The 2027 Annual Update draft measure specifications are now available. Question and comment on Eligible Clinician eCQMs, Hospital - Inpatient eCQMs, and Hospital - Outpatient eCQM until December 19, 2025.
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Standardized Tools and Resources for Electronic Clinical Quality Measures (eCQMs)
The use of eCQM-friendly tools and resources provides standardization in developing eCQMs. Standardization facilitates implementation by minimizing burden.
- Measure Authoring Development Integrated Environment (MADiE): a web-based authoring tool required for developing and maintaining eCQMs for CMS programs. Use of the MADiE tool ensures eCQM measure developers are using the established health IT standards and clinical terminology code systems needed for eCQM implementation. Specifically, the MADiE tool enables measure developers to author eCQMs in Health Quality Measure Format (HQMF) using the Quality Data Model (QDM) data elements, Clinical Quality Language (CQL), and other standards to meet future measure authoring requirements.
- Cypress: an open-source testing tool used by health information technology (IT) vendors to certify their electronic health records (EHRs) and health IT modules (CEHRT) for calculating eCQMs. The Cypress application includes the Cypress Validation Utility + Calculation Check (CVU+). The CVU+ facilitates real-world testing, providing health IT vendors the ability to perform QRDA validation testing using their own test patients.
- United States Core Data for Interoperability (USCDI) + Quality Data Element List
- Value Set Authority Center (VSAC): provides the ability to develop value sets from the Unified Medical Language System terminologies.
The figure shows the connections among eCQM standards and the tools used to help develop and test eCQMs.
Find additional eCQI tools on the individual tools and resources tab of each standard on the main menu of the eCQI Resource Center and within the eCQI Tools & Key Resources.