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CDS/eCQM Harmonization

How are CDS & eCQM different?

Clinical Decision Support (CDS) and electronic Clinical Quality Measurement (eCQM) are closely related, share many common requirements, and support health care quality improvement. It’s important to also understand, though, the differences between them and the efforts to help them work together (harmonize).

The standards used for the electronic representation of CDS and eCQM were developed separately and use different data models and computable expression languages. The use of different standards

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Certification

Health IT Certification for eCQM Reporting

The Office of the National Coordinator for Health Information Technology’s (ONC) Health IT Certification Program is a voluntary certification program established by ONC to provide for the certification of health IT on use of standards, implementation specifications, and certification criteria.  The ONC Health IT Certification Program supports the availability of certified health IT for encouraged and required users under federal, state and private programs. 

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CQL

What is Clinical Quality Language (CQL)?

Clinical Quality Language (CQL) is an HL7 draft standard for trial use (DSTU). It is part of the effort to harmonize standards between electronic clinical quality measures (eCQMs) and clinical decision support (CDS). CQL provides the ability to express logic that is human readable yet structured enough for processing a query electronically. In the future, CQL is to be used in all of the clinical quality measure HQMF electronic specifications.

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eCQI

Electronic Clinical Quality Improvement (eCQI)

Electronic Clinical Quality Improvement (eCQI) uses a variety of processes , health IT tools, standards and measurement to help continuously improve the quality of care, support improved health and outcomes. Health IT enables this improvement through the rapid feedback of performance via electronic clinical quality measures (eCQMs) as well as real-time improvement tools such as clinical decision support (CDS).

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eCQI Standards

About electronic Clinical Quality Improvement standards

Standards are critical to data consistency, validity and interoperability. Their use makes it easier to:

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eCQM Annual Update Implementation Checklist

The Centers for Medicare & Medicaid Services (CMS) requires an Eligible Professional (EP), Eligible Clinician, Eligible Hospital (EH) or Critical Access Hospital (CAH) to use the most current version of the eCQMs for quality reporting programs.

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eCQM Education

eCQM sessions presented at HIMSS 2017:

eCQM Submission sessions presented at HIMSS 2016:

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eCQM Tools & Key Resources

Overview of eCQM-related Tools

The eCQM tools and resources referenced in this section are openly available and are provided for stakeholder use. They provide a foundation for the development, testing, certification, implementation, reporting, continuous evaluation of quality measures and their improvement.

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eCQM Tools Education

eCQM Tools-related sessions presented at HIMSS 2016:

Pre-Submission Validation Application (PSVA) overview for eCQM data submission in 2016:

PSVA overview including how the tool is beneficial to those involved in the hospital quality reporting program; how the tool can be downloaded and utilized; and how resources related to the use of the PSVA can

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Education

eCQI Educational Resources

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EH

eCQM Electronic Specifications

These electronic specifications are fully developed and represent the electronic Clinical Quality Measures (eCQMs) for the inpatient hospital quality reporting programs. This page will be updated if changes are made to the final measure requirements.

Each year, CMS makes updates to the electronic specifications of the Clinical Quality Measures approved for submission in CMS programs. CMS encourages the implementation and use of the updates because they include new codes, logic corrections and clarifications.

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EP

eCQM Electronic Specifications

These electronic specifications are fully developed and represent the electronic Clinical Quality Measures (eCQMs)  for the ambulatory quality reporting programs. This page will be updated if changes are made to the final measure requirements.

Each year, CMS makes updates to the electronic specifications of the Clinical Quality Measures approved for submission in CMS programs. CMS encourages the implementation and use of the updates because they include new codes, logic corrections and clarifications.

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