eCQI Implementers' Corner

The key implementer resources located on these tabs provide information and tools to inform the design and execution of eCQI activities.

An eCQI “implementer” does many things to prepare processes and systems such as:

  • Putting measure data components into systems and workflow
  • Using measures when conducting health care activities
  • Providing information from measures to inform quality improvement

The success of eCQI activities depends on the efforts of the entire care team and those that support them: practice administrators, quality improvement leadership, information technology staff, providers, and others. These individuals need to work together to execute a plan to improve quality and reduce costs.

Electronic health data can help providers and health care organizations transform the care they deliver through quality improvement activities. However, the existence of data alone does not improve quality. One must use the data with eCQI tools and activities to improve quality such as:

  • eCQMs that help providers know how they compare with other providers on key quality indicators and whether or not they are using evidence-based care
  • Understanding and optimizing daily care activities and workflow to be effective and efficient
  • Clinical Decision Support (CDS) to ensure the 5 CDS Rights:
    • Right information is provided
    • To the right person
    • In the right intervention format
    • Through the right channel
    • At the right time in workflow

The following resources focus on the technical aspects of implementing and reporting eCQMs. 

The Implementers Checklist provides the necessary technical steps health information technology (IT) developers, implementers, and health care organizations must take to update their systems and processes with the eCQM Annual Update for the upcoming reporting and performance periods. 

eCQM Tools and Key Resources provide a foundation for the development, testing, certification, implementation, reporting, and continuous evaluation of quality measures and their improvement.

ONC's Innovations in the Use of Electronic Health Data for eMeasurement and Quality Improvement webinar - May 4, 2017 (YouTube) highlights innovative approaches to managing and using electronic health data for quality improvement. Presentations include:

  • College of Surgeons Strategy to Quality Improvement 
  • Implementing Performance Measurement & Improvement
  • Implementing Fast Healthcare Interoperability Resources (FHIR)
  • Data Warehouse for Extracting clinical data from EHR Systems
  • Evolution of Patient Safety-Focused Electronic Measurement
  • Using Active Care Relationships to Support eMeasurement
  • Demonstrating High Reliability: How eCQI Helps Support the Goal

36 short educational videos (YouTube) assist providers in implementing CMS Comprehensive Primary Care (CPC), several of which are specifically relevant to electronic clinical quality improvement: 

Health Information Technology (IT) Curriculum Resources for Educators videos may also be valuable, we encourage you to review for applicability to your practice. These videos were funded by The Office of the National Coordinator for Health Information Technology (ONC) as part of the Workforce Development Programs provide instructional materials covering areas relevant to improved care delivery. A number of the curriculum components cover electronic clinical quality improvement: 

Individual units within other components may also be valuable, we encourage you to review for applicability to your practice. NOTE: Many of these components are over 1 GB in size. Downloading may take up to 10 minutes, depending on your connection.

The following resources focus on process and workflow issues for implementing and reporting eCQMs. 

Pioneers in Quality is a Joint Commission program to assist hospitals on their journey towards eCQM adoption and reporting. A key component of the Pioneers in Quality™ program is regular educational webinars. Visit their website for a full list of the webinar series.

eCQM 101 - Getting Started with eCQM for Quality Reporting Programs - March 25, 2015

eCQM 102 - Taking the Next Step with eCQMs for Quality Reporting Programs - How to Implement Quality Measure Updates - June 4, 2015

Planning and Implementing Improved CDS Care Processes outlines steps that practices, hospitals, and their partners can take to enhance care processes and outcomes targeted for improvement.

eCQI Toolkit - March 2017 and eCQI Resources from Mountain-Pacific Quality Health Quality Improvment Organization assist organizations with leveraging health information technology (HIT) and the Plan Do Study Act (PDSA) process improvement methodology to support and advance their health quality improvement initiatives.

Submit eCQI implementation news, events, content, and/or comments you have regarding implementation resources to ecqi-resource-center@hhs.gov.

Last Updated: July 18, 2018