Request for Feedback on Draft eCQM Reading and Logic Guides
The Centers for Medicare & Medicaid Services (CMS) invites vendors and implementers to review and provide feedback on supporting resources for the upcoming electronic clinical quality measure (eCQM) annual update publication for the 2026 reporting/performance period. Vendors and implementers are invited to review and comment on the DRAFT Guide for Reading eCQMs and DRAFTeCQM Logic and Implementation Guidance document for the 2026 reporting/performance period from February 20, 2025 through March 3, 2025 using the Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology (ASTP/ONC) Project Tracking System eCQM Issue Tracker.
- CQM-7652: Annual Update for the 2026 Reporting/Performance Period: Draft Guide for Reading eCQMs
- CQM-7653: Annual Update for the 2026 Reporting/Performance Period: Draft eCQM Logic and Implementation Guidance
Note that an ASTP/ONC Project Tracking System account is required to post a question or comment. New users can create an account via the ASTP/ONC Project Tracking System website.
The Guide for Reading eCQMs is designed to help providers, quality analysts, implementers, and health information technology vendors understand eCQMs and eCQM-related documents. The guide provides background on an eCQM package, the building blocks of an eCQM, and an overview of understanding the human-readable format of the eCQM.
The eCQM Logic and Implementation Guidance document includes details to assist implementers, including defining how specific logic and data elements should be conceptualized and addressed during eCQM implementation. It also provides information to interested parties on how to use the ASTP/ONC Project Tracking System (Jira) to provide feedback, track issues, and ask questions about measure intent, specifications, certification, standards, and issues uncovered during implementation associated with the eCQMs.
To find out more about eCQMs and Clinical Quality Language (CQL), visit theElectronic Clinical Quality Improvement (eCQI) Resource Center. Please sign up for and follow the eCQI Resource Center, CMS, and the ASTP/ONC listservs to receive updates and announcements on the eCQM specifications’ publication and related content. Please submit questions or comments regarding eCQMs to the eCQM Issue Tracker.