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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:

  • Share information
  • Develop software
  • Integrate data
  • Implement systems

Standards constantly improve so that more sophisticated data can be captured, used and analyzed.  Click here for a complete list of eCQM Standards and Tool Versions by year.

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eCQM Education

Learn more about eCQM through eCQM 101 sessions presented August 15th 2015:

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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 101 sessions presented August 2015:

eCQM Tools-related sessions presented at HIMSS 2016:

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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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HQMF

What is Health Quality Measure Format (HQMF)?

Health Quality Measure Format (HQMF) is a standards-based representation of quality measures as electronic documents. It is developed by Health Level Seven International (HL7) and defines the information necessary to compute a quality measure and result value. The most recent version of HQMF, Release 2.1 (R2.1), provides a simplified structure and clearer execution model over previous HQMF releases.

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