transparency, can be used to identify measures across the continuum of care, and will help coordinate measurement efforts across all conditions, settings, and populations.


Category: Implementation, Reporting

These IGs are based on the HL7info-icon QRDAinfo-icon IGs. CMS's QRDA Category I IG is used for Hospital Quality Reporting (HQR), and CMS's QRDA Category III IG is used for the Eligible Cliniciansinfo-icon and Eligible Professionalsinfo-icon Programs that address aggregate reporting requirements for Comprehensive Primary Care Plus (CPC+) and Merit-Based Incentive Payment System (MIPS) programs.

CMS QRDA Pre-Submission Validation Tools Guide

Category: Reporting

Resource which details the different aspects of multiple QRDAinfo-icon validation tools that are available to submitters. It is intended to give users a single point of reference for these tools and assist them in selecting the most appropriate tool to meet their individual needs. The tool covers:

  • Cypressinfo-icon QRDA Validation Utility
  • Pre-Submission Validation Application (PSVAinfo-icon)
  • CMS Data Receiving System, within the QualityNetinfo-icon Secure Portal

CMS Receiving System Edits Document

Category: Reporting

The Calendar Year (CY) 2018 electronic clinical quality measureinfo-icon (eCQMinfo-icon) Data Receiving System Edits Document has been developed to provide greater insight into the error messages generated by the CMS data receiving system when test and production Quality Reporting Document Architecture (QRDAinfo-icon) Category I files are submitted to the CMS receiving system within the QualityNetinfo-icon Secure Portal.

Using the error messages and system edits outlined in this document to successfully troubleshoot QRDA Category I error messages assists hospitals and vendors to fulfill the eCQM reporting requirements for the CMS Hospital Inpatient Quality Reporting (IQR) and the Promoting Interoperability Programs.

CQL Formatting and Usage Wiki - eCQM Known Issues

Category: Development, Implementation, Reporting

This document provides a listing of known issues relative to CQLinfo-icon-Based eCQMinfo-icon support.

CQL Online

Category: Development, Implementation

CQLinfo-icon tools which provide a "sandbox" where electronic Clinical Quality Measureinfo-icon (eCQMsinfo-icon) developers and implementers can "play" with the Clinical Quality Language (CQL). The tools allows users to get a feel for what CQL looks like and how to write proper expressions in this new and powerful language.

More specifically, CQL Onlineinfo-icon is a syntax directed editor for writing expressions in CQL. It is open source and intended for educational purposes.

CQL Style Guide

Category: Development

CQL Style Guide provides examples to standardize expression of measure concepts across eCQMsinfo-icon and define a uniform “look and feel” to eCQMinfo-icon logic using CQLinfo-icon. The guide focuses on a set of common best practices implemented across CQL-based eCQMs in CMS reporting programs and also promotes the use of consistent language within the framework of CQL, including libraries, aliases, definitions, functions and conventions.

CQL-to-ELM Translator Reference Implementation

Category: Implementation

The HL7info-icon CQLinfo-icon specificationinfo-icon defines both a high-level, author friendly syntax for expressing clinical knowledge, as well as a machine friendly, syntax-independent canonical representation of clinical knowledge called Expression Logical Model (ELM). The high level syntax is designed to support measure and decision support authors, while the canonical representation is designed to support point-to-point sharing and machine processing applications.

The specification describes a formal mechanism for translating the high-level CQL syntax into the canonical ELM representation. This project provides a reference implementation of that translation. The translation component is designed to support use within an Integrated Development Environment (IDE), and has several options and features focused on providing translation support in such an environment. The reference implementation is intended to be used in support of CQF implementations as a tool to enable CQL output to be uniformly and automatically translated into ELM XMLinfo-icon or JSON documents for sharing and distribution to support implementation, integration, translation, and execution of CQL-based artifacts.

The CQL-to-ELM Translator is substantially complete, supporting all language constructs of the latest version of CQL (Release 1 STUinfo-icon 2 (1.2)), as well as a broad range of functionality to support use of the translator in an Integrated Development Environment. Implementations making use of the translator can submit issues and track resolution progress through the Issues tracker in the Github repository.


Category: Certification, Testing

Open source testing tool used by vendors to certify their EHRsinfo-icon and health information technologyinfo-icon (IT) modules for calculating eCQMsinfo-icon. Cypressinfo-icon is an official testing tool for the ONC EHRinfo-icon Certification Program. Testing involves Cypress generating synthetic patient records for the subset of published eCQMs selected for certification and testing the ability of the EHR systems and health ITinfo-icon modules to accurately record, import, calculate, filter, and report eCQMs. The Cypress test data are available in QRDAinfo-icon Category I for import into an EHR system. Cypress tests an EHR system’s ability to generate accurate QRDA Category I and Category III documents for reporting to CMS. Learn more about the Cypress Tool by visiting the Cypress website and reading the Cypress User Guide.

Cypress Tech Talks

Category: Continuous Evaluation/Feedback

Open forum for discussing technical implementation and tool issues with the Cypressinfo-icon support team.

Cypress Validation Utility

Category: Certification, Testing

Conformance validation tool which provides implementers with the ability to validate the conformance of QRDAinfo-icon Category I and Category III documents to the 2016, 2017, and 2018 CMS implementation guides:

  • 2016 (EP/EH)
  • 2017 (EP/EH)
  • 2018 (EH Only)

and HL7info-icon implementation guides:

  • QRDA Category I (R3, R3.1, R4)
  • QRDA Category III (R1, R2.1)

eCQI Implementers' Corner

Category: Implementation

Webpage designed to support the eCQI implementation activities of the entire care team.  The page provides links to resources and past presentations on implementing eCQMsinfo-icon.

eCQI Resource Center

Category: Implementation

Website which provides eCQI resources and connections with the community of professionals who are dedicated to electronic clinical quality improvement for better health. It provides eCQMinfo-icon electronic specificationsinfo-icon along with tool and resource links. It serves as “the one-stop shop for the most current resources to support electronic clinical quality improvement.”

eCQM Calculations Libraries and Technical Services

Category: Continuous Evaluation/Feedback, Testing

Open source libraries which provide a proof-of-concept implementation of eCQMsinfo-icon against patient information represented in Fast Healthcare Interoperability Resources (FHIR). These libraries reuse the calculation engine developed within Bonnieinfo-icon and Cypressinfo-icon and adapt it to a FHIR data model. They can be used as a starting point for an implementation of eCQMs from FHIR-based data.

fhir-patient-api maps the current Quality Data Model (QDMinfo-icon) based eCQMs to FHIR resources.

node-qme a “patient source”, which is responsible for using the fhir-patient-api to retrieve patients from a database and send them to eCQMinfo-icon code for calculation.

node-cqm-engine monitors requests for eCQM calculations and executes them. It also aggregates the results from individual patient measure results into a result for the entire patient population.

ecqm server a server application that provides RESTful interfaces for eCQM calculation.

ecqm-frontend a software package that provides a web-based interface for users to create and view the results of eCQM calculations.

eCQM Flows

Category: Implementation

Flowcharts designed to assist in interpretation of the eCQMinfo-icon logic and calculation methodology for reporting rates. These flows provide an overview of each of the population criteria components and associated data elements that lead to the inclusion or exclusions into the eCQM’s quality action (numeratorinfo-icon).

eCQM Measure Logic Document

Category: Implementation

Resource document which provides guidance for understanding, using, and/or implementing eCQMsinfo-icon.

Federal Register

Category: Implementation

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 Registerinfo-icon is published by the Office of the Federal Register, National Archives and Records Administration (NARA). 

Guide to Reading eCQMs

Category: Implementation

Resource document which provides guidance for understanding and implementing eCQMsinfo-icon. The guide provides information on eCQMs such as file naming conventions, understanding an eCQMinfo-icon human-readable rendition, QDMinfo-icon data criteria, value setsinfo-icon, and more.


Category: Development

The CQLinfo-icon-based HQMFinfo-icon IG constrains the HL7info-icon HQMF IG by utilizing both a domain analysis model called the QDMinfo-icon and an expression logic called CQL. QDM allows quality measureinfo-icon developers to describe clearly and unambiguously the data required to calculate quality measuresinfo-icon. QDM data types are mapped to the HQMF templates. CQL allows the sharing of unambiguous logic among eCQMsinfo-icon and can be used with multiple data models.


Category: Implementation

The QDMinfo-icon-based HQMFinfo-icon IG constrains the HL7info-icon HQMF IG by utilizing a domain analysis model called the QDM. This allows quality measureinfo-icon developers to describe clearly and unambiguously the data required to calculate quality measuresinfo-icon. QDM data types are mapped to the HQMF templates. No stand-alone QDM-based HQMF IG has been created since October 2016 and its functionality has been superseded by the CQLinfo-icon-based HQMF IG.


Category: Implementation

The HL7info-icon QRDAinfo-icon I IG describes constraints on HL7's Clinical Document Architecture Release 2 (CDA R2) to create a QRDA I document. QRDA Category I is for reporting quality data at the individual patient level.


Category: Reporting

The HL7info-icon QRDAinfo-icon III IG describes constraints on HL7's Clinical Document Architecture Release 2 (CDA R2) to create a QRDA III document. QRDA Category III is for reporting aggregated quality measureinfo-icon data.


Category: Certification, Continuous Evaluation/Feedback, Implementation, Testing

Collaboration platform hosted by the HHS’s Office of National Coordinator for Health Information Technologyinfo-icon (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 JIRAinfo-icon during most phases of the eCQMinfo-icon measure lifecycle, including development, implementation, and maintenance. JIRA supports projects such as CMS’s annual Measures under Consideration process and ONC’s health ITinfo-icon certification program.

Key topic areas covered include the eCQM Issue Tracker (eCQM implementation), QDMinfo-icon Issue Tracker (QDM measure logic), QRDAinfo-icon Issue Tracker (QRDA implementation), Bonnieinfo-icon Issue Tracker (eCQM testing), and USHIKinfo-icon feedback. Policy questions are not covered in JIRA.


Category: Continuous Evaluation/Feedback

Kaizeninfo-icon, or continuous improvement, is a long-term approach to work that systematically seeks to achieve incremental changes in order to improve efficiency and quality. It focuses on removing process waste and maximizing value to the customer (in this case the patient). CMS and ONC have focused on eCQMinfo-icon development and implementation.


Category: Development

Web-based tool that allows measure developersinfo-icon to author eCQMsinfo-icon using the Quality Data Model (QDMinfo-icon). The tool provides the capability to express measure logic and export measures. The MATinfo-icon provides the capability to express complex measure logic and export measures in several formats, including a human-readable document which can be viewed in a web browser (HTML), a CQLinfo-icon file containing the CQL library in its entirety, and for integration into Electronic Health Records (EHRsinfo-icon), the MAT provides an eCQMinfo-icon HQMFinfo-icon XMLinfo-icon document, an Expression Logical Model (ELM) XML document, and a corresponding JavaScript Object Notation (JSON) file. Measure developers use both Bonnieinfo-icon and MAT to promote test driven development. Refer to the MAT User Guide for more information.

Measures Management System

Category: Continuous Evaluation/Feedback, Development

Standardized system for developing and maintaining the quality measuresinfo-icon used in CMS’s various quality initiatives and programs. The primary goal of the MMS is to provide guidance to measure developersinfo-icon to help them produce high-caliber healthcare quality measures.

Measures Management System Blueprint

Category: Continuous Evaluation/Feedback, Development, Implementation, Testing

Guidance document which provides a standardized system for developing and maintaining the quality measuresinfo-icon used in various quality initiatives and programs. Includes information on Measure Development Concepts, Measure Lifecycle, eCQMinfo-icon Lifecycle, as well as Tools, Appendices, and Forms.

Measures Management System Measure Inventory

Category: Development, Implementation

Inventory of measures used by CMS in various quality, reporting, and payment programs. The Inventory lists each measure by program and contains descriptive information including, but not limited to, numeratorinfo-icon, denominatorinfo-icon, exclusion criteria, National Quality Strategy (NQS) domain, measure type, and National Quality Forum (NQFinfo-icon) endorsement status. 

The CMS Measures Inventory now includes Pipeline/Measures under Development (MUD) in a separate document, which are measures that are in progress, but are not fully developed. The Measures under Development are categorized by anticipated CMS program, condition/topic, measure type, NQF endorsement status, measure stewardinfo-icon, and measure contractor.

NCQA eCQM Crosswalk

Category: Certification, Testing

Crosswalk which identifies eCQMsinfo-icon that are tested under the NCQA eMeasure (eCQMinfo-icon) Certification program, accepted in the NCQA PCMH Recognition Program, as well as those selected as core America’s Health Insurance Plans (AHIP)/CMS eCQMs and used within NCQA’s Healthcare Effectiveness Data and Information Set (HEDIS®) reporting. 

The same eCQMs that are used for CMS Quality Payment Program (QPP) reporting can also be submitted for recognition under NCQA’s Patient-Centered Medical Home (PCMH) recognition programs.

NCQA’s eMeasure (eCQM) Certification Program

Category: Certification, Testing

eCQMinfo-icon certifcation program which uses ONC-approved methodology for testing Health ITinfo-icon's ability to create accurate eCQMsinfo-iconThe NCQA eCQM Certification program is for use in the ONC HIT Certification Program and is approved as an Authorized Test Lab (ATL).

Pioneers in Quality

Category: Implementation

A Joint Commission program to assist hospitals on their journey towards electronic clinical quality measureinfo-icon adoption including educational programs (e.g., webinars for CEUs), a resource portal, recognition categories, an advisory council, a modified annual report, speaker’s bureau outreach, a peer–to–peer solution exchange, as well as having a strong focus on partnering with hospitals to provide the highest level of quality care for patients and their families.


Category: Reporting

Open source software tool that can automate the reporting of summary quality measuresinfo-icon and streamline the exchange of summary quality data. popHealthinfo-icon can be used by developers to better understand quality measurement and reporting. The tool has also proven valuable for its individual parts: standardized data importer/exporter; user interface; and most importantly its quality measureinfo-icon engine, which is technology shared with Cypressinfo-icon. EHRinfo-icon and Health Information Exchange developers have utilized these components in different ways to improve their own products.


Category: Reporting, Testing

Application Program Interface (API) which provides vendors, hospitals and providers with a method for validating eCQMinfo-icon files within their own system/environment prior to submission and for securely transporting valid files to Centers for Medicare & Medicaid Services (CMS). The PSVAinfo-icon tool assists in identifying and correcting Quality Reporting Document Architecture (QRDAinfo-icon) Category I file format errors for test and production files prior to data submission to the CMS eCQM data receiving system QualityNetinfo-icon Secure Portal. The PSVA tool has three interfaces as part of the download package and a user is able to select the option that best meets their needs. The PSVA tool can be accessed on the QualityNet Secure Portal.

QPP Developer Tools

Category: Reporting

Developer tools for the Quality Payment Program allow industry developers who build software for participating clinicians to integrate their software directly with CMS applications and data. 

The following tools are available:

These include documentation for reporting eCQMsinfo-icon used in the QPP program through QRDAinfo-icon-III, QPP JSON or QPP XMLinfo-icon formats.

QPP Resource Library

Category: Reporting

The Quality Payment Program Resource Library is the one-stop shop for all QPP resources. It provides participating eligible cliniciansinfo-icon and implementers with general and regulatory QPP information. 
Key resources include:
• MIPS Participation & Overview Fact Sheet and Scoringinfo-icon Guide
• Enterprise Identity Data Management (EIDM) User Guide
• MIPS Measures, Benchmarks, Validation Criteria, and Technical User Guides 
• QPP Final Rule, Fact Sheet, and Executive Summary


Category: Implementation

Web-based inventory tool developed by the National Quality Forum (NQFinfo-icon) to help people select and use NQF-endorsed measures. It allows a user to search for NQF-endorsed measures in a number of ways: export search results; and view types of measures. Using QPSinfo-icon, a user can find NQF-endorsed measures on particular topics, track and get reminders about measures that are important to them, provide feedback on measures, and see which measures others are using.

NQF-endorsed measures have undergone careful review by expert multistakeholder committees made up of doctors, hospitals and other providers, employers, health plans, public agencies, community coalitions, and patients –most of whom use measures on a daily basis to ensure better care. QPS is designed to help anyone interested in quality measurement. Information in QPS is updated daily as measures move through NQF processes. By adding measures to a portfolio in QPS, users can receive email notification of changes to individual measures.

Submission guidance for eMeasures is at:

QRDA Category I Conformance Statement Resource

Category: Reporting, Testing

Resource which assists data submitters in resolving file upload errors by providing additional explanations and reference material to support successful submission.

As of Calendar Year 2017, Quality Reporting Document Architecture (QRDAinfo-icon) Category I files are submitted by Eligible Hospitalsinfo-icon (EHs) to fulfill a portion of the mandatory electronic Clinical Quality Measureinfo-icon (eCQMinfo-icon) reporting requirements for the Centers for Medicare & Medicaid Services (CMS) Hospital Inpatient Quality Reporting (IQR) and Medicare Electronic Health Record (EHRinfo-icon) Incentive Programs.

QRDA III Converter

Category: Reporting, Testing

Converter tool which converts QRDAinfo-icon III files to the QPP JSON (JavaScript Object Notation) format for Quality Payment Program (QPP) data submission. The tool can also be used to test whether QRDA III files can be consumed by QPP and allows you to see whether it meets these standards:

This tool does not have the same functionality as the Cypressinfo-icon tool and cannot be used to test QRDA III files against the full range of possible uses. For more information, visit the Quality Payment Program website.

Designed for IT developers and available in the CMS Github repository.

QRDA-CQM Sandbox

Category: Implementation

Cypressinfo-icon testing environment which contains resources and tools for the QRDAinfo-icon Category I and Category III standards. The QRDA Validator provides implementers with the ability to validate the conformance of HL7info-icon QRDA Category I, R2 and QRDA Category III, R3 standards. Note that CMS programs may have additional program specific requirements for QRDA submissions to these programs, which are specified in the CMS QRDA Implementation Guide. 


Category: Reporting

Website which provides healthcare quality improvement news, resources and data reporting tools, and applications. QualityNetinfo-icon is the only CMS-approved site for secure communications and healthcare quality data exchange between healthcare organizations and facilities.

Technical Release Notes (TRN) - EH

Category: Implementation

Resource file which provides an overview of technical changes in the eCQMinfo-icon Annual Update and addenda.

Technical Release Notes (TRN) - EP/EC

Category: Implementation

Resource files which provides an overview of technical changes in the eCQMinfo-icon Annual Update and addenda.


Category: Development

Set of files and software that bring together health and biomedical vocabularies and standards to enable interoperability between computer systems. UMLS® is used to enhance or develop applications, such as electronic health records, classification tools, dictionaries and language translators.  Use of UMLS® allows end users to view codes used in value setsinfo-icon such as CPT and ICD-10.


Category: Development, Implementation

Registry and repository of health care-related metadata, specificationsinfo-icon, and standards. The CMS Quality Programs portal provides the ability to view, download, and compare eCQMinfo-icon specifications, data elements, value setsinfo-icon, and codes released by CMS and NLM. Each eCQM release package is available in a single file, or can be downloaded as eligible hospitalinfo-icon, eligible professionalinfo-icon, and individual measure packages. These files are available in PDF, Excel, CSV, HQMFinfo-icon XMLinfo-icon, or XML. UHSIK provides the ability for public comments to be received on measures and measure updates under consideration. This knowledgebase is produced by the Agency for Healthcare Research and Quality (AHRQ) in partnership with CMS and NLM.

Note: Viewing and/or downloading proprietary value sets, such as those using AMA copyrighted CPT codes or SNOMED CT codes, from NLM-VSACinfo-icon or AHRQ-USHIKinfo-icon requires a free Unified Medical Language System® Metathesaurus License (UMLS), (available at It is expected that any use of value sets is consistent with these licensing requirements and copyright protections.


Category: Development, Implementation, Testing

Central repository for the official versions of value setsinfo-icon that support the electronic Clinical Quality Measuresinfo-icon. The National Library of Medicine (NLM) maintains the NLM Value Setinfo-icon Authority Center and provides downloadable access to the value sets and the Binding Parameter Specificationinfo-icon. The VSACinfo-icon provides measure developersinfo-icon with tools to search existing value sets, collaborate with other measure developers to harmonize value sets, to create new value sets, and to maintain value set content consistent with current versions of the terminologies they use.

Value sets are lists of specific values (terms and their codes) used to describe clinical and administrative concepts in the quality measures. They provide groupings of unique values along with a standard description or definition from one or more standard vocabularies used to describe the same clinical concept (e.g., diabetes, clinical visit, demographics) within the quality measures.

Information on how value sets are created, used, and updated is available in the VSAC Support Center.

Note: Viewing and/or downloading proprietary value sets, such as those using AMA copyrighted CPT codes or SNOMED CT codes, from NLM-VSAC or AHRQ-USHIKinfo-icon requires a free Unified Medical Language System® Metathesaurus License (UMLS), (available at It is expected that any use of value sets is consistent with these licensing requirements and copyright protections.

VSAC Collaboration Tool

Category: Development

Tool which provides a central site where value setinfo-icon authors can post value setsinfo-icon for collaborative discussion. In that site, teams can share threaded discussions about the value sets, view recent value set expansions posted by site members, organize their value sets by usage and by team’s workflow needs, and receive activity and change notifications from VSACinfo-icon. VSAC authors and stewards can access the VSAC Collaboration Toolinfo-icon from within VSAC’s Collaboration Management tab as well as through a direct link to the VSAC Collaboration Tool.

Get Involved:

CMS provides several opportunities to provide input on eCQMinfo-icon development and updates, public calls for measures, comments on measures under development, and participation on technical expert panels. Visit the CMS Measures Management System Get Involved webpage and the Engagement webpage for a list of current opportunities.

Provide Feedback:

CMS through the ONC Project Tracking System (JIRAinfo-icon) allows stakeholders to submit issues with eCQM implementation and development and receive feedback. Submit eCQM technical questions to the eCQM Issue Tracker.

Seek Help:

Information on various helpdesks and tools for eCQM help is found on the eCQI Resource Center Contact Information page.

Last Updated: December 7, 2018